ClinicalTrials.gg
TerminatedNCT03858049Updated Mar 12, 2024Results posted

Efficacy and Safety of Crinone Versus Combination Medication (ACCESS)

A Phase 4 interventional study of Crinone and Duphaston in Infertility, sponsored by Merck KGaA, Darmstadt, Germany. Terminated at 1 site in China. Open to female participants aged 20 Years to 38 Years. Per ClinicalTrials.gov, last updated 2024-03-12.

Sponsored by Merck KGaA, Darmstadt, Germany · Phase 4, Interventional, and Treatment

Why this study was terminated
The trend in LPS treatment tends to increase the dosage of progesterone in FET-HRT, this study was designed 5 years ago.
Phase
Phase 4
Study type
Interventional
Enrollment
172
Allocation
Randomized
Ages
20 Years to 38 Years
Sex
Female
01

Study summary

The study to compare to the efficacy and safety of Crinone versus combination medication in infertile women receive frozen-thawed embryo transfer (FET) in artificial cycles (AC).

02

Conditions studied

  • Infertility

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Keywords

  • Frozen-thawed embryo transfer
  • Infertility
  • Crinone
  • Duphaston
  • Chinese population
03

In context

Infertility

2,085 studies on the registry are indexed under Infertility; 357 are open to participants now.

This study's enrollment of 172 is above the median of 135 across 1,412 interventional studies indexed under Infertility.

Browse Infertility studies →

Lead sponsor

Merck KGaA, Darmstadt, Germany is the lead sponsor of 275 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 38 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Participants are eligible to be included in the study only if all the following criteria apply:

  • Participants who will receive artificial frozen-thawed embryo transfer (FET) cycle study interventions
  • Participants who have no more than two Day 5 embryos are planned to be transferred (follow the clinical practice of the study site)
  • Participants have received estradiol valerate for no more than 20 days
  • Participants have a transitional-endometrium of greater than or equal to 8 millimeter
  • Participants have normal uterine cavity
  • Participants can give signed
  • Participants are willing to follow the study protocol and able to complete the study

Exclusion criteria

Exclusion Criteria:

  • Participants are willing to follow the study protocol and able to complete the study
  • Participants with greater than or equal to three previously failed cycles of ET
  • Participants with diseases that cannot tolerate pregnancy
  • Hydrosalpinx
  • Severe endometriosis (Endometriosis American Society for Reproductive Medicine (ASRM) criteria from 1996)
  • Known to progesterone, the of Crinone and Duphaston Vaginal bleeding of unknown origin
  • History of recurrent miscarriages
  • Vaginitis
  • Thromboembolic diseases (thrombophlebitis, thromboembolic disorder, or cerebral apoplexy) or participants with a history of these conditions
  • Known or suspected progestogen-dependent neoplasm
  • Participation in another clinical trial within the past 30 days
  • of both Crinone and Duphaston
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
172 participants (actual)

Study arms

  • Experimental
    Crinone

    Participants received Crinone 8% (90 milligrams \[mg\] an intravaginal progesterone gel contained in a single use, one piece applicator) once daily in morning from the day of endometrial transformation (Day -5) until ongoing pregnancy was confirmed up to Day 63.

    Drug: Crinone

  • Experimental
    Crinone plus Duphaston

    Participants received Crinone 8% (90 mg an intravaginal progesterone gel contained in a single use, one piece applicator) once daily in morning followed by 10 mg of Duphaston tablet orally twice a day from the day of endometrial transformation (Day -5) until ongoing pregnancy was confirmed up to Day 63.

    Drug: Crinone · Drug: Duphaston

Interventions

  • Participants received Crinone 8% (90 milligrams \[mg\] an intravaginal progesterone gel contained in a single use, one piece applicator) once daily in morning from the day of endometrial transformation (Day -5) until ongoing pregnancy was confirmed up to Day 63.

  • Participants received 10 mg of Duphaston tablet orally twice a day from the day of endometrial transformation (Day -5) until ongoign pregnancy was confirmed up to Day 63.

06

What researchers measure

Primary outcomes

  1. Ongoing Pregnancy Rate

    Ongoing pregnancy was assessed by the presence of viable intra uterine fetus detected by ultrasound examination in 10-12 weeks of pregnancy (8 to 10 weeks after embryo transfer). Ongoing pregnancy rate is defined as the number of participants with ongoing pregnancy divided by the number of participants with embryo transfer (ET) multiplied by 100.

    Time frame: 8 to 10 weeks after embryo transfer

Secondary outcomes

  1. Beta Human Chorionic Gonadotrophin (Beta-hCG) Positive Rate

    Beta-hCG positive rate defined as number of participants with positive beta-hCG divided by the number of participants with embryo transfer (ET) multiplied by 100.

    Time frame: 2 weeks after embryo transfer

  2. Implantation Rate

    Implantation rate was measured as the number of gestational sacs observed divided by the number of embryos transferred (ET) multiplied by 100.

    Time frame: 4-6 weeks after embryo transfer

  3. Clinical Pregnancy Rate

    Clinical Pregnancy was defined as the pregnancy diagnosed by ultrasound of one or more gestational sacs or definitive clinical signs of pregnancy. Clinical pregnancy rate was measured as the number of participants with clinical pregnancy divided by number of participants with embryo transfer (ET) multiplied by 100.

    Time frame: 4-6 weeks after embryo transfer

  4. Early Abortion Rate

    Early abortion defined as the spontaneous loss of an intra-uterine pregnancy prior to 12 completed weeks of gestational age. Early abortion rate defined as the number of participants with early abortion divided by number of participants with clinical pregnancy multiplied by 100.

    Time frame: Time from embryo transfer to 12 weeks of pregnancy

  5. Luteal Phase Bleeding Rate

    Luteal Phase Bleeding defined as the onset of any bleeding after embryo transfer and prior to the pregnancy test. Luteal phase bleeding rate defined as the number of participants with Luteal phase bleeding divided by number of participants with embryo transfer (ET) multiplied by 100.

    Time frame: 2, 5 and 9 weeks after embryo transfer

  6. Vaginal Bleeding Rate

    Vaginal bleeding is defined as any bleeding recorded after a pregnancy test via serum Beta-Human Chorionic Gonadotrophin. Vaginal bleeding rate defined as the number of participants with vaginal bleeding divided by number of participants with embryo transfer (ET) multiplied by 100.

    Time frame: 5 and 9 weeks after embryo transfer

07

Results

Posted Mar 12, 2024

Participant flow

Participant flow — Overall Study
MilestoneCrinoneCrinone® Plus Duphaston
Started8686
Completed6976
Not completed1710
Withdrew: Adverse event169
Withdrew: Other11

Outcome measures

PrimaryOngoing Pregnancy Rate

Ongoing pregnancy was assessed by the presence of viable intra uterine fetus detected by ultrasound examination in 10-12 weeks of pregnancy (8 to 10 weeks after embryo transfer). Ongoing pregnancy rate is defined as the number of participants with ongoing pregnancy divided by the number of participants with embryo transfer (ET) multiplied by 100.

Time frame:
8 to 10 weeks after embryo transfer
Reported as:
Number · Percentage of participants
Ongoing Pregnancy Rate
Percentage of participantsCrinoneCrinone® Plus Duphaston
Ongoing Pregnancy Rate18.8 (11.2 to 28.8)29.1 (19.8 to 39.9)
SecondaryBeta Human Chorionic Gonadotrophin (Beta-hCG) Positive Rate

Beta-hCG positive rate defined as number of participants with positive beta-hCG divided by the number of participants with embryo transfer (ET) multiplied by 100.

Time frame:
2 weeks after embryo transfer
Reported as:
Number · Percentage of participants
Beta Human Chorionic Gonadotrophin (Beta-hCG) Positive Rate
Percentage of participantsCrinoneCrinone® Plus Duphaston
Beta Human Chorionic Gonadotrophin (Beta-hCG) Positive Rate37.6 (27.4 to 48.8)43.0 (32.4 to 54.2)
SecondaryImplantation Rate

Implantation rate was measured as the number of gestational sacs observed divided by the number of embryos transferred (ET) multiplied by 100.

Time frame:
4-6 weeks after embryo transfer
Reported as:
Number · percentage of gestational sacs per ET
Implantation Rate
percentage of gestational sacs per ETCrinoneCrinone® Plus Duphaston
Implantation Rate20.9 (12.9 to 31.0)33.7 (23.9 to 44.7)
SecondaryClinical Pregnancy Rate

Clinical Pregnancy was defined as the pregnancy diagnosed by ultrasound of one or more gestational sacs or definitive clinical signs of pregnancy. Clinical pregnancy rate was measured as the number of participants with clinical pregnancy divided by number of participants with embryo transfer (ET) multiplied by 100.

Time frame:
4-6 weeks after embryo transfer
Reported as:
Number · Percentage of participants
Clinical Pregnancy Rate
Percentage of participantsCrinoneCrinone® Plus Duphaston
Clinical Pregnancy Rate21.2 (13.1 to 31.4)33.7 (23.9 to 44.7)
SecondaryEarly Abortion Rate

Early abortion defined as the spontaneous loss of an intra-uterine pregnancy prior to 12 completed weeks of gestational age. Early abortion rate defined as the number of participants with early abortion divided by number of participants with clinical pregnancy multiplied by 100.

Time frame:
Time from embryo transfer to 12 weeks of pregnancy
Reported as:
Number · Percentage of participants
Early Abortion Rate
Percentage of participantsCrinoneCrinone® Plus Duphaston
Early Abortion Rate11.1 (1.4 to 34.7)13.8 (3.9 to 31.7)
SecondaryLuteal Phase Bleeding Rate

Luteal Phase Bleeding defined as the onset of any bleeding after embryo transfer and prior to the pregnancy test. Luteal phase bleeding rate defined as the number of participants with Luteal phase bleeding divided by number of participants with embryo transfer (ET) multiplied by 100.

Time frame:
2, 5 and 9 weeks after embryo transfer
Reported as:
Number · Percentage of participants
Luteal Phase Bleeding Rate
Percentage of participantsCrinoneCrinone® Plus Duphaston
Luteal Phase Bleeding Rate1.2 (0.0 to 6.4)3.5 (0.7 to 9.9)
SecondaryVaginal Bleeding Rate

Vaginal bleeding is defined as any bleeding recorded after a pregnancy test via serum Beta-Human Chorionic Gonadotrophin. Vaginal bleeding rate defined as the number of participants with vaginal bleeding divided by number of participants with embryo transfer (ET) multiplied by 100.

Time frame:
5 and 9 weeks after embryo transfer
Reported as:
Number · Percentage of participants
Vaginal Bleeding Rate
Percentage of participantsCrinoneCrinone® Plus Duphaston
Vaginal Bleeding Rate7.1 (2.6 to 14.7)10.5 (4.9 to 18.9)

Adverse events

Collected over Day of endometrial transformation (Day -5) up to 12 weeks of pregnancy. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Crinone0/86 (0%)4/86 (4.7%)17/86 (19.8%)
Crinone® Plus Duphaston0/86 (0%)4/86 (4.7%)14/86 (16.3%)
Most frequent serious events
Most frequent serious events
EventCrinoneCrinone® Plus Duphaston
Decreased embryo viabilityInjury, poisoning and procedural complications2/862/86
Abortion spontaneousPregnancy, puerperium and perinatal conditions0/862/86
Abortion incompletePregnancy, puerperium and perinatal conditions1/860/86
Ectopic pregnancyPregnancy, puerperium and perinatal conditions1/860/86
Most frequent other events
Most frequent other events
EventCrinoneCrinone® Plus Duphaston
Abortion threatenedPregnancy, puerperium and perinatal conditions8/864/86
Biochemical pregnancyPregnancy, puerperium and perinatal conditions8/863/86
Vaginal haemorrhagePregnancy, puerperium and perinatal conditions2/867/86

Baseline characteristics

Intention-to-Treat (ITT) population included all participants who received at least one dose of randomized study intervention.

Age, Continuous
Age, Continuous(Years)CrinoneCrinone® Plus DuphastonTotal
Mean30.84 ± 2.91830.74 ± 3.16330.79 ± 3.034
Sex: Female, Male
Sex: Female, Male(Participants)CrinoneCrinone® Plus DuphastonTotal
Female8686172
Male000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)CrinoneCrinone® Plus DuphastonTotal
American Indian or Alaska Native000
Asian8686172
Native Hawaiian or Other Pacific Islander000
Black or African American000
White000
More than one race000
Unknown or Not Reported000
08

Study locations

1 site
  • Peking University Third Hospital
    Beijing, 100191, China
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — We are committed to enhancing public health through responsible sharing of clinical trial data. Following approval of a new product or a new indication for an approved product in both the US and European Union, the study sponsor and/or its affiliated companies will share study protocols, anonymized patient data and study level data, and redacted clinical study reports with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website bit.ly/IPD21

Supporting information: Study protocol, Statistical analysis plan, Clinical study report, Analytic code

Time frame: Within six months after the approval of a new product or a new indication for an approved product in both the United States and the European Union

Access criteria: Qualified scientific and medical researchers can request the data. Such requests must be submitted in writing to the company's portal and will be internally reviewed regarding criteria for researchers' qualification and legitimacy of the research proposal.

Data sharing details ↗ · bit.ly

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 12, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03858049
Responsible party
Sponsor
First posted
Feb 28, 2019
Start date
May 31, 2019
Primary completion
Oct 27, 2021
Completion
Oct 27, 2021
Results posted
Mar 12, 2024
Last update
Mar 12, 2024

Study contacts

Medical Responsible
study director · Merck KGaA, Darmstadt, Germany

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Crinone

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