ClinicalTrials.gg
Status unknownNCT04122729Updated Oct 10, 2019

N680S Polymorphism of the FSHR Gene and Its Relationship With the Type of Gonadotropin Used in COS

An observational study in In Vitro Fertilization and Controlled Ovarian Stimulation, sponsored by Angelini Farmacéutica. Status unknown at 12 sites in Spain. Open to female participants aged 18 Years to 37 Years. Per ClinicalTrials.gov, last updated 2019-10-10.

Sponsored by Angelini Farmacéutica (part of Angelini Pharma) · Observational

The sponsor has not verified this record recently (last verified Oct 2019), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
300
Ages
18 Years to 37 Years
Sex
Female
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Study summary

This project wants to determinate whether there is a relationship between the N680S polymorphism genotype of the FSHR gene and the nature of the FSH used in controlled ovarian stimulation.

It is a non-interventional, observational, cross-sectional and retrospective, national and multicenter study, in which a genetic test will be carried out to determine the genotype of the N680S polymorphism in samples of blood of patients who have undergone two cycles of controlled ovarian stimulation in the last 8 months.

Read the detailed description

The investigators want to investigate whether the N680S polymorphism of the FSRH gene could affects ovarian response with different nature of the FSH used (human FSH and recombinant FSH) in patients undergoing two consecutive cycles of IVF/ICSI with controlled ovarian stimulation.

All patients who agree to participate in the study will have a blood sample taken on the same day as a routine extraction performed for the 2nd cycle of the controlled ovarian stimulation in accordance with the standard clinical practice of each hospital. The sample will be sent to the central laboratory to determine the genotype of the afore mentioned polymorphism and correlate it with the clinical results obtained with the two cycles of controlled ovarian stimulation.

In order to avoid any bias, the study population will follow a crossover design with respect to the type of FSH used in the first and second cycles of the COS (i.e., half of the recruited patients must have undergone a first cycle of COS with recombinant FSH and a second cycle with human FSH; and, conversely, the other half must have undergone a first cycle with human FSH and a second cycle with recombinant FSH). In order to avoid potential modifications to the inclusion criteria, the time elapsed between the two cycles should not exceed 6 months.

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Conditions studied

  • In Vitro Fertilization
  • Controlled Ovarian Stimulation

Keywords

  • Highly purified human follicle stimulating hormone (HP-FSH)
  • Recombinant follicle stimulating hormone (rFSH)
  • FSH receptor (FSHR)
  • Polymorphism N680S of the FSHR
  • Polymorphism N312S of the LHCGR
  • LHCG receptor (LHCGR)
  • Polymorphism c.2039G>A
  • Polymorphism c.935A>G
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In context

Lead sponsor

Angelini Farmacéutica is the lead sponsor of 6 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 37 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients undergoing two cycles of IVF/ICSI who achieved a suboptimal response after the 1st cycle, did not become pregnant, and consequently underwent another cycle of COS in which the protocol was amended during the 2nd cycle to change the nature of the FSH used during the 1st cycle.

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

  • Signature of
  • Age ≤ 37 years
  • \< 30 kg/m2
  • Antral follicles count 1st cycle COS = 5-15
  • Antimüllerian hormone basal 1st cycle COS > 1,1 ng/ml and \< 3,1 ng/ml
  • COS protocol: equal starting dose in the 2 cycles of COS (150-225 UI/day) with dose adjustment from the 5th day of COS; pituitary suppression protocol in the 2 cycles of COS with GnRH antagonist with onset when ≥ 1 follicle of ≥ 14 mm in diameter or E2 ≤ 600 pg/ml; and triggering with hCGr or GnRH agonist
  • Optional the use of oral (OC) (however, same in the 2 cycles)
  • 4-9 recovered oocytes in the 1st cycle of COS
  • ≤ 6 months between the 2 cycles of COS

Exclusion criteria

Exclusion criteria:

  • Use of the LH activity during the cycles of COS
  • Presence of severe male factor
  • Grade III-IV endometriosis
  • Patients with polycystic ovary syndrome, a history of uterine or ovarian surgeries, hydrosalpinx visible by ultrasound, or uterine fibroids measuring > 30 mm
  • Major systemic or uncontrolled endocrine-metabolic diseases affecting the pituitary gland, the thyroid gland, the adrenal glands, the pancreas, the liver, or the kidneys
Terms in these criteria, in plain language(3)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
300 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna
06

What researchers measure

Primary outcomes

  1. Oocytes retrieved

    Number of oocytes retrieved in each IVF/ICSI cycle with controlled ovarian stimulation used different nature of the FSH in each one (human FSH and recombinant FSH).

    Time frame: Through study completion, an average of 1 year

  2. Genotype of the N680S polymorphism of the FSHR gene

    Genotype of the N680S polymorphism of the FSHR gene will be tested on blood samples

    Time frame: Through study completion, an average of 1 year

Secondary outcomes

  1. Genotype of the N312S polymorphism of the LHCGR gene

    Genotype of the N312S polymorphism of the LHCGR gene will be tested on blood samples

    Time frame: Through study completion, an average of 1 year

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Study locations

4 of 12 sites recruiting
  • Hospital Universitario Fundación Alcorcón
    Alcorcón, Madrid, Spain
    Recruiting
    • Berta Mª Martín, PhD · Contact
  • Hospital Clínic
    Barcelona, Spain
    Not yet recruiting
    • Dolors Manau, PhD · Contact
  • Hospital Universitario Vall d'Hebron
    Barcelona, Spain
    Not yet recruiting
    • Julio Herrero, PhD · Contact
  • Hospital Universitario Reina Sofía
    Córdoba, Spain
    Not yet recruiting
    • Juan Lorente, PhD · Contact
  • Hospital Virgen de las Nieves
    Granada, Spain
    Not yet recruiting
    • Luis Martínez, PhD · Contact
  • Hospital Clínico San Carlos
    Madrid, Spain
    Not yet recruiting
    • Mª Isabel Calventus, PhD · Contact
  • Hospital General Universitario Gregorio Marañon
    Madrid, Spain
    Recruiting
    • Miguel Caballero, PhD · Contact
  • Hospital Universitario 12 de Octubre
    Madrid, Spain
    Recruiting
    • Laura de la Fuente, PhD · Contact+34 917 452 520
  • Hospital Universitario La Paz
    Madrid, Spain
    Recruiting
    • Sonia Lobo, PhD · Contact+34 917 277 219
  • Hospital Universitario Príncipe de Asturias
    Madrid, Spain
    Not yet recruiting
    • Irene Heras, PhD · Contact
  • Hospital Universitario y Politécnico La Fe
    Valencia, Spain
    Not yet recruiting
    • José Mª Rubio, PhD · Contact
  • Hospital Clínico Universitario Valladolid
    Valladolid, Spain
    Not yet recruiting
    • Ana Casas, PhD · Contact
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References and documents

Publications

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  • Sunkara SK, Rittenberg V, Raine-Fenning N, Bhattacharya S, Zamora J, Coomarasamy A. Association between the number of eggs and live birth in IVF treatment: an analysis of 400 135 treatment cycles. Hum Reprod. 2011 Jul;26(7):1768-74. doi: 10.1093/humrep/der106. Epub 2011 May 10. PubMed 21558332 ↗
  • Kligman I, Rosenwaks Z. Differentiating clinical profiles: predicting good responders, poor responders, and hyperresponders. Fertil Steril. 2001 Dec;76(6):1185-90. doi: 10.1016/s0015-0282(01)02893-x. PubMed 11730748 ↗
  • Freour T, Masson D, Mirallie S, Jean M, Bach K, Dejoie T, Barriere P. Active smoking compromises IVF outcome and affects ovarian reserve. Reprod Biomed Online. 2008 Jan;16(1):96-102. doi: 10.1016/s1472-6483(10)60561-5. PubMed 18252054 ↗
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  • Broer SL, Broekmans FJ, Laven JS, Fauser BC. Anti-Mullerian hormone: ovarian reserve testing and its potential clinical implications. Hum Reprod Update. 2014 Sep-Oct;20(5):688-701. doi: 10.1093/humupd/dmu020. Epub 2014 May 12. PubMed 24821925 ↗
  • Ferraretti AP, La Marca A, Fauser BC, Tarlatzis B, Nargund G, Gianaroli L; ESHRE working group on Poor Ovarian Response Definition. ESHRE consensus on the definition of 'poor response' to ovarian stimulation for in vitro fertilization: the Bologna criteria. Hum Reprod. 2011 Jul;26(7):1616-24. doi: 10.1093/humrep/der092. Epub 2011 Apr 19. PubMed 21505041 ↗
  • Polyzos NP, Nwoye M, Corona R, Blockeel C, Stoop D, Haentjens P, Camus M, Tournaye H. Live birth rates in Bologna poor responders treated with ovarian stimulation for IVF/ICSI. Reprod Biomed Online. 2014 Apr;28(4):469-74. doi: 10.1016/j.rbmo.2013.11.010. Epub 2013 Dec 4. PubMed 24581984 ↗
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  • van der Gaast MH, Eijkemans MJ, van der Net JB, de Boer EJ, Burger CW, van Leeuwen FE, Fauser BC, Macklon NS. Optimum number of oocytes for a successful first IVF treatment cycle. Reprod Biomed Online. 2006 Oct;13(4):476-80. doi: 10.1016/s1472-6483(10)60633-5. PubMed 17007663 ↗
  • Verberg MF, Eijkemans MJ, Macklon NS, Heijnen EM, Baart EB, Hohmann FP, Fauser BC, Broekmans FJ. The clinical significance of the retrieval of a low number of oocytes following mild ovarian stimulation for IVF: a meta-analysis. Hum Reprod Update. 2009 Jan-Feb;15(1):5-12. doi: 10.1093/humupd/dmn053. PubMed 19091754 ↗
  • Polyzos NP, Sunkara SK. Sub-optimal responders following controlled ovarian stimulation: an overlooked group? Hum Reprod. 2015 Sep;30(9):2005-8. doi: 10.1093/humrep/dev149. Epub 2015 Jul 21. PubMed 26202582 ↗
  • Cascorbi I, Bruhn O, Werk AN. Challenges in pharmacogenetics. Eur J Clin Pharmacol. 2013 May;69 Suppl 1:17-23. doi: 10.1007/s00228-013-1492-x. Epub 2013 May 3. PubMed 23640184 ↗
  • Altmae S, Hovatta O, Stavreus-Evers A, Salumets A. Genetic predictors of controlled ovarian hyperstimulation: where do we stand today? Hum Reprod Update. 2011 Nov-Dec;17(6):813-28. doi: 10.1093/humupd/dmr034. Epub 2011 Aug 23. PubMed 21862569 ↗
  • Overbeek A, Lambalk N. Pharmacogenomics of ovulation induction: facilitating decisions on who, when and how to treat. Pharmacogenomics. 2009 Sep;10(9):1377-9. doi: 10.2217/pgs.09.110. No abstract available. Erratum In: Pharmacogenomics. 2009 Nov;10(11):1882. PubMed 19761360 ↗
  • Loutradis D, Theofanakis C, Anagnostou E, Mavrogianni D, Partsinevelos GA. Genetic profile of SNP(s) and ovulation induction. Curr Pharm Biotechnol. 2012 Mar;13(3):417-25. doi: 10.2174/138920112799361954. PubMed 21657995 ↗
  • Gromoll J, Ried T, Holtgreve-Grez H, Nieschlag E, Gudermann T. Localization of the human FSH receptor to chromosome 2 p21 using a genomic probe comprising exon 10. J Mol Endocrinol. 1994 Jun;12(3):265-71. doi: 10.1677/jme.0.0120265. PubMed 7916967 ↗
  • Simoni M, Gromoll J, Nieschlag E. The follicle-stimulating hormone receptor: biochemistry, molecular biology, physiology, and pathophysiology. Endocr Rev. 1997 Dec;18(6):739-73. doi: 10.1210/edrv.18.6.0320. No abstract available. PubMed 9408742 ↗
  • Aittomaki K, Lucena JL, Pakarinen P, Sistonen P, Tapanainen J, Gromoll J, Kaskikari R, Sankila EM, Lehvaslaiho H, Engel AR, Nieschlag E, Huhtaniemi I, de la Chapelle A. Mutation in the follicle-stimulating hormone receptor gene causes hereditary hypergonadotropic ovarian failure. Cell. 1995 Sep 22;82(6):959-68. doi: 10.1016/0092-8674(95)90275-9. PubMed 7553856 ↗
  • Yao Y, Ma CH, Tang HL, Hu YF. Influence of follicle-stimulating hormone receptor (FSHR) Ser680Asn polymorphism on ovarian function and in-vitro fertilization outcome: a meta-analysis. Mol Genet Metab. 2011 Aug;103(4):388-93. doi: 10.1016/j.ymgme.2011.04.005. Epub 2011 Apr 17. PubMed 21546300 ↗
  • Laan M, Grigorova M, Huhtaniemi IT. Pharmacogenetics of follicle-stimulating hormone action. Curr Opin Endocrinol Diabetes Obes. 2012 Jun;19(3):220-7. doi: 10.1097/MED.0b013e3283534b11. PubMed 22499219 ↗
  • Huang X, Li L, Hong L, Zhou W, Shi H, Zhang H, Zhang Z, Sun X, Du J. The Ser680Asn polymorphism in the follicle-stimulating hormone receptor gene is associated with the ovarian response in controlled ovarian hyperstimulation. Clin Endocrinol (Oxf). 2015 Apr;82(4):577-83. doi: 10.1111/cen.12573. Epub 2014 Oct 3. PubMed 25132286 ↗
  • Perez Mayorga M, Gromoll J, Behre HM, Gassner C, Nieschlag E, Simoni M. Ovarian response to follicle-stimulating hormone (FSH) stimulation depends on the FSH receptor genotype. J Clin Endocrinol Metab. 2000 Sep;85(9):3365-9. doi: 10.1210/jcem.85.9.6789. PubMed 10999835 ↗
  • Lledo B, Guerrero J, Turienzo A, Ortiz JA, Morales R, Ten J, Llacer J, Bernabeu R. Effect of follicle-stimulating hormone receptor N680S polymorphism on the efficacy of follicle-stimulating hormone stimulation on donor ovarian response. Pharmacogenet Genomics. 2013 May;23(5):262-8. doi: 10.1097/FPC.0b013e32835fe813. PubMed 23470615 ↗
  • van Wely M, Kwan I, Burt AL, Thomas J, Vail A, Van der Veen F, Al-Inany HG. Recombinant versus urinary gonadotrophin for ovarian stimulation in assisted reproductive technology cycles. Cochrane Database Syst Rev. 2011 Feb 16;2011(2):CD005354. doi: 10.1002/14651858.CD005354.pub2. PubMed 21328276 ↗
  • Lledo B, Dapena P, Ortiz JA, Morales R, Llacer J, Bernabeu R. Clinical efficacy of recombinant versus highly purified follicle-stimulating hormone according to follicle-stimulating hormone receptor genotype. Pharmacogenet Genomics. 2016 Jun;26(6):288-93. doi: 10.1097/FPC.0000000000000215. PubMed 26959715 ↗
  • Ascoli M, Fanelli F, Segaloff DL. The lutropin/choriogonadotropin receptor, a 2002 perspective. Endocr Rev. 2002 Apr;23(2):141-74. doi: 10.1210/edrv.23.2.0462. PubMed 11943741 ↗
  • Puett D, Li Y, DeMars G, Angelova K, Fanelli F. A functional transmembrane complex: the luteinizing hormone receptor with bound ligand and G protein. Mol Cell Endocrinol. 2007 Jan 2;260-262:126-36. doi: 10.1016/j.mce.2006.05.009. Epub 2006 Oct 23. PubMed 17059864 ↗
  • Rousseau-Merck MF, Misrahi M, Atger M, Loosfelt H, Milgrom E, Berger R. Localization of the human luteinizing hormone/choriogonadotropin receptor gene (LHCGR) to chromosome 2p21. Cytogenet Cell Genet. 1990;54(1-2):77-9. doi: 10.1159/000132962. PubMed 2249480 ↗
  • Rousseau-Merck MF, Atger M, Loosfelt H, Milgrom E, Berger R. The chromosomal localization of the human follicle-stimulating hormone receptor gene (FSHR) on 2p21-p16 is similar to that of the luteinizing hormone receptor gene. Genomics. 1993 Jan;15(1):222-4. doi: 10.1006/geno.1993.1041. PubMed 8432542 ↗
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Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 10, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04122729
Collaborators
Sistemas Genómicos
Responsible party
Sponsor
First posted
Oct 10, 2019
Start date
Sep 25, 2019
Primary completion
Apr 2020 (estimated)
Completion
Jun 2020 (estimated)
Last update
Oct 10, 2019

Study contacts

Cristina Macarrilla
Contact
cristina.macarrilla@angelinipharma.com
+34 932 534 643
María Carrera, PhD
study director · Hospital Universitario 12 de Octubre

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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