CClinicalTrials.gg
CompletedNCT04695483PE-PMAUpdated May 16, 2024

Reduction of Progesterone Elevation at Trigger in POR After Long Acting COS Compared With Daily COS: a Prospective Randomized Trial

A Phase 4 interventional study of Corifollitropin alfa and Follitropin Beta in Infertility, sponsored by IRCCS San Raffaele. Completed at 1 site in Italy. Open to female participants aged 25 Years to 42 Years. Per ClinicalTrials.gov, last updated 2024-05-16.

Sponsored by IRCCS San Raffaele · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
110
Allocation
Randomized
Ages
25 Years to 42 Years
Sex
Female
01

Study summary

The overarching objective of this research is to generate clinical evidence to argue the benefits of long acting stimulation protocol compared to the daily stimulation protocol in poor ovarian responder bologna' criteria patients after controlled ovarian stimulation. Reduction in the proportion of subjects with progesterone > 1.1 ng/ml on the day of triggering (day + 13) in the experimental group compared to the control group is expected.

Read the detailed description

Each patient will receive a first visit for infertility where will be collected subject history and baseline information, and meet all the inclusion / exclusion criteria. Eligible patients who agreed to participate will be randomized to either long acting standard COS with corifollitropin alpha or standard COS with daily FSH in a fixed GnRH antagonist protocol. All patients will be allowed to participate in the study only once and a written informed consent will be obtained from all, following consultation and before the initiation of the treatment.

The endocrine profile of all the patients will be evaluated by analysis of serum progesterone, 17b-estradiol (E2), FSH and LH at different time points: basal condition, during stimulation, at the hCG day and at pick-up.

Transvaginal follicular aspiration will be performed by ultrasound guidance 36 hours after hCG administration. The day of pick up oocytes will be fertilized with partner's semen; after 3-5 days, on the base of its evolution, embryo will be transferred. 14 days after embryo-transfer a preg-nancy test will be performed. Follow up in case of obtained pregnancy will be done until 20 weeks of gestation and considered as ongoing pregnancy.

The entire duration of the study is 24 months, the follow up of the last patients enrolled will be 6 months.

02

Conditions studied

  • Infertility

Browse trials for

03

In context

Infertility

2,506 studies on the registry are indexed under Infertility; 407 are open to participants now.

This study's enrollment of 110 is close to the median of 120 across 1,698 interventional studies indexed under Infertility.

Browse Infertility studies →

Lead sponsor

IRCCS San Raffaele is the lead sponsor of 443 studies on the registry; 234 are open to participants now.

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

04

Who can participate

Ages eligible
25 Years to 42 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Indication to IVF treatment
  • Normal BMI (18.5-24.9 kg/m2)
  • AMH level \< 1.1 ng/ml and/or AFC \< 5 follicles and/or \< 3 oo-cytes retrieved in previous cycle
  • Regular menstrual cycles
  • Signed informed consent

Exclusion criteria

Exclusion Criteria:

  • Freeze all cycles for abnormal bleeding
  • PCOS
  • History of untreated autoimmune
  • Endocrine or metabolic disorders
  • Ovarian cystectomy or oophorectomy
  • FSH ≥ 20 lU/L
05

Study design

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

Study arms

  • Experimental
    Corifollitropin alpha group

    Patients treated with Corifollitropin-alpha in a long-acting controlled ovarian stimulation

    Drug: Corifollitropin alfa · Drug: Follitropin Beta

  • Active comparator
    FSH group

    Patients treated with Follitropin beta in a daily controlled ovarian stimulation protocol

    Drug: Follitropin Beta

Interventions

  • DrugCorifollitropin alfa

    Controlled ovarian stimulation long-acting protocol

  • DrugFollitropin Beta

    Daily controlled ovarian stimulation protocol

06

What researchers measure

Primary outcomes

  1. Premature progesterone elevation

    Progesterone \> or equal to 1.1 ng/mL at day of trigger

    Time frame: day 12

Secondary outcomes

  1. Percentage of freeze-all cycles due to premature progesterone elevation

    Time frame: day 12

  2. Number of oocytes collected at ovum retrieval

    Time frame: day 14

  3. Fertilization rate

    Percentage of oocytes fertilized

    Time frame: day 15

  4. Number of embryos available

    Time frame: Day 17

  5. Pregnancy rate

    Beta-HCG positive

    Time frame: day 30

  6. Ongoing pregnancy

    Vital fetus at 20 weeks of gestation

    Time frame: Up to 20 weeks

07

Study locations

1 site
  • Enrico Papaleo
    Milan, 20132, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04695483
Lead sponsor
IRCCS San Raffaele
Responsible party
Enrico Papaleo (MD, IRCCS San Raffaele) — Principal investigator
First posted
Jan 5, 2021
Start date
Feb 22, 2022
Primary completion
Jan 19, 2024
Completion
May 6, 2024
Last update
May 16, 2024

Study contacts

Enrico Papaleo, MD
principal investigator · IRCCS San Raffaele

Oversight

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

Not currently enrolling

This study is completed, as verified in May 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion