ClinicalTrials.gg
Not yet recruitingNCT07691073EQUAMUpdated Jul 8, 2026

Embryo QUAlity in Ovarian Stimulation With hMG.

A Phase 4 interventional study of 10 mcg of follitropin-delta + 150 of hMG and 5 mcg of follitropin-delta + 225 of hMG in Infertility, sponsored by Fundacion Dexeus. Not yet recruiting at 4 sites in Spain. Open to female participants aged 38 Years to 41 Years. Per ClinicalTrials.gov, last updated 2026-07-08.

Sponsored by Fundacion Dexeus · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
38 Years to 41 Years
Sex
Female
01

Study summary

Ovarian stimulation (OS) is a key component of IVF, aimed at increasing oocyte yield and improving embryo development potential. While early protocols relied solely on FSH, newer approaches incorporate hMG and LH-based stimulation, allowing more individualized treatments for specific patient populations. Evidence suggests that hMG and recombinant FSH (rFSH) have comparable effectiveness in stimulation outcomes, and current guidelines support the use of both. However, the impact of different gonadotropins on embryo quality remains unclear, with mixed findings across protocols. Given the increasing use of combined rFSH and hMG and the limited data in PPOS protocols, this study proposes a randomized controlled trial to compare embryo quality between two different rFSH-hMG dosing strategies.

02

Conditions studied

  • Infertility

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03

In context

Infertility

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

This study's planned enrollment of 240 is above the median of 135 across 1,412 interventional studies indexed under Infertility.

Browse Infertility studies →

Lead sponsor

Fundacion Dexeus is the lead sponsor of 36 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
38 Years to 41 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

  • Undergoing preimplantation genetic screening cycles
  • AMH 0.5 - 3.5 ng/ml or AFC 5-20 (results of up to one year will be valid)
  • 18.5 - 30 Kg/m2
  • Normal karyotypes in both partners

Exclusion criteria

Exclusion Criteria:

  • Previous poor ovarian response (≤3 oocytes with a conventional stimulation protocol), according to Bologna criteria
  • Severe male factor requiring TESE (testicular sperm extraction)
  • Administration of any other drug potentially interfering with the treatment
  • for hormonal treatment
  • Recent history of severe disease requiring regular treatment ( concurrent medical condition that could compromise subject safety or interfere with the trial assessment)
  • Monogenic disease to be detected with PGT-M
  • Biochemical and/or ultrasonographic evidence of polycystic ovarian syndrome
  • Endocrinological and/or disorders
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.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

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

Study arms

  • Experimental
    10 mcg of Rekovelle + 150 IU of Menopur

    On day 2 or 3 of the menstrual cycle, daily injections of 10 mcg of Rekovelle + 150 IU of Menopur (Stimulation Day 1) will be administered. Scan controls and blood exams will be performed on stimulation days 6, 8 and on trigger day. Further blood exams will add according to clinical needs. The dose will be the same during the whole course of stimulation and no dose adjustments will be performed.

    Drug: 10 mcg of follitropin-delta + 150 of hMG

  • Active comparator
    5 mcg of Rekovelle + 225 IU of Menopur

    On day 2 or 3 of the menstrual cycle, daily injections of 5 mcg of Rekovelle + 225 IU of Menopur (Stimulation Day 1) will be administered. Scan controls and blood exams will be performed on stimulation days 6, 8 and on trigger day. Further blood exams will add according to clinical needs. The dose will be the same during the whole course of stimulation and no dose adjustments will be performed.

    Drug: 5 mcg of follitropin-delta + 225 of hMG

Interventions

  • Drug10 mcg of follitropin-delta + 150 of hMG

    On day 2 or 3 of the menstrual cycle, daily injections of 10 mcg of Rekovelle + 150 IU of Menopur (Stimulation Day 1) will be administered. Scan controls and blood exams will be performed on stimulation days 6, 8 and on trigger day. Further blood exams will add according to clinical needs. The dose will be the same during the whole course of stimulation and no dose adjustments will be performed.

  • Drug5 mcg of follitropin-delta + 225 of hMG

    On day 2 or 3 of the menstrual cycle, daily injections of 5 mcg of Rekovelle + 225 IU of Menopur (Stimulation Day 1) will be administered. Scan controls and blood exams will be performed on stimulation days 6, 8 and on trigger day. Further blood exams will add according to clinical needs. The dose will be the same during the whole course of stimulation and no dose adjustments will be performed.

06

What researchers measure

Primary outcomes

  1. Good quality blastocysts

    number of good quality blastocysts based on the Istanbul consensus workshop criteria

    Time frame: From Day 5 to Day 7 after insemination

Secondary outcomes

  1. Total Gonadotropin Dose Administered

    Cumulative dose of gonadotropins (IU) administered during ovarian stimulation.

    Time frame: From initiation of ovarian stimulation until day of trigger (up to 15 days)

  2. Duration of Ovarian Stimulation

    Number of days of gonadotropin administration required to reach criteria for triggering final oocyte maturation.

    Time frame: From first day of stimulation until trigger day (up to 15days)

  3. Total Number of Oocytes Retrieved

    Total number of oocytes collected during oocyte retrieval procedure following ovarian stimulation.

    Time frame: At oocyte retrieval

  4. Number of mature oocytes (MII) retrieved

    Number of metaphase II (MII) oocytes identified among retrieved oocytes

    Time frame: At oocyte retrieval

  5. Serum levels of estradiol (E2)

    Serum levels of estradiol (E2) measured at predefined time points during stimulation

    Time frame: At baseline, mid-stimulation (e.g., Day 5-7), and trigger day (up to 5 days)

  6. Serum levels of progesterone (P4)

    Serum levels progesterone (P4) measured at predefined time points during stimulation

    Time frame: At baseline, mid-stimulation (e.g., Day 5-7), and trigger day (up to 5 days)

  7. Serum levels of follicle-stimulating hormone (FSH)

    Serum levels follicle-stimulating hormone (FSH) measured at predefined time points during stimulation

    Time frame: At baseline, mid-stimulation (e.g., Day 5-7), and trigger day (up to 5 days)

  8. Serum levels of luteinizing hormone (LH)

    Serum levels luteinizing hormone (LH) measured at predefined time points during stimulation

    Time frame: At baseline, mid-stimulation (e.g., Day 5-7), and trigger day (up to 5 days)

  9. Follicle-to-Oocyte Index (FOI)

    Ratio between the total number of oocytes retrieved and the number of antral follicles counted at baseline before stimulation.

    Time frame: From baseline AFC assessment to oocyte retrieval

  10. Follicular Output RaTe (FORT)

    Ratio between the number of preovulatory follicles on the day of trigger and the number of antral follicles at baseline.

    Time frame: From baseline AFC assessment to trigger day

  11. Cycle cancellation rate

    Proportion of initiated ovarian stimulation cycles that are cancelled before oocyte retrieval.

    Time frame: From start of stimulation to planned oocyte retrieval

  12. Reason for cycle cancellation

    Categorization of causes leading to cycle cancellation (e.g., poor response, hyper-response/risk of OHSS, premature ovulation, patient decision, or medical reasons).

    Time frame: At time of cycle cancellation

  13. Fertilization Rate

    Proportion of oocytes that are successfully fertilized (2PN) relative to the number of inseminated or injected (ICSI) oocytes.

    Time frame: Assessed 16-20 hours post-insemination or ICSI

  14. Time of appearance of the 2nd polar body (tPB2)

    ime from insemination or ICSI to the extrusion of the second polar body, indicating completion of oocyte activation.

    Time frame: Within 0-6 hours post-ICSI/insemination

  15. Time of pronuclei appearance (tPNa)

    Time from insemination or ICSI to the first visualization of pronuclei.

    Time frame: Within 0-20 hours post-ICSI/insemination

  16. Evaluation of both pronuclei

    Time from insemination or ICSI to the visualization of both pronuclei.

    Time frame: Within 0-20 hours post-ICSI/insemination

  17. Time to Pronuclear Fading (tPNf)

    Time from insemination or ICSI to disappearance of pronuclei

    Time frame: Within 20-30 hours post-ICSI/insemination

  18. Timing of Early Cleavage Stages (t2-t8)

    Time to reach each embryonic cell stage from 2 to 8 cells

    Time frame: From fertilization to Day 3 (up to 72 hours)

  19. Time of compaction (tSC)

    Time from fertilization to the beginning of blastomere compaction.

    Time frame: Day 3-4 post-fertilization (up to ~96 hours)

  20. Time of morula (tM)

    Time from fertilization to the formation of a compact morula stage embryo.

    Time frame: Day 4 post-fertilization (up to 120 hours)

  21. Time of cavitation (tSB)

    Time from fertilization to the initiation of blastocoel cavity formation.

    Time frame: Day 4-5 post-fertilization (up to ~120-132 hours)

  22. Time of full blastulation (tB)

    Time from fertilization to formation of a fully expanded blastocyst.

    Time frame: Day 5-6 post-fertilization (up to ~144 hours)

  23. Total number of Day 5 blastocysts

    Number of embryos reaching the blastocyst stage by Day 5 of development.

    Time frame: Day 5 post-fertilization

  24. Total number of Day 6 blastocysts

    Number of embryos reaching the blastocyst stage by Day 6 of development.

    Time frame: Day 5 post-fertilization

  25. Total number of Day 7 blastocysts

    Number of embryos reaching the blastocyst stage by Day 7 of development.

    Time frame: Day 5 post-fertilization

  26. Total number of euploid embryos

    Number of embryos identified as chromosomally normal following preimplantation genetic testing (PGT-A)

    Time frame: After genetic testing results (typically within 1-2 weeks post-biopsy)

  27. MII to blastocyst formation rate

    Proportion of mature (MII) oocytes that develop into blastocysts.

    Time frame: From oocyte retrieval to blastocyst stage (up to Day 5-7)

  28. Number of embryos cryopreserved

    Total number of embryos suitable for vitrification following culture.

    Time frame: At end of embryo culture (Day 5-7)

  29. Clinical pregnancy rate

    Presence of one or more intrauterine gestational sacs confirmed by ultrasound.

    Time frame: At 5-7 weeks of gestation

  30. Ongoing Pregnancy Rate

    Proportion of pregnancies with a viable intrauterine fetus beyond 8-10 weeks of gestation confirmed by ultrasound.

    Time frame: At 8-10 weeks of gestation

  31. Miscarriage Rate

    Proportion of clinical pregnancies that result in spontaneous pregnancy loss before 20 weeks of gestation.

    Time frame: From confirmation of clinical pregnancy up to 20 weeks of gestation

  32. Live birth rate

    Proportion of embryo transfer cycles resulting in at least one live-born infant, defined as the delivery of a living neonate after ≥24 weeks of gestation.

    Time frame: At delivery (up to ~40 weeks of gestation following embryo transfer)

07

Study locations

4 sites
08

References and documents

Publications

  • Montoya-Botero P, Martinez F, Rodriguez-Purata J, Rodriguez I, Coroleu B, Polyzos NP. The effect of type of oral contraceptive pill and duration of use on fresh and cumulative live birth rates in IVF/ICSI cycles. Hum Reprod. 2020 Apr 28;35(4):826-836. doi: 10.1093/humrep/dez299. PubMed 32163564 ↗
  • Racca A, Rodriguez I, Garcia S, Arroyo G, Polyzos NP. Double versus single stimulation in young low prognosis patients followed by a fresh embryo transfer: a randomized controlled trial (DUOSTIM-fresh). Hum Reprod. 2024 Jun 6:deae104. doi: 10.1093/humrep/deae104. Online ahead of print. PubMed 38845190 ↗
  • Veiga A, Sandalinas M, Benkhalifa M, Boada M, Carrera M, Santalo J, Barri PN, Menezo Y. Laser blastocyst biopsy for preimplantation diagnosis in the human. Zygote. 1997 Nov;5(4):351-4. doi: 10.1017/s0967199400003920. PubMed 9563682 ↗
  • Witz CA, Daftary GS, Doody KJ, Park JK, Seifu Y, Yankov VI, Heiser PW; Menopur in GnRH Antagonist Cycles with Single Embryo Transfer - High Responder (MEGASET-HR) Trial Group. Randomized, assessor-blinded trial comparing highly purified human menotropin and recombinant follicle-stimulating hormone in high responders undergoing intracytoplasmic sperm injection. Fertil Steril. 2020 Aug;114(2):321-330. doi: 10.1016/j.fertnstert.2020.03.029. Epub 2020 May 13. PubMed 32416978 ↗
  • Ziebe S, Lundin K, Janssens R, Helmgaard L, Arce JC; MERIT (Menotrophin vs Recombinant FSH in vitro Fertilisation Trial) Group. Influence of ovarian stimulation with HP-hMG or recombinant FSH on embryo quality parameters in patients undergoing IVF. Hum Reprod. 2007 Sep;22(9):2404-13. doi: 10.1093/humrep/dem221. Epub 2007 Jul 19. PubMed 17640944 ↗
  • Andersen AN, Devroey P, Arce JC. Clinical outcome following stimulation with highly purified hMG or recombinant FSH in patients undergoing IVF: a randomized assessor-blind controlled trial. Hum Reprod. 2006 Dec;21(12):3217-27. doi: 10.1093/humrep/del284. Epub 2006 Jul 27. PubMed 16873892 ↗
  • Boada M, Carrera M, De La Iglesia C, Sandalinas M, Barri PN, Veiga A. Successful use of a laser for human embryo biopsy in preimplantation genetic diagnosis: report of two cases. J Assist Reprod Genet. 1998 May;15(5):302-7. doi: 10.1023/a:1022548612107. PubMed 9604764 ↗
  • Chapon RCB, Genro VK, Souza CAB, Cunha-Filho JS. Randomized controlled trial comparing embryonic quality in rFSH versus hMG in the IVF protocol with GnRH Antagonist. JBRA Assist Reprod. 2021 Feb 2;25(1):131-135. doi: 10.5935/1518-0557.20200064. PubMed 33118716 ↗
  • Conforti A, Esteves SC, Humaidan P, Longobardi S, D'Hooghe T, Orvieto R, Vaiarelli A, Cimadomo D, Rienzi L, Ubaldi FM, Zullo F, Alviggi C. Recombinant human luteinizing hormone co-treatment in ovarian stimulation for assisted reproductive technology in women of advanced reproductive age: a systematic review and meta-analysis of randomized controlled trials. Reprod Biol Endocrinol. 2021 Jun 21;19(1):91. doi: 10.1186/s12958-021-00759-4. PubMed 34154604 ↗
  • Filicori M, Cognigni GE, Pocognoli P, Tabarelli C, Ferlini F, Perri T, Parmegiani L. Comparison of controlled ovarian stimulation with human menopausal gonadotropin or recombinant follicle-stimulating hormone. Fertil Steril. 2003 Aug;80(2):390-7. doi: 10.1016/s0015-0282(03)00594-6. PubMed 12909504 ↗
  • Lunenfeld B. Historical perspectives in gonadotrophin therapy. Hum Reprod Update. 2004 Nov-Dec;10(6):453-67. doi: 10.1093/humupd/dmh044. Epub 2004 Sep 23. PubMed 15388674 ↗

Related links

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07691073
Lead sponsor
Fundacion Dexeus
Responsible party
Sponsor
First posted
Jul 8, 2026
Start date
Sep 2026 (estimated)
Primary completion
Feb 2029 (estimated)
Completion
May 2029 (estimated)
Last update
Jul 8, 2026

Study contacts

Ignacio Rodriguez, MSc
Contact
nacrod@dexeus.com
0034932274700 ext. 22029
Nikolaos P Polyzos, MD, PhD
principal investigator · Dexeus Universitary Hospital

Oversight

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

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