ClinicalTrials.gg
RecruitingNCT07772375FSH-PPOSUpdated Oct 20, 2026

225 IU Versus 300 IU Starting FSH Dose in PPOS for Good-Prognosis Women

An interventional study of Follitropin Alfa (Follitrope) in Infertility (IVF Patients) and Infertility Assisted Reproductive Technology, sponsored by Vietnam Military Medical University. Recruiting at 1 site in Vietnam. Open to female participants aged 18 Years to 34 Years. Per ClinicalTrials.gov, last updated 2026-10-20.

Sponsored by Vietnam Military Medical University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Oct 20, 2026Now RecruitingSite recruiting status changed+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
380
Allocation
Randomized
Ages
18 Years to 34 Years
Sex
Female
01

Study summary

This randomized controlled trial will compare two starting doses of follicle-stimulating hormone (FSH), 225 IU and 300 IU, during progestin-primed ovarian stimulation (PPOS) in women undergoing in vitro fertilization (IVF) who have a good reproductive prognosis. Participants will be randomly assigned to receive either 225 IU or 300 IU of FSH at the start of ovarian stimulation. The study will evaluate whether the starting FSH dose affects oocyte and embryo outcomes, with blastocyst formation as the primary outcome. Other outcomes will include oocyte morphology, fertilization, embryo development, and embryo quality. The findings may help determine an appropriate starting FSH dose for women with a good prognosis undergoing IVF using the PPOS protocol.

Read the detailed description

This study is designed to evaluate whether the starting dose of follicle-stimulating hormone (FSH) affects oocyte and embryo outcomes in women with a good prognosis undergoing in vitro fertilization (IVF) using a progestin-primed ovarian stimulation (PPOS) protocol.

The optimal gonadotropin dose for women with a good prognosis remains uncertain. Although higher FSH doses may increase ovarian stimulation intensity, greater gonadotropin exposure may not necessarily improve oocyte or embryo outcomes. Conversely, a lower starting dose may provide adequate ovarian stimulation while reducing medication exposure. Therefore, this study will compare two starting FSH doses, 225 IU and 300 IU, in women with a good reproductive prognosis.

Eligible participants will be randomly assigned to receive either 225 IU or 300 IU of FSH as the starting dose during PPOS. The study will assess whether the starting FSH dose is associated with differences in oocyte characteristics, fertilization, embryo development, and blastocyst formation. The primary outcome is blastocyst formation rate. Secondary outcomes will include oocyte morphology, fertilization rate, cleavage-stage embryo development and quality, and blastocyst quality and usability.

Participants will also be followed through the first frozen embryo transfer cycle using embryos generated during the study cycle. Outcomes of the first frozen embryo transfer cycle will be assessed as prespecified secondary outcomes.

The results of this study may provide evidence to guide the selection of an appropriate starting FSH dose for women with a good prognosis undergoing IVF with PPOS.

02

Conditions studied

  • Infertility (IVF Patients)
  • Infertility Assisted Reproductive Technology

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Keywords

  • Progestin-primed ovarian stimulation
  • PPOS
  • FSH dose
  • Embryo quality
  • blastulation
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 380 is above the median of 135 across 1,412 interventional studies indexed under Infertility.

Browse Infertility studies →

Lead sponsor

Vietnam Military Medical University is the lead sponsor of 8 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 34 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

  • Female patient or oocyte donor aged \<35 years.
  • (BMI) between 18 and 25 kg/m².
  • Normal ovarian reserve, defined by:

    • Antral follicle count (AFC) ≥8 on ultrasound; and
    • AMH level between 1.5 and 4.5 ng/mL.
  • First IVF treatment cycle.
  • Controlled ovarian stimulation using a progestin-primed ovarian stimulation (PPOS) protocol with recombinant FSH and dydrogesterone.
  • Indication for in vitro fertilization using intracytoplasmic sperm injection (ICSI).
  • Indication for extended embryo culture to the blastocyst stage.
  • Willingness to participate in the study and provision of written .

Exclusion criteria

Exclusion Criteria:

  • Polycystic ovary syndrome (PCOS) diagnosed according to the Rotterdam criteria, currently referred to as polyendocrine metabolic ovarian syndrome (PMOS).
  • Structural abnormalities of the ovaries.
  • Ovarian endometriosis.
  • Medical or gynecological conditions that may affect ovarian response to controlled ovarian stimulation.
  • Indication for luteinizing hormone (LH) supplementation during controlled ovarian stimulation.
  • Poor sperm quality, cryptozoospermia, surgically retrieved sperm (PESA, TESE, or microTESE), cryopreserved sperm, or donor sperm.
  • Indication for artificial oocyte activation (AOA) or rescue ICSI (R-ICSI).
Terms in these criteria, in plain language(2)

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
380 participants (estimated)

Study arms

  • Experimental
    FSH 225 IU

    Participants assigned to this arm will receive a starting dose of 225 IU follicle-stimulating hormone (FSH) during progestin-primed ovarian stimulation (PPOS) for in vitro fertilization (IVF).

    Drug: Follitropin Alfa (Follitrope)

  • Experimental
    FSH 300 IU

    Participants assigned to this arm will receive a starting dose of 300 IU follicle-stimulating hormone (FSH) during progestin-primed ovarian stimulation (PPOS) for in vitro fertilization (IVF).

    Drug: Follitropin Alfa (Follitrope)

Interventions

  • Follicle-stimulating hormone (FSH) is administered by subcutaneous injection as the gonadotropin for ovarian stimulation in a progestin-primed ovarian stimulation (PPOS) protocol. Participants are randomized to receive either 225 IU or 300 IU of FSH daily according to their assigned study arm, and the assigned dose is maintained unchanged throughout the ovarian stimulation period.

06

What researchers measure

Primary outcomes

  1. Blastulation rate

    The proportion of blastocysts formed among all mature (MII) oocytes subjected to intracytoplasmic sperm injection (ICSI), calculated as the total number of blastocysts divided by the total number of MII oocytes subjected to ICSI, multiplied by 100.

    Time frame: From ICSI to Day 6 of embryo culture

Secondary outcomes

  1. Oocyte morphology abnormality rate

    The proportion of retrieved oocytes that exhibit one or more morphological abnormalities, calculated as the number of retrieved oocytes with morphological abnormalities divided by the total number of oocytes retrieved, multiplied by 100.

    Time frame: At the time of oocyte denudation, prior to ICSI

  2. Fertilization rate

    The proportion of mature (MII) oocytes subjected to ICSI that are normally fertilized, defined by the presence of two pronuclei (2PN), calculated as the number of normally fertilized oocytes divided by the total number of MII oocytes subjected to ICSI, multiplied by 100.

    Time frame: Approximately 16-18 hours after ICSI

  3. Cleavage embryo formation rate

    The proportion of MII oocytes subjected to ICSI that develop into cleavage-stage embryos, calculated as the number of cleavage-stage embryos divided by the total number of MII oocytes subjected to ICSI, multiplied by 100.

    Time frame: Approximately 68-72 hours after ICSI

  4. Good-quality cleavage-stage embryo rate

    The proportion of MII oocytes subjected to ICSI that result in good-quality cleavage-stage embryos, according to the morphological criteria prespecified in the study protocol, calculated as the number of good-quality cleavage-stage embryos divided by the total number of MII oocytes subjected to ICSI, multiplied by 100.

    Time frame: Approximately 68-72 hours after ICSI

  5. Good-quality blastocyst rate

    The proportion of MII oocytes subjected to ICSI that result in good-quality blastocysts, according to the morphological criteria prespecified in the study protocol, calculated as the number of good-quality blastocysts divided by the total number of MII oocytes subjected to ICSI, multiplied by 100.

    Time frame: From Day 5 to Day 6 after ICSI

  6. Usable blastocyst rate

    The proportion of MII oocytes subjected to ICSI that result in usable blastocysts, according to the criteria prespecified in the study protocol, calculated as the number of usable blastocysts divided by the total number of MII oocytes subjected to ICSI, multiplied by 100.

    Time frame: From Day 5 to Day 6 after ICSI

  7. Biochemical pregnancy rate

    The proportion of first frozen embryo transfer cycles with a positive serum beta-human chorionic gonadotropin (β-hCG) test, defined according to the prespecified threshold in the study protocol, among all first frozen embryo transfer cycles.

    Time frame: Approximately 14 days after frozen embryo transfer

  8. Clinical pregnancy rate

    The proportion of first frozen embryo transfer cycles resulting in a clinical pregnancy, defined by the presence of at least one gestational sac on ultrasound, calculated as the number of clinical pregnancies divided by the number of first frozen embryo transfer cycles, multiplied by 100.

    Time frame: Approximately 5-7 weeks after frozen embryo transfer

  9. Ongoing pregnancy rate

    The proportion of first frozen embryo transfer cycles resulting in an ongoing pregnancy, according to the definition prespecified in the study protocol, calculated as the number of ongoing pregnancies divided by the number of first frozen embryo transfer cycles, multiplied by 100.

    Time frame: Approximately 12 weeks after frozen embryo transfer

07

Study locations

1 of 1 sites recruiting
  • An Sinh Hospital
    Ho Chi Minh City, Ho Chi Minh City 722210, Vietnam
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared with other researchers due to participant privacy and data confidentiality considerations.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2026 (actual). Primary completion is estimated for Jun 2028, 21 months after the start.

Of 385 non-industry interventional studies with no phase under Infertility, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 46. This study's planned 21 months is below that.

Counting every sponsor, half of 416 studies reached it within 24 months; a quarter within 10 and three quarters within 43.

Start moved once since we started tracking on Sep 25, 2026: Aug 2026 → Sep 2026, on Oct 20, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Aug 13, 2026
First posted
Aug 19, 2026
StartActual
Sep 15, 2026was Aug 2026
Primary completionEst.
Jun 30, 2028
CompletionEst.
Aug 31, 2029
Last update
Oct 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Oct 20, 2026
Sites
An Sinh Hospital is now Recruiting
Oct 20, 2026
Start date
Aug 15, 2026→Sep 15, 2026 (actual)
Oct 20, 2026
Show all 1 update
  1. Oct 20, 2026
    Not yet recruiting→Recruiting
    An Sinh Hospital is now Recruiting
    Start date Aug 15, 2026→Sep 15, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07772375
Lead sponsor
Vietnam Military Medical University
Responsible party
Vo Nhu Thanh Truc (Head of IVF laboratory, Vietnam Military Medical University) — Principal investigator
First posted
Aug 19, 2026
Start date
Sep 15, 2026
Primary completion
Jun 30, 2028 (estimated)
Completion
Aug 31, 2029 (estimated)
Last update
Oct 20, 2026

Study contacts

Truc Nhu Thanh Vo, PhD Student
Contact
vonhuthanhtruc.art@gmail.com
+84 0764681310
Truc Nhu Thanh Vo, PhD Student
principal investigator · Vietnam Military Medical University

Oversight

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

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Studies of the drug tested here: Follitropin alfa

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