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Follow-up Protocol on the Outcome of Frozen-thawed Embryo Transfer Cycles From Clinical Trial P05690 (P05711)

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ClinicalTrials.gov Identifier: NCT00702546
Recruitment Status : Completed
First Posted : June 20, 2008
Results First Posted : May 5, 2015
Last Update Posted : May 5, 2015
Sponsor:
Information provided by (Responsible Party):

Study Description
Brief Summary:
Clinical trial objective is to collect the outcome of Frozen-Thawed Embryo Transfer (FTET) cycles performed after the embryos are cryopreserved in the base study P05690 in order to estimate the cumulative pregnancy rate for each treatment group.

Condition or disease Intervention/treatment
In Vitro Fertilization Drug: corifollitropin alfa Biological: recFSH (follitropin alfa) Drug: gonadatropin releasing hormone (GnRH) antagonist ganirelix Drug: human chorion gonadatropin (hCG) Biological: progesterone Drug: placebo-recFSH (follitropin alfa) Drug: placebo-corifollitropin alfa Biological: open-label recFSH

Detailed Description:
This is a follow-up protocol to collect the outcome of FTET cycles, performed after the embryos are cryopreserved in base study P05690 (NCT00702845), to enable estimation of the cumulative pregnancy rate for each treatment group.

Study Design

Study Type : Observational
Actual Enrollment : 102 participants
Time Perspective: Prospective
Official Title: Follow-up Protocol to Collect the Outcome of Frozen-thawed Embryo Transfer Cycles After Cryopreservation of Embryos in Clinical Trial 107012
Study Start Date : December 2006
Primary Completion Date : December 2008
Study Completion Date : December 2008
Groups and Cohorts

Group/Cohort Intervention/treatment
Corifollitropin alfa 100 μg
In follow-up study, no medication or investigational product was administered. But in base study P05690 (NCT00702845), participants received single subcutaneous (SC) injection of corifollitropin alfa 100 μg (Org 36286) on Day 2 or 3 of the menstrual cycle and daily placebo-recombinant Follicle Stimulating Hormone (recFSH) injections (7 total) from Stimulation Day 1 up to and including Stimulation Day 7. Participants in base study P05690 also received open-label recFSH (up to 200 IU/day) from Stimulation Day 8 onwards, up to and including Day of Human Chorion Gonadotropin (hCG) administration. Participants also received Gonadotropin Releasing Hormone (GnRH) antagonist ganirelix (0.25 mg) once daily SC starting on Stimulation Day 5 up to and including the Day of hCG (10,000 or 5,000 IU/USP). Participants also received progesterone (at least 600 mg/day vaginally or 50 mg/day IM), starting on day of oocyte pick-up (OPU) and continuing for at least 6 weeks or up to menses.
Drug: corifollitropin alfa
Single injection of 100 μg corifollitropin alfa administered under protocol P05690
Other Name: Org 36286
Drug: gonadatropin releasing hormone (GnRH) antagonist ganirelix
GnRH antagonist ganirelix administered SC at a dose of 0.25 mg/day under protocol P05690
Drug: human chorion gonadatropin (hCG)
hCG 5,000 IU or 10,000 IU administered SC under protocol P05690
Biological: progesterone
Under protocol P05690, progesterone was started on the day of oocyte pick-up (OPU) and continued for at least 6 weeks or up to menses. Participants received at least 600 mg/day vaginally or 50 mg/day IM.
Drug: placebo-recFSH (follitropin alfa)
Placebo-recFSH at the equivalent volume of 150 IU/day administered under protocol P05690
Biological: open-label recFSH
Open-label recFSH up to a maximum dose of 200 IU/day, administered under protocol P0590
recFSH 150 IU
In this follow-up study, no medication or investigational product was administered. However, in base study P05690 (NCT00702845), participants in the reference group received a single SC injection of placebo-corifollitropin alfa administered on Day 2 or 3 of the menstrual cycle and daily SC recFSH 150 IU injections (7 total) from Stimulation Day 1 up to and including Stimulation Day 7. Participants also received open-label recFSH (up to 200 IU/day) from Stimulation Day 8 onwards, up to and including the day of hCG (10,000 or 5,000 IU/USP) administration. Participants also received the GnRH antagonist ganirelix (0.25 mg) once daily SC starting on Stimulation Day 5 up to and including the Day of hCG. Participants also received progesterone (at least 600 mg/day vaginally or 50 mg/day IM), starting on the day of OPU and continuing for at least 6 weeks or up to menses.
Biological: recFSH (follitropin alfa)
Daily recFSH administered under protocol P05690
Other Name: Puregon®/Follistim®
Drug: gonadatropin releasing hormone (GnRH) antagonist ganirelix
GnRH antagonist ganirelix administered SC at a dose of 0.25 mg/day under protocol P05690
Drug: human chorion gonadatropin (hCG)
hCG 5,000 IU or 10,000 IU administered SC under protocol P05690
Biological: progesterone
Under protocol P05690, progesterone was started on the day of oocyte pick-up (OPU) and continued for at least 6 weeks or up to menses. Participants received at least 600 mg/day vaginally or 50 mg/day IM.
Drug: placebo-corifollitropin alfa
Single SC injection of placebo-corifollitropin alfa on Day 2 or 3 of the menstrual cycle, administered under protocol P05690
Biological: open-label recFSH
Open-label recFSH up to a maximum dose of 200 IU/day, administered under protocol P0590


Outcome Measures

Primary Outcome Measures :
  1. Percentage of Participants With an Ongoing Pregnancy (Cumulative Ongoing Pregnancy Rate) [ Time Frame: Up to 1 year after embryo transfer in base trial P05690 (NCT00702845), and FTET cycles in follow up study P05711 ]
    Cumulative ongoing pregnancy rate was defined as 100 times the number of participants with an ongoing pregnancy either immediately after embryo transfer in base study P05690 (NCT00702845) or after one or more FTET cycles in follow up study P05711 following cryopreservation, divided by the total number of subjects that started treatment in base study P05690.


Secondary Outcome Measures :
  1. Percentage of Participants in Follow up Study With a Miscarriage Per Clinical Pregnancy [ Time Frame: After one or more FTET cycles, assessed at least 10 weeks after embryo transfer (up to 1 year) ]
    Miscarriages were calculated per clinical pregnancy, defined as the presence of at least one gestational sac as assessed by USS or Doppler, or confirmed by live birth.

  2. Percentage of Participants in Follow up Study With a Miscarriage Per Vital Pregnancy [ Time Frame: After one or more FTET cycles, assessed at least 10 weeks after embryo transfer (up to 1 year) ]
    Miscarriages were calculated per vital pregnancy, defined as the presence of at least one fetus with heart activity as assessed by USS or Doppler, or confirmed by live birth.

  3. Percentage of Participants in Follow up Study With an Ecotopic Pregnancy [ Time Frame: After one or more FTET cycles, assessed at least 10 weeks after embryo transfer (up to 1 year) ]
    An ectopic pregnancy is where the embryo implants outside the uterus. Ectopic pregnancies were calculated per total number of participants started in FTET.

  4. Percentage of Participants in Follow up Study With a Clinical Pregnancy [ Time Frame: After one or more FTET cycles, assessed at least 10 weeks after embryo transfer (up to 1 year) ]
    A clinical pregnancy is the presence of at least gestational sac or confirmed by live birth. Clinical pregnancies were calculated per attempt, meaning if any stage of in vitro fertilization (IVF) treatment was not achieved, zero values were imputed.

  5. Percentage of Participants in Follow up Study With a Vital Pregnancy [ Time Frame: After one or more FTET cycles, assessed at least 10 weeks after embryo transfer (up to 1 year) ]
    A vital pregnancy is the presence of at least one fetus with heart activity. Vital pregnancies were calculated per attempt, meaning if any stage of IVF treatment was not achieved, zero values were imputed.

  6. Percentage of Participants With an Ongoing Pregnancy [ Time Frame: After one or more FTET, assessed at least 10 weeks after embryo transfer or at live birth (up to 1 year) ]
    An ongoing pregnancy is the presence of at least one fetus with heart activity at least 10 weeks after embryo transfer or confirmed at live birth. Ongoing pregnancies were calculated per attempt, meaning if any stage of IVF treatment was not achieved, zero values were imputed.


Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 36 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Women from whom embryos have been cryopreserved in base study P05690
Criteria

Inclusion Criteria:

  • Participants from whom embryos have been cryopreserved in base study P05690, of which at least one embryo is thawed for use in a subsequent FTET cycle;
  • Able and willing to give written informed consent.

Exclusion Criteria:

More Information

Responsible Party: Merck Sharp & Dohme Corp.
ClinicalTrials.gov Identifier: NCT00702546     History of Changes
Other Study ID Numbers: P05711
2006-003813-42 ( EudraCT Number )
107015 ( Other Identifier: Organon )
MK-8962-004 ( Other Identifier: Merck )
First Posted: June 20, 2008    Key Record Dates
Results First Posted: May 5, 2015
Last Update Posted: May 5, 2015
Last Verified: May 2015

Keywords provided by Merck Sharp & Dohme Corp.:
In-vitro fertilization
Controlled Ovarian Stimulation
Cumulative pregnancy data
Follow-up

Additional relevant MeSH terms:
Hormones
Progesterone
Follicle Stimulating Hormone
Ganirelix
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs
Progestins
Hormone Antagonists