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Study to Investigate the Optimal Dose of Org 36286 to Induce Monofollicular Ovulation in Women With WHO Group II Anovulatory Infertility (P07016)

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ClinicalTrials.gov Identifier: NCT00702585
Recruitment Status : Completed
First Posted : June 20, 2008
Last Update Posted : May 19, 2017
Sponsor:
Information provided by (Responsible Party):
Merck Sharp & Dohme Corp.

Brief Summary:
The objectives of this trial were to investigate the feasibility and the optimal dose of a single administration of Org 36286 to induce monofollicular ovulation in women with WHO Group II anovulatory infertility and to assess the safety (including the absence of antibody formation) of Org 36286.

Condition or disease Intervention/treatment Phase
Infertility Drug: Org 36286 Drug: Placebo Phase 2

Detailed Description:

This was a phase II, randomized, double-blind, placebo controlled, comparative trial to investigate the optimal dose of a single administration of Org 36286 to induce monofollicular ovulation in women with WHO Group II anovulatory infertility.

Treatment injection was given on Day 1-3 after the onset of a spontaneous or progestagen induced withdrawal bleeding. After injection, ultrasound monitoring and sampling for serum hormones were done on treatment Days 3, 5, and daily from Day 7 to 21 or until a urinary luteinizing hormone (LH) peak was detected. From treatment Day 7 the urinary LH response was assessed to detect the preovulatory LH peak. In case of hyperstimulation, production of endogenous gonadotropins could be suppressed by giving daily injections of GnRH antagonist.

Post-treatment assessments were done in the third week after the urinary LH peak. If no LH peak was detected, posttreatment assessments were performed four to five weeks after Org 36286 or placebo injection.


Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 55 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Phase II, Randomized, Double-blind, Placebo-controlled, Comparative Trial to Investigate the Optimal Dose of a Single Administration of Org 36286 (Corifollitropin Alfa) to Induce Monofollicular Ovulation in Women With WHO Group II Anovulatory Infertility
Actual Study Start Date : August 1, 2001
Actual Primary Completion Date : October 15, 2002
Actual Study Completion Date : October 15, 2002

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Infertility
U.S. FDA Resources

Arm Intervention/treatment
Experimental: Org 36286 7.5 µg
Org 36286 7.5 µg administered as a single subcutaneous injection on the day of the onset of a spontaneous or progestagen induced withdrawal bleeding or one to two days later.
Drug: Org 36286
Org 36286 single-dose subcutaneous injection
Other Name: Corifollitropin alpha
Experimental: Org 36286 15 µg
Org 36286 15 µg administered as a single subcutaneous injection on the day of the onset of a spontaneous or progestagen induced withdrawal bleeding or one to two days later.
Drug: Org 36286
Org 36286 single-dose subcutaneous injection
Other Name: Corifollitropin alpha
Experimental: Org 36286 30 µg
Org 36286 30 µg administered as a single subcutaneous injection on the day of the onset of a spontaneous or progestagen induced withdrawal bleeding or one to two days later.
Drug: Org 36286
Org 36286 single-dose subcutaneous injection
Other Name: Corifollitropin alpha
Experimental: Org 36286 60 µg
Org 36286 60 µg administered as a single subcutaneous injection on the day of the onset of a spontaneous or progestagen induced withdrawal bleeding or one to two days later.
Drug: Org 36286
Org 36286 single-dose subcutaneous injection
Other Name: Corifollitropin alpha
Placebo Comparator: Placebo
Placebo to Org 36286 administered as a single subcutaneous injection on the day of the onset of a spontaneous or progestagen induced withdrawal bleeding or one to two days later.
Drug: Placebo
Placebo to Org 36286 as a single-dose subcutaneous injection



Primary Outcome Measures :
  1. Participant Ovulation Rate in Monofollicular Cycles [ Time Frame: Up to 2 Weeks Following LH Peak ]

Secondary Outcome Measures :
  1. Participant Overall Ovulation Rate [ Time Frame: Up to 2 Weeks Following LH Pek ]
  2. Number of Participants With Cancellation of Menstrual Cycle [ Time Frame: Up to Day 21 ]
  3. Participant Follicle Size [ Time Frame: Up to Day 21 ]
  4. Number of Participants With Miscarriages, Biochemical, Ectopic, Clinical, Vital, Single, or Multiple Ongoing Pregnancies [ Time Frame: Up to 10 Weeks Following Ovulation ]
  5. Number of Participants Experiencing Serious Adverse Events (SAEs) [ Time Frame: Up to 10 Weeks Following Ovulation ]
  6. Number of Participants With Clinically Significant Laboratory Abnormalities [ Time Frame: Up to 3 Weeks Following Ovulation ]
  7. Number of Participants With Clinically Significant Changes in Vital Signs [ Time Frame: Up to 3 Weeks Followiing Ovulation ]
  8. Number of Participants With Antibodies to Org 36286 [ Time Frame: Up to 3 Weeks Following Ovulation ]
  9. Participant Serum Follicle Stimulating Hormone (FSH) Level [ Time Frame: Up to Day 21 ]
  10. Participant Serum LH Level [ Time Frame: Up to Day 21 ]
  11. Participant Inhibin-B, E2, and P Serum Concentration [ Time Frame: Up to Day 21 ]
  12. Number of Participants with Ovarian Hyperstimulation Syndrome (OHSS) [ Time Frame: Up to 2 Weeks Following LH Peak ]


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Ages Eligible for Study:   18 Years to 39 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Wish to conceive;
  • Oligomenorrhea (cycle length >=41 days) or amenorrhea (no menstrual cycle for >6 months);
  • Body Mass Index (BMI) >=18 and <=32 kg/m^2;
  • Serum FSH levels within normal limits (1-10 IU/L);
  • Normal serum prolactin and thyroid stimulating hormone (TSH) levels;
  • Progestagen induced withdrawal bleeding or spontaneous menstrual bleeding;

Exclusion Criteria:

  • Tumours of the ovary, breast, uterus, pituitary or hypothalamus;
  • Pregnancy or lactation;
  • Undiagnosed vaginal bleeding;
  • Ovarian cysts or enlarged ovaries not related to polycystic ovarian disease (PCOD);
  • Any ovarian and/or abdominal abnormality interfering with ultrasound examination;
  • Malformations of the sexual organs incompatible with pregnancy;
  • Clomiphene resistance with documented anovulation (treated with 150 mg clomiphene for five days and no ovulation);
  • Treatment with metformin, gonadotropins, or GnRH analogs within 90 days prior to the start of Org 36286 treatment;
  • Treatment with clomiphene citrate within 42 days prior to the start of Org 36286 treatment;
  • Alcohol or drug abuse within the 12 months preceding signing of informed consent;
  • Any clinically relevant abnormal laboratory value;
  • Hypersensitivity to any of the substances in Org 36286;
  • Hypersensitivity to Orgalutran® or any of its components;
  • Use of any investigational drugs during 90 days before screening or previous participation in this trial.

Study Data/Documents: CSR Synopsis  This link exits the ClinicalTrials.gov site

Responsible Party: Merck Sharp & Dohme Corp.
ClinicalTrials.gov Identifier: NCT00702585     History of Changes
Other Study ID Numbers: P07016
38805
First Posted: June 20, 2008    Key Record Dates
Last Update Posted: May 19, 2017
Last Verified: May 2017

Keywords provided by Merck Sharp & Dohme Corp.:
Ovulation Induction
Pharmacological effects of drugs
Hormones
Hormone substitutes and Hormone Antagonists
Pharmacological Actions
Randomized
Multi-center
Multi-national

Additional relevant MeSH terms:
Infertility
Anovulation
Genital Diseases, Male
Genital Diseases, Female
Ovarian Diseases
Adnexal Diseases
Gonadal Disorders
Endocrine System Diseases