A Study to Evaluate the Baseline Follicle Stimulating Hormone, Ovarian Volume and Antral Follicle Count as Prognostic Factors of the Outcome of In-vitro Fertilisation/Intracytosolic Sperm Injection in Infertile Patients Receiving Gonal f for Controlled Ovarian Hyperstimulation

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01196143
Recruitment Status : Completed
First Posted : September 8, 2010
Last Update Posted : February 4, 2014
Information provided by (Responsible Party):
Merck KGaA

Brief Summary:
This is a phase IV non-interventional, multicentric observational study to evaluate the baseline follicle stimulating hormone (FSH) levels, ovarian volume, antral follicle count (AFC) and age as prognostic factors of the outcome of the in-vitro fertilisation/intracytosolic sperm injection (IVF/ICSI) in infertile subjects receiving Gonal-f for controlled ovarian hyperstimulation (COH).

Condition or disease

Detailed Description:

Treatment of subfertility and infertility by assisted reproduction technologies (ART) such as IVF and embryo transfer (ET) requires multiple follicular development to increase the number of female gametes, and the chances of a successful treatment outcome. These technologies include the stimulation of multiple follicular development by exogenous FSH administration and the suppression of endogenous luteinizing hormone (LH) secretion by administration of a GnRH analogue (antagonist or agonist, as required). A single dose of human chorionic gonadotropin (hCG) is administered to mimic the endogenous LH surge and induce final oocyte maturation after adequate follicular development. Recombinant-hFSH (r-hFSH) has been shown to be efficacious in terms of number of oocytes recovered and in terms of pregnancy rates as compared to urinary-hFSH.

Gonal-f fill-by-mass is available as a liquid formulation that can be administered with the pen device. The pen device is prefilled and hence the subject does not require to assemble the device making it simpler to use. The prefilled pen allows the accurate delivery of a precise dose of r-hFSH in 37.5 International Units (IU) increments.


Primary objective:

  • Evaluation of the significance of baseline FSH, ovarian volume and AFC with a model adjusted for age as prognostic factors of the IVF/ICSI treatment outcome.

This study planned to enrol 500 female subjects undergoing COH for IVF/ICSI-treatment with Gonal-f. Gonal-f will be administered daily subcutaneously (s.c.) according to the centre's usual clinical practice, commencing on Days 2 or 3 of the cycle during the stimulation period. Treatment with Gonal-f will be continued until adequate follicular development has been achieved with the dose adjusted according to the subject's response, to usually not higher than 450 IU daily. A single injection of 250 micrograms r-hCG or 5,000 IU up to 10,000 IU hCG would be administered 24-48 hours after the last Gonal-f injection to induce final follicular maturation. Gonal-f will be started approximately 2 weeks after the start of an gonadotrophin-releasing hormone (GnRH) agonist treatment, both being continued until adequate follicular development will be achieved. Oocyte retrieval will be done 34-36 hours after hCG administration followed by IVF/ICSI treatment according to clinic's protocol. Each enrolled subject would be followed up until the confirmation of her pregnancy status. Active follow up of all pregnancies will be performed, including those subjects withdrawn from the study.

Study Type : Observational
Actual Enrollment : 356 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Non-interventional Observational Study to Evaluate the Baseline FSH, Ovarian Volume and AFC (Antral Follicle Count) as Prognostic Factors of the Outcome of the In-vitro Fertilization/Intracytosolic Sperm Injection (IVF/ICSI) in Infertile Patients Who Receive r-FSH (GONAL-f®) for Controlled Ovarian Hyperstimulation
Study Start Date : October 2008
Actual Primary Completion Date : January 2011
Actual Study Completion Date : January 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Hormones Infertility
U.S. FDA Resources

Primary Outcome Measures :
  1. Live birth rate [ Time Frame: Up to 28 days after birth ]

Secondary Outcome Measures :
  1. Pregnancy rate (ongoing, clinical, biochemical) [ Time Frame: up to 40 weeks post embryo-transfer ]
    Biochemical: up to 2 weeks post embryo-transfer / clinical: up to 12 weeks post embryo-transfer / ongoing: up to 40 weeks post embryo-transfer

  2. Fertilization rate [ Time Frame: 24 hours post oocyte retrieval ]
  3. Implantation rate [ Time Frame: 2 weeks post embryo-transfer ]
  4. Detailed record of adverse events [ Time Frame: Up to 1 year after subject enrollment ]
  5. Hormone (E2) levels on hCG day [ Time Frame: Up to 12 hours prior to hCG administration ]
  6. Duration of treatment [ Time Frame: Up to 12 hours post last FSH injection ]
  7. Total amount of FSH administered [ Time Frame: Up to 1 hour post last FSH injection ]
  8. Number of oocytes [ Time Frame: Up to 1 hour post oocyte retrieval ]
  9. Miscarriage rate [ Time Frame: Up to 12 weeks post embryo-transfer ]

Biospecimen Retention:   Samples Without DNA
Plasma, serum, urine

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Ages Eligible for Study:   20 Years to 43 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Subjects undergoing COH for IVF/ICSI-treatment with Gonal-f in Greece.

Inclusion Criteria:

  • Pre-menopausal female subjects aged between 20-43 years
  • Subjects requiring treatment with recombinant FSH for COH for IVF and/or ICSI
  • Subjects who are able to communicate well with the investigator and can comply with the requirements of the entire study
  • Subjects who have given written informed consent, prior to treatment, with the understanding that consent may be withdrawn by the subject at any time without prejudice

Exclusion Criteria:

  • Female subjects not pregnant or lactating
  • Subjects with known allergic reaction against one of the ingredients
  • Subjects with enlarged ovaries or cysts unrelated to polycystic ovarian disease.
  • Subjects with gynaecological bleeding of unknown origin
  • Subjects with ovarian, uterine, or mammary cancer
  • Subjects with hyperprolactinaemia
  • Subjects with tumors of the hypothalamus or the pituitary gland

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01196143

Centre of Assisted Reproduction "Embryoland"
Athens, Greece, 11 523
Sponsors and Collaborators
Merck KGaA
Study Director: Michalis Arvanitis, MD, MSc Merck A.E. Hellas,Greece, an affiliate of MerckKGaA, Darmstadt, Germany

Responsible Party: Merck KGaA Identifier: NCT01196143     History of Changes
Other Study ID Numbers: 700623-503
First Posted: September 8, 2010    Key Record Dates
Last Update Posted: February 4, 2014
Last Verified: February 2014

Keywords provided by Merck KGaA:
Ovulation induction
Intrauterine insemination
Controlled ovarian stimulation
Female infertility

Additional relevant MeSH terms:
Ovarian Hyperstimulation Syndrome
Genital Diseases, Male
Genital Diseases, Female
Ovarian Diseases
Adnexal Diseases
Gonadal Disorders
Endocrine System Diseases
Follicle Stimulating Hormone
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs