To compare the ovulation rate in women with primary amenorrhea with hypogonadotropic hypogonadism following pulsatile gonadotropin-releasing hormone (GnRH) treatment using the OmniPod pump versus placebo
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
39
Ovulation Rate
Calculated as a proportion of subjects with at least 1 post-baseline progesterone level ≥ 6 ng/mL or subjects with confirmed positive serum β-human chorionic gonadotropin (β-hCG) (i.e., 2 positive results) or subjects with a gestational sac documented by transvaginal ultrasound (TVUS).
Time frame: From treatment Day 1 up to 4 weeks after second positive β-hCG test, approximately 9 weeks
Progesterone (P4) Levels
Proportion of participants with at least 1 post-baseline P4 level ≥ 10 ng/mL.
Time frame: Treatment Days 19, 21, 23, 25, and 27
Clinical Pregnancy Rate
Proportion of subjects with presence of gestational sac and fetal heart movement on TVUS after a second positive serum β-hCG test.
Time frame: 2 to 4 weeks after a second positive serum β-hCG test
Biochemical Pregnancy Rate
Proportion of subjects with a confirmed positive serum β-hCG test after luteinizing hormone (LH) surge.
Time frame: Approximately 14 days after LH surge
LH Surge Detection
Proportion of subjects with a positive detection of LH surge, based on a Clearblue test which began when follicles with a mean diameter ≥14 mm were documented on TVUS.
Time frame: Daily from Day 11 until first positive LH surge or until Day 39
Ovarian Follicular Development: Number of Follicles With a Mean Diameter Greater Than or Equal to (≥)14 mm
Number of follicles with a mean diameter ≥14 mm collected from Days 10 or 11, until LH surge or Day 21.
Time frame: From treatment Day 10 to treatment Day 21
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Ovarian Follicular Development: Number of Dominant Follicles With a Mean Diameter of ≥18 mm
Number of dominant follicles with a mean diameter ≥18 mm collected from Days 10 or 11, until LH surge or Day 21.
Time frame: From treatment Day 10 to treatment Day 21
Luteal Phase Support: Maximum P4 Levels
Maximum of post-dose P4 levels collected on treatment Days 19 to 27 are presented.
Time frame: Treatment Days 19, 21, 23, 25, and 27
Luteal Phase Support: Mean P4 Levels
Mean of post-dose P4 levels collected on treatment Days 19 to 27 are presented.
Time frame: Median post-dose P4 values across Treatment Days 19, 21, 23, 25, and 27
Change From Baseline in Follicle-stimulating Hormone (FSH)
FSH change from baseline in relation to the first dose (pulse) on Day 1 and Day 10
Time frame: Baseline (pre-dose), Treatment Day 1, Treatment Day 10
Change From Baseline in LH
LH change from baseline in relation to first dose (pulse) on Day 1 and Day 10
Time frame: Baseline (pre-dose), Treatment Day 1, Treatment Day 10
Mean Serum FSH and LH Levels
Mean FSH and LH levels on Day 1 and Day 10.
Time frame: Treatment Days 1 and Day 10
Estradiol (E2) Serum Levels
E2 serum levels on Day 1 and Day 10.
Time frame: At treatment Day 1 and Day 10
Type, Intensity, and Frequency of Adverse Events (AEs)
An AE was defined as any untoward medical occurrence in a subject taking part in a clinical trial. Proportion of subjects with any AE (serious or non-serious) and intensity of AEs (classified as mild, moderate or severe) are presented.
Time frame: From treatment Day 1 to end-of-trial, approximately 10 weeks
Hematology, Clinical Chemistry, and Urinalysis
Proportion of subjects with markedly abnormal changes in hematology, clinical chemistry, and urinalysis.
Time frame: From treatment Day 1 to end-of-trial, approximately 10 weeks
Frequency and Severity of Ovarian Hyperstimulation Syndrome (OHSS)
Proportion of subjects reporting OHSS classified as mild, moderate, or severe.
Time frame: From treatment Day 1 to end-of-trial, approximately 10 weeks