This is a randomized multi-centre, assessor-blind, parallel-group study to be conducted in 250 women in the age group of 20 to 39 years (both inclusive), who are indicated to undergo COS as part of assisted reproductive technology (ART). The participant will receive r-hFSH, fixed-dose for 5 days, and day 6 onwards the dose may be adjusted for a single cycle of COS followed by ART procedures, and post-ART follow-up for ongoing pregnancy. The primary and secondary outcomes will be captured on days as per protocol. Adverse events will be noted for safety evaluation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
250
fixed-dose of 225 IU/day, subcutaneous (SC), daily, for 5 days. further dosage will be adjusted till adequate follicular development.
Om Research Center Om Surgical Center and Maternity Home
Varanasi, Uttar Pradesh, India
Number of oocytes retrieved
Number of oocytes retrieved
Time frame: Oocyte pick up - up to ~ 34 to 36 hours after human chorionic gonadotropin (hCG) administration
Clinical pregnancy rate
Clinical pregnancy rate
Time frame: 4 weeks after embryo transfer (ET)
Ongoing Pregnancy rate
Ongoing pregnancy rate
Time frame: 11±1 weeks after ET
Cycle cancellation rate
Cycle cancellation rate
Time frame: at Stimulation phase up to 20 days, oocyte pick up up to ~ 34 to 36 hours after hCG administration, ET anytime up to 8 weeks
Total Doseof r-hFSH
Total dose of r-hFSH (in IU) required for ovarian stimulation;
Time frame: at end of stimulation up to 20 days
Number of Days of r-hFSH stimulation
Number of days of r-hFSH stimulation
Time frame: at end of stimulation up to 20 days
Number of subject Change in Dosage
Proportion of subjects requiring change in dose
Time frame: post Day 6 till end of stimulation up to 20 days
Hormonal Investigation
Estradiol, Luteinizing, Progesterone, and inhibin b levels
Time frame: Day 6
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Follicle size on Day 6
Number of follicles with size \<11mm, Number of follicles with size 11- 14 mm, Number of follicles with size15 mm, Number of follicles with size16 mm, Number of follicles with size17 mm and Number of follicles with size ≥18 mm
Time frame: Day 6
Follicle size at HCG administration
Number of follicles with size \<11mm, Number of follicles with size 11- 14 mm, Number of follicles with size15 mm, Number of follicles with size16 mm, Number of follicles with size17 mm and Number of follicles with size ≥18 mm mm)
Time frame: Day of hCG administration anytime upto 3 weeks
Endometrium thickness
Endometrial thickness (mm)
Time frame: day 6
Endometrium at HCG administration
Endometrial thickness (mm)
Time frame: day of hCG injection (anytime upto 3 weeks)
Number of Matured oocytes
Proportion of matured oocytes
Time frame: Oocyte pick up ~ 34 to 36 hours after hCG administration
Number of good quality embryos
Number of good quality embryos
Time frame: ET day (up to 8 weeks)
Number of Adverse events
Number of treatment-emergent adverse events (TEAE) reported
Time frame: Baseline, 1st day of stimulation, day 6 , end of stimulation up to 20 days, hCG administration, oocyte pick up ~ 34 to 36 hours after hCG administration, ET up to 8 weeks, clinical pregnancy (after 4 weeks of ET), ~12 weeks after ET
Specific adverse events
The number of patients with ovarian hyperstimulation syndrome (OHSS) reported
Time frame: Day 1 of Stimulation till ~12 weeks after ET
Exploratory
Ease of use of Pen - comparison of total score of Questionnaire to user of rhFSH pen
Time frame: End of stimulation up to 20 days
Evaluation of immunogenicity (antibody) of r-hFSH
Evaluation of immunogenicity of r-hFSH, comparison of antibody titre against r-hFSH in both groups
Time frame: Baseline, 4 weeks and 12 weeks