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The purposes of the study are to verify sufficient supplementation of luteal hormone after administrating FE999913 Vaginal Tablet twice a day (BID) or three times a day (TID) and to determine the efficacy and safety of FE999913 Vaginal Tablet in Japanese women undergoing fertility treatment with IVF-ET (a fresh embryo transfer).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FE 999913 100 mg BID | Active Comparator | FE 999913 100 mg vaginal tablet BID |
|
| FE 999913 100 mg TID | Active Comparator | FE 999913 100 mg vaginal tablet TID |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FE 999913 vaginal tablet | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| The Proportion of Subjects With Blood Progesterone Concentration Not Less Than 10 ng/ml | Day 5 of treatment | |
| Ongoing Pregnancy Rate | Defined as identification of fetal survival and fetal heart movements on transvaginal ultrasound | Week 5 of study |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of Positive βeta Human Chorionic Gonadotrophin (βhCG) | Week 2 of study | |
| Clinical Pregnancy Rate | Defined as presence of a gestational sac on transvaginal ultrasound | Week 4 of study |
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Inclusion Criteria:
Exclusion Criteria:
Donor oocyte or embryo recipient; gestational or surrogate carrier.
Undergoing blastomer biopsy and other experimental ART procedures.
Severe hepatic dysfunction or disease.
Active arterial or venous thromboembolism or severe thrombophlebitis, or a history of these events.
Porphyria.
Presence of any clinically relevant systemic disease (eg, insulin-dependent diabetes mellitus).
Past or current surgical or medical condition which in the judgment of the Principal Investigator (or Sub-investigator) may interfere with absorption, distribution, metabolism, or excretion of the study drug.
Subjects with a body mass index (BMI) of >34 at time of Screening.
Previous IVF or ART failure due to a poor response to gonadotropins*.
* Defined as development of ≤2 mature follicles or history of 2 previous cycle cancellations prior to oocyte retrieval due to poor response.
Presence of abnormal uterine bleeding of undetermined origin.
Current or recent (within the past 12 months) substance abuse, including alcohol.
Known or suspected breast or genital tract cancer.
History of chemotherapy or radiotherapy for malignant disorder (chorionic disease).
Currently breast feeding, pregnant or contraindication to pregnancy.
Refusal or inability to comply with the requirements of the Protocol for any reason, including scheduled visits and clinical laboratory tests.
Documented intolerance or allergy to any of the medications to be used in the study including the investigational medicinal product.
Participation in any experimental drug study within 60 days prior to Screening.
Use of any of the following medications during the pretreatment and treatment phase: hormonal drug products (use of oral contraceptives prior to start of controlled ovarian stimulation is allowed), other progesterone drug products, hydrocortisone and other steroid drug products, and fertility modifiers such as insulin sensitizers.
History of recurrent pregnancy loss defined as 3 or more spontaneous miscarriages.
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Development Support | Ferring Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hanabusa Women's Clinic | Kobe | Hyōgo | Japan | |||
| Ebina Ladies Clinic |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26457065 | Derived | Fujiwara T. A multi-center, randomized, open-label, parallel group study of a natural micronized progesterone vaginal tablet as a luteal support agent in Japanese women undergoing assisted reproductive technology. Reprod Med Biol. 2015;14(4):185-193. doi: 10.1007/s12522-015-0211-y. Epub 2015 Jun 14. |
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| ID | Title | Description |
|---|---|---|
| FG000 | FE 999913 100 mg BID | FE 999913 100 mg vaginal tablet BID FE 999913 vaginal tablet |
| FG001 | FE 999913 100 mg TID | FE 999913 100 mg vaginal tablet TID FE 999913 vaginal tablet |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Full Analysis Set (FAS) population
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| ID | Title | Description |
|---|---|---|
| BG000 | FE 999913 100 mg BID | FE 999913 100 mg vaginal tablet BID |
| BG001 | FE 999913 100 mg TID | FE 999913 100 mg vaginal tablet TID |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | FAS population |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | The Proportion of Subjects With Blood Progesterone Concentration Not Less Than 10 ng/ml | FAS population | Posted | Number | 95% Confidence Interval | percentage of subjects | Day 5 of treatment |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | FE 999913 100 mg BID | FE 999913 100 mg vaginal tablet BID |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Subchorionic haemorrhage | Pregnancy, puerperium and perinatal conditions |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal distension | Gastrointestinal disorders |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Development Support | Ferring Pharmaceuticals | DK0-Disclosure@ferring.com |
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| Blood Progesterone Concentration | Weeks 2, 4, 5, 8, and end of study |
| Ebina |
| Kanagawa |
| Japan |
| Sophia Ladies Clinic | Sagamihara | Kanagawa | Japan |
| Bashamichi Ladies Clinic | Yokohama | Kanagawa | Japan |
| IVF Namba Clinic | Osaka | Osaka | Japan |
| Sanno Hospital | Tokyo | Japan |
| BG002 | Total | Total of all reporting groups |
| Standard Deviation |
| years |
|
| Age, Customized | FAS population | Number | participants |
|
| Sex: Female, Male | FAS population | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Day of transfer | FAS with embryo transfer (ET) (BID: 43, TID: 47, Total: 90) | Number | participants |
|
| Subjects with embryo transferred | FAS with ET (BID: 43, TID: 47, Total: 90) | Number | participants |
|
| Embryos transferred | FAS with ET (BID: 43, TID: 47, Total: 90) | Mean | Standard Deviation | embryos |
|
| Method of insemination | FAS with ET (BID: 43, TID: 47, Total: 90) | Number | participants |
|
|
|
| Primary | Ongoing Pregnancy Rate | Defined as identification of fetal survival and fetal heart movements on transvaginal ultrasound | FAS with ET population | Posted | Number | 95% Confidence Interval | percentage of participants | Week 5 of study |
|
|
|
| Secondary | Rate of Positive βeta Human Chorionic Gonadotrophin (βhCG) | FAS with ET population In the TID group 13 subjects had a positive beta-hCG assessment while 14 subjects had a positive clinical pregnancy at Week 4. This is because one subject had a negative beta-hCG at Week 2, but she had a positive local serum hCG on the same day and continued the trial. Then clinical and ongoing pregnancy were confirmed. | Posted | Number | 95% Confidence Interval | percentage of participants | Week 2 of study |
|
|
|
| Secondary | Clinical Pregnancy Rate | Defined as presence of a gestational sac on transvaginal ultrasound | FAS with ET population | Posted | Number | 95% Confidence Interval | percentage of participants | Week 4 of study |
|
|
|
| Secondary | Blood Progesterone Concentration | FAS population | Posted | Mean | Standard Deviation | ng/mL | Weeks 2, 4, 5, 8, and end of study |
|
|
|
| 0 |
| 54 |
| 15 |
| 54 |
| EG001 | FE 999913 100 mg TID | FE 999913 100 mg vaginal tablet TID | 1 | 54 | 22 | 54 |
| EG002 | FE 999913 Total | Data pooled from BID and TID groups | 1 | 108 | 37 | 108 |
| Constipation | Gastrointestinal disorders |
|
| Abdominal pain upper | Gastrointestinal disorders |
|
| Nasopharyngitis | Infections and infestations |
|
| Headache | Nervous system disorders |
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| Ovarian hyperstimulation syndrome | Reproductive system and breast disorders |
|
| Genital haemorrhage | Reproductive system and breast disorders |
|
| Diarrhoea | Gastrointestinal disorders |
|
| Liver function test abnormal | Investigations |
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| Back pain | Musculoskeletal and connective tissue disorders |
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| Somnolence | Nervous system disorders |
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| Cervical polyp | Reproductive system and breast disorders |
|
| Heat rash | Skin and subcutaneous tissue disorders |
|
| Rash | Skin and subcutaneous tissue disorders |
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The only disclosure restriction on the PI is that the sponsor can review the draft manuscript prior to publication and can request delay of publication where any contents are deemed patentable by the sponsor or confidential to the sponsor. Comments will be given within four weeks from receipt of the draft manuscript. Additional time may be required to allow Ferring to seek patent protection of the invention.
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| Week 4; n=6, 14, 20 |
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| Week 5; n=6, 14,20 |
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| Week 8; n=5, 12, 17 |
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| End of study; n=38, 46, 84 |
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