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Evaluate the efficacy and safety of of Highly Purified Urofollitropin for Injection Compared to Recombinant Human Follitropin Alfa for Injection in Chinese Females Undergoing an Assisted Reproductive Technology (ART) Program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Test Group | Experimental |
| |
| Control Group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Highly Purified Urofollitropin | Drug | for injection |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| The number of retrieved oocytes per cycle | About 36 hours post hCG (human chorionic gonadotrophin) |
| Measure | Description | Time Frame |
|---|---|---|
| The follicles development | At day 5 of FSH preparation stimulation and the day of hCG administration | |
| The fertilization rate | 20h (± 1h) after insemination | |
| Implantation rate |
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Inclusion Criteria:
Signed informed consent form, prior to screening evaluations
In good physical and mental health
Chinese Females between the ages of 20-39 years.
Body mass index (BMI) is ≥ 18.5 and < 28 kg/m2
Female diagnosed for at least one year (i.e., before screening) with tubal infertility, unexplained infertility, male factor infertility
Regular menstrual cycles of 24-35 days (both inclusive), presumed to be ovulatory
Documented evidence of at least one of the following within ninety (90) days prior to down regulation treatment:
Early follicular phase (day 2-3), serum levels of FSH within limits (1-12IU/L)(results obtained within 90 days prior to down regulation treatment)
LH, PRL (prolactin), E2 (Estradiol), P (progesterone), total testosterone levels within normal range for the clinical laboratory or considered not clinically significant by the investigator (results obtained within 90 days prior to down regulation treatment)
TSH (thyrotropin) levels within normal limits for the clinical laboratory or considered not clinically significant by the investigator, or secondary to exogenous thyroid medication (results obtained within 90 days prior to down regulation treatment)
Negative serum Human Immunodeficiency Virus (HIV) antibody, and TPPA (Treponema Pallidum antibodies)/ RPR (Rapid Plasma Reagin) tests (results obtained within 90 days prior to down regulation treatment)
Early follicular phase total antral follicle (diameter 2-10 mm) count ≥ 6 and ≤ 25 for both ovaries combined (results obtained within 3 months prior to down regulation treatment)
Transvaginal ultrasound documenting presence and adequate visualisation of both ovaries, uterus and adnexa without evidence of significant abnormality (e.g.no endometrioma greater than 3 cm, no ovarian cysts > 35 mm or enlarged ovaries which would contraindicate the use of down regulation treatment, no hydrosalpinx) within ninety (90) days prior to down regulation treatment
Hysterosalpingography, hysteroscopy, saline infusion sonography or transvaginal ultrasound documenting a uterus consistent with expected normal function (e.g.no evidence of clinically interfering uterine fibroids defined as submucous or intramural fibroids larger than 3 cm in diameter, no polyps and no congenital structural abnormalities which are incompatible with pregnancy) within 1 year prior to down regulation treatment. This also includes women who have been diagnosed with any of the above medical conditions but have had them surgically corrected.
A minimum of one cycle without treatment with fertility modifiers (e.g., oral contraceptives) during the last menstrual cycle before down regulation treatment
Willing to accept a maximum of two embryos transferred in the fresh cycle
Willing to use an adequate barrier method of contraception or refrain from intercourse from 2 weeks before start of down regulation and throughout the down regulation period
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Development Support | Ferring Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chinese PLA General Hospital | Beijing | Beijing Municipality | China | |||
| Peking Union Medical College Hospital |
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| Recombinant Human Follitropin Alfa | Drug | for injection |
|
|
| 5-6 weeks post embryo transfer |
| Cycle cancellation rate | 36 hours post hCG |
| The positive serum β-hCG/hCG rate | 13-15 days after embryo transfer |
| The clinical pregnancy rate | Regardless of fetal heart beat | 5-6 weeks after embryo transfer |
| The clinical pregnancy rate | With fetal heart beat | 5-6 weeks after embryo transfer |
| The ongoing pregnancy rate | 10-11 weeks after embryo transfer |
| Total gonadotropin dose administered and the duration of gonadotropin treatment | Up to day 16 (in the stimulation period) |
| Serum E2 (Estradiol) concentrations | On the day of hCG administration |
| Frequency and severity of adverse events | Expected maximum of 7 months |
| Frequency and severity of injection site reactions | Injection site reactions (in terms of "redness", "pain", "itching", "swelling" and "bruising") | Day 1 up to day 16 of the controlled ovarian stimulation period |
| Beijing |
| Beijing Municipality |
| China |
| Peking University First Hospital | Beijing | Beijing Municipality | China |
| Peking University People's Hospital | Beijing | Beijing Municipality | China |
| Sun Yat-sen Memorial Hospital Sun Yat-sen University | Guangzhou | Guangdong | China |
| The third Affiliated Hospital of Guangzhou Medical University | Guangzhou | Guangdong | China |
| Tongji Hospital Tongji Medical College of HUST Tongji Medical College Huazhong University of Science & Technology | Wuhan | Hubei | China |
| The First Affiliated Hospital with Nanjing Medical University | Nanjing | Jiangsu | China |
| ShengJing Hospital of China Medical University | Shenyang | Liaoning | China |
| Sichuan Provincial People's Hospital | Chengdu | Sichuan | China |
| Tianjin Medical University General Hospital | Tianjin | Tianjin Municipality | China |
| ID | Term |
|---|---|
| D007246 | Infertility |
| ID | Term |
|---|---|
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D050477 | Urofollitropin |
| C571801 | follitropin alfa |
| ID | Term |
|---|---|
| D008596 | Menotropins |
| D006065 | Gonadotropins, Pituitary |
| D006062 | Gonadotropins |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010908 | Pituitary Hormones, Anterior |
| D010907 | Pituitary Hormones |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
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