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FE 999049 is a gonadotropin preparation containing recombinant human follicle stimulating hormone (rhFSH) under development by Ferring Pharmaceuticals. It is intended for controlled ovarian stimulation for the development of multiple follicles in women undergoing assisted reproductive technologies (ART) such as in vitro fertilisation (IVF) or intracytoplasmic sperm injection (ICSI) cycle. In previous trials the exposure to and dose proportionality of FE 999049 in a clinically relevant dose range in Caucasian and Japanese healthy women have been shown to be very similar. This is a trial in healthy Chinese women investigating the pharmacokinetics, safety, and tolerability of a single subcutaneous dose of FE 999049.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Follitropin delta 12 μg | Experimental | Participants received single subcutaneous abdominal injection of Follitropin delta 12 μg on Day 1. |
|
| Follitropin delta 18 μg | Experimental | Participants received single subcutaneous abdominal injection of Follitropin delta 18 μg on Day 1. |
|
| Follitropin delta 24 μg | Experimental | Participants received single subcutaneous abdominal injection of Follitropin delta 24 μg on Day 1. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Follitropin Delta | Drug | Solution for Injection, subcutaneous administration |
|
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Serum Concentration-time Curve From Dosing to Infinity (AUC) | Area under the concentration-time curve from dosing to infinity. | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
| Area Under the Serum Concentration-time Curve From Dosing up to Time t (AUCt) | AUCt is defined as the area under the serum concentration-time curve from dosing up to time t, where t is the last time point at which the concentration is above the lower limit of quantification. | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
| Maximum Serum Concentration Observed (Cmax) | Maximum concentration observed in serum. | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
| Time of Maximum Observed Serum Concentration (Tmax) | Time of maximum observed concentration in serum. | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
| Apparent Total Systemic Clearance (CL/F) | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose | |
| Apparent Volume of Distribution Associated With the Terminal Phase (VZ/F) | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Clinically Significant Abnormal Changes in Electrocardiogram (ECG) | Number of participants with clinically significant abnormal changes in ECG are presented. | At screening, on Day -1, at 12, 24, 48 hours postdose, and at the follow-up visit (Day 11) |
| Number of Participants With Clinically Significant Abnormal Changes in Vital Signs |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Global Clinical Compliance | Ferring Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First Hospital Affiliated to Nanjing Medical University Jiangsu Province Hospital | Nanjing | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36478528 | Result | Shao F, Jiang Y, Ding S, Larsson P, Pinton P, Jonker DM. Pharmacokinetics and Safety of Follitropin Delta in Gonadotropin Down-Regulated Healthy Chinese Women. Clin Drug Investig. 2023 Jan;43(1):37-44. doi: 10.1007/s40261-022-01232-9. Epub 2022 Dec 7. |
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A total of 133 subjects were screened, wherein, 24 subjects met the eligibility criteria and were randomized to the investigational medicinal product (IMP): 8 subjects each were exposed to Follitropin Delta (FE 999049) 12 μg, 18 μg and 24 μg, respectively. All the randomized subjects completed the trial.
The trial was conducted at one site in China between June 2019 to December 2019.
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| ID | Title | Description |
|---|---|---|
| FG000 | Follitropin Delta (FE 999049) 12 μg | Participants received single subcutaneous abdominal injection of Follitropin Delta 12 μg on Day 1 of the Treatment Period. |
| FG001 | Follitropin Delta (FE 999049) 18 μg | Participants received single subcutaneous abdominal injection of Follitropin Delta 18 μg on Day 1 of the Treatment Period. |
| FG002 | Follitropin Delta (FE 999049) 24 μg | Participants received single subcutaneous abdominal injection of Follitropin Delta 24 μg on Day 1 of the Treatment Period. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
The full analysis set (FAS) comprised data from all dosed subjects. Subjects were analyzed according to the actual dose received.
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| ID | Title | Description |
|---|---|---|
| BG000 | Follitropin Delta (FE 999049) 12 μg | Participants received single subcutaneous abdominal injection of Follitropin Delta 12 μg on Day 1 of the Treatment Period. |
| BG001 | Follitropin Delta (FE 999049) 18 μg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Area Under the Serum Concentration-time Curve From Dosing to Infinity (AUC) | Area under the concentration-time curve from dosing to infinity. | The per-protocol (PP) analysis set comprised data from all dosed subjects except data excluded as a result of major protocol deviations. Subjects were analyzed according to the actual dose received. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
|
From signed informed consent until the end-of-trial visit (Day 28)
A treatment-emergent AE was any AE occurring after administration of IMP and within the time of residual drug effect, or a pre-treatment AE or pre-existing medical condition that worsened in intensity after start of IMP and within the time of residual drug effect. Only treatment-emergent AEs are presented.
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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 | Follitropin Delta (FE 999049) 12 μg | Participants received single subcutaneous abdominal injection of Follitropin Delta 12 μg on Day 1 of the Treatment Period. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Ventricular extrasystoles | Cardiac disorders | MedDRA (22.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Clinical Compliance | Ferring Pharmaceuticals | - | DK0-Disclosure@ferring.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Sep 20, 2018 | Dec 1, 2020 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jan 15, 2020 | Dec 1, 2020 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D007246 | Infertility |
| ID | Term |
|---|---|
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| C000620228 | follitropin delta |
| C000608977 | FE 999049 |
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|
| Terminal Elimination Half-life (t½) | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
Number of participants with clinically significant abnormal changes in vital signs (systemic blood pressures, heart rate and body temperature) are presented. |
| At screening, on Day -1, at 12, 24, 48 hours postdose, and at the follow-up visit (Day 11) |
| Number of Participants With Clinically Significant Abnormal Findings in Laboratory Parameters | Number of participants with clinically significant abnormal findings in laboratory parameters (clinical chemistry, haematology, urinalysis) are presented. | At screening, on Day -1 and Day 3, and at the follow-up visit (Day 11) |
| Number of Participants With Adverse Events (AEs) and Type of AEs | An AE is any untoward medical occurrence in a participant participating in a clinical trial. Number of participants with any AE (serious or non-serious) and type of AEs ( mild, moderate, severe) are presented. | From signed informed consent until the end-of-trial visit (Day 28) |
| Frequency of Injection Site Reactions | The injection site reactions (redness, pain, itching, swelling, and bruising) will be assessed by the investigator after injection, 30 minutes, and 24 hours after administration of the IMP. Each injection site reaction will be assessed as none, mild, moderate, or severe. | Immediately, 30 minutes, and 24 hours after administration |
| Number of Participants With Treatment-induced Anti-follicle-stimulating Hormone (Anti-FSH) Antibodies | On Day 1 predose, Day 7, and Day 28 |
Participants received single subcutaneous abdominal injection of Follitropin Delta 18 μg on Day 1 of the Treatment Period.
| BG002 | Follitropin Delta (FE 999049) 24 μg | Participants received single subcutaneous abdominal injection of Follitropin Delta 24 μg on Day 1 of the Treatment Period. |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Body Mass Index (BMI) | Mean | Standard Deviation | kg/m^2 |
|
Participants received single subcutaneous abdominal injection of Follitropin Delta 18 μg on Day 1 of the Treatment Period. |
| OG002 | Follitropin Delta (FE 999049) 24 μg | Participants received single subcutaneous abdominal injection of Follitropin Delta 24 μg on Day 1 of the Treatment Period. |
|
|
| Primary | Area Under the Serum Concentration-time Curve From Dosing up to Time t (AUCt) | AUCt is defined as the area under the serum concentration-time curve from dosing up to time t, where t is the last time point at which the concentration is above the lower limit of quantification. | The PP analysis set comprised data from all dosed subjects except data excluded as a result of major protocol deviations. Subjects were analyzed according to the actual dose received. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
|
|
|
| Primary | Maximum Serum Concentration Observed (Cmax) | Maximum concentration observed in serum. | The PP analysis set comprised data from all dosed subjects except data excluded as a result of major protocol deviations. Subjects were analyzed according to the actual dose received. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
|
|
|
| Primary | Time of Maximum Observed Serum Concentration (Tmax) | Time of maximum observed concentration in serum. | The PP analysis set comprised data from all dosed subjects except data excluded as a result of major protocol deviations. Subjects were analyzed according to the actual dose received. | Posted | Median | Full Range | hour | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
|
|
|
| Primary | Apparent Total Systemic Clearance (CL/F) | The PP analysis set comprised data from all dosed subjects except data excluded as a result of major protocol deviations. Subjects were analyzed according to the actual dose received. | Posted | Geometric Mean | Geometric Coefficient of Variation | Liter/hour | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
|
|
|
| Primary | Apparent Volume of Distribution Associated With the Terminal Phase (VZ/F) | The PP analysis set comprised data from all dosed subjects except data excluded as a result of major protocol deviations. Subjects were analyzed according to the actual dose received. | Posted | Geometric Mean | Geometric Coefficient of Variation | Liter | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
|
|
|
| Primary | Terminal Elimination Half-life (t½) | The PP analysis set comprised data from all dosed subjects except data excluded as a result of major protocol deviations. Subjects were analyzed according to the actual dose received. | Posted | Geometric Mean | Geometric Coefficient of Variation | hour | At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose |
|
|
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| Secondary | Number of Participants With Clinically Significant Abnormal Changes in Electrocardiogram (ECG) | Number of participants with clinically significant abnormal changes in ECG are presented. | The safety analysis set comprised data from all dosed subjects and was used for safety analysis. The safety analysis set was identical to the FAS. | Posted | Count of Participants | Participants | No | At screening, on Day -1, at 12, 24, 48 hours postdose, and at the follow-up visit (Day 11) |
|
|
|
| Secondary | Number of Participants With Clinically Significant Abnormal Changes in Vital Signs | Number of participants with clinically significant abnormal changes in vital signs (systemic blood pressures, heart rate and body temperature) are presented. | The safety analysis set comprised data from all dosed subjects and was used for safety analysis. The safety analysis set was identical to the FAS. | Posted | Count of Participants | Participants | No | At screening, on Day -1, at 12, 24, 48 hours postdose, and at the follow-up visit (Day 11) |
|
|
|
| Secondary | Number of Participants With Clinically Significant Abnormal Findings in Laboratory Parameters | Number of participants with clinically significant abnormal findings in laboratory parameters (clinical chemistry, haematology, urinalysis) are presented. | The safety analysis set comprised data from all dosed subjects and was used for safety analysis. The safety analysis set was identical to the FAS. | Posted | Count of Participants | Participants | No | At screening, on Day -1 and Day 3, and at the follow-up visit (Day 11) |
|
|
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| Secondary | Number of Participants With Adverse Events (AEs) and Type of AEs | An AE is any untoward medical occurrence in a participant participating in a clinical trial. Number of participants with any AE (serious or non-serious) and type of AEs ( mild, moderate, severe) are presented. | The safety analysis set comprised data from all dosed subjects and was used for safety analysis. The safety analysis set was identical to the FAS. | Posted | Count of Participants | Participants | No | From signed informed consent until the end-of-trial visit (Day 28) |
|
|
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| Secondary | Frequency of Injection Site Reactions | The injection site reactions (redness, pain, itching, swelling, and bruising) will be assessed by the investigator after injection, 30 minutes, and 24 hours after administration of the IMP. Each injection site reaction will be assessed as none, mild, moderate, or severe. | The safety analysis set comprised data from all dosed subjects and was used for safety analysis. The safety analysis set was identical to the FAS. | Posted | Count of Participants | Participants | No | Immediately, 30 minutes, and 24 hours after administration |
|
|
|
| Secondary | Number of Participants With Treatment-induced Anti-follicle-stimulating Hormone (Anti-FSH) Antibodies | The safety analysis set comprised data from all dosed subjects and was used for safety analysis. The safety analysis set was identical to the FAS. | Posted | Count of Participants | Participants | No | On Day 1 predose, Day 7, and Day 28 |
|
|
|
| 0 |
| 8 |
| 0 |
| 8 |
| 5 |
| 8 |
| EG001 | Follitropin Delta (FE 999049) 18 μg | Participants received single subcutaneous abdominal injection of Follitropin Delta 18 μg on Day 1 of the Treatment Period. | 0 | 8 | 0 | 8 | 4 | 8 |
| EG002 | Follitropin Delta (FE 999049) 24 μg | Participants received single subcutaneous abdominal injection of Follitropin Delta 24 μg on Day 1 of the Treatment Period. | 0 | 8 | 0 | 8 | 3 | 8 |
| Procedural dizziness | Injury, poisoning and procedural complications | MedDRA (22.0) | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA (22.0) | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA (22.0) | Systematic Assessment |
|
| Blood urine present | Investigations | MedDRA (22.0) | Systematic Assessment |
|
| Neutrophil count decreased | Investigations | MedDRA (22.0) | Systematic Assessment |
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| Red blood cells urine positive | Investigations | MedDRA (22.0) | Systematic Assessment |
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| Smear cervix abnormal | Investigations | MedDRA (22.0) | Systematic Assessment |
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| White blood cell count decreased | Investigations | MedDRA (22.0) | Systematic Assessment |
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| Poor quality sleep | Nervous system disorders | MedDRA (22.0) | Systematic Assessment |
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| Cervical dysplasia | Reproductive system and breast disorders | MedDRA (22.0) | Systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA (22.0) | Systematic Assessment |
|
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA (22.0) | Systematic Assessment |
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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.
| Title | Measurements |
|---|---|
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| Urinalysis |
|
| Title | Measurements |
|---|---|
|
| Mild AEs |
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| Moderate AEs |
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| Severe AEs |
|