DRUG
Follitropin Alfa
Subcutaneous injection of follitropin alpha biosimilar only, with daily dose 100-300 IU for 10 days, maximum of 15 days, using antagonists of GnRH or agonist of GnRH.
Status
Completed
Phase
Not applicable
Enrollment
5,484
Locations
35
Results
Posted
Publications
0
Study summary
Aim to investigate the efficacy of follitropin alpha biosimilar therapy (Primapur®) in nonselected real-world population.
A retrospective observational anonymized cohort study of follitropin alpha biosimilar (Primapur®) as a pre-filled pen injector with a dose adjustment of 5 IU, aimed to investigate its efficacy and safety in a nonselected population with indications to assisted reproductive technologies (ART) was carried out. The ovarian stimulation (OS) protocols included: monotherapy protocols with using only Primapur®; mixed protocols (recombinant and urinary-derived gonadotropins); short protocols with using antagonists of gonadotropin-releasing hormone (GnRH) and long protocols with GnRH agonists. The stimulation protocols were analyzed with Primapur® application for at least 5 days.
Interventions
DRUG
Subcutaneous injection of follitropin alpha biosimilar only, with daily dose 100-300 IU for 10 days, maximum of 15 days, using antagonists of GnRH or agonist of GnRH.
DRUG
Subcutaneous injection of follitropin alpha biosimilar, with daily dose 100-300 IU for at least 5 days, than added another gonadotropin for a maximum of 10 days, using antagonists of GnRH or agonist of GnRH.
DRUG
Subcutaneous injection of follitropin alpha biosimilar only, with daily dose 100-300 IU for 10 days, maximum of 15 days, using antagonists of GnRH only for suppression.
DRUG
Subcutaneous injection of follitropin alpha biosimilar only, with daily dose 100-300 IU for 10 days, maximum of 15 days, using agonists of GnRH only for suppression.
DRUG
Overall ovarian stimulation protocols with follitropin alpha biosimilar for at least 5 days+other recombinant and menotropins and short (antagonists of GnRH) or long protocol (agonist of GnRH).
Timeline
First posted
Apr 22, 2021
Study start
Jan 12, 2020
Primary completion
Dec 20, 2020
Study completion
Jan 20, 2021
Results posted
Oct 22, 2021
Registry updated
Oct 22, 2021
Outcomes
Number of Oocytes Retrieved
Time frame · From date of start of ovarian stimulation with follitropin alpha up to 15 days
The total number of retrieved oocytes at the day of ovum pick-up. No more than 37 hours from the introduction of the ovulation inducer (HCG or GnRH-agonist). Due to lack of efficacy of the therapy (ovarian stimulation was not completed and oocytes were not retrieved) the analysed population was: (1) Mixed protocols: recombinant and urinary-derived gonadotropins and antagonists/agonists of GnRH - 2625 participants (lack of efficacy: 78 participants, the analysed population was 2547 participants); (2) Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH - 2859 participants (lack of efficacy: 89, the analysed population was 2770); (3) Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH - 2183 participants (lack of efficacy: 59, the analysed population was 2124) and (4) Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH - 676 participants (lack of efficacy: 30, the analysed population was 646).
Percentage of Participants With Ongoing Clinical Pregnancy Per Embryo Transfer
Time frame · At least 6 weeks after embryo transfer
Ongoing clinical pregnancy per embryo transfer (detection of gestational sac and heartbeat from 6 weeks after transfer), n (ongoing pregnancy rate per transfer with known outcome, %). Due to delayed embryo transfers, the analysed population for "Ongoing clinical pregnancy per embryo transfer" was: (1) Mixed protocols: recombinant and urinary-derived gonadotropins and antagonists/agonists of GnRH - 2007 embryo transfers (1542 with known outcome); (2) Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH - 2213 embryo transfers (1800 with known outcome); (3) Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH - 1809 embryo transfers (1466 with known outcome) and (4) Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH - 404 embryo transfers (334 with known outcome).
Number of Mature Oocytes
Time frame · From date of start of ovarian stimulation with follitropin alpha up to 15 days
Mature oocytes (MII stage of development). Due to lack of efficacy of the therapy (ovarian stimulation was not completed and oocytes were not retrieved) the analysed population was: (1) Mixed protocols: recombinant and urinary-derived gonadotropins and antagonists/agonists of GnRH - 2625 participants (lack of efficacy: 78 participants, the analysed population was 2547 participants); (2) Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH - 2859 participants (lack of efficacy: 89, the analysed population was 2770); (3) Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH - 2183 participants (lack of efficacy: 59, the analysed population was 2124) and (4) Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH - 676 participants (lack of efficacy: 30, the analysed population was 646).
Number of Fertilized Oocytes
Time frame · From date of start of ovarian stimulation with follitropin alpha up to 16 days
Fertilization rate (FR) is percentage of transformation of oocytes into two pronuclei (presence of two pronuclei: zygotes with 2PN). Due to lack of efficacy of the therapy (ovarian stimulation was not completed and oocytes were not retrieved) the analysed population was: (1) Mixed protocols: recombinant and urinary-derived gonadotropins and antagonists/agonists of GnRH - 2625 participants (lack of efficacy: 78 participants, the analysed population was 2547 participants); (2) Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH - 2859 participants (lack of efficacy: 89, the analysed population was 2770); (3) Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH - 2183 participants (lack of efficacy: 59, the analysed population was 2124) and (4) Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH - 676 participants (lack of efficacy: 30, the analysed population was 646).
Total Dose of Follitropin Alpha Biosimilar Protocol, IU
Time frame · From date of start of ovarian stimulation with follitropin alpha up to 16 days
Mean dose of follitropin alpha biosimilar for ovarian stimulation. Due to lack of efficacy of the therapy (ovarian stimulation was not completed and oocytes were not retrieved) the analysed population was: (1) Mixed protocols: recombinant and urinary-derived gonadotropins and antagonists/agonists of GnRH - 2625 participants (lack of efficacy: 78 participants, the analysed population was 2547 participants); (2) Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH - 2859 participants (lack of efficacy: 89, the analysed population was 2770); (3) Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH - 2183 participants (lack of efficacy: 59, the analysed population was 2124) and (4) Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH - 676 participants (lack of efficacy: 30, the analysed population was 646).
Eligibility
Inclusion Criteria: * Women with established causes of infertility and indications for the use of ART methods, according to the Order of the Ministry of Health of the Russian Federation "On the use of assisted reproductive technologies, contraindications and limitations to their use" No. 107 n dated August 30, 2012. * Infertility due to female and/or male factor. * Presence of ovaries accessible for aspiration of follicles. * Anatomical and functional capability of uterus to bear pregnancy. Exclusion Criteria: * Women with established contraindications to the use of ART methods, according to the Order of the Ministry of Health of the Russian Federation "On the use of assisted reproductive technologies, contraindications and limitations to their use" No. 107 n dated August 30, 2012. * Presence of pregnancy * Hypersensitivity to follitropin alfa or excipients. * Ovarian cysts (not associated with polycystic ovarian syndrome), uterine hemorrhage of unclear etiology * Premature ovarian failure * Presence of clinically significant systemic disease * Presence of chronic cardiovascular, hepatic, renal or pulmonary disease * Neoplasia * Narcomania, alcoholism
Study locations
Russia. Showing up to 24 locations stored in the fast local snapshot.
Center for reproductive medicine, Barnaul
Barnaul, Russia
Center for reproductive medicine, Irkutsk
Irkutsk, Russia
Clinic "Mother and Child" Kazan
Kazan', Russia
Clinic "Mother and Child" Kostroma
Kostroma, Russia
Clinic "Mother and Child" Krasnodar
Krasnodar, Russia
Center for reproductive medicine, Krasnoyarsk
Krasnoyarsk, Russia
AltraVita IVF clinic
Moscow, Russia
Center of Reproductive Medicine and Genetics "Nova Clinic"
Moscow, Russia
Clinic "Mather and Child" Lefortovo
Moscow, Russia
Clinic "Mather and Child" Savelovskaya
Moscow, Russia
Clinic "Mother and Child" Khodynskoe Pole
Moscow, Russia
Clinic "Mother and Child" Kuntsevo
Moscow, Russia
Clinic "Mother and Child" South-West
Moscow, Russia
Clinical Hospital MD GROUP (Perinatal Center on Sevastopolskiy)
Moscow, Russia
Clinical Hospital Lapino
Moscow Oblast, Russia
Clinic "Mother and Child"
Nizhny Novgorod, Russia
Medika-2
Novokuznetsk, Russia
Center for reproductive medicine, Novosibirsk
Novosibirsk, Russia
Clinical Hospital "Avicenna"
Novosibirsk, Russia
Ceter for reproductive medicine, Omsk
Omsk, Russia
Clinic "Mother and Child" Perm
Perm, Russia
Clinic "Mother and Child" Rostov-on-Don
Rostov-on-Don, Russia
Clinic "Mather and Child"
Ryazan, Russia
"Genesis" Reproduction Centre
Saint Petersburg, Russia
Publications
No PMID-linked publications were present in this registry snapshot.
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