Current partner codePEPTIDESDE
NCT04854707·Not applicable·OBSERVATIONAL

An Observational Study of Follitropin Alpha Biosimilar: the Real-world Data

Status

Completed

Phase

Not applicable

Enrollment

5,484

Locations

35

Results

Posted

Publications

0

Study summary

What the protocol is testing.

Aim to investigate the efficacy of follitropin alpha biosimilar therapy (Primapur®) in nonselected real-world population.

Full detailed description

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

Treatment arms and agents.

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.

DRUG

Follicle Stimulating Hormone/Luteinizing Hormone

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

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 only for suppression.

DRUG

Follitropin Alfa

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

Follicle Stimulating Hormone/Luteinizing Hormone

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

From registration to results.

  1. First posted

    Apr 22, 2021

  2. Study start

    Jan 12, 2020

  3. Primary completion

    Dec 20, 2020

  4. Study completion

    Jan 20, 2021

  5. Results posted

    Oct 22, 2021

  6. Registry updated

    Oct 22, 2021

Outcomes

What the study measures.

Primary 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).

Secondary outcomes

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

Who can take part.

Minimum age
20 Years
Maximum age
43 Years
Sex
FEMALE
Healthy volunteers
No

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

35 registered sites.

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

Results and literature.

No PMID-linked publications were present in this registry snapshot.

Primary links

Continue at the source.

Related trials

More studies on Cetrorelix.

Related PeptideStat pages

Put the record in context.

Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.