Poor Ovarian Response i.e. a failure to respond adequately to standard ART (assisted reproductive technologies) protocols and to recruit adequate follicles MedDRA version: 17.0 Level: LLT Classification code 10033140 Term: Ovarian disorder NOS System Organ Class: 100000004872
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The current trial will enroll poor ovarian responders as aligned with the 2011 Consensus Meeting of the ESHRE 1. Subject must be a poor responder at least 2 of the following 3 features must be present: ? ESHRE criteria = Advanced maternal age (= 40 years) or any risk factor for POR - INCLUSION for this study: Yes (=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1.Primary ovarian failure 2.Preimplantation genetic screening or diagnosis 3.Two episodes of POR after maximal stimulation 4.History or presence of tumors of the hypothalamus or pituitary gland 5.History or presence of ovarian enlargement or cyst of unknown etiology, or presence of an ovarian cyst > 25 mm on the day of randomization 6.Presence of endometriosis Grade III – IV, confirmed or suspected 7.Presence of uni- or bilateral hydrosalpinx 8.Abnormal gynecological bleeding of undetermined origin 9.Malformations of sexual organs incompatible with pregnancy 10.Contraindication to being pregnant and/or carrying a pregnancy to term 11.Currently pregnant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective of the trial is to demonstrate superiority of Pergoveris® versus GONAL-f® in poor ovarian response (POR) patients.;Secondary Objective: Key secondary objectives will include assessment of other clinical variables that reflect the efficacy of ovarian stimulation and safety assessment of combination treatment with recombinant human follicle-stimulating hormone (r-hFSH) and recombinant human luteinizing r-hLH (Pergoveris®) as compared to r-hFSH (GONAL-f®)-only treatment.;Primary end point(s): Total number of retrieved oocytes. ;Timepoint(s) of evaluation of this end point: On/before day 113 (Visit 12) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • Ongoing pregnancy rate (assessed on/before day 185 -Visit 16). • Live birth rate (assessed on/before day 365 - Visit 17). • Embryo implantation rate (determined on/before day 154 - Visit 15). • Clinical pregnancy rate (determined on/before day 154 - Visit 15). • Biochemical pregnancy rate (determined on/before day 132 - Visit 14). ;Timepoint(s) of evaluation of this end point: Visits 14 to 17 as described above | — |
Countries
Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Hungary, Italy, Latvia, Netherlands, Poland, Russian Federation, Spain, Sweden, Turkey, United Kingdom
Contacts
Merck KGaA