Infertility
Conditions
Keywords
ICSI, GnRH antagonist, corifollitropin alfa
Brief summary
The purpose of the present study is to analyse if corifollitropin alfa, an agent for prolonged ovarian stimulation, administered from day 4 can be clinically used instead of day 2 onwards for a controlled ovarian hyperstimulation (COH) in an antagonist protocol.
Detailed description
Corifollitropin alfa is a new recombinant gonadotrophin with sustained follicle-stimulating activity. It offers novel and effective treatment option for potential normal responder patients undergoing ovarian stimulation with GnRH antagonist co-treatment for IVF or in vitro fertilisation resulting in a high ongoing pregnancy rate, equal to that achieved with daily rFSH. Normally, this medication is started on day 2 of the cycle. In the present randomised trial, we want to evaluate whether this agent can be clinically used when started on day 4 of the cycle.
Interventions
long acting FSH
Sponsors
Study design
Eligibility
Inclusion criteria
* \< 36 years old on day of randomisation * FSH \< 12 (in the early follicular phase) * Normal ultrasound scan, i.e. presence of both ovaries, without evidence of abnormality within 6 months prior to randomisation. * Regular menstrual cycles of 21-35 days, presumed to be ovulatory. * BMI ≤ 29 * Weight \> 60 kg * \< 3 previous trials * ICSI * Randomisation at out-patient clinic
Exclusion criteria
* ≥ 36 years old on day of randomisation * Endometriosis ≥ grade 3 * PCOS * Poor responders (development of \< 4 follicles in a previous IVF/ICSI cycle) * Endocrine or metabolic abnormalities (pituitary, adrenal, pancreas, liver or kidney)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Consumption of rFSH at the end of the follicular phase | up to 9 months | The purpose is to assess the additional need for recFSH in each treatment group |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pregnancy rate | Up to 9 months | The purpose is to study the pregnancy rate in each treatment group |
Countries
Belgium