E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
This study will be conducted in infertile women justifying ART (Assisted Reproductive Technology) treatment (only IVF - In Vitro Fecondation) |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10056204 |
E.1.2 | Term | In vitro fertilisation |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To determine the gene expression profile and histologic changes of endometrial tissue before (at day LH + 7 of spontaneous cycle) and after stimulation with GONAL-f (Day of Oocyte Retrieval (OR): 36 +/- 2 hours post r-hCG administration) in ART (only IVF/no ICSI). |
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E.2.2 | Secondary objectives of the trial |
To correlate the gene expression profile of the endometrial tissue at Day LH + 7 of the spontaneous cycle with the blastocyst implantation rate in patients undergoing ART with GONAL-f. To correlate the gene expression profile and histologic changes of the endometrial tissue before and after stimulation by GONAL-f with the “down regulation” protocol used (agonist or antagonist). To correlate the gene expression profile and histologic changes of the endometrial tissue before and after stimulation by GONAL-f according to the hormonal status of patients. To characterize the gene expression profile and histology of the endometrial tissue after stimulation with GONAL-f in patients without blastocyst during the theoretical window of implantation (OR + 5 or 6 days) To characterize the gene expression profile and histology of the endometrial tissue of good and poor responders to stimulation with GONAL-f on the Day of OR |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Infertile female with diverse infertility aetiologies including tubal disease (excepting hydrosalpynx) and so called “unexplained infertility” Suitable for ART (only IVF, no ICSI), undergoing first or second attempt- 18-35 years old, normal BMI (£ 25), non smoking Normal ovarian status (FSH, E2, AMH within normal laboratory range values, normal ovaries sonography and uterine echo doppler No history of active genito-urinary infection Normal thyroid function (or adequate substitution for at least 3 months).- Negative cervical Papanicolau test within the last 12 months prior to study entry No hormonal therapy, including gonadotropins, for at least 3 months prior to the study Male partner with normal sperm or moderate oligoasthenospermia in semen analysis and negative semen culture less than 6 months at the study entry Willingness and ability to comply with the protocol for the duration of the study Written informed consent prior to any study related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to their future medical care. |
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E.4 | Principal exclusion criteria |
Ongoing pregnancy, any pregnancy within 3 months prior to study entry, or any contra-indication to pregnancy or carrying pregnancy to term Uterine malformation, diethylstilbestrol syndrome, adenomyosis, synechia History of previous ovarian hyperstimulation syndrome (OHSS)- PCOS according to the revised Rotterdam Consensus 2003 Extra-uterine pregnancy during the previous 3 months-Recurrent miscarriages (early or late, more than 2) Known infection with Human Immunodeficiency Virus (HIV), Hepatitis B or C virus, for subject or partner Abnormal gynaecological bleeding of undetermined origin History of major thromboembolic disease Endometriosis Presence or history of malignant tumours and related treatment Clinically significant systemic disease or clinically significant abnormal haematology, chemistry, or urinalysis results at screening Known allergic reaction or hypersensitivity to GONAL-f or to Ovitrelle Any active substance abuse or history of drug, medication or alcohol abuse in the past 5 years Participation within 3 months prior to study entry in another clinical trial. |
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E.5 End points |
E.5.1 | Primary end point(s) |
A list of genes differentially expressed and histologic changes of endometrial tissue following 1 cycle with GONAL-f. This list will show which genes are affected by GONAL-f through comparison with the gene expression profile of day LH+7 of the previous cycle |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 6 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |