E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Body processes [G] - Reproductive physiologi cal processes [G08] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10016465 |
E.1.2 | Term | Fertility female decreased |
E.1.2 | System Organ Class | 10038604 - Reproductive system and breast disorders |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10016398 |
E.1.2 | Term | Female infertility |
E.1.2 | System Organ Class | 10038604 - Reproductive system and breast disorders |
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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 |
The main objective is to test the hypothesis that ovarian stimulation with Corifollitropin alfa FSH with a prolonged activity) in women who showed a poor ovarian repsonse in the previous IVF/ICSI cycle, results in a higher chance on a live birth |
Het objectief is om de hypothese te testen dat ovariële stimulatie door Corifollitropin alfa (langwerkend FSH) bij patiënten die in een vorige IVF/ICSI cyclus een poor respons vertoonden, een hogere kans op een levendgeboorte zou opleveren |
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E.2.2 | Secondary objectives of the trial |
Pregnancy rate per IVF/ICSI cycle started in the trial
Number of oocytes per IVF/ICSI cycle started in the trial
Percentage of cycles withou oocyte aspiration due to abscence of ovarian repsonse
Embryo quality (absolute number and percentage of good quality embryos) |
Zwangerschapskans per gestarte IVF/ICSI cyclus in de trial.
Aantal eicellen per gestarte IVF/ICSI cyclus in de trial.
Percentage cycli dat niet tot eicelaspiratie leidt wegens non- respons.
Embryokwaliteit (absolute aantallen en percentage goede kwaliteitsembryo’s)
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients <43 years old, BMI≤30 and a normal uterine cavity (demonstrated by ultrasound, hysterosalpingography, hysteroscopy) for whom an IVF/ ICSI treatment is indicated and who were 'Poor Responders' (POR) in the previous IVF/ICSI cycle, meaning that at least two of the following three features must be present:
≥40 years or any other risk factor for POR;
≤3 oocytes in the previous IVF/ICSI cycle with a conventional stimulation protocol
an abnormal ovarian reserve test (i.e. AFC <5–7 follicles or AMH <0.5–1.1 ng/ml)
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Patiënten <43 jaar, BMI≤30 en een normale uteriene caviteit (echografie, hysterosalpingografie, hysteroscopy)
met een indicatie voor IVF/ICSI, die in de voorgaande cyclus 'Poor Responder' (POR) waren, dwz dat minstens 2 van de volgende 3 voorwaarden vervuld moeten zijn:
≥40 jaar of een anderer risico factor voor POR
≤3 eicellen in een vorige IVF/ICSI cyclus met een conventioneel stimulatie protocol
een abnormale ovariële reserve test (i.e. <5–7 antrale follikels of AMH <0.5–1.1 ng/ml)
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E.4 | Principal exclusion criteria |
Patients undergoing a treatment with Preimplantation Genetic Diagnosis or ICIS with cryo-TESE |
Patiënten die een behandeling met Preimplantie Genetische Diagnose of ICSI met cryo- TESE krijgen |
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E.5 End points |
E.5.1 | Primary end point(s) |
Percentage of live births per IVF/ICSI cycle started in the trial |
percentage levendgeborenen per gestarte IVF/ICSI cyclus |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
About 9 months after the start of the IVF/ICSI cycle in case of a pregnancy |
Ongeveer 9 maanden na de start va nde IVF/ICSI cyclus in geval van zwangerschap |
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E.5.2 | Secondary end point(s) |
Pregnancy rate per IVF/ICSI cycle in the trial
Number of oocytes per IVF/ICSI cycle in the trial
Percentage of cycles without oocyte aspiration due to absence of ovarian response
Embyro quality (absolute number and percentage of good quality embryos |
Zwangerschapskans per gestarte IVF/ICSI cyclus.
Aantal eicellen per gestarte IVF/ICSI cyclus.
Percentage cycli dat niet tot eicelaspiratie leidt wegens non- respons.
Embryokwaliteit (absolute aantallen en percentage goede kwaliteitsembryo’s).
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
The result 'pregnant/not pregnant' is determinated at maximum 8 weeks after the start of the IVF/ICIS cycle
Number of oocyte is registered after a maximum of 22 days of ovarian stimulation
The 'occurence/non occurence of oocyte aspiration due to the absence of ovarina response' is registered after a maximum of 22 days of ovarian stimualtion
Embryo quality is registered until a maximum of 7 days after the oocyte aspiration |
Het resultaat 'zwanger/niet zwanger' wordt bepaald op maximum 8 weken na de start van de IVF/ICSI cyclus
Het aantal eicellen wordt geregistreerd op maximim 22 dagen ovariële stimulatie
Het al dan niet uitvoeren van eicelaspiratie ten gevolge van ontbreken van ovariële respons wordt geregistreerd op maximim 22 dagen ovariële stimulatie
Embryo kwaliteit wordt geregistreerd tot maximum 7 dagen na de eicelaspiratie |
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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 | No |
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 | Yes |
E.8.1.1 | Randomised | Yes |
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 | Yes |
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) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
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 | No |
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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Since the primary outcome is the percentage of live births, the end of the trial is identified as the date of the delivery of the last pregnant patient in 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 | 1 |
E.8.9.1 | In the Member State concerned months | 11 |
E.8.9.1 | In the Member State concerned days | 30 |