E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Infertility. Assisted Reproductive Techniques. |
Infertilidad. Técnica de Reproducción Asistida. |
|
E.1.1.1 | Medical condition in easily understood language |
Infertility. Assisted Reproductive Techniques |
Infertilidad. Técnica de Reproducción Asistida. |
|
E.1.1.2 | Therapeutic area | Body processes [G] - Reproductive physiologi cal processes [G08] |
MedDRA Classification |
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 study the predecidualización endometrial (ie, measuring the effects of progesterone in the endometrial glands and stroma in the luteal phase) and endometrial receptivity on Day 5 as gene expression, following daily administration of 25 mg / day of subcutaneous progesterone and 50 mg / day intramuscular progesterone, both for 5 days, to see if there are differences in the use of both progesterone. |
Estudiar la predecidualización del endometrio (es decir, medir los efectos de la progesterona en las glándulas endometriales y estroma en la fase lútea) y la receptividad endometrial en Día 5 según expresión génica tras la administración diaria de 25 mg/día de progesterona subcutánea y de 50 mg/día de progesterona intramuscular, ambas por un periodo de 5 días, para ver si existen diferencias con el uso de ambas progesteronas.. |
|
E.2.2 | Secondary objectives of the trial |
To study plasma levels of progesterone, estradiol and LH on different days (Day programming follicular puncture Day follicular puncture and Day 5 of administration of progesterone / end of the study). |
Estudiar los niveles plasmáticos de progesterona, estradiol y LH en distintos días (Día de la programación de la punción folicular, Día de la punción folicular y Día 5 de la administración de progesterona / finalización del estudio). |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Female age between 18 and 34 years (inclusive) BMI between 18 and 28 kg / m2 (inclusive) Endometrial thickness greater 7 mm on day of beginning progesterone treatment (day of follicular puncture) Follicular maturation with bolus GnRH agonist Egg donors who make a cycle of ovarian stimulation in the IVI Barcelona Centre |
Edad de la mujer entre 18 años y 34 años (ambos inclusive) IMC entre 18 y 28 Kg/m2 (ambos inclusive) Grosor endometrial mayor 7 mm el día del inicio del tratamiento con progesterona (día de la punción folicular) Maduración folicular con un bolo de agonista de la GnRH Donantes de óvulos que hacen un ciclo de estimulación ovárica en el Centro IVI Barcelona Donantes de óvulos seleccionadas de acuerdo con los requisitos de la Ley 14/2006 de 26 de mayo de 2006, sobre Técnicas de Reproducción Humana Asistida Consentimiento informado firmado y fechado |
|
E.4 | Principal exclusion criteria |
Known allergy to progesterone preparations or its excipients Known allergy to estrogens Known thrombophilia Dependence on alcohol, drugs or psychotropic Concurrent participation in another study Concomitant medications that may interfere with the study medication and ovarian stimulation Not complying the requirements for egg donors according to Law 14/2006 of 26 May 2006 on Assisted Human Reproduction Techniques |
Alergia conocida a los preparados de progesterona o sus excipientes Alergia conocida a estrógenos Trombofilias conocidas Dependencia de alcohol, drogas o psicofármacos Participación concurrente en otro estudio Medicación concomitante que pueda interferir con la medicación en estudio y la estimulación ovárica No cumplir con los requisitos para ser donantes de óvulos de acuerdo con la Ley 14/2006 de 26 de mayo de 2006, sobre Técnicas de Reproducción Humana Asistida |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Endometrium predecidulacion: endometrial thickness (mm), endometrial transformation after treatment according to criteria of Noyes at al., endometrial receptivity on day 5 as gene expression profile (ERA) |
Predecidualización del endometrio: grosor endometrial (mm), transformación endometrial tras finalizar el tratamiento según Criterios de Noyes at al., receptividad endometrial en día 5 según perfil de expresión génica (ERA) |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
Plasmatic levels of progesterone Plasmatic levels of estradiol Plasmatic levels of LH |
Niveles plasmáticos de progesterona Niveles plasmáticos de estradiol Niveles plasmáticos de LH |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Plasmatic levels of hormones: before starting treatment with progesterone (Day -2), Day of the programming of the follicular puncture, Day of the follicular puncture and the 5 th Day of the progesterone administration / ending of the study |
Determinación en sangre de niveles de hormonas día de inicio del tratamiento con progesterona (Día 1) y el día que finaliza el estudio (Día 5) (ng/ml; pg/ml y UI/ml) |
|
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 | Yes |
E.6.5 | Efficacy | Yes |
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 | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
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) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
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 | Yes |
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
|
LVLS |
ultima visita del último sujeto |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 8 |
E.8.9.1 | In the Member State concerned days | |