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OpenTrials
Completed

NCT Number: NCT06091436

To Investigate Efficacy and Safety of a Single Injection of GenSci094 for Ovarian Stimulation Using Daily Recombinant FSH as Reference

To investigate the efficacy and safety of a single injection of GenSci094 to induce multi-follicular development for controlled ovarian stimulation using daily recombinant FSH (recFSH) as a reference. The primary hypothesis is that a single injection of GenSci094 is non-inferior to daily treatment with recFSH in initiating multi-follicular growth.

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Key information

Age range

20 year–39 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 3

Primary location

The Sixth Affiliated Hospital, Sun Yat-sen University Guangdong Gastrointestinal Hospital

Guangzhou, Guangdong, 510610, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Females of couples with an indication for Controlled Ovarian Stimulation (COS) and in-vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI);
  • >=20 and <40 years of age at the time of signing informed consent;
  • Body weight >=50 kg and body mass index (BMI) >=18 and <=28 kg/m^2;
  • AMH<4.0 and>=1.1μg/L FSH<10 IU/L
  • Willing and able to sign informed consent.

Exclusion criteria

  • History of ovarian hyper-response or ovarian hyperstimulation syndrome (OHSS);
  • History of/or current polycystic ovary syndrome (PCOS);
  • More than 20 basal antral follicles <11 mm (both ovaries combined) as measured on ultrasound scan (USS) in the early follicular phase (menstrual cycle day 2-4);
  • Presence of unilateral or bilateral hydrosalphinx (visible on USS);
  • Presence of any clinically relevant pathology affecting the uterine cavity or fibroids >4 cm;
  • More than three unsuccessful IVF cycles since the last established ongoing pregnancy (if applicable);
  • History of non- or low ovarian response to FSH/ human menopausal gonadotropin (hMG) treatment;
  • History of recurrent miscarriage (3 or more, even when unexplained);
  • Any clinically relevant abnormal laboratory value based on a sample taken during the screening phase;
  • Contraindications for the use of gonadotropins (e.g. tumors, pregnancy/lactation, undiagnosed vaginal bleeding, hypersensitivity, ovarian cysts);
  • Recent history of/or current epilepsy, human immunodeficiency virus (HIV) infection, diabetes, cardiovascular, gastro-intestinal, hepatic, renal or pulmonary disease;
  • Use of hormonal preparations within 1 month prior to randomization;
  • Hypersensitivity to any of the concomitant medication prescribed as part of the treatment regimen in this protocol;
  • Administration of investigational drugs within three months prior to signing informed consent.

Treatment and study plan

GenSci094

Drug

On the morning of day 2 or 3 of the menstrual cycle (Stimulation Day 1), a single SC injection of 150 μg or 100μg (0.5 mL) GenSci094 was administered in the abdominal wall.

Placebo RecFSH / follitropin alfa

Drug

powder-injection, but without the active ingedient, SC injection . Daily SC injections were started on Stimulation Day 1 and continued up to and including Stimulation Day 7.

Biological: RecFSH / Follitropin alfa (Days 1 to 7)

Biological

Daily SC injections with 150IU or 225IU recFSH were started on Stimulation Day 1 and continued up to and including Stimulation Day 7.

Placebo GenSci094

Drug

Pre-filled syringe containing an identical solution when compared to GenSci094. On the morning of day 2 or 3 of the menstrual cycle (Stimulation Day 1), a single SC injection was administered in the abdominal wall.

RecFSH / Follitropin alfa (Days 8 to hCG)

Biological

From Stimulation Day 8 onwards a daily SC dose 75IU~300 IU recFSH was administered up to and including the Day of hCG.

Ganirelix

Drug

On Stimulation Day 5 a daily SC injection of 0.25 mg was started, which continued up to and including the day of hCG

hCG

Biological

When 3 follicles >= 17 mm were observed by USS, a single dose of 10,000 IU/USP hCG was administered; or, for those at risk for Ovarian Hyperstimulation Syndrome (OHSS), a lower dose of 5,000 IU/USP

Progesterone

Drug

On the day of OPU, luteal phase support was started by administering micronized progesterone of at least 400 mg/day vaginally, and 40mg/d oral, which continued for at least 6 weeks, or up to menses.

Primary outcomes

  1. Mean Number of Oocytes Retrieved

    Time frame: Approximately Day 10-14

Secondary outcomes

  1. Percentage of Participants With an Ongoing Pregnancy (Ongoing Pregnancy Rate)

    Time frame: Assessed at least 10 weeks after embryo transfer

  2. Percentage of Fertilized Oocytes (Fertilization Rate)

    Time frame: Up to 18 hours after start of fertilization

  3. Number of Embryos Obtained on Day 3 Categorized by Quality

    Time frame: Post fertilization Day 3

  4. Percentage of Gestational Sacs (Implantation Rate)

    Time frame: Up to 6 weeks after embryo transfer

  5. Percentage of Participants With a Biochemical Pregnancy Per Embryo Transfer

    Time frame: Two weeks after embryo transfe

  6. Percentage of Participants With a early miscarriage(early miscarriage rate)Per Clinical Pregnancy

    Time frame: Up to 12 weeks after embryo transfer

Sponsors and collaborators

Lead sponsor

Changchun GeneScience Pharmaceutical Co., Ltd.

Industry

Collaborators

  • Sixth Affiliated Hospital, Sun Yat-sen University

Registry information

Official study title

A Multicenter, Double-blind, Non-inferiority, Phase 3 RCT Comparing GenSci094 and Recombinant FSH During the First Seven Days of Ovarian Stimulation in Chinese ART Patients

Acronym: ANGAS

Important dates

Study start
2023
Primary completion
2023
Study completion
2024
First posted
Oct 19, 2023
Registry last updated
Dec 3, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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