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NCT03228680

Efficacy and Safety of FE 999049 in Controlled Ovarian Stimulation in Japanese Women

Completed Phase 3 Results posted Last updated 24 August 2023
What this trial tests

Phase 3 trial testing Follitropin delta in Infertility in 373 participants. Completed in 8 July 2019.

Timeline
29 July 2017
Primary endpoint
10 June 2019
8 July 2019

Quick facts

Lead sponsorFerring Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment373
Start date29 July 2017
Primary completion10 June 2019
Estimated completion8 July 2019
Sites17 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Ferring Pharmaceuticals — full company profile →

Who can join

Adults 20 to 40, female only, with Infertility. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Oocytes Retrieved Primary · 36h (± 2h) after triggering of final follicular maturation (On day of oocyte retrieval)

The number of oocytes retrieved was recorded at the oocyte retrieval visit.

GroupValue95% CI
FE 999049 (Follitropin Delta)9.3± 5.4
FOLLISTIM (Follitropin Beta)10.5± 6.1
Clinical Pregnancy Rate Secondary · 5-6 weeks after transfer (up to approximately 3 months after start of stimulation)

Clinical pregnancy was defined as at least one gestational sac 5-6 weeks after transfer.

GroupValue95% CI
FE 999049 (Follitropin Delta)25.3
FOLLISTIM (Follitropin Beta)23.7
Positive Beta Unit of Human Chorionic Gonadotropin (Beta-hCG) Rate Secondary · 13-15 days after transfer (up to approximately 1.5 months after start of stimulation)

Defined as positive serum beta-hCG test 13-15 days after transfer.

GroupValue95% CI
FE 999049 (Follitropin Delta)29.4
FOLLISTIM (Follitropin Beta)29.4
Vital Pregnancy Rate Secondary · 5-6 weeks after transfer (up to approximately 3 months after start of stimulation)

Vital pregnancy was defined as at least one intrauterine gestational sac with fetal heart beat 5-6 weeks after transfer.

GroupValue95% CI
FE 999049 (Follitropin Delta)23.5
FOLLISTIM (Follitropin Beta)21.5
Implantation Rate Secondary · 5-6 weeks after transfer (up to approximately 3 months after start of stimulation)

Implantation rate was defined as the number of gestational sacs 5-6 weeks after transfer divided by the number of blastocysts transferred.

GroupValue95% CI
FE 999049 (Follitropin Delta)31.9
FOLLISTIM (Follitropin Beta)29.8
Proportion of Participants With Cycle Cancellation Due to Poor or Excessive Ovarian Response Secondary · End-of-stimulation (up to 20 stimulation days)
Cycle cancelled due to poor ovarian response
GroupValue95% CI
FE 999049 (Follitropin Delta)1.2
FOLLISTIM (Follitropin Beta)0.6
Cycle cancelled due to excessive ovarian response
GroupValue95% CI
FE 999049 (Follitropin Delta)0
FOLLISTIM (Follitropin Beta)1.1
Proportion of Participants With Blastocyst Transfer Cancellation Due to Excessive Ovarian Response / OHSS Risk Secondary · End-of-stimulation (up to 20 stimulation days)
GroupValue95% CI
FE 999049 (Follitropin Delta)7.6
FOLLISTIM (Follitropin Beta)11.3
Proportion of Participants With <4, 4-7, 8-14, 15-19 and ≥20 Oocytes Retrieved Secondary · On the day of oocyte retrieval (up to 22 days after start of stimulation)

Defined as proportion of participants grouped according to the number of oocytes retrieved. The proportion of participants with \<4 oocytes (low response), 4-7 oocytes (moderate response), 8-14 oocytes (targeted response), 15-19 oocytes (hyperresponse) and ≥20 oocytes (severe hyperresponse) are presented.

Low response (<4 oocytes)
GroupValue95% CI
FE 999049 (Follitropin Delta)8.3
FOLLISTIM (Follitropin Beta)5.2
Moderate response (4-7 oocytes)
GroupValue95% CI
FE 999049 (Follitropin Delta)36.1
FOLLISTIM (Follitropin Beta)26.6
Targeted response (8-14 oocytes)
GroupValue95% CI
FE 999049 (Follitropin Delta)40.8
FOLLISTIM (Follitropin Beta)42.8
Hyperresponse (15-19 oocytes)
GroupValue95% CI
FE 999049 (Follitropin Delta)10.1
FOLLISTIM (Follitropin Beta)14.5
Severe hyperresponse (≥ 20 oocytes)
GroupValue95% CI
FE 999049 (Follitropin Delta)4.7
FOLLISTIM (Follitropin Beta)11.0
Proportion of Participants With Extreme Ovarian Responses (Defined as <4, ≥15 or ≥20 Oocytes Retrieved) in Risk Population Secondary · On the day of oocyte retrieval (up to 22 days after start of stimulation)
AMH < 15 pmol/L (<4 oocytes retrieved)
GroupValue95% CI
FE 999049 (Follitropin Delta)11.6
FOLLISTIM (Follitropin Beta)12.3
AMH >= 15 pmol/L (>=15 oocytes retrieved)
GroupValue95% CI
FE 999049 (Follitropin Delta)22.0
FOLLISTIM (Follitropin Beta)42.0
AMH >= 15 pmol/L (>=20 oocytes retrieved)
GroupValue95% CI
FE 999049 (Follitropin Delta)8.0
FOLLISTIM (Follitropin Beta)19.0
Proportion of Participants With Preventive Interventions for Early Ovarian Hyperstimulation Syndrome (OHSS) Secondary · ≤9 days after triggering of final follicular maturation
Cycle cancellation
GroupValue95% CI
FE 999049 (Follitropin Delta)0
FOLLISTIM (Follitropin Beta)1.1
Triggering with GnRH agonist
GroupValue95% CI
FE 999049 (Follitropin Delta)1.2
FOLLISTIM (Follitropin Beta)1.1
Administration of dopamine agonist
GroupValue95% CI
FE 999049 (Follitropin Delta)0.6
FOLLISTIM (Follitropin Beta)1.7
Proportions of Participants With Early OHSS (Including OHSS of Moderate/Severe Grade) and/or Preventive Interventions for Early OHSS Secondary · Up to 9 days after triggering of final follicular maturation

Defined as proportion of participants with early OHSS, early OHSS of moderate or severe grade, preventive interventions for early OHSS, early OHSS and/or preventive interventions for early OHSS, and early OHSS of moderate or severe grade and/or preventive interventions for early OHSS are presented.

Early OHSS (any grade)
GroupValue95% CI
FE 999049 (Follitropin Delta)10.0
FOLLISTIM (Follitropin Beta)18.6
Early OHSS (moderate/severe)
GroupValue95% CI
FE 999049 (Follitropin Delta)6.5
FOLLISTIM (Follitropin Beta)13.0
Early OHSS (any grade) and/or preventive
GroupValue95% CI
FE 999049 (Follitropin Delta)10.6
FOLLISTIM (Follitropin Beta)20.9
Early OHSS (moderate/severe) and/or preventive
GroupValue95% CI
FE 999049 (Follitropin Delta)7.6
FOLLISTIM (Follitropin Beta)16.4
Proportions of Participants With Late OHSS (Including OHSS of Moderate/Severe Grade) Secondary · >9 days after triggering of final follicular maturation

Defined as proportions of participants with late OHSS (including OHSS of moderate/severe grade). Late OHSS was defined as OHSS with onset \>9 days after triggering of final follicular maturation. The proportion of participants with late OHSS, and late OHSS of moderate or severe grade are presented. All OHSS cases were graded as mild, moderate, or severe.

Late OHSS (any grade)
GroupValue95% CI
FE 999049 (Follitropin Delta)1.2
FOLLISTIM (Follitropin Beta)1.1
Late OHSS (moderate/severe)
GroupValue95% CI
FE 999049 (Follitropin Delta)0.6
FOLLISTIM (Follitropin Beta)1.1

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were monitored from the time of obtaining informed consent until the last visit (end-of-trial) (up to approximately 2 years) .. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

FE 999049 (Follitropin Delta)
Serious: 0/170 (0%)
Deaths: 0/170
FOLLISTIM (Follitropin Beta)
Serious: 2/177 (1%)
Deaths: 0/177

Serious adverse events (1 terms)

ReactionSystemFE 999049 (Follitropin Del…FOLLISTIM (Follitropin Beta)
Ovarian hyperstimulation syndromeReproductive system and breast disorders
Other adverse events (12 terms — click to expand)

ReactionSystemFE 999049 (Follitropin Del…FOLLISTIM (Follitropin Beta)
Ovarian hyperstimulation syndromeReproductive system and breast disorders
Injection site erythemaGeneral disorders
Biochemical pregnancyPregnancy, puerperium and perinatal conditions
Ovarian cystReproductive system and breast disorders
Viral upper respiratory tract infectionInfections and infestations
ConstipationGastrointestinal disorders
Injection site pruritusGeneral disorders
Ovarian enlargementReproductive system and breast disorders
HeadacheNervous system disorders
Abortion spontenousPregnancy, puerperium and perinatal conditions
Haemorrhage in pregnancyPregnancy, puerperium and perinatal conditions
Pelvic fluid collectionReproductive system and breast disorders

Most-reported serious reactions: Ovarian hyperstimulation syndrome.

Data from ClinicalTrials.gov NCT03228680 adverse events section.

Sponsor's own description

To demonstrate non-inferiority of FE 999049 compared to FOLLISTIM with respect to number of oocytes retrieved in Japanese IVF/ICSI patients undergoing controlled ovarian stimulation.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Individualised gonadotropin dose selection using markers of ovarian reserve for women undergoing in vitro fertilisation plus intracytoplasmic sperm injection (IVF/ICSI).
    Ngwenya O, Lensen SF, Vail A, Mol BWJ, et al · · 2024 · cited 12× · PMID 38174816 · DOI 10.1002/14651858.cd012693.pub3
  2. Incidence and severity of ovarian hyperstimulation syndrome (OHSS) in high responders after gonadotropin-releasing hormone (GnRH) agonist trigger in "freeze-all" approach.
    Fernández-Sánchez M, Fatemi H, García-Velasco JA, Heiser PW, et al · · 2023 · cited 10× · PMID 37156263 · DOI 10.1080/09513590.2023.2205952
  3. A Narrative Review Discussing the Efficiency of Personalized Dosing Algorithm of Follitropin Delta for Ovarian Stimulation and the Reproductive and Clinical Outcomes.
    Doroftei B, Ilie OD, Anton N, Marcu OA, et al · · 2023 · cited 9× · PMID 36672987 · DOI 10.3390/diagnostics13020177
  4. Efficacy and safety of follitropin delta for ovarian stimulation in vitro fertilization/ intracytoplasmic sperm injection cycles: a systematic review with meta-analysis.
    Palomba S, Caserta D, Levi-Setti PE, Busnelli A. · · 2024 · cited 8× · PMID 38486276 · DOI 10.1186/s13048-024-01372-w
  5. Comparison of ovarian response to follitropin delta in Japanese and White IVF/ICSI patients.
    Ishihara O, Nelson SM, Arce JC. · · 2022 · cited 5× · PMID 34799275 · DOI 10.1016/j.rbmo.2021.09.014
  6. Efficacy and safety of follitropin delta versus follitropin alpha/beta in infertility treatment: A systematic review and meta-analysis.
    Komiya S, Watanabe J, Terayama T, Kamijo K, et al · · 2024 · cited 4× · PMID 38528991 · DOI 10.1002/rmb2.12573
  7. The pregnancy outcomes among women receiving individualized algorithm dosing with follitropin delta: a systematic review of randomized controlled trials.
    Doroftei B, Ilie OD, Dabuleanu AM, Armeanu T, et al · · 2024 · cited 2× · PMID 38809330 · DOI 10.1007/s10815-024-03146-1
  8. Cost-Effectiveness of Follitropin Delta Compared with Follitropins Alfa and Beta in Controlled Ovarian Stimulation for Assisted Reproductive Technologies (ART) in France.
    Hamamah S, Carette J, Leleu H, Markert M. · · 2026 · PMID 41811581 · DOI 10.1007/s41669-026-00641-2

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