Infertility, Female Clinical Trial
Official title:
Open Randomized Study Comparing Clinical Efficacy of Corifollitropin Alfa (Elonva) in Combination With Menotropin (Merional) With Follitropin and Lutropin Alfa (Pergoveris) for Ovarian Stimulation in Expected Suboptimal Responders
In an opened randomized study of women undergoing in vitro fertilization with expected suboptimal response to controlled ovarian stimulation (Poseidon Group 2b) investigators will examine clinical efficacy and safety of two stimulation protocols: Corifollitropin alfa (Elonva) in combination with menotropin (Merional) versus Follitropin alfa and lutropin alfa (Pergoveris).
Patients, found eligible for the study, will be randomized (envelope method) into two arms in
1:1 ratio at the start of stimulation (menstrual cycle day 2-3, randomization day): Arm A -
ovarian stimulation with Corifollitropin alfa in combination with menotropin; Arm B - ovarian
stimulation with Follitropin alfa and lutropin alfa.
At the first day of controlled ovarian stimulation (COS) participants in the first group will
receive a single injection of Corifollitropin alfa 150 mcg followed by daily menotropin
administration at the dose of 150 international unit (IU) from stimulation day 1 to day 7 and
at the dose of 300 IU from day 8 up to the end of stimulation.
Ovarian stimulation in group B will be performed with daily 300 IU of Follitropin alfa and
lutropin alfa starting on menstrual cycle day 2-3.
For all subjects, a fixed dose of gonadotropin-releasing hormone (GnRH) antagonist will be
injected daily as soon as one of the follicles reaches the ≥14 mm diameter and stopped one
day before oocyte pick up (OPU); ovulatory dose of human chorionic gonadotropin (hCG) could
be administered when at least one follicle reaches 16.5 mm in diameter.
Retrieved oocytes following fertilization (conventional IVF or ICSI) will be cultured to
morula or blastocyst stage followed by ultrasound guided single or double embryo transfer (ET
day, performed 4-5 days after OPU).
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