Infertility Clinical Trial
Official title:
An Observational Study Using Subcutaneous Ovidrel (Choriogonadotrophin Alfa) for Induction of Final Follicular Maturation and Early Luteinisation in Women Undergoing Ovarian Stimulation With Recombinant-human Follicle Stimulating Hormone (r-hFSH [Gonal-F®]).
With the development of the recombinant gonadotrophins, the use of human source proteins for
the production of hormones has become unnecessary. These proteins, which are found in
urinary preparations, have been thought to cause the local, post-injection adverse events
(AEs) in some subjects.
There has been a demand by physicians for an alternative to urinary products for treatment.
Due to allergies to urinary products, or other personal reasons, subjects were not able or
willing to be treated with proteins of human origin. This study allowed subjects to be
treated with the recombinant human chorionic gonadotropin (r hCG) (free of urinary
proteins), which otherwise would not be possible. The study sponsor used this opportunity to
collect additional safety data on the new recombinant product, (Ovidrel, r-hCG).
Approximately one in ten couples of reproductive age experiences infertility. Infertility
may be caused by problems in men, in women or in both. A number of techniques can be used
depending on the duration and type of infertility problems. The treatment of ovulation
induction (OI) uses the help of exogenous gonadotrophins such as follicle stimulating
hormone (FSH), luteinizing hormone (LH) and hCG in order to stimulate follicles and release
oocytes for fertilization in the fallopian tubes.
Assisted reproductive technologies (ARTs), including in-vitro fertilization (IVF) and intra-
cytoplasmic sperm injection (ICSI), increases the chances of success to obtain more than one
embryo. In order to obtain more than one embryo, it is necessary to stimulate the growth and
maturation of several follicles. Such a multiple follicular development is obtained by daily
administration of a follicle stimulating hormone (r-hFSH, Gonal-F). When these follicles
have reached a large enough size, the role of hCG is to achieve final oocyte maturation and
initiation of follicular luteinization.
Serono International S.A. has developed a pharmaceutical preparation of human chorionic
gonadotrophin (hCG) for clinical use through the application of recombinant DNA technology.
The resulting product is choriogonadotrophin alpha, a pure recombinant human chorionic
gonadotrophin (r-hCG). The corresponding drug product is marketed under the tradename
Ovidrel. Ovidrel (choriogonadotrophin alpha for injection) has been approved in the United
States, in the European Union and Australia.
OBJECTIVES The objective of this study was to collect safety information in order to confirm
the already known profile of r- hCG (Ovidrel).
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Observational Model: Cohort, Time Perspective: Prospective
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