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Trial · Interventional

CompletedPhase 3Results postedRegistry data

Phase 3 Trial to Evaluate the Efficacy and Safety of COL-1620 Vaginal Progesterone Gel

Overview

Status
Completed
Phase
Phase 3
Enrollment
178 participants (actual)
Sponsor
Merck KGaA, Darmstadt, Germany · Industry
Design
Allocation not applicable · Open label (no masking)
Countries
1 country

Japan

Start
Jul 2013
Primary completion
Oct 2014
Completion
Oct 2014
First posted
29 May 2013 (estimated)
Last update posted
21 Dec 2015 (estimated)
Conditions
Luteal Hormone Supplementation in In-vitro Fertilization · Embryo Transfer

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
201320142015
  1. Ph 3

    Phase 3 Trial to Evaluate the Efficacy and Safety of COL-1620 Vaginal Progesterone Gel

    NCT01863680

    Jul 2013 to Oct 2014

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The primary objective of this trial is to demonstrate the non-inferiority of the clinical pregnancy rate per embryo transfer to the historical standard value in in-vitro fertilization (IVF)/embryo transfer (ET) cycles in Japan (Japan Society of Obstetrics and Gynecology \[JSOG\] 2009 registry data: 24.3 percent \[%\]). The secondary objectives of this trial are to assess the biochemical pregnancy rate per ET, pharmacokinetics, and safety of COL-1620.

Interventions

  • COL-1620Drug
  • Gonadotropin-releasing hormone (GnRH) analogueDrug
  • Follicle-stimulating hormone (FSH)Drug
  • Human Chorionic Gonadotropin (hCG)Drug

Arms1

  • Experimental

    COL-1620

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Clinical Pregnancy Rate Per Embryo Transfer

    Time frame · Week 5 post embryo transfer (2-6 days after Ovum Pick-up [OPU])

    Registry description

    Clinical pregnancy was defined as the presence of a fetal sac on transvaginal ultrasound (TVUS) during Week 5 or the presence of an extra-uterine pregnancy (as confirmed during surgery or by 2 positive serum beta-human chorionic gonadotropin (beta-hCG) results from Week 5). The clinical pregnancy rate was calculated as number of subjects who were clinically pregnant divided by the number of subjects who had at least 1 embryo transferred.

Secondary outcomes(2)
  1. Biochemical Pregnancy Rate Per Embryo Transfer

    Time frame · Week 5 post embryo transfer (2-6 days after Ovum Pick-up [OPU])

    Registry description

    Biochemical pregnancy was defined as any miscarriage without any evidence of a fetal sac on TVUS during Visit 6 (Week 5), but with a positive serum beta-hCG pregnancy test result at Visit 5 (Day 14+/-3). Biochemical pregnancy rate was calculated as the number of subjects who had no fetal sac observed during Visit 6 (Week 5) TVUS assessment or subjects who had a positive serum pregnancy test at Visit 5 (Day 14+/-3) and no data recorded at Visit 6 (Week 5) divided by the number of subjects who has at least 1 embryo transferred.

  2. Serum Progesterone Level

    Time frame · Visit 2-2 (Prior to hCG administration) and Visit 5 (Day 14+/-3)

    Registry description

    Two pharmacokinetic (PK) samples were collected per subject for the measurement of serum progesterone concentrations; 1st sample at Visit 2-2 (prior to hCG administration) and second sample during Visit 5 (Day 14+/-3, 7 hours after the morning of investigational medicinal product administration).

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeNumber· Week 5 post embryo transfer (2-6 days after Ovum Pick-up [OPU])

Clinical Pregnancy Rate Per Embryo Transfer

GroupValue (Percentage of pregnancy/embryo transfer)
COL-162028.5
Secondary and other outcome results(2)
Secondary outcomeNumber· Week 5 post embryo transfer (2-6 days after Ovum Pick-up [OPU])

Biochemical Pregnancy Rate Per Embryo Transfer

GroupValue (Percentage of pregnancy/embryo transfer)
COL-16207.3
Secondary outcomeMean· Visit 2-2 (Prior to hCG administration) and Visit 5 (Day 14+/-3)

Serum Progesterone Level

GroupValue (nanogram per milliliter (ng/mL))Spread
COL-16201.0230.414

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
COL-1620The subjects were administered with COL-1620 vaginal progesterone gel (1.125 grams of progesterone gel containing 90 milligram that is 8% gel) vaginally once daily, from the day of ovum pick-up (OPU) until Week 12 or until the confirmation of miscarriage or extra-uterine pregnancy, or a negative pregnancy test whichever was earlier. Subjects had undergone conventional controlled ovarian stimulation (COS) therapy for in-vitro Fertilization and Embryo Transfer (IVF/ET) according to the Investigator's discretion using GnRH analogue (agonist or antagonist) preparation, follicle-stimulating hormone (FSH) or human chorionic gonadotropin (hCG).–5 / 14992 / 149

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
Female
Age
from 20 Years up to 45 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Japanese race * Woman with a history of infertility and in whom In-vitro fertilization and embryo transfer (IVF/ET) is indicated * The controlled ovarian stimulation (COS) therapy is gonadotropin-releasing hormone (GnRH) analogue (agonist or antagonist) in combination with a follicle-stimulating hormone (FSH) containing preparation * Healthy premenopausal woman aged between 20 and 45 years (inclusive) and wishing to conceive * Body mass index (BMI) of 17.0 to 25.0 kilogram per square meter (kg/m\^2) (inclusive) * A negative pregnancy test (urinary beta-human chorionic gonadotropin \[hCG\]) prior to starting COS * Normal cervical smear result (Papanicolaou \[PAP\] test: Negative for Intraepithelial Lesion or Malignancy \[NILM\] or \[Atypical Squamous Cells of Undetermined Significance {ASC-US} and Human Papillomavirus {HPV} negative\]) within 12 months prior to the date of informed consent. If not available, a cervical smear and HPV test will be performed as part of Screening * No clinically significant abnormal findings in the screening hematology, biochemistry and urinalysis parameters * Full comprehension of the study and voluntary written informed consent obtained in writing prior to any trial-related activities Exclusion Criteria: * History of recurrent pregnancy loss (defined as 3 or more previous spontaneous abortions) * History of 3 or more consecutive cancelled or failed (no clinical pregnancy) IVF/ET cycles * Abnormal hemorrhage of the reproductive tract of undetermined origin * Any contraindication to being pregnant and/or carrying a pregnancy to term (for example, malformations of sexual organs or fibroid tumors of the uterus incompatible with pregnancy) * Uterine myoma requiring treatment * Extra-uterine pregnancy within the last 3 months prior to the date of informed consent * History or presence of intracranial tumor (for example, hypothalamic or pituitary tumor) * Presence of or suspected gonadotropin- or estrogen-dependent malignancy (for example, ovarian, uterine or mammary carcinoma) * Ovarian enlargement or cyst of unknown etiology * Breast-feeding or lactation * History of severe Ovarian Hyperstimulation Syndrome (OHSS) (Classification of OHSS Severity, as per Japan Reproductive/Endocrine Working Group) * Known Human Immunodeficiency Virus (HIV)-positive status, or a history of or current active infection with Hepatitis B or C * Known allergy or hypersensitivity to progesterone preparations or gonadotropin preparations and/or their excipients, or any contraindication to receive medication for controlled ovarian stimulation (for example, gonadotropin, GnRH analogues, combined oral contraceptive pill, as appropriate) * History of or suspected alcohol or substance abuse within 5 years prior to the date of informed consent * Clinically significant systemic disease (for example, insulin-dependent diabetes, epilepsy, severe migraine, acute porphyria, hepatic, renal or cardiovascular disease, severe corticosteroid-dependent asthma) * Active thrombophlebitis, thromboembolic disorder or cerebral apoplexy, or a history of such conditions * Other significant disease that in the Investigator's or Sub-Investigator's opinion would exclude the subject from the trial * Participation in another clinical trial within 3 months prior to the date of informed consent or simultaneous participation in another clinical trial * Legal incapacity or limited legal capacity

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