AS900672-Enriched in Ovulation Induction

Sponsor
Merck KGaA, Darmstadt, Germany (Industry)
Overall Status
Terminated
CT.gov ID
NCT00553514
Collaborator
(none)
71
1
5
15
4.7

Study Details

Study Description

Brief Summary

This is a Phase 2, interventional, multi-center, randomized, assessor-blind, active-comparator, dose-finding study to evaluate a new investigational long-acting follicle stimulating hormone (FSH) in oligo-anovulatory women undergoing ovulation induction (OI). This study will compare 4 doses of the investigational drug versus a currently marketed drug follitropin alfa (Gonal-f ®) prefilled pen with regards to ovulation rate.

Condition or Disease Intervention/Treatment Phase
  • Drug: AS900672-Enriched 10 microgram (mcg)
  • Drug: AS900672-Enriched 20 mcg
  • Drug: AS900672-Enriched 30 mcg
  • Drug: AS900672-Enriched 40 mcg
  • Drug: Follitropin alfa 75 international unit (IU)
  • Drug: Recombinant human chorionic gonadotropin (r-hCG)
Phase 2

Detailed Description

The study was terminated after Merck Serono had taken the decision not to pursue the development of AS900672-enriched in ovulation induction (OI). This decision was not related to any safety or efficacy concerns over the use of AS900672-Enriched in OI.

Study Design

Study Type:
Interventional
Actual Enrollment :
71 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase II, Multicentre, Randomised, Assessor-blinded, Active-comparator, Parallel-group Dose Finding Trial to Evaluate AS900672-enriched Versus Follitropin Alfa (GONAL-f®) in Oligo-anovulatory Infertile Women Undergoing Ovulation Induction (OI)
Study Start Date :
Dec 1, 2007
Actual Primary Completion Date :
Mar 1, 2009
Actual Study Completion Date :
Mar 1, 2009

Arms and Interventions

Arm Intervention/Treatment
Experimental: AS900672-Enriched 10 mcg

Drug: AS900672-Enriched 10 microgram (mcg)
Single injection of AS900672-Enriched (hyperglycosylated recombinant human follicle stimulating hormone [r-hFSH]), 10 mcg will be administered subcutaneously on Stimulation Day 1 (S1). Duration of treatment cycle will be up to adequate follicular response received or maximum of 14 days.
Other Names:
  • Hyperglycosylated r-hFSH
  • Drug: Follitropin alfa 75 international unit (IU)
    Follitropin alfa (Gonal-f®) 75 IU will be administered subcutaneously once daily from S1 up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. Subjects who will be receiving AS900672-Enriched 10, 20, 30 and 40 mcg will also receive daily dose of follitropin alfa 75 IU subcutaneously from Stimulation Day 7 (S7) up to S14. Duration of treatment cycle will be up to adequate follicular response received or maximum of 14 days.
    Other Names:
  • Gonal-f®
  • Follicle stimulating hormone (FSH)
  • Drug: Recombinant human chorionic gonadotropin (r-hCG)
    Recombinant human chorionic gonadotropin (r-hCG) will be administered as a single dose of 250 mcg subcutaneously, when follicular response is adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm).

    Experimental: AS900672-Enriched 20 mcg

    Drug: AS900672-Enriched 20 mcg
    Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 20 mcg will be administered subcutaneously on S1. Duration of treatment cycle will be up to adequate follicular response received or maximum of 14 days.
    Other Names:
  • Hyperglycosylated r-hFSH
  • Drug: Follitropin alfa 75 international unit (IU)
    Follitropin alfa (Gonal-f®) 75 IU will be administered subcutaneously once daily from S1 up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. Subjects who will be receiving AS900672-Enriched 10, 20, 30 and 40 mcg will also receive daily dose of follitropin alfa 75 IU subcutaneously from Stimulation Day 7 (S7) up to S14. Duration of treatment cycle will be up to adequate follicular response received or maximum of 14 days.
    Other Names:
  • Gonal-f®
  • Follicle stimulating hormone (FSH)
  • Drug: Recombinant human chorionic gonadotropin (r-hCG)
    Recombinant human chorionic gonadotropin (r-hCG) will be administered as a single dose of 250 mcg subcutaneously, when follicular response is adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm).

    Experimental: AS900672-Enriched 30 mcg

    Drug: AS900672-Enriched 30 mcg
    Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 30 mcg will be administered subcutaneously on S1. Duration of treatment cycle will be up to adequate follicular response received or maximum of 14 days.
    Other Names:
  • Hyperglycosylated r-hFSH
  • Drug: Follitropin alfa 75 international unit (IU)
    Follitropin alfa (Gonal-f®) 75 IU will be administered subcutaneously once daily from S1 up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. Subjects who will be receiving AS900672-Enriched 10, 20, 30 and 40 mcg will also receive daily dose of follitropin alfa 75 IU subcutaneously from Stimulation Day 7 (S7) up to S14. Duration of treatment cycle will be up to adequate follicular response received or maximum of 14 days.
    Other Names:
  • Gonal-f®
  • Follicle stimulating hormone (FSH)
  • Drug: Recombinant human chorionic gonadotropin (r-hCG)
    Recombinant human chorionic gonadotropin (r-hCG) will be administered as a single dose of 250 mcg subcutaneously, when follicular response is adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm).

    Experimental: AS900672-Enriched 40 mcg

    Drug: AS900672-Enriched 40 mcg
    Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 40 mcg will be administered subcutaneously on S1. Duration of treatment cycle will be up to adequate follicular response received or maximum of 14 days.
    Other Names:
  • Hyperglycosylated r-hFSH
  • Drug: Follitropin alfa 75 international unit (IU)
    Follitropin alfa (Gonal-f®) 75 IU will be administered subcutaneously once daily from S1 up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. Subjects who will be receiving AS900672-Enriched 10, 20, 30 and 40 mcg will also receive daily dose of follitropin alfa 75 IU subcutaneously from Stimulation Day 7 (S7) up to S14. Duration of treatment cycle will be up to adequate follicular response received or maximum of 14 days.
    Other Names:
  • Gonal-f®
  • Follicle stimulating hormone (FSH)
  • Drug: Recombinant human chorionic gonadotropin (r-hCG)
    Recombinant human chorionic gonadotropin (r-hCG) will be administered as a single dose of 250 mcg subcutaneously, when follicular response is adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm).

    Active Comparator: Follitropin alfa 75 IU

    Drug: Follitropin alfa 75 international unit (IU)
    Follitropin alfa (Gonal-f®) 75 IU will be administered subcutaneously once daily from S1 up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. Subjects who will be receiving AS900672-Enriched 10, 20, 30 and 40 mcg will also receive daily dose of follitropin alfa 75 IU subcutaneously from Stimulation Day 7 (S7) up to S14. Duration of treatment cycle will be up to adequate follicular response received or maximum of 14 days.
    Other Names:
  • Gonal-f®
  • Follicle stimulating hormone (FSH)
  • Drug: Recombinant human chorionic gonadotropin (r-hCG)
    Recombinant human chorionic gonadotropin (r-hCG) will be administered as a single dose of 250 mcg subcutaneously, when follicular response is adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm).

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants With Ovulation [Mid-luteal phase progesterone assessed 5-10 days or clinical pregnancy 35-42 days after recombinant human chorionic gonadotropin (r-hCG) administration day (end of stimulation cycle [approximately 14 days])]

      Ovulation was defined as a mid-luteal phase progesterone (P4) level >= 30 nanomole per liter (nmol/L) (10 nanogram per milliliter [ng/mL]). In the absence of a positive progesterone response, clinical pregnancy was also considered as evidence of ovulation.

    Secondary Outcome Measures

    1. Percentage of Participants With Clinical Pregnancy [Day 35-42 post r-hCG administration day (end of stimulation cycle [approximately 14 days])]

      Clinical pregnancy was defined as the presence of one or more fetal sacs with fetal heart activity on the Day 35-42 post r-hCG ultrasound examination.

    2. Duration of Ovarian Stimulation [Stimulation Day 1 (S1) up to r-hCG administration day (end of stimulation cycle [approximately 14 days])]

      Ovarian stimulation included from first dose of study drug on S1 until day on which r-hCG was administered (r-hCG day).

    3. Duration of Supplemental Follitropin Alfa Treatment [Stimulation Day 7 (S7) up to r-hCG administration day (end of stimulation cycle [approximately 14 days])]

    4. Cumulative Dose of Supplemental Follitropin Alfa Administered [Stimulation Day 7 (S7) up to r-hCG administration day (end of stimulation cycle [approximately 14 days])]

    5. Number of Follicles With Mean Diameter Less Than (<) 11 Millimeter (mm) and Greater Than or Equal to (>=) 11 mm [Stimulation Day 5 (S5), S7 and r-hCG administration day (end of stimulation cycle [approximately 14 days])]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 36 Years
    Sexes Eligible for Study:
    Female
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Oligo-anovulation defined by a menstrual period of 35 days to 6 months

    • Spontaneous menses or a positive response to progestin within the prior 6 months or response to clomiphene citrate evidenced by ovulation within the prior 6 months

    • Age between 18 and 36 years, inclusive, at time of informed consent signature

    • Body mass index (BMI) 18 to 30 kilogram per square meter (kg/m^2), inclusive

    • No clinically significant abnormalities in serum thyroid stimulating hormone (TSH), dehydroepiandrosterone (DHEA-S), prolactin, and FSH levels in the early follicular phase. Subjects low TSH level who receive replacement therapy could be enrolled at the discretion of the investigator if local laboratory results (thyroxine [T4]) demonstrated satisfactory thyroid function. Subjects receiving stable dose of dopamine agonists could be enrolled at the discretion of the investigator if local laboratory results demonstrated adequate control of prolactin levels

    • No clinically significant abnormalities in fasting glucose and fasting insulin levels

    • Normal uterine cavity and presence of at least one ovary with ipsilateral patent fallopian tube, as determined by means of hysterosalpingography, laparoscopy, hysteroscopy or combination of these procedures within the prior 3 years

    • Papanicolaou (PAP) smear test without clinically significant abnormalities within 6 months prior to the first screening procedure. If PAP smear is not done, it must be performed as part of screening procedures

    • Negative pregnancy test prior to randomization

    • Male partner with semen analysis demonstrating adequacy for insemination via intercourse and/or intrauterine insemination (IUI) within 6 months prior to the first screening procedure. If semen analysis is not done, it must be performed as part of screening procedures

    • Willing and able to comply with all protocol procedures, including pregnancy and neonatal follow-up

    • Voluntary provision of written informed consent, prior to any trial-related procedure that is not part of normal medical care, with the understanding that the subject could withdraw consent at any time without prejudice to her future medical care, including willingness to provide follow-up information on babies born as part of this trial

    Exclusion Criteria:
    • History of >=2 consecutive gonadotrophin stimulation cycles that did not lead to ovulation

    • History of clomiphene citrate stimulation cycles of which none lead to ovulation

    • Prior excessive response to gonadotrophin stimulation, defined as the development of at least 4 mature follicles (greater than [>]17 mm) or cancellation of the OI cycle due to excessive follicular response after treatment with FSH at a dose of less than 75 IU/day

    • Previous severe ovarian hyperstimulation syndrome (OHSS)

    • Administration of any gonadotrophin, clomiphene citrate, gonadotrophin releasing hormone (GnRH) analogue, tamoxifen or aromatase inhibitors within the prior 30 days

    • Laparoscopic ovarian drilling and/or ovarian cauterization within the prior 6 months

    • Any contraindication to pregnancy and/or to carrying pregnancy to term

    • A clinical pregnancy that ended in a miscarriage within the prior 3 months

    • History of >=3 consecutive miscarriages, due to any cause

    • Abnormal gynecological bleeding of undetermined origin

    • Clinically significant abnormal findings of the uterine cavity evident on a transvaginal pelvic ultrasound performed during screening

    • Presence of endometriosis, Grade III - IV or requiring treatment

    • Ovarian cyst with a mean diameter of >25 mm on the day of randomization

    • History or suspicion of ovarian, uterine or mammary cancer

    • Adrenal congenital hyperplasia, partial or complete enzymatic block

    • Use of metformin or other insulin sensitizing agents related to infertility within the prior 2 months

    • Known allergy or hypersensitivity to human gonadotrophin preparations or to compounds that are structurally similar to any of the other medications administered during the trial

    • Any contra-indication to gonadotrophin therapy

    • Known or suspected infection with human immunodeficiency virus (HIV), Hepatitis B or C in the trial subject or her male partner

    • Any active substance abuse or history of drug, medication or alcohol abuse within 5 years

    • Smoker consuming more than 5 cigarettes per day

    • Serum testosterone (central laboratory) that is suggestive of ovarian tumor

    • Previously randomized in this trial or participation in another investigational drug clinical trial within the prior 3 months

    • Any medical condition, which in the judgment of the investigator may interfere with the absorption, distribution, metabolism or excretion of r-hFSH

    • Clinically significant concurrent disease (including diabetes mellitus and autoimmune diseases) that would compromise subject safety or interfere with the study assessments or clinically significant abnormal laboratory finding

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Merck Serono S.A. Geneva Switzerland 1202

    Sponsors and Collaborators

    • Merck KGaA, Darmstadt, Germany

    Investigators

    • Principal Investigator: Antonio Pellicer, Professor Dr, IVI Valencia

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Merck KGaA, Darmstadt, Germany
    ClinicalTrials.gov Identifier:
    NCT00553514
    Other Study ID Numbers:
    • 27818
    First Posted:
    Nov 4, 2007
    Last Update Posted:
    Feb 13, 2014
    Last Verified:
    Jan 1, 2014

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title AS900672-Enriched 10 Mcg AS900672-Enriched 20 Mcg AS900672-Enriched 30 Mcg AS900672-Enriched 40 Mcg Follitropin Alfa 75 IU
    Arm/Group Description Single injection of AS900672-Enriched (hyperglycosylated recombinant human follicle stimulating hormone [r-hFSH]), 10 microgram (mcg) administered subcutaneously on Stimulation day 1 (S1) followed by a daily dose of follitropin alfa 75 international unit (IU) subcutaneously starting from Stimulation Day 7 (S7) up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. When follicular response was adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 20 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 30 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 40 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Follitropin alfa (Gonal-f®) 75 IU administered subcutaneously once daily from S1 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days.
    Period Title: Overall Study
    STARTED 14 14 15 13 15
    COMPLETED 6 6 9 6 8
    NOT COMPLETED 8 8 6 7 7

    Baseline Characteristics

    Arm/Group Title AS900672-Enriched 10 Mcg AS900672-Enriched 20 Mcg AS900672-Enriched 30 Mcg AS900672-Enriched 40 Mcg Follitropin Alfa 75 IU Total
    Arm/Group Description Single injection of AS900672-Enriched (hyperglycosylated recombinant human follicle stimulating hormone [r-hFSH]), 10 microgram (mcg) administered subcutaneously on Stimulation day 1 (S1) followed by a daily dose of follitropin alfa 75 international unit (IU) subcutaneously starting from Stimulation Day 7 (S7) up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. When follicular response was adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 20 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 30 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 40 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Follitropin alfa (Gonal-f®) 75 IU administered subcutaneously once daily from S1 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Total of all reporting groups
    Overall Participants 14 14 15 13 15 71
    Age (years) [Median (Full Range) ]
    Median (Full Range) [years]
    29.5
    31.5
    28.0
    30.0
    30.0
    30
    Sex: Female, Male (Count of Participants)
    Female
    14
    100%
    14
    100%
    15
    100%
    13
    100%
    15
    100%
    71
    100%
    Male
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants With Ovulation
    Description Ovulation was defined as a mid-luteal phase progesterone (P4) level >= 30 nanomole per liter (nmol/L) (10 nanogram per milliliter [ng/mL]). In the absence of a positive progesterone response, clinical pregnancy was also considered as evidence of ovulation.
    Time Frame Mid-luteal phase progesterone assessed 5-10 days or clinical pregnancy 35-42 days after recombinant human chorionic gonadotropin (r-hCG) administration day (end of stimulation cycle [approximately 14 days])

    Outcome Measure Data

    Analysis Population Description
    Per Protocol (PP) population included all the randomized participants who were without a medically relevant protocol deviation. 'N' (number of participants analyzed) signifies participants who were evaluable for this measure.
    Arm/Group Title AS900672-Enriched 10 Mcg AS900672-Enriched 20 Mcg AS900672-Enriched 30 Mcg AS900672-Enriched 40 Mcg Follitropin Alfa 75 IU
    Arm/Group Description Single injection of AS900672-Enriched (hyperglycosylated recombinant human follicle stimulating hormone [r-hFSH]), 10 microgram (mcg) administered subcutaneously on Stimulation day 1 (S1) followed by a daily dose of follitropin alfa 75 international unit (IU) subcutaneously starting from Stimulation Day 7 (S7) up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. When follicular response was adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 20 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 30 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 40 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Follitropin alfa (Gonal-f®) 75 IU administered subcutaneously once daily from S1 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days.
    Measure Participants 13 13 13 12 13
    Number [Percentage of participants]
    46.2
    330%
    46.2
    330%
    38.5
    256.7%
    33.3
    256.2%
    53.8
    358.7%
    2. Secondary Outcome
    Title Percentage of Participants With Clinical Pregnancy
    Description Clinical pregnancy was defined as the presence of one or more fetal sacs with fetal heart activity on the Day 35-42 post r-hCG ultrasound examination.
    Time Frame Day 35-42 post r-hCG administration day (end of stimulation cycle [approximately 14 days])

    Outcome Measure Data

    Analysis Population Description
    PP population included all the randomized participants who were without a medically relevant protocol deviation. 'N' (number of participants analyzed) signifies participants who were evaluable for this measure.
    Arm/Group Title AS900672-Enriched 10 Mcg AS900672-Enriched 20 Mcg AS900672-Enriched 30 Mcg AS900672-Enriched 40 Mcg Follitropin Alfa 75 IU
    Arm/Group Description Single injection of AS900672-Enriched (hyperglycosylated recombinant human follicle stimulating hormone [r-hFSH]), 10 microgram (mcg) administered subcutaneously on Stimulation day 1 (S1) followed by a daily dose of follitropin alfa 75 international unit (IU) subcutaneously starting from Stimulation Day 7 (S7) up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. When follicular response was adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 20 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 30 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 40 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Follitropin alfa (Gonal-f®) 75 IU administered subcutaneously once daily from S1 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days.
    Measure Participants 13 13 13 12 13
    Number [Percentage of participants]
    23.1
    165%
    0.0
    0%
    7.7
    51.3%
    16.7
    128.5%
    0.0
    0%
    3. Secondary Outcome
    Title Duration of Ovarian Stimulation
    Description Ovarian stimulation included from first dose of study drug on S1 until day on which r-hCG was administered (r-hCG day).
    Time Frame Stimulation Day 1 (S1) up to r-hCG administration day (end of stimulation cycle [approximately 14 days])

    Outcome Measure Data

    Analysis Population Description
    PP population included all the randomized participants who were without a medically relevant protocol deviation. 'N' (number of participants analyzed) signifies participants who were evaluable for this measure.
    Arm/Group Title AS900672-Enriched 10 Mcg AS900672-Enriched 20 Mcg AS900672-Enriched 30 Mcg AS900672-Enriched 40 Mcg Follitropin Alfa 75 IU
    Arm/Group Description Single injection of AS900672-Enriched (hyperglycosylated recombinant human follicle stimulating hormone [r-hFSH]), 10 microgram (mcg) administered subcutaneously on Stimulation day 1 (S1) followed by a daily dose of follitropin alfa 75 international unit (IU) subcutaneously starting from Stimulation Day 7 (S7) up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. When follicular response was adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 20 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 30 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 40 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Follitropin alfa (Gonal-f®) 75 IU administered subcutaneously once daily from S1 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days.
    Measure Participants 13 13 13 12 13
    Mean (Standard Deviation) [Days]
    10.0
    (5.3)
    11.8
    (3.4)
    14.0
    (1.4)
    10.8
    (3.7)
    10.6
    (3.2)
    4. Secondary Outcome
    Title Duration of Supplemental Follitropin Alfa Treatment
    Description
    Time Frame Stimulation Day 7 (S7) up to r-hCG administration day (end of stimulation cycle [approximately 14 days])

    Outcome Measure Data

    Analysis Population Description
    PP population included all the randomized participants who were without a medically relevant protocol deviation. 'N' (number of participants analyzed) signifies participants who were evaluable for this measure.
    Arm/Group Title AS900672-Enriched 10 Mcg AS900672-Enriched 20 Mcg AS900672-Enriched 30 Mcg AS900672-Enriched 40 Mcg Follitropin Alfa 75 IU
    Arm/Group Description Single injection of AS900672-Enriched (hyperglycosylated recombinant human follicle stimulating hormone [r-hFSH]), 10 microgram (mcg) administered subcutaneously on Stimulation day 1 (S1) followed by a daily dose of follitropin alfa 75 international unit (IU) subcutaneously starting from Stimulation Day 7 (S7) up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. When follicular response was adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 20 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 30 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 40 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Follitropin alfa (Gonal-f®) 75 IU administered subcutaneously once daily from S1 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days.
    Measure Participants 10 12 13 11 11
    Mean (Standard Deviation) [Days]
    6.6
    (1.4)
    6.6
    (1.4)
    7.7
    (1.5)
    5.6
    (2.2)
    5.5
    (2.7)
    5. Secondary Outcome
    Title Cumulative Dose of Supplemental Follitropin Alfa Administered
    Description
    Time Frame Stimulation Day 7 (S7) up to r-hCG administration day (end of stimulation cycle [approximately 14 days])

    Outcome Measure Data

    Analysis Population Description
    PP population included all the randomized participants who were without a medically relevant protocol deviation. 'N' (number of participants analyzed) signifies participants who were evaluable for this measure.
    Arm/Group Title AS900672-Enriched 10 Mcg AS900672-Enriched 20 Mcg AS900672-Enriched 30 Mcg AS900672-Enriched 40 Mcg Follitropin Alfa 75 IU
    Arm/Group Description Single injection of AS900672-Enriched (hyperglycosylated recombinant human follicle stimulating hormone [r-hFSH]), 10 microgram (mcg) administered subcutaneously on Stimulation day 1 (S1) followed by a daily dose of follitropin alfa 75 international unit (IU) subcutaneously starting from Stimulation Day 7 (S7) up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. When follicular response was adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 20 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 30 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 40 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Follitropin alfa (Gonal-f®) 75 IU administered subcutaneously once daily from S1 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days.
    Measure Participants 10 12 13 11 10
    Mean (Standard Deviation) [IU]
    476.3
    (122.5)
    493.8
    (108.3)
    556.7
    (134.2)
    398.9
    (167.9)
    397.5
    (226.5)
    6. Secondary Outcome
    Title Number of Follicles With Mean Diameter Less Than (<) 11 Millimeter (mm) and Greater Than or Equal to (>=) 11 mm
    Description
    Time Frame Stimulation Day 5 (S5), S7 and r-hCG administration day (end of stimulation cycle [approximately 14 days])

    Outcome Measure Data

    Analysis Population Description
    PP population included all the randomized participants who were without a medically relevant protocol deviation. 'N' (number of participants analyzed) signifies participants who were evaluable for this measure. 'n' signifies number of participants who were evaluable for specified categories at different time points.
    Arm/Group Title AS900672-Enriched 10 Mcg AS900672-Enriched 20 Mcg AS900672-Enriched 30 Mcg AS900672-Enriched 40 Mcg Follitropin Alfa 75 IU
    Arm/Group Description Single injection of AS900672-Enriched (hyperglycosylated recombinant human follicle stimulating hormone [r-hFSH]), 10 microgram (mcg) administered subcutaneously on Stimulation day 1 (S1) followed by a daily dose of follitropin alfa 75 international unit (IU) subcutaneously starting from Stimulation Day 7 (S7) up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. When follicular response was adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 20 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 30 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 40 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Follitropin alfa (Gonal-f®) 75 IU administered subcutaneously once daily from S1 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days.
    Measure Participants 12 12 13 12 13
    < 11 mm on S5 (n=12,12,12,12,13)
    23.6
    (13.8)
    28.7
    (29.4)
    23.2
    (6.7)
    20.9
    (16.7)
    21.3
    (13.7)
    < 11 mm on S7 (n=12,12,13,12,12)
    22.8
    (12.6)
    27.2
    (30.9)
    21.0
    (8.9)
    21.3
    (17.3)
    22.0
    (16.7)
    < 11 mm on r-hCG Day (n=5,6,7,6,7)
    15.6
    (7.3)
    11.7
    (9.2)
    18.4
    (12.1)
    18.7
    (15.0)
    14.9
    (12.4)
    >= 11 mm on S5 (n=12,8,7,11,8)
    1.5
    (2.2)
    0.0
    (0.0)
    1.6
    (1.9)
    2.8
    (3.1)
    0.8
    (0.9)
    >= 11 mm on S7 (n=11,9,7,11,11)
    3.4
    (6.2)
    0.2
    (0.7)
    2.6
    (3.5)
    2.8
    (2.4)
    1.8
    (2.3)
    >= 11 mm on r-hCG Day (n=5,6,8,6,8)
    2.6
    (0.9)
    2.5
    (1.9)
    2.5
    (1.3)
    1.8
    (0.8)
    2.9
    (1.8)

    Adverse Events

    Time Frame Stimulation Day 1 (S1) up to Day 35-42 post r-hCG administration day (end of stimulation cycle [approximately 14 days])
    Adverse Event Reporting Description An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an investigational medicinal product (IMP), regardless of causal relationship and even if no IMP has been administered.
    Arm/Group Title AS900672-Enriched 10 Mcg AS900672-Enriched 20 Mcg AS900672-Enriched 30 Mcg AS900672-Enriched 40 Mcg Follitropin Alfa 75 IU
    Arm/Group Description Single injection of AS900672-Enriched (hyperglycosylated recombinant human follicle stimulating hormone [r-hFSH]), 10 microgram (mcg) administered subcutaneously on Stimulation day 1 (S1) followed by a daily dose of follitropin alfa 75 international unit (IU) subcutaneously starting from Stimulation Day 7 (S7) up to Stimulation Day 14 (S14) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. When follicular response was adequate (that is, less than or equal to [=<] 3 follicles with a mean diameter of greater than or equal to [>=] 14 millimeter [mm], and one or two of these follicles with a diameter of >= 17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 20 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 30 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 40 mcg administered subcutaneously on S1 followed by a daily dose of follitropin alfa 75 IU subcutaneously starting from S7 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days. Follitropin alfa (Gonal-f®) 75 IU administered subcutaneously once daily from S1 up to S14 based upon ovarian response, until r-hCG administration day. When follicular response was adequate (that is, =< 3 follicles with a mean diameter of >=14 mm, and one or two of these follicles with a diameter of >=17 mm), ovulation was triggered by single 250 mcg subcutaneous r-hCG injection. Duration of treatment cycle was up to adequate follicular response received or maximum of 14 days.
    All Cause Mortality
    AS900672-Enriched 10 Mcg AS900672-Enriched 20 Mcg AS900672-Enriched 30 Mcg AS900672-Enriched 40 Mcg Follitropin Alfa 75 IU
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    AS900672-Enriched 10 Mcg AS900672-Enriched 20 Mcg AS900672-Enriched 30 Mcg AS900672-Enriched 40 Mcg Follitropin Alfa 75 IU
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/14 (0%) 0/14 (0%) 0/15 (0%) 0/13 (0%) 0/15 (0%)
    Other (Not Including Serious) Adverse Events
    AS900672-Enriched 10 Mcg AS900672-Enriched 20 Mcg AS900672-Enriched 30 Mcg AS900672-Enriched 40 Mcg Follitropin Alfa 75 IU
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 7/14 (50%) 3/14 (21.4%) 6/15 (40%) 4/13 (30.8%) 7/15 (46.7%)
    Eye disorders
    Eye pain 0/14 (0%) 0/14 (0%) 0/15 (0%) 1/13 (7.7%) 0/15 (0%)
    Gastrointestinal disorders
    Abdominal pain 1/14 (7.1%) 1/14 (7.1%) 0/15 (0%) 1/13 (7.7%) 2/15 (13.3%)
    Abdominal distension 1/14 (7.1%) 1/14 (7.1%) 0/15 (0%) 1/13 (7.7%) 0/15 (0%)
    Nausea 1/14 (7.1%) 1/14 (7.1%) 0/15 (0%) 0/13 (0%) 0/15 (0%)
    Abdominal pain upper 0/14 (0%) 0/14 (0%) 0/15 (0%) 1/13 (7.7%) 0/15 (0%)
    Abdominal tenderness 1/14 (7.1%) 0/14 (0%) 0/15 (0%) 0/13 (0%) 0/15 (0%)
    Diarrhoea 0/14 (0%) 0/14 (0%) 0/15 (0%) 0/13 (0%) 1/15 (6.7%)
    Gastrointestinal pain 0/14 (0%) 0/14 (0%) 0/15 (0%) 1/13 (7.7%) 0/15 (0%)
    Stomach discomfort 0/14 (0%) 0/14 (0%) 0/15 (0%) 1/13 (7.7%) 0/15 (0%)
    General disorders
    Fatigue 1/14 (7.1%) 1/14 (7.1%) 0/15 (0%) 0/13 (0%) 0/15 (0%)
    Infections and infestations
    Nasopharyngitis 0/14 (0%) 1/14 (7.1%) 0/15 (0%) 1/13 (7.7%) 1/15 (6.7%)
    Gastroenteritis 0/14 (0%) 0/14 (0%) 0/15 (0%) 0/13 (0%) 1/15 (6.7%)
    Tonsillitis 0/14 (0%) 0/14 (0%) 0/15 (0%) 0/13 (0%) 1/15 (6.7%)
    Upper respiratory tract infection 0/14 (0%) 0/14 (0%) 1/15 (6.7%) 0/13 (0%) 0/15 (0%)
    Urinary tract infection 1/14 (7.1%) 0/14 (0%) 0/15 (0%) 0/13 (0%) 0/15 (0%)
    Injury, poisoning and procedural complications
    Procedural pain 0/14 (0%) 1/14 (7.1%) 0/15 (0%) 0/13 (0%) 0/15 (0%)
    Musculoskeletal and connective tissue disorders
    Pain in extremity 1/14 (7.1%) 0/14 (0%) 0/15 (0%) 0/13 (0%) 0/15 (0%)
    Nervous system disorders
    Headache 2/14 (14.3%) 1/14 (7.1%) 3/15 (20%) 3/13 (23.1%) 2/15 (13.3%)
    Dizziness 1/14 (7.1%) 0/14 (0%) 0/15 (0%) 1/13 (7.7%) 0/15 (0%)
    Migraine 0/14 (0%) 0/14 (0%) 1/15 (6.7%) 0/13 (0%) 0/15 (0%)
    Syncope vasovagal 0/14 (0%) 0/14 (0%) 1/15 (6.7%) 0/13 (0%) 0/15 (0%)
    Reproductive system and breast disorders
    Breast tenderness 0/14 (0%) 1/14 (7.1%) 1/15 (6.7%) 0/13 (0%) 0/15 (0%)
    Adnexa uteri pain 1/14 (7.1%) 0/14 (0%) 1/15 (6.7%) 0/13 (0%) 0/15 (0%)
    Vaginal pain 0/14 (0%) 0/14 (0%) 0/15 (0%) 0/13 (0%) 2/15 (13.3%)
    Breast pain 0/14 (0%) 1/14 (7.1%) 0/15 (0%) 0/13 (0%) 0/15 (0%)
    Genital haemorrhage 1/14 (7.1%) 0/14 (0%) 0/15 (0%) 0/13 (0%) 0/15 (0%)
    Ovarian hyperstimulation syndrome 0/14 (0%) 0/14 (0%) 0/15 (0%) 1/13 (7.7%) 0/15 (0%)
    Vaginal discharge 0/14 (0%) 1/14 (7.1%) 0/15 (0%) 0/13 (0%) 0/15 (0%)
    Vulvovaginal pruritus 1/14 (7.1%) 0/14 (0%) 0/15 (0%) 0/13 (0%) 0/15 (0%)
    Respiratory, thoracic and mediastinal disorders
    Rhinorrhoea 0/14 (0%) 0/14 (0%) 0/15 (0%) 0/13 (0%) 1/15 (6.7%)
    Skin and subcutaneous tissue disorders
    Urticaria 0/14 (0%) 0/14 (0%) 1/15 (6.7%) 0/13 (0%) 0/15 (0%)

    Limitations/Caveats

    The study was terminated after Merck Serono had taken the decision not to pursue the development of AS900672-enriched in ovulation induction

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    Results Point of Contact

    Name/Title Merck KGaA Communication Center
    Organization Merck Serono, a division of Merck KGaA
    Phone +49-6151-72-5200
    Email service@merckgroup.com
    Responsible Party:
    Merck KGaA, Darmstadt, Germany
    ClinicalTrials.gov Identifier:
    NCT00553514
    Other Study ID Numbers:
    • 27818
    First Posted:
    Nov 4, 2007
    Last Update Posted:
    Feb 13, 2014
    Last Verified:
    Jan 1, 2014