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Study to Assess the Efficacy and Safety of Three Dosage Strengths of Pulsatile GnRH Delivered From a Iontophoretic Patch Compared to Oral Treatment With Clomiphene or Placebo in Infertile Females

Phase 2
Completed
Conditions
Infertility
Interventions
Registration Number
NCT00796289
Lead Sponsor
Ferring Pharmaceuticals
Brief Summary

The primary objective of this study is to determine the safety and efficacy of pulsatile GnRH delivered from a iontophoretic patch (Lutrepatch) for induction of ovulation in women with anovulatory/ oligoovulatory infertility, compared to placebo and to a reference treatment with clomiphene citrate.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
350
Inclusion Criteria
  1. Females between the ages of 18 and 38 years

  2. Desire to become pregnant

  3. Infertile due to ovulatory dysfunction as described below:

    • Unable to conceive for at least 1 year and
    • Anovulatory (defined as 4 or fewer menstrual cycles per year) or Oligo-ovulatory (defined as menstrual cycle frequency > 45 days)
Exclusion Criteria
  1. Requires donor oocytes or sperm
  2. Two or more failed (defined as no biochemical pregnancy achieved) gonadotropin fertility treatment cycles - if previous gonadotropin success, no more than two failed subsequent cycles
  3. Use of insulin-sensitizing drugs (e.g., Metformin) within 1 month prior to progesterone challenge

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
GnRH High Target Deliveryplacebo clomiphene citrate10 mg GnRH iontophoretic transdermal Lutrepatch with a high target delivery of pulsatile GnRH (every 90 minutes) for 21 days and oral placebo clomiphene citrate for 5 days
GnRH Medium Target Deliveryplacebo clomiphene citrate10 mg GnRH iontophoretic transdermal Lutrepatch with a medium target delivery of pulsatile GnRH (every 90 minutes) for 21 days and oral placebo clomiphene citrate for 5 days
GnRH Low Target Deliveryplacebo clomiphene citrate10 mg GnRH iontophoretic transdermal Lutrepatch with a low target delivery of pulsatile GnRH (every 90 minutes) for 21 days and oral placebo clomiphene citrate for 5 days
Clomiphene Citrateclomiphene citratePlacebo GnRH iontophoretic transdermal Lutrepatch with a high target delivery of pulsatile current (every 90 minutes) for 21 days and oral 50 mg clomiphene citrate for 5 days
Clomiphene Citrateplacebo GnRH patchPlacebo GnRH iontophoretic transdermal Lutrepatch with a high target delivery of pulsatile current (every 90 minutes) for 21 days and oral 50 mg clomiphene citrate for 5 days
Placeboplacebo clomiphene citratePlacebo GnRH iontophoretic transdermal Lutrepatch with a high target delivery of pulsatile current (every 90 minutes) for 21 days and oral placebo clomiphene citrate for 5 days
Placeboplacebo GnRH patchPlacebo GnRH iontophoretic transdermal Lutrepatch with a high target delivery of pulsatile current (every 90 minutes) for 21 days and oral placebo clomiphene citrate for 5 days
GnRH High Target DeliveryGnRH iontophoretic transdermal Lutrepatch10 mg GnRH iontophoretic transdermal Lutrepatch with a high target delivery of pulsatile GnRH (every 90 minutes) for 21 days and oral placebo clomiphene citrate for 5 days
GnRH Medium Target DeliveryGnRH iontophoretic transdermal Lutrepatch10 mg GnRH iontophoretic transdermal Lutrepatch with a medium target delivery of pulsatile GnRH (every 90 minutes) for 21 days and oral placebo clomiphene citrate for 5 days
GnRH Low Target DeliveryGnRH iontophoretic transdermal Lutrepatch10 mg GnRH iontophoretic transdermal Lutrepatch with a low target delivery of pulsatile GnRH (every 90 minutes) for 21 days and oral placebo clomiphene citrate for 5 days
Primary Outcome Measures
NameTimeMethod
Ovulation rate30 days
Secondary Outcome Measures
NameTimeMethod
Incidence of Ovarian Hyperstimulation Syndrome (OHSS)30 days
Incidence of skin irritation30 days
Pregnancy rate30 days

Trial Locations

Locations (35)

Florida Fertility Institute

🇺🇸

Clearwater, Florida, United States

All Women's Healthcare of Wesy Broward, Inc.

🇺🇸

Plantation, Florida, United States

A Woman's Center for Reproductive Medicine

🇺🇸

Baton Rouge, Louisiana, United States

Maine Medical Center

🇺🇸

Portland, Maine, United States

Georgia Reproductive Specialists

🇺🇸

Atlanta, Georgia, United States

University Hospitals of Cleveland

🇺🇸

Cleveland, Ohio, United States

San Diego Fertility Center

🇺🇸

San Diego, California, United States

Hutzel Women's Health Specialists

🇺🇸

Detroit, Michigan, United States

Fertility Center of Las Vegas

🇺🇸

Las Vegas, Nevada, United States

Institute for Reproductive Health

🇺🇸

Cincinnati, Ohio, United States

Greater Cincinnati OB/GYN, Inc./Reproductive Medicine Research

🇺🇸

Cincinnati, Ohio, United States

Center for Health and Healing

🇺🇸

Portland, Oregon, United States

Women's Clinic of Lincoln, P.C.

🇺🇸

Lincoln, Nebraska, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

NEA Women's Clinic

🇺🇸

Jonesboro, Arkansas, United States

Center for Assisted Reproduction

🇺🇸

Bedford, Texas, United States

Research Memphis Associates, LLC

🇺🇸

Memphis, Tennessee, United States

Watching Over Mothers and Babies Foundation

🇺🇸

Tucson, Arizona, United States

Compass Clinical Research

🇺🇸

San Ramon, California, United States

North Coast Women's Care Medical Group

🇺🇸

Vista, California, United States

Atlanta Center for Reproductive Medicine

🇺🇸

Atlanta, Georgia, United States

Huntington Reproductive Center

🇺🇸

Westlake Village, California, United States

University of Kentucky

🇺🇸

Lexington, Kentucky, United States

Women's Health Practice

🇺🇸

Champaign, Illinois, United States

Shady Grove Fertility Center

🇺🇸

Rockville, Maryland, United States

CAREM Canadian American Reproductive Medicine

🇺🇸

Hamtramck, Michigan, United States

The Medical Group of Northern Nevada

🇺🇸

Reno, Nevada, United States

Women's Health Research Center LLC

🇺🇸

Lawrenceville, New Jersey, United States

Columbia University

🇺🇸

New York, New York, United States

Albert Einstein College of Medicine

🇺🇸

Bronx, New York, United States

Lyndhurst Gynecologic Associates

🇺🇸

Winston-Salem, North Carolina, United States

Clinical Trials of America Inc

🇺🇸

Eugene, Oregon, United States

Greenville Hospital System

🇺🇸

Greenville, South Carolina, United States

Center of Reproductive Medicine

🇺🇸

Webster, Texas, United States

The Methodist Hospital

🇺🇸

Houston, Texas, United States

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