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Gonalef

Phase 4

Infertility | Small molecule | Other |Merck KGaA|Trials Updated: Feb 4, 2014

Gonalef development status

Highest phase Phase 4 (NCT05405686)
Phase scored for MKGAFPhase 3
Registered trials 5 across 2 sponsors since Feb 2010

Gonalef target and mechanism

ModalitySmall molecule

Also known as Gonalef® (Follitropin alfa), follitropin alfa, recombinant human follicle-stimulating hormone, r-hFSH, SJ-0021

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment367

FDA Designations

No designations recorded

Gonalef clinical trials

Gonalef · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT01185782SJ-0021 (Gonalef®) Versus Purified Pituitary Gonadotropin (Fertinorm-P®) for Ovulation Induction in Japanese Infertile WomenInfertility
COMPLETED300 Analytics
PHASE3COMPLETED
SJ-0021 (Gonalef®) Versus Purified Pituitary Gonadotropin (Fertinorm-P®) for Ovulation Induction in Japanese Infertile Women
InfertilityUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Ovulation
On Day 6±1 or 9±1 days during post-treatment assessment period (Day 35-42 of post-treatment period for clinical pregnancy)]

Participants were considered to have ovulated if serum progesterone (P4) level was greater than or equal to 5 nanogram (ng)/mL on Day 6±1 or 9±1 during the post-treatment assessment period, or if the participant became clinically pregnant.

Ovulation rate
Day 4 post r-hLH/u-hCG day (end of stimulation cycle [approximately 28 days])
Ratio of ruptured follicles per follicle with diameter greater than or equal to (>=) 15 millimeter (mm)
Day 4 post r-hLH/u-hCG day (end of stimulation cycle [approximately 28 days])
Number of follicles with diameter greater than or equal to (>=) 11 millimeter (mm)
Day 4 post r-hLH/u-hCG day (end of stimulation cycle [approximately 28 days])
Ratio of ruptured follicles per follicle with diameter greater than or equal to (>=) 11 millimeter (mm)
Day 4 post r-hLH/u-hCG day (end of stimulation cycle [approximately 28 days])

Secondary Endpoints

Number of Participants With the Dominant Follicle Achieving 18 mm in Mean Diameter
Start of treatment period until Day 1 of post-treatment assessment period
Time for Dominant Follicle to Achieve 18 mm in Mean Diameter
Start of treatment period until Day 1 of post-treatment assessment period
Total Dose of the Investigational Medicinal Product (IMP) Administered to Participants With Dominant Follicle Achieving 18 mm in Mean Diameter
Start of treatment period until Day 1 of post-treatment assessment period
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SJ-0021 groupEXPERIMENTAL -
Purified pituitary gonadotropin groupACTIVE_COMPARATOR -
r-hLH (825 International Units [IU])EXPERIMENTAL -
r-hLH (2750 IU)EXPERIMENTAL -
r-hLH (5500 IU)EXPERIMENTAL -
r-hLH (11000 IU)EXPERIMENTAL -
r-hLH (22000 IU)EXPERIMENTAL -
u-hCG (5000 IU)ACTIVE_COMPARATOR -

Interventions

NameTypeDescription
Gonalef® (Follitropin alfa)DRUGSubcutaneous administration of follitropin alfa at a dose of 75 IU/day was started on dosing Day 1 and the same daily dose was maintained for the first 7 days of the treatment period. Dose increment by 37.5 IU was permitted on dosing Day 8, Day 15 and Day 22 if the dosage increase criterion was met.
Purified pituitary gonadotropin (Fertinorm-P®)DRUGSubcutaneous administration of purified pituitary gonadotropin at a dose of 75 IU/day was started on dosing Day 1 and the same daily dose was maintained for the first 7 days of the treatment period. Dose increment by 37.5 IU was permitted on dosing Day 8, Day 15 and Day 22 if the dosage increase criterion was met.
r-hFSHDRUGDaily r-hFSH treatment will be administered subcutaneously at a starting dose according to the site's standard practice from Day 3-5 of menstrual cycle up to follicular development or 28 days. Dose can be altered according to ovarian response (reduced to 75 IU/day; increased to 225 IU/day).
r-hLHDRUGOvulation triggering will be performed using a single injection of r-hLH injection subcutaneously at a dose of 825 or 2750 or 5500 or 11,000 or 22,000 IU as soon as follicles satisfy the criteria for follicular development, that is at least 1 follicle with diameter \>= 18 mm, not more than 5 follicles with diameter \>= 15 mm and with E2 levels less than 9000 picomoles per liter (pmol/L).
u-hCGDRUGOvulation triggering will be performed using a single injection of 5000 IU of u-hCG as soon as follicles satisfy the criteria for follicular development, that is at least 1 follicle with diameter \>= 18 mm, not more than 5 follicles with diameter \>= 15 mm and with E2 levels less than 9000 picomoles per liter (pmol/L).
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Eligibility Criteria

Age Range20 Years to 39 Years
SexFEMALE
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Women aged 20 to 39 years (inclusive) who hope to bear children * Subjects who failed to achieve ovulation or pregnancy despite 2 cycles or more of anti-estrogen therapies (clomiphene citrate, cyclofenil, etc.) * Subjects who exhibited withdrawal bleeding in a progesterone tes...

Countries:JapanCanada
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Frequently asked questions about Gonalef

What is Gonalef?

Gonalef is an infertility treatment developed by Merck KGaA. It is also known as Gonalef (Follitropin alfa). It was studied for ovulation induction in infertile women, specifically in a Phase 3 trial conducted in Japan. The trial compared Gonalef with purified pituitary gonadotropin for ovulation induction.

What is Gonalef used for?

Gonalef is used for ovulation induction in infertile women. Its Phase 3 trial enrolled Japanese infertile women aged 20 years and older for ovulation induction. The condition studied was infertility, with ovulation induction as the specific treatment goal. Gonalef is not indicated for male infertility based on the available trial data.

Who makes Gonalef?

Gonalef is developed by Merck KGaA, which trades under the ticker MKGAF. Merck KGaA sponsored the Phase 3 clinical trial evaluating Gonalef for ovulation induction in Japanese infertile women. The company is the developer and manufacturer associated with the Gonalef brand.

What phase is Gonalef in?

Gonalef has completed a Phase 3 clinical trial. The trial, NCT01185782, was an active-controlled study comparing Gonalef with purified pituitary gonadotropin for ovulation induction. It enrolled 300 participants and is listed as completed. Gonalef remains an investigational product in clinical development based on the available information.

What clinical trials is Gonalef in?

Gonalef has been studied in one completed Phase 3 trial, NCT01185782. The trial was titled SJ-0021 (Gonalef) Versus Purified Pituitary Gonadotropin (Fertinorm-P) for Ovulation Induction in Japanese Infertile Women. It was randomized, active-controlled, enrolled 300 female participants aged 20 years and older, and was conducted in Japan.

Is Gonalef the same as Follitropin alfa?

Gonalef is also known as Gonalef (Follitropin alfa). Follitropin alfa is the active ingredient name associated with the Gonalef brand. Readers searching for either Gonalef or Follitropin alfa are referring to the same Merck KGaA infertility product studied for ovulation induction in Japanese infertile women.