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Recombinant human follicle-stimulating hormone

Phase 4

Infertility | Small molecule | Other |Merck KGaA|Trials Updated: Mar 27, 2018

Recombinant human follicle-stimulating hormone development status

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

Recombinant human follicle-stimulating hormone target and mechanism

Molecular targetF9
Target classExogenous Protein
ModalitySmall molecule

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials2
Total Enrollment198

FDA Designations

No designations recorded

Recombinant human follicle-stimulating hormone clinical trials

Recombinant human follicle-stimulating hormone · 2 trials · 2 indications

Phase 2 2
NCT01110707A Randomised, Phase II, Comparative Study With a Parallel Control for Evaluating the Efficacy and Safety of Combined Treatment of Lutropin Alpha and Recombinant Human Luteinizing Hormone in the Middle of the Controlled Ovarian Stimulation Follicular Phase in Women With Reduced Ovarian ReserveInfertility
COMPLETED131 Analytics
NCT01735422A Study to Evaluate Safety and Efficacy of Recombinant Human Luteinizing Hormone (r-hLH) Compared With Urinary Human Chorionic Gonadotrophin (u-hCG) to Trigger Ovulation in Infertile WomenInfertility
COMPLETED67 Analytics
PHASE2COMPLETED
A Randomised, Phase II, Comparative Study With a Parallel Control for Evaluating the Efficacy and Safety of Combined Treatment of Lutropin Alpha and Recombinant Human Luteinizing Hormone in the Middle of the Controlled Ovarian Stimulation Follicular Phase in Women With Reduced Ovarian Reserve
InfertilityUnlock trial analytics
PHASE2COMPLETED
A Study to Evaluate Safety and Efficacy of Recombinant Human Luteinizing Hormone (r-hLH) Compared With Urinary Human Chorionic Gonadotrophin (u-hCG) to Trigger Ovulation in Infertile Women
InfertilityUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Number of Metaphase II (M-II) Oocytes Retrieved
36 hours post r-hCG administration

Mean number of M-II oocytes were calculated for subjects undergoing ovum pick up for Intra-cytoplasmic Sperm Injection (ICSI). ICSI is an in-vitro fertilization procedure in which a single sperm is injected directly into an egg under a microscope. Metaphase II stage of the oocyte was classified as the time at which the first polar body was observed microscopically. Metaphase II oocytes are a sub-group of the total number of oocytes.

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 Fertilized Oocytes (2 Pronuclei [2PN])
36 hours post r-hCG administration
Quality of Embryos
Day 2-3 post r-hCG administration
Embryo Implantation Rate
35-42 days post r-hCG administration
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
r-hFSH + r-hLHEXPERIMENTAL -
r-hFSH aloneACTIVE_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
Recombinant human follicle stimulating hormone (r-hFSH)DRUGSubjects will receive subcutaneous injection of recombinant human follicular stimulating hormone (r-hFSH) 300-450 International Units (IU) administered after pituitary desensitization according to the ovarian response with gonadotrophin-releasing hormone agonist (GnRH-a; at a dose of 0.1 milligram per day \[mg/day\]).
Recombinant human luteinizing hormone (r-hLH)DRUGSubjects will receive subcutaneous injection of recombinant human luteinizing hormone (r-hLH) 150 IU/day until the end of ovarian stimulation.
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 Range35 Years to 40 Years
SexFEMALE
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: All subjects must meet the following inclusion criteria within the 6 months prior to starting the pituitary suppression unless otherwise specified: * Postmenopausal woman aged between 35 and 40 years that wishes to become pregnant * Subjects with basal serum level (beginning of...

Countries:SpainCanada
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Frequently asked questions about Recombinant human follicle-stimulating hormone

What is recombinant human follicle-stimulating hormone used for?

Recombinant human follicle-stimulating hormone is used in infertility treatment, specifically for controlled ovarian stimulation and ovulation induction. It is being studied in women with reduced ovarian reserve, a group that often responds less well to standard fertility stimulation protocols.

What does recombinant human follicle-stimulating hormone target?

Recombinant human follicle-stimulating hormone targets F9, also known as coagulation factor IX. It is an exogenous protein, meaning it is a protein produced outside the body and introduced as a therapeutic agent rather than a conventional small molecule drug.

Who is developing recombinant human follicle-stimulating hormone?

Recombinant human follicle-stimulating hormone is being developed by Merck KGaA, which trades under the ticker MKGAF. The company is the sponsor responsible for advancing this infertility asset through clinical development.

What phase is recombinant human follicle-stimulating hormone in?

Recombinant human follicle-stimulating hormone is in Phase 2 clinical development. It is an investigational agent and has not been approved by the FDA for any indication. The completed Phase 2 trial enrolled 131 participants and was active-controlled and randomized.

What clinical trials is recombinant human follicle-stimulating hormone in?

Recombinant human follicle-stimulating hormone has been studied in one completed Phase 2 trial, NCT01110707. This randomized, active-controlled study evaluated the efficacy and safety of combined treatment with lutropin alfa and recombinant human luteinizing hormone during controlled ovarian stimulation in women with reduced ovarian reserve.

Is recombinant human follicle-stimulating hormone the same as r-hFSH?

Yes, recombinant human follicle-stimulating hormone is also known as r-hFSH. The abbreviation r-hFSH stands for recombinant human follicle-stimulating hormone, and both names refer to the same investigational infertility treatment being developed by Merck KGaA.