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Org 36286

Phase 2

Infertility | Small molecule | Other |Organon & Co.|Last Updated: Aug 15, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment178
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00702585Study to Investigate the Optimal Dose of Org 36286 to Induce Monofollicular Ovulation in Women With WHO Group II Anovulatory Infertility (P07016)PHASE2 COMPLETED 55Aug 1, 2001Oct 15, 2002Aug 15, 2024 -
NCT00702806Investigate Dose of Org 36286 to Initiate Multiple Follicular Growth in a Controlled Ovarian Hyperstimulation Protocol for IVF or IVF/ICSI (P07015)PHASE2 COMPLETED 99Jul 1, 2001Oct 15, 2002Aug 15, 2024 -
NCT00647933An Open-label, Single Center Trial to Assess the Pharmacokinetics, Pharmacodynamics and Safety of Org 36286 (P07004)PHASE1 COMPLETED 24Jun 1, 2000Dec 1, 2000Feb 3, 2022 -
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Study Endpoints
Primary Endpoints
Participant Ovulation Rate in Monofollicular Cycles
Up to 2 Weeks Following LH Peak
Median Puregon® Dose (IU) Required To Reach Criteria for Administration of Human Chorionic Gonadotropin (hCG) For Induction of Final Oocyte Maturation
Day 8 Up to End of Menstrual Cycle
Maximum number of follicles >= 5 mm (nmax)
Days 2 - 35
Mean dose-normalized maximum plasma concentration (Cmax) post single dose Org 36286
Days 1 - 15
Mean dose-normalized area under the curve (AUC) post single dose Org 36286
Days 1 - 15
Mean total plasma clearance (CL) post single dose Org 36286
Days 1 - 15
Number of participants with an adverse event (AE)
Start of treatment up to day 28
Secondary Endpoints
Participant Overall Ovulation Rate
Up to 2 Weeks Following LH Pek
Number of Participants With Cancellation of Menstrual Cycle
Up to Day 21
Participant Follicle Size
Up to Day 21
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Org 36286 7.5 µgEXPERIMENTALOrg 36286 7.5 µg administered as a single subcutaneous injection on the day of the onset of a spontaneous or progestagen induced withdrawal bleeding or one to two days later.
Org 36286 15 µgEXPERIMENTALOrg 36286 15 µg administered as a single subcutaneous injection on the day of the onset of a spontaneous or progestagen induced withdrawal bleeding or one to two days later.
Org 36286 30 µgEXPERIMENTALOrg 36286 30 µg administered as a single subcutaneous injection on the day of the onset of a spontaneous or progestagen induced withdrawal bleeding or one to two days later.
Org 36286 60 µgEXPERIMENTALOrg 36286 60 µg administered as a single subcutaneous injection on the day of the onset of a spontaneous or progestagen induced withdrawal bleeding or one to two days later.
PlaceboPLACEBO_COMPARATORPlacebo to Org 36286 administered as a single subcutaneous injection on the day of the onset of a spontaneous or progestagen induced withdrawal bleeding or one to two days later.
Org 36286 120 μg + Puregon® 150 IUEXPERIMENTALOn Cycle Day 2 or Day 3, a single intra-abdominal injection of Org 36286 120 μg was administered to participants. On stimulation Day 8, a daily subcutaneous dose of Puregon® 150 IU was administered up to and including the time of Pregnyl® administration as a single dose of 10,000 IU subcutaneously. The maximum treatment duration of Puregon® 150 IU was 19 days. Orgalutran® 0.25 mg was administered subcutaneously once daily up to and including the day of Pregnyl®, when the leading follicle reached a size of \>= 14 mm.
Org 36286 180 μg + Puregon® 150 IUEXPERIMENTALCycle Day 2 or Day 3, a single intra-abdominal injection of Org 36286 180 μg was administered to participants. On stimulation Day 8, a daily subcutaneous dose of Puregon® 150 IU was administered up to and including the time of Pregnyl® administration as a single dose of 10,000 IU subcutaneously. The maximum treatment duration of Puregon® 150 IU was 19 days. Orgalutran® 0.25 mg was administered subcutaneously once daily up to and including the day of Pregnyl®, when the leading follicle reached a size of \>= 14 mm.
Org 36286 240 μg + Puregon® 150 IUEXPERIMENTALCycle Day 2 or Day 3, a single intra-abdominal injection of Org 36286 240 μg was administered to participants. On stimulation Day 8, a daily subcutaneous dose of Puregon® 150 IU was administered up to and including the time of Pregnyl® administration as a single dose of 10,000 IU subcutaneously. The maximum treatment duration of Puregon® 150 IU was 19 days. Orgalutran® 0.25 mg was administered subcutaneously once daily up to and including the day of Pregnyl®, when the leading follicle reached a size of \>= 14 mm.
Puregon® 150 IUACTIVE_COMPARATOROn stimulation Day 8, a daily subcutaneous dose of Puregon® 150 IU was administered up to and including the time of Pregnyl® administration as a single dose of 10,000 IU subcutaneously. The maximum treatment duration of Puregon® 150 IU was 19 days. Orgalutran® 0.25 mg was administered subcutaneously once daily up to and including the day of Pregnyl®, when the leading follicle reached a size of \>= 14 mm.
Org 36286 15 μg + Lyndiol®EXPERIMENTALAfter a pill-free period of 7 days, participants took 1 oral tablet of Lyndiol® (50 μg ethinylestradiol + 2.5 mg lynestrenol) daily for a total period of at least 6 weeks to suppress endogenous gonadotropin secretion. After 3 weeks of Lyndiol® intake, participants received a single subcutaneous dose of Org 36286 15 μg.
Org 36286 30 μg + Lyndiol®EXPERIMENTALAfter a pill-free period of 7 days, participants took 1 oral tablet of Lyndiol® (50 μg ethinylestradiol + 2.5 mg lynestrenol) daily for a total period of at least 6 weeks to suppress endogenous gonadotropin secretion. After 3 weeks of Lyndiol® intake, participants received a single subcutaneous dose of Org 36286 30 μg.
Org 36286 60 μg + Lyndiol®EXPERIMENTALAfter a pill-free period of 7 days, participants took 1 oral tablet of Lyndiol® (50 μg ethinylestradiol + 2.5 mg lynestrenol) daily for a total period of at least 6 weeks to suppress endogenous gonadotropin secretion. After 3 weeks of Lyndiol® intake, participants received a single subcutaneous dose of Org 36286 60 μg.
Org 36286 120 μg + Lyndiol®EXPERIMENTALAfter a pill-free period of 7 days, participants took 1 oral tablet of Lyndiol® (50 μg ethinylestradiol + 2.5 mg lynestrenol) daily for a total period of at least 6 weeks to suppress endogenous gonadotropin secretion. After 3 weeks of Lyndiol® intake, participants received a single subcutaneous dose of Org 36286 120 μg.
Interventions
NameTypeDescription
Org 36286DRUGOrg 36286 single-dose subcutaneous injection
PlaceboDRUGPlacebo to Org 36286 as a single-dose subcutaneous injection
Puregon®DRUGSubcutaneous Puregon® 150 IU
Orgalutran®DRUGSubcutaneous Orgalutran® 0.25 mg
Pregnyl®DRUGSubcutaneous Pregnyl® 10,000 IU
Lyndiol®DRUGLyndiol® (50 μg ethinylestradiol + 2.5 mg lynestrenol) tablets orally once a day for 6 weeks.
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Eligibility Criteria
Age Range18 Years — 39 Years
SexFEMALE
Healthy VolunteersNo

Inclusion Criteria: * Wish to conceive; * Oligomenorrhea (cycle length \>=41 days) or amenorrhea (no menstrual cycle for \>6 months); * Body Mass Index (BMI) \>=18 and \<=32 kg/m\^2; * Serum FSH levels within normal limits (1-10 IU/L); * Normal serum prolactin and thyroid stimulating hormone (TSH) ...

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