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Trial · NCT04854707

An Observational Study of Follitropin Alpha Biosimilar: the Real-world Data

NCT04854707, Completed, IVFarma LLC; results first posted 2021-10-22

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. An Observational Study of Follitropin Alpha Biosimilar: the Real-world Data. Trials, record NCT04854707. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04854707

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
An Observational Study of Follitropin Alpha Biosimilar: the Real-world Data
NCT number
NCT04854707
Status
Completed
Enrollment
5,484 participants, actual
Lead sponsor
IVFarma LLC
Conditions
Reproductive Issues, Reproductive Disorder, Fertility Disorders, Fertility Issues, Gynecologic Disease, IVF
Interventions
Follitropin Alfa, Follicle Stimulating Hormone/Luteinizing Hormone, Follitropin Alfa, Follitropin Alfa, Follicle Stimulating Hormone/Luteinizing Hormone
First posted
2021-04-22
Last updated
2021-10-22
Results first posted
2021-10-22
Limitations and caveats
The real-world patient data analysed in this study were representative, showing the ability of follitropin biosimilars to develop both folliculogenesis and clinical pregnancy in a nonselected population. Additional comparative studies are needed to confirm the efficacy of the biosimilars in patients with classified types of infertility causes, including unexplained infertility.

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Oocytes RetrievedFrom date of start of ovarian stimulation with follitropin alpha up to 15 days
The total number of retrieved oocytes at the day of ovum pick-up. No more than 37 hours from the introduction of the ovulation inducer (HCG or GnRH-agonist). Due to lack of efficacy of the therapy (ovarian stimulation was not completed and oocytes were not retrieved) the analysed population was: (1) Mixed protocols: recombinant and urinary-derived gonadotropins and antagonists/agonists of GnRH - 2625 participants (lack of efficacy: 78 participants, the analysed population was 2547 participants); (2) Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH - 2859 participants (lack of efficacy: 89, the analysed population was 2770); (3) Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH - 2183 participants (lack of efficacy: 59, the analysed population was 2124) and (4) Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH - 676 participants (lack of efficacy: 30, the analysed population was 646).
PrimaryPercentage of Participants With Ongoing Clinical Pregnancy Per Embryo TransferAt least 6 weeks after embryo transfer
Ongoing clinical pregnancy per embryo transfer (detection of gestational sac and heartbeat from 6 weeks after transfer), n (ongoing pregnancy rate per transfer with known outcome, %). Due to delayed embryo transfers, the analysed population for "Ongoing clinical pregnancy per embryo transfer" was: (1) Mixed protocols: recombinant and urinary-derived gonadotropins and antagonists/agonists of GnRH - 2007 embryo transfers (1542 with known outcome); (2) Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH - 2213 embryo transfers (1800 with known outcome); (3) Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH - 1809 embryo transfers (1466 with known outcome) and (4) Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH - 404 embryo transfers (334 with known outcome).
SecondaryNumber of Mature OocytesFrom date of start of ovarian stimulation with follitropin alpha up to 15 days
Mature oocytes (MII stage of development). Due to lack of efficacy of the therapy (ovarian stimulation was not completed and oocytes were not retrieved) the analysed population was: (1) Mixed protocols: recombinant and urinary-derived gonadotropins and antagonists/agonists of GnRH - 2625 participants (lack of efficacy: 78 participants, the analysed population was 2547 participants); (2) Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH - 2859 participants (lack of efficacy: 89, the analysed population was 2770); (3) Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH - 2183 participants (lack of efficacy: 59, the analysed population was 2124) and (4) Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH - 676 participants (lack of efficacy: 30, the analysed population was 646).
SecondaryNumber of Fertilized OocytesFrom date of start of ovarian stimulation with follitropin alpha up to 16 days
Fertilization rate (FR) is percentage of transformation of oocytes into two pronuclei (presence of two pronuclei: zygotes with 2PN). Due to lack of efficacy of the therapy (ovarian stimulation was not completed and oocytes were not retrieved) the analysed population was: (1) Mixed protocols: recombinant and urinary-derived gonadotropins and antagonists/agonists of GnRH - 2625 participants (lack of efficacy: 78 participants, the analysed population was 2547 participants); (2) Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH - 2859 participants (lack of efficacy: 89, the analysed population was 2770); (3) Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH - 2183 participants (lack of efficacy: 59, the analysed population was 2124) and (4) Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH - 676 participants (lack of efficacy: 30, the analysed population was 646).
SecondaryTotal Dose of Follitropin Alpha Biosimilar Protocol, IUFrom date of start of ovarian stimulation with follitropin alpha up to 16 days
Mean dose of follitropin alpha biosimilar for ovarian stimulation. Due to lack of efficacy of the therapy (ovarian stimulation was not completed and oocytes were not retrieved) the analysed population was: (1) Mixed protocols: recombinant and urinary-derived gonadotropins and antagonists/agonists of GnRH - 2625 participants (lack of efficacy: 78 participants, the analysed population was 2547 participants); (2) Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH - 2859 participants (lack of efficacy: 89, the analysed population was 2770); (3) Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH - 2183 participants (lack of efficacy: 59, the analysed population was 2124) and (4) Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH - 676 participants (lack of efficacy: 30, the analysed population was 646).

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Oocytes RetrievedFrom date of start of ovarian stimulation with follitropin alpha up to 15 days
Arm Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH is combined group for primary and secondary outcome measures and consist of patients from Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH and Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH.
The total number of retrieved oocytesMEAN
PRIMARYPercentage of Participants With Ongoing Clinical Pregnancy Per Embryo TransferAt least 6 weeks after embryo transfer
Arm Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH is combined group for primary and secondary outcome measures and consist of patients from Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH and Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH.
Percetnage of patients (%)NUMBER
SECONDARYNumber of Mature OocytesFrom date of start of ovarian stimulation with follitropin alpha up to 15 days
Arm Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH is combined group for primary and secondary outcome measures and consist of patients from Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH and Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH.
Number of mature oocytesMEAN
SECONDARYNumber of Fertilized OocytesFrom date of start of ovarian stimulation with follitropin alpha up to 16 days
Arm Monoprotocols: follitropin alpha biosimilar only and antagonists/agonists of GnRH is combined group for primary and secondary outcome measures and consist of patients from Monoprotocols: follitropin alpha biosimilar only and antagonists of GnRH and Monoprotocols: follitropin alpha biosimilar only and agonist of GnRH.
zygotes with 2PNMEAN
SECONDARYTotal Dose of Follitropin Alpha Biosimilar Protocol, IUFrom date of start of ovarian stimulation with follitropin alpha up to 16 daysIU (International Units)MEAN

Results by group25

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Oocytes RetrievedMixed Protocols: Recombinant and Urinary-derived Gonadotropins and Antagonists/Agonists of GnRH8.6Standard Deviation 6.8The total number of retrieved oocytes
Number of Oocytes RetrievedMonoprotocols: Follitropin Alpha Biosimilar Only and Antagonists/Agonists of GnRH10.3Standard Deviation 7.4The total number of retrieved oocytes
Number of Oocytes RetrievedMonoprotocols: Follitropin Alpha Biosimilar Only and Antagonists of GnRH10.5Standard Deviation 7.5The total number of retrieved oocytes
Number of Oocytes RetrievedMonoprotocols: Follitropin Alpha Biosimilar Only and Agonist of GnRH9.6Standard Deviation 7.0The total number of retrieved oocytes
Number of Oocytes RetrievedThe Overall Protocols9.5Standard Deviation 7.2The total number of retrieved oocytes
Percentage of Participants With Ongoing Clinical Pregnancy Per Embryo TransferMixed Protocols: Recombinant and Urinary-derived Gonadotropins and Antagonists/Agonists of GnRH39.395% Confidence Interval 36.9 to 41.7Percetnage of patients (%)
Percentage of Participants With Ongoing Clinical Pregnancy Per Embryo TransferMonoprotocols: Follitropin Alpha Biosimilar Only and Antagonists/Agonists of GnRH37.695% Confidence Interval 35.3 to 39.8Percetnage of patients (%)
Percentage of Participants With Ongoing Clinical Pregnancy Per Embryo TransferMonoprotocols: Follitropin Alpha Biosimilar Only and Antagonists of GnRH37.995% Confidence Interval 35.5 to 40.5Percetnage of patients (%)
Percentage of Participants With Ongoing Clinical Pregnancy Per Embryo TransferMonoprotocols: Follitropin Alpha Biosimilar Only and Agonist of GnRH35.995% Confidence Interval 30.8 to 41.1Percetnage of patients (%)
Percentage of Participants With Ongoing Clinical Pregnancy Per Embryo TransferThe Overall Protocols38.495% Confidence Interval 35.9 to 40.2Percetnage of patients (%)

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDMixed Protocols: Recombinant and Urinary-derived Gonadotropins and Antagonists/Agonists of GnRH2,625
Overall StudySTARTEDMonoprotocols: Follitropin Alpha Biosimilar Only and Antagonists of GnRH2,183
Overall StudySTARTEDMonoprotocols: Follitropin Alpha Biosimilar Only and Agonist of GnRH676
Overall StudyCOMPLETEDMixed Protocols: Recombinant and Urinary-derived Gonadotropins and Antagonists/Agonists of GnRH2,547
Overall StudyCOMPLETEDMonoprotocols: Follitropin Alpha Biosimilar Only and Antagonists of GnRH2,124
Overall StudyCOMPLETEDMonoprotocols: Follitropin Alpha Biosimilar Only and Agonist of GnRH646
Overall StudyNOT COMPLETEDMixed Protocols: Recombinant and Urinary-derived Gonadotropins and Antagonists/Agonists of GnRH78
Overall StudyNOT COMPLETEDMonoprotocols: Follitropin Alpha Biosimilar Only and Antagonists of GnRH59
Overall StudyNOT COMPLETEDMonoprotocols: Follitropin Alpha Biosimilar Only and Agonist of GnRH30

Adverse events1

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherInjection site painSkin and subcutaneous tissue disordersThe Overall Protocols6575,484657

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityThe Overall Protocols05,484
Total, other adverse eventsThe Overall Protocols6575,484
Total, serious adverse eventsThe Overall Protocols05,484

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04854707

GET https://conductscience.org/api/trials/v1/NCT04854707/results?page=2