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Corifollitropin alfa for ovarian stimulation in IVF: a randomized trial in lower-body-weight women.

Abstract
In this double-blind, double-dummy, randomized, equivalence trial (Ensure), 396 women weighing 60kg or less who underwent controlled ovarian stimulation prior to IVF or intracytoplasmic sperm injection were randomized in a 2:1 ratio to a single dose of 100mug corifollitropin alfa or daily 150IU recombinant FSH (rFSH) for the first 7days of stimulation in a gonadotrophin-releasing hormone antagonist protocol. The mean +/- SD number of oocytes retrieved per started cycle was 13.3 +/- 7.3 for corifollitropin alfa versus 10.6 +/- 5.9 for rFSH. The estimated treatment difference of +2.5 oocytes (95% CI 1.2-3.9) in favour of corifollitropin alfa (P<0.001) was well within the predefined equivalence margin. The median (range) duration of stimulation was 9 (6-15) days in both groups. In 32.8% of the patients, one injection of corifollitropin alfa was sufficient to reach the human chorionic gonadotrophin criterion. The incidence of moderate and severe ovarian hyperstimulation syndrome was 3.4% for corifollitropin alfa and 1.6% for rFSH. A dose of 100mug corifollitropin alfa offers a simplified treatment option for potential normal responder patients with a lower body weight.
AuthorsCorifollitropin alfa Ensure Study Group
JournalReproductive biomedicine online (Reprod Biomed Online) Vol. 21 Issue 1 Pg. 66-76 (Jul 2010) ISSN: 1472-6491 [Electronic] Netherlands
PMID20483664 (Publication Type: Journal Article, Multicenter Study, Randomized Controlled Trial)
Copyright2010 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.
Chemical References
  • Follicle Stimulating Hormone, Human
  • Recombinant Proteins
  • follicle stimulating hormone, human, with HCG C-terminal peptide
Topics
  • Adolescent
  • Adult
  • Body Weight
  • Female
  • Fertilization in Vitro (methods)
  • Follicle Stimulating Hormone, Human (therapeutic use)
  • Humans
  • Ovulation Induction (methods)
  • Pregnancy
  • Pregnancy Rate
  • Recombinant Proteins (therapeutic use)

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