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Gonadorelin

GnRH, Luteinizing Hormone-Releasing Hormone, LHRH, Factrel

Quick Stats
Studies 192
Trials 100
Withdrawn PHASE4 INTERVENTIONAL NCT02757287

Desogestrel (DSG) and Corifollitropin(FSH-CTP) Alfa for Ovarian Stimulation in Donors

View on ClinicalTrials.gov Updated Dec 15, 2025

Brief Summary

Currently, controlled ovarian stimulation (COS) in oocyte donors is performed by daily injections of gonadotropins( recombinant FSH) plus a GnRH Antagonist usually form 5th-6th stimulation day until ovulation induction with a bolus of another injection of a gonadotropin-releasing hormone (GnRH) Agonist. Injections of the GnRH Antagonist avoid untimely luteinizing hormone (LH) surge and spontaneous ovulation prior to follicular aspiration. There is a preparation of long-acting recombinant follicle stimulating hormone (rFSH= (corifollitropin alfa (FSH-CTP), Elonva®, MSD), that allows that a single subcutaneous injection substitutes the first 7 days of daily gonadotropin injections. On the other hand, a contraceptive oral progesterone only( Desogestrel, DSG) is available for contraception, avoiding the LH surge. It has been described the usefulness of orally administered medroxyprogesterone acetate, 10 mg to inhibit the endogenous LH surge in IVF patients during COS. In donors, by administering a single injection of FSH-CTP and oral desogestrel since the first menstruation day, the total number of injections administered is reduced and less discomfort is experienced without adverse impact on ovarian response. No description of the hormonal and ovarian response under this protocol has been published

Detailed Description

* oral desogestrel since the first menstruation day, * a single injection of FSH-CTP on the 7th menstrual cycle day * routine monitoring of ovarian response with transvaginal ultrasound every second day until pre-ovulatory bolus of GnRH * Hormones measured on day of 7th menstrual cycle day , day of pre-ovulatory bolus of GnRH and the day after the bolus ( estradiol, FSH, Progesterone, LH) * Quality of Life questionnaire the day after the bolus

Interventions

Name: FSH-CTP + DESOGESTREL
Type: DRUG
Description: Hormones measured on day of 7th menstrual cycle day , day of pre-ovulatory bolus of GnRH and the day after the bolus ( estradiol, FSH, Progesterone, LH) \- Quality of Life questionnaire the day after the bolus

Primary Outcomes

Measure: Total dose of gonadotrophins
TimeFrame: At the end of the stimulation treatment period (5 or 7 days after begining of treatment)
Description: Total Consume of gonadotrophins

Trial Information

NCT ID

NCT02757287

Status

Withdrawn

Study Type

INTERVENTIONAL

Phases

PHASE4

Sponsor

Fundacion Dexeus

Last Updated

December 15, 2025