Study of Personalized Follitropin Delta Dosing with a Long GnRH Agonist Protocol in Women Undergoing IVF or ICSI
Led by Prof. Dr. med. M.Sc. Georg Griesinger · Updated on 2025-07-29
350
Participants Needed
4
Research Sites
34 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating a personalized dosing regimen of a hormone called Follitropin delta in women undergoing controlled ovarian stimulation for in vitro fertilization IVF or intracytoplasmic sperm injection ICSI using a long GnRH agonist protocol. This observational study, called REWAG, aims to see how well this individualized hormone dosing works in routine fertility treatment settings and whether it helps balance ovarian stimulation to reduce risks while achieving good outcomes.
Women in the study receive Follitropin delta, a recombinant follicle-stimulating hormone, with doses adjusted based on their weight and blood levels of anti-Mllerian hormone AMH. The dosing follows standard clinical practice, with no experimental drugs or procedures given by the study. Participants are treated at fertility centers across Germany, and all decisions about treatment remain with their doctors.
Participants will be involved only in routine visits and medical documentation, with no extra procedures required for the study. Researchers will collect data on the number of eggs retrieved, pregnancy rates, treatment cancellations, and any side effects, including ovarian hyperstimulation syndrome from egg retrieval to week 20 of pregnancy. They will also analyze how patient characteristics affect treatment results. Personal data will be protected under strict privacy rules. The study plans to include about 350 women aged 18 to 44 years.
CONDITIONS
Brief Title
Follitropin Delta in Long GnRH-agonist Protocol
Research Team
G
Georg Griesinger, MD
L
Lilit Kamalyan, MD, PhD
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University Hopsital Schleswig Holstein Campus Lübeck
Collaborating Sponsor
Who Can Participate
Age: 18Years - 44Years
FEMALE
Eligibility Criteria
You may qualify if you...
Female aged 18 to 44 years at enrollment
Planned controlled ovarian stimulation using a long luteal GnRH agonist protocol with daily subcutaneous GnRH agonist
Planned use of Follitropin delta for ovarian stimulation according to prescribing information
Serum AMH level between 0.3 ng/ml and 4.9 ng/ml measured within 12 months before treatment
Most recent AMH measurement not older than 12 months before stimulation start
Planned IVF or ICSI treatment in first or second attempt with ejaculated or cryopreserved male germ cells, autologous or heterologous, with or without genetic testing
Planned triggering of final oocyte maturation with hCG
Willingness and consent to participate in the study
You will not qualify if you...
Serum AMH level not measured by ELECSYS AMH Plus Immunoassay, ACCESS AMH Advanced, or LUMIPULSE G AMH assays
Most recent AMH value older than 12 months before stimulation start
Serum AMH level outside 0.3 to 4.9 ng/ml range within 12 months before treatment
Pre-treatment with combined oral contraceptive pill containing ethinyl estradiol and progestogen or natural estradiol/progesterone
Diagnosis of anovulatory polycystic ovary syndrome (PCOS)
Contraindications to Follitropin delta treatment
Undergoing ovarian stimulation for fertility preservation rather than IVF/ICSI treatment
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Monitoring
Duration - From ovarian stimulation start until gestational week 20
Participants who undergo routine care for controlled ovarian stimulation with Follitropin delta in a long GnRH agonist protocol are observed. Measurements are collected before, during, and after ovarian stimulation according to routine clinical practice.
Visits according to routine clinical practice
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
1
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Published Research Related To This Trial
BEYOND: a randomized controlled trial comparing efficacy and safety of individualized follitropin delta dosing in a GnRH agonist versus antagonist protocol during the first ovarian stimulation cycle.