Intranasal Nafarelin to Trigger Final Egg M maturation in Fertility Preservation
Official title: Intranasal Nafarelin Compared to Subcutaneous Triptorelin for Triggering Final Oocyte Maturation in Ovarian Stimulation: a Non-inferiority Randomised Controlled Clinical Trial
Run by Fundacion Dexeus · NCT06763926 · Data updated 2026-11-12
This trial tests whether intranasal nafarelin can trigger final oocyte maturation as effectively as subcutaneous triptorelin for women freezing oocytes for fertility preservation.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 40 Years |
| Sex | Women only |
| Enrollment | 154 (estimated) |
| Sponsor | Fundacion Dexeus Academic / other |
| Locations | 5 sites (Sabadell, Barcelona and 4 other locations) |
| Status | Recruiting |
| Started | October 14, 2026 |
| Main results expected | January 15, 2028 |
| Study ends | January 15, 2028 |
| Registry record updated | October 15, 2026 |
| Trial ID | NCT06763926 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women undergoing fertility preservation with oocyte cryopreservation who are using progesterone-primed ovarian stimulation and have BMI 18–30 kg/m2.
✕Probably not a fit
Individuals outside the BMI range, with contraindications to intranasal medications, or with a history of poor response to agonist trigger may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, non-inferiority trial compares intranasal nafarelin with subcutaneous triptorelin to trigger final oocyte maturation in women undergoing fertility preservation with oocyte cryopreservation. Participants are adults meeting specific fertility preservation criteria and undergoing progesterone-primed ovarian stimulation. The primary outcome is the number of mature oocytes (MII) retrieved, with a non-inferiority margin of 2 oocytes, 80% power, and a two-sided alpha of 0.05. Subcutaneous triptorelin serves as the control, while intranasal nafarelin is the experimental trigger. The study is conducted at multiple sites affiliated with Fundacion Dexeus in Spain.
Why it matters
Potential benefit: If successful, intranasal nafarelin could offer a convenient, non-inferior option for triggering egg maturation in fertility preservation.
How similar studies have gone: Prior research in similar GnRH agonist triggers supports non-inferiority approaches; this study tests a novel intranasal formulation in this specific setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Women undergoing fertility preservation cycles with oocyte cryopreservation * Undergoing a progesterone-primed ovarian stimulation cycle (PPOS) with any commercially available gonadotropin preparation(s) * BMI 18 - 30 kg/m2 Exclusion Criteria: * Allergy or hypersensitivity to either of the study drugs * Hypopituitarism * Known pituitary tumour * Contraindication to intranasal medication administration * Previous poor response to agonist trigger
Where it's running
-
Departamento de Ginecología Obstetricia y Reproducción. Hospital Universitari Dexeus
Barcelona, Spain Recruiting -
Dexeus Mujer Sabadell
Sabadell, Barcelona, Spain Not yet recruiting -
Dexeus Mujer Sant Cugat
Sant Cugat del Vallès, Barcelona, Spain Not yet recruiting -
Dexeus Mujer Reus
Reus, Tarragona, Spain Not yet recruiting -
Dexeus Mujer Tarragona
Tarragona, Spain Not yet recruiting
Study contacts
- Principal investigator: Nikolaos P Polyzos, MD, PhD — Dexeus Fertility
- Study coordinator: Nikolaos P Polyzos, MD, PhD
- Email: nikpol@dexeus.com
- Phone: 0034932274700
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Follicular Flushing During Abdominal Egg Retrieval in Women with Low Egg Reserve
This study tests whether rinsing the egg sacs during abdominal egg collection yields more eggs and more mature eggs for freezing in women with low ovarian reserve.
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This project will see how fertility preservation options work long-term for women in remission from cancer or hematological disease, including how often preserved material is used and the psychological effects.
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This trial tests whether taking a two-month break from combined hormonal birth control versus starting ovarian stimulation immediately affects outcomes for ovary-bearing people aged 18–40 who are planning to freeze their eggs.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.