Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 18 to 40 Women only

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.

More Fertility Preservation trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years to 40 Years
SexWomen only
Enrollment154 (estimated)
SponsorFundacion Dexeus
Academic / other
Locations5 sites (Sabadell, Barcelona and 4 other locations)
StatusRecruiting
StartedOctober 14, 2026
Main results expectedJanuary 15, 2028
Study endsJanuary 15, 2028
Registry record updatedOctober 15, 2026
Trial IDNCT06763926 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

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.