Progestin-primed ovarian stimulation with corifollitropin alfa versus standard rFSH/GnRH antagonist (crossover)
Official title: PPOS and CFA for Elective Freeze-all Ovarian Stimulation Cycles: a Prospective Cross-over Study
Run by University Hospital, Ghent · NCT06175832 · Data updated 2026-11-12
This study will test whether progestin-primed ovarian stimulation using a single-dose corifollitropin alfa improves patient satisfaction and compliance while producing similar ovarian response compared with conventional recombinant FSH plus a GnRH antagonist in women having their first IVF/ICSI cycle for fertility preservation or PGT‑A.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 40 Years |
| Sex | Women only |
| Enrollment | 60 (estimated) |
| Sponsor | University Hospital, Ghent Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Ghent) |
| Status | Recruiting |
| Started | January 27, 2025 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | December 26, 2025 |
| Trial ID | NCT06175832 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women aged 18–40 having their first ovarian stimulation for elective oocyte cryopreservation or for IVF/ICSI with PGT‑A who meet pre-screening ovarian reserve criteria (AFC > 5 and AMH > 1.1 ng/ml) are ideal candidates.
✕Probably not a fit
Patients with expected poor ovarian response (Bologna criteria), PCOS, contraindications to ovarian stimulation, uncontrolled thyroid disease, current pregnancy or breastfeeding, or those taking excluded medications are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
P-CCROSS is a randomized, prospective monocentric phase 4 crossover trial comparing PPOS with corifollitropin alfa to conventional rFSH plus a GnRH antagonist. Eligible participants are women aged 18–40 undergoing their first ovarian stimulation for elective oocyte cryopreservation or for IVF/ICSI with PGT‑A, and each participant will receive both stimulation regimens in separate cycles. The study uses patient questionnaires to measure satisfaction and treatment compliance and also compares endocrine profiles and ovarian response metrics between cycles. Treatments are provided at University Hospital Ghent using commonly used medications such as Elonva®, Puregon®, Orgalutran®, Gonapeptyl®, and Cerazette®.
Why it matters
Potential benefit: If successful, this approach could make stimulation simpler and more comfortable for patients while maintaining ovarian response and oocyte yield.
How similar studies have gone: Previous studies indicate PPOS and corifollitropin alfa can effectively stimulate the ovaries and simplify dosing, but randomized crossover comparisons that focus on patient satisfaction are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Prescreening: Clarification: Pre-screening might be performed to identify women with AFC \> 5 and AMH \> 1.1 ng/ml (Bologna criteria, AFC and AMH values are valid for one year). Inclusion criteria for: * Group 1: indication for oocyte cryopreservation * Group 2: indication for IVF/ICSI and PGT-A Inclusion criteria for both groups: * First ovarian stimulation cycle * Aged ≥ 18 and \< 41 years old at the time of first OPU Exclusion Criteria: * contra-indication for ovarian stimulation * expected poor ovarian response (Bologna Criteria) * PCOS patients * refusal to fill out questionnaires before, during and after treatment * simultaneous participation in another clinical study * untreated and uncontrolled thyroid dysfunction; * current use of oral contraceptives, anti-psychotics, anti-epileptics or chemotherapy; * pregnant or breastfeeding women. A woman is considered of childbearing potential (WOCBP), i.e. fertile, following menarche and until becoming postmenopausal unless permanently sterile. Permanent sterilization methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. A postmenopausal state is defined as no menses for 12 months without an alternative medical cause.
Where it's running
-
University Hospital Ghent
Ghent, Belgium Recruiting
Study contacts
- Study coordinator: Dominic Stoop, Prof. dr.
- Email: Dominic.Stoop@uzgent.be
- Phone: 093321699
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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.