drugset / Trial / NCT07732348

Oral GnRH Antagonist (Linzagolix) Versus Injectable GnRH Antagonist in Controlled Ovarian Stimulation for In Vitro Fertilization: A Randomized Controlled Non-Inferiority Trial With a Concurrent Comparator Cohort Undergoing Progestin-Primed Ovarian Stimulation (PPOS)

NCT07732348 ↗

RandomizedParallel-groupOpen-labelTreatment

Summary

Women undergoing IVF/ICSI who are candidates for a GnRH-antagonist protocol are randomly assigned 1:1 to oral linzagolix or the standard injectable GnRH antagonist (ganirelix or cetrorelix). A third, non-randomized group of women with a clinical indication for progestin-primed ovarian stimulation (PPOS) - for example, a need for a freeze-all strategy - is enrolled concurrently as a comparator cohort. The randomized comparison (linzagolix vs. injectable antagonist) is the primary, non-inferiority analysis; the PPOS cohort provides an exploratory, non-randomized comparison, analyzed with adjustment for baseline differences.

Timeline

Start
2026-09
Primary completion
2026-12
Completion
2026-12

Drugs

EvaluationDrugModalityDoseRoute
Comparator Cetrorelix Other / unclassified 0.25 mg Subcutaneous
Comparator Ganirelix Protein / enzyme biologic 0.25 mg Subcutaneous
Comparator Micronized progesterone Unknown 100 mg Oral
Comparator Micronized progesterone Unknown 200 mg Oral
Subject linzagolix Unknown 200 mg Oral
Comparator medroxyprogesterone acetate Other / unclassified 10 mg Oral