Controlled Ovarian Stimulation (COS)

Active Ingredient: Corifollitropin alfa

Indication for Corifollitropin alfa

Population group: women, only adults (18 - 65 years old)
Therapeutic intent: Adjunct intent

Corifollitropin alfa is indicated for Controlled Ovarian Stimulation (COS) in combination with a Gonadotropin Releasing Hormone (GnRH) antagonist for the development of multiple follicles in women participating in an Assisted Reproductive Technology (ART) program.

For this indication, competent medicine agencies globally authorize below treatments:

100-150 ug once

For:

Route of admnistration

Subcutaneous

Defined daily dose

100 - 150 ug

Dosage regimen

From 100 To 150 ug once every day

Detailed description

In the treatment of women of reproductive age, the dose of corifollitropin alfa is based on weight and age.

  • A single 100-microgram dose is recommended in women who weigh less than or equal to 60 kilograms and who are 36 years of age or younger.
  • A single 150-microgram dose is recommended in women:
    • who weigh more than 60 kilograms, regardless of age.
    • who weigh 50 kilograms or more and who are older than 36 years of age.

Women older than 36 years of age who weighed less than 50 kilograms were not studied.

 Body Weight
 Less than 50 kg50-60 kgMore than 60 kg
Age36 years or younger100 micrograms100 micrograms150 micrograms
Older than 36 yearsNot studied150 micrograms150 micrograms

The recommended doses of corifollitropin alfa have only been established in a treatment cycle with a GnRH antagonist that was administered from stimulation day 5 or day 6 onwards.

Stimulation day 1: corifollitropin alfa should be administered as a single subcutaneous injection, preferably in the abdominal wall, during the early follicular phase of the menstrual cycle.

Stimulation day 5 or 6: Treatment with a GnRH antagonist should be started on stimulation day 5 or day 6 depending on the ovarian response, i.e. the number and size of growing follicles. The concurrent determination of serum oestradiol levels may also be useful. The GnRH antagonist is used to prevent premature Luteinising Hormone (LH) surges.

Stimulation day 8: Seven days after the injection with corifollitropin alfa on stimulation day 1, COS treatment may be continued with daily injections of (recombinant) Follicle Stimulating Hormone [(rec)FSH] until the criterion for triggering final oocyte maturation (3 follicles ≥17 mm) has been reached. The daily dose of (rec)FSH may depend on the ovarian response. In normal responders a daily dose of 150 IU (rec)FSH is advised. Administration of (rec)FSH on the day of human Chorionic Gonadotropin (hCG) administration can be omitted, depending on the ovarian response. In general, adequate follicular development is achieved on average by the ninth day of treatment (range 6 to 18 days).

As soon as three follicles 17 mm are observed, a single injection of 5,000 up to 10,000 IU hCG is administered the same day or the day thereafter to induce final oocyte maturation.

Active ingredient

Corifollitropin alfa

Corifollitropin alfa is designed as a sustained follicle stimulant with the same pharmacodynamic profile as (rec)FSH, but with a markedly prolonged duration of FSH activity. Corifollitropin alfa does not display any intrinsic LH/hCG activity.

Read more about Corifollitropin alfa

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