UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056760
Receipt number R000064874
Scientific Title Comparative effectiveness and safety of follitropin delta versus follitropin alpha in Japanese real-world ART practice: a propensity score-matched retrospective observational cohort study (FALCON study)
Date of disclosure of the study information 2025/01/20
Last modified on 2026/04/28 15:57:02

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Basic information

Public title

A real-world retrospective study comparing two ovarian stimulation drugs (follitropin delta and follitropin alpha) in Japanese IVF practice

Acronym

FALCON Study (Follitropin ALfa vs delta CONparison)

Scientific Title

Comparative effectiveness and safety of follitropin delta versus follitropin alpha in Japanese real-world ART practice: a propensity score-matched retrospective observational cohort study (FALCON study)

Scientific Title:Acronym

FALCON Study

Region

Japan


Condition

Condition

Infertility (cases with indication for in-vitro fertilization and embryo transfer)

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Follitropin delta is a novel recombinant FSH derived from a human cell line, characterized by an individualized dosing algorithm based on serum anti-Mullerian hormone and body weight. While its non-inferiority to Follitropin alfa has been demonstrated in large-scale RCTs, real-world comparative data in Japanese clinical practice remain limited. This study aims to compare the clinical effectiveness and safety of Follitropin alfa and Follitropin delta using single-center retrospective cohort data, with patient background balanced through propensity score matching.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Number of good-quality blastocysts per oocyte retrieval cycle (num_good_bl)
Statistical model: Negative binomial regression with cluster-robust standard errors (clustered by patient)
Effect measure: Rate ratio (RR) with 95% confidence interval
Non-inferiority margin: lower bound of 95% CI for RR > 0.80

Key secondary outcomes

Number of oocytes retrieved
Number of mature (M2) oocytes
Number of fertilized embryos
Number of good-quality cleavage-stage embryos
Number of blastocysts
Number of frozen embryos
Clinical pregnancy rate per cycle (gestational sac confirmed at 5 weeks)
Ongoing pregnancy rate per cycle (fetal heartbeat at 9 weeks)
Live birth rate per cycle
Incidence of moderate or severe ovarian hyperstimulation syndrome (OHSS, Golan grade 2)
Incidence of severe OHSS (Golan grade 3)
Rate of reaching embryo transfer


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

43 years-old >

Gender

Female

Key inclusion criteria

Cycles in which controlled ovarian stimulation with either Follitropin alfa or Follitropin delta was performed for in-vitro fertilization
Cycles in which oocyte retrieval was performed
Cycles treated at the participating institution within the study period

Key exclusion criteria

Non-IVF stimulation purposes (e.g., in-vitro maturation)
Natural cycles without exogenous stimulation
Cycles with missing critical baseline covariate (age)

Target sample size

4000


Research contact person

Name of lead principal investigator

1st name Shinnosuke
Middle name
Last name Komiya

Organization

HORAC Grand Front Osaka Clinic

Division name

Gynecology

Zip code

530-0011

Address

Grand Front Osaka Tower B 15F, 3-1, Ofuka-cho, Kita-ku, Osaka city, Osaka, Japan

TEL

0663778824

Email

komiya520@ivfjapan.com


Public contact

Name of contact person

1st name Shinnosuke
Middle name
Last name Komiya

Organization

HORAC Grand Front Osaka Clinic

Division name

Gynecology

Zip code

530-0011

Address

Grand Front Osaka Tower B 15F, 3-1, Ofuka-cho, Kita-ku, Osaka city, Osaka, Japan

TEL

0663778824

Homepage URL


Email

komiya520@ivfjapan.com


Sponsor or person

Institute

HORAC Grand Front Osaka Clinic

Institute

Department

Personal name



Funding Source

Organization

Self-funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

HORAC Grand Front Osaka Clinic

Address

Grand Frront Osaka Tower B 15F, 3-1, Ofuka-cho, Kita-ku, Osaka city, Osaka, Japan

Tel

0663778824

Email

komiya520@ivfjapan.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 01 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

300

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2025 Year 01 Month 20 Day

Date of IRB

2025 Year 01 Month 20 Day

Anticipated trial start date

2025 Year 01 Month 20 Day

Last follow-up date

2026 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2025 Year 01 Month 20 Day

Last modified on

2026 Year 04 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064874