Follitropin alfa

Also known as: Gonal-f

FDA-approved

Last verified: October 30, 2026

At a glance

FDA approval FDA-approved 6 applications
Randomized controlled trials 64 of 297 publications on PubMed
Registered clinical trials 174 17 active
Adverse event reports 2,330 1,912 classified as serious
  • Follitropin alfa is an FDA-approved drug, marketed as Gonal-f, Follistim (first approval: September 29, 1997).
  • PubMed lists 297 publications mentioning it, including 64 randomized controlled trials and 6 animal-only studies.
  • ClinicalTrials.gov lists 174 registered studies testing it (17 active).
  • FDA's adverse event system (FAERS) holds 2,330 reports mentioning it; 1,912 classified as serious. Reports do not prove causation.

Research topics

  • Follicle Stimulating Hormone, Human 100
  • Ovulation Induction 78
  • Fertilization in Vitro 49
  • Pregnancy Rate 42
  • Follicle Stimulating Hormone 33
  • Infertility, Female 26
  • Biosimilar Pharmaceuticals 23
  • Reproductive Techniques, Assisted 23
  • Ovarian Hyperstimulation Syndrome 19
  • Sperm Injections, Intracytoplasmic 16

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

Application Product Status First approval Sponsor
BLA020378 GONAL-F Approved, marketed September 29, 1997 EMD SERONO
BLA020582 FOLLISTIM Approved, discontinued September 29, 1997 ORGANON USA INC
BLA021211 FOLLISTIM AQ Approved, marketed March 23, 2004 ORGANON USA LLC
BLA021765 GONAL-F, GONAL-F RFF Approved, marketed March 25, 2004 EMD SERONO
BLA021684 GONAL-F RFF REDI-JECT Approved, marketed May 25, 2004 EMD SERONO
BLA021273 FOLLISTIM AQ Approved, discontinued August 26, 2005 ORGANON USA INC

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

Not on FDA's list of bulk drug substances that may present significant safety risks in compounding.

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 297
  • Human (MeSH) 217
  • Animal only 6
  • Clinical trials 78
  • Randomized controlled trials 64
  • Systematic reviews & meta-analyses 14
  • Case reports 11
  • Retracted 2

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
174
Active
17
With posted results
46

Conditions studied

  • Infertility 82
  • Infertility, Female 10
  • Female Infertility 10
  • Ovulation Induction 9
  • In Vitro Fertilization 7
  • Polycystic Ovary Syndrome 5
  • Ovarian Stimulation 4
  • Anovulation 4
  • OVARIAN STIMULATION 3
  • Fertility 3
  • Hypogonadism 3
  • IVF 3
Study Status Phase Start
A Study to Investigate the Pharmacokinetics and Safety of KM04 Compared to United States (US)-Gonal-f Revised Formulation Female (RFF) Redi-ject and European Union (EU)-Gonal-f in Healthy Adult Female Volunteers
NCT07794683 Xentria, Inc.
Not yet recruiting Phase 1 Oct 2026
225 IU Versus 300 IU Starting FSH Dose in PPOS for Good-Prognosis Women
NCT07772375 Vietnam Military Medical University
Recruiting N/A September 15, 2026
A Study to Compare the Efficacy and Safety of Follitropin Alfa/Lutropin Alfa Versus hMG in Japanese Participants With LH and FSH Deficiency Undergoing ART (HINATA)
NCT07340827 Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
Recruiting Phase 3 February 5, 2026
Optimal Stimulation of Hypo-responders Undergoing in Vitro Fertilization (IVF)
NCT07121751 Dunamenti REK Istenhegyi IVF Center
Not yet recruiting Phase 4 September 1, 2025
Does Recombinant FSH (rFSH, i.g. Gonal F®) as Compared to Human Menopausal Gonadotrophin (hMG) Affect Telomere Length of Cumulus Cells During Antral Follicle Growth and Impact Blastocyst Status?
NCT06732843 ART Fertility Clinics LLC
Recruiting — July 23, 2025
Trigger Protocol on the Rate of Pregnancy After Intracytoplasmic Sperm Injection
NCT06966219 Suez University
Active, not recruiting — May 1, 2025
Study on the Pharmacokinetics and Safety of QL1012D and Gonal-F® in Healthy Female Volunteers
NCT06864793 Qilu Pharmaceutical Co., Ltd.
Active, not recruiting Phase 1 April 6, 2025
Phase IV Study to Evaluate the Efficacy and Safety of Fang Le Shu Compared to Guo Na Fen for Controlled Ovarian Stimulation in Infertile Women Undergoing in Vitro Fertilization-embryo Transfer (IVF-ET).
NCT06921395 LG Chem
Active, not recruiting Phase 4 February 15, 2025
Serum FSH Monitoring for Identification of an Optimal Range During Ovarian Stimulation
NCT06572930 ART Fertility Clinics LLC
Recruiting — December 16, 2024
Potential Benefit of r-hLH Addition in Patients Aged 35 to 40 Under Ovarian Stimulation Treatment
NCT06571214 Nanjing University
Not yet recruiting Phase 4 September 1, 2024
Show 40 more studies
Study Status Phase Start
Long-term Follow-up Safety of a Single Injection of GenSci094 for Ovarian Stimulation Using Daily Recombinant FSH as Reference
NCT06321107 Changchun GeneScience Pharmaceutical Co., Ltd.
Active, not recruiting — March 1, 2024
Impact of IVF Hormonal Therapy on Endometrial Receptivity and Endometrial Senescent Cell Pathological Accumulation
NCT06280560 Fundación IVI
Recruiting — February 1, 2024
Extra Luteinizing Hormone Improve Embryo Quality in IVF Patients With Low LH During Long GnRH-Agonist Treatment
NCT07128394 Nanjing University
Recruiting N/A February 1, 2024
FSH and LH Versus FSH Alone for Ovarian Stimulation in Non-hormone Sensitive Onco-fertility Patients
NCT06227949 Ellen Greenblatt
Not yet recruiting Phase 3 Feb 2024
PErsonalized Addition of Recombinant LH in Ovarian Stimulation
NCT04719000 Fundación Santiago Dexeus Font
Recruiting Phase 4 February 4, 2021
Ovarian Hyperstimulation and Fibrin Clot Properties.
NCT04166825 Jagiellonian University
Recruiting N/A November 18, 2019
Ovarian Reserve Testing in Female Young Adult Cancer Survivors
NCT01421095 University of California, San Diego
Active, not recruiting N/A January 1, 2011
Comparison of Follitropin Delta and Follitropin Alfa in Combination With Menotropin
NCT07457684 Clinique Ovo
Completed — December 5, 2025
An Ethno-bridging Study of Pergoveris in Healthy Premenopausal Participants of Japanese or Caucasian Origin
NCT07269327 Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
Completed Phase 1 November 24, 2025
A Study to Assess the Bioequivalence of Follitropin Alfa Solution in Pen and Follitropin Alfa Powder in Vial in Healthy Downregulated Male Participants
NCT07097259 EMD Serono Research & Development Institute, Inc.
Completed Phase 1 July 21, 2025
Possible Action of Resveratrol in Improving the Outcomes of IVF/ICSI in Couples With Unexplained Infertility
NCT06481696 Andros Day Surgery Clinic
Unknown status N/A June 1, 2024
A Randomised Trial Comparing the Ovarian Response of a Starting Dose of Either 10 μg or 15 μg Follitropin Delta (FE 999049) to a Starting Dose of Either 150 IU or 225 IU Follitropin Alfa (GONAL-F) in Conventional Regimens in China
NCT06173869 Ferring Pharmaceuticals Results posted
Completed Phase 3 March 29, 2024
Platelet Rich Plasma on Ovarian Reserve Parameters and Intra Cytoplasmic Sperm Injection Outcomes in Patients With Diminished Ovarian Reserve
NCT06048666 Beni-Suef University
Unknown status Phase 3 October 30, 2023
Acupuncture in the Freeze-all IVF Cycle
NCT04931355 Peking University Third Hospital
Unknown status N/A June 1, 2023
Effect of LH Supplementation on the Endometrial Gene Expression Profile in Poor Ovarian Responders
NCT05405686 CRG UZ Brussel
Withdrawn Phase 4 May 1, 2023
To Investigate Efficacy and Safety of a Single Injection of GenSci094 for Ovarian Stimulation Using Daily Recombinant FSH as Reference
NCT06091436 Changchun GeneScience Pharmaceutical Co., Ltd.
Completed Phase 3 March 24, 2023
Comparison of Recombinant Follicle Stimulating Hormone and the Combination of Recombinant Follicle Stimulating Hormone With Clomiphene Citrate in Stimulated Intrauterine Insemination Cycles
NCT05670795 Bezmialem Vakif University
Unknown status N/A January 1, 2023
Continuous Double Ovarian Stimulation.
NCT05815719 Instituto Bernabeu Results posted
Completed Phase 4 November 17, 2022
DEPO-Trigger Trial: GnRH Agonist DEPOt TRIGGER for Final Oocyte Maturation
NCT04616729 Universitair Ziekenhuis Brussel
Unknown status Phase 1, Phase 2 November 1, 2022
Effect of GnRH Agonist Treatment Protocols on Ovarian Reserve
NCT05567731 Tanta University
Completed N/A October 15, 2022
Recombinant Follicle-stimulating Hormone in Treatment for Infertility
NCT05266924 Bharat Serums and Vaccines Limited
Unknown status Phase 3 July 23, 2022
A Trial to Compare the Ovarian Response of REKOVELLE and GONAL-F in Conventional Dosing in Women Undergoing Controlled Ovarian Stimulation
NCT05263388 Ferring Pharmaceuticals Results posted
Completed Phase 3 July 15, 2022
Is in Vitro Maturation of Oocytes Influenced by the Origin of Gonadotropins Used in Maturation Medium: is There a Difference in Efficiency When Using Urinary Versus Recombinant Produced Follicle Stimulating Hormone and Human Chorionic Gonadotropin
NCT05370794 Universitair Ziekenhuis Brussel
Unknown status — April 19, 2022
Effectiveness of Low Dose Gonadotropin Stimulation Protocol Vs High Dose Gonadotropin Protocol in Poor Responders
NCT06778733 University of Athens
Completed Early phase 1 January 1, 2022
Efficacy and Safety of FE 999049 in Controlled Ovarian Stimulation in Indian Women
NCT04773353 Ferring Pharmaceuticals
Completed Phase 3 December 3, 2021
Cumulative Pregnancy Rate With Lower and Higher Gonadotropin Dose During IVF Among Poor Responders
NCT05103228 Peter Kovacs MD Results posted
Completed N/A December 2, 2021
Growth Hormone Pretreatment in Poseidon Type IV Undergoing ICSI Using Minimal Induction Protocol: A Randomized Controlled Trial
NCT05089344 Ain Shams Maternity Hospital
Unknown status N/A October 9, 2021
Dual Trigger for Elective Fertility Preservation
NCT04992468 Fundación Santiago Dexeus Font
Completed Phase 4 October 5, 2021
Traditional Chinese Medicine Herbs in the Freeze-all IVF Cycle
NCT04935073 Peking University Third Hospital
Unknown status Phase 3 June 15, 2021
Pergoveris FD and Liquid China BE Study
NCT04899193 Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
Completed Phase 1 May 8, 2021
Estradiol and Progesterone Levels Following Frozen Embryo Transfer
NCT04997525 Copenhagen University Hospital at Herlev
Completed Phase 4 April 20, 2021
Sequential Therapy of TCM Herbs to Improve the Success Rate of IVF-ET in Diminished Ovarian Reserve Patients
NCT04842825 Peking University Third Hospital
Unknown status Phase 3 April 15, 2021
Bioequivalence Clinical Trial of Recombinant Human Follicle-stimulating Hormone JZB30
NCT06778304 West China Second University Hospital
Completed Phase 1 January 4, 2021
Controlled Ovarian Hyperstimulation (COH) With Sequential HPFSH & HMG Versus Rec-F.S.H Alone in ICSI Cycle
NCT04539613 Alaa Fouli Gaber Ebrahim
Unknown status — September 1, 2020
FSH Followed by HMG vs FSH Plus HMG in IVF
NCT04385342 Mansoura University
Unknown status Phase 4 June 30, 2020
An Observational Study of Follitropin Alpha Biosimilar: the Real-world Data
NCT04854707 IVFarma LLC Results posted
Completed — January 12, 2020
Follitropin Delta Versus Follitropin Alfa in Indonesian Women Undergoing IUI
NCT07801781 Stella Maris Women and Children Hospital
Completed — January 1, 2020
"Study of the Effects of Serum and Follicular Fluid Relaxin Levels on Ovarian Function in IVF Cycles"
NCT04458454 D.O. Ott Research Institute of Obstetrics, Gynecology, and Reproductology
Completed — December 2, 2019
The Role of Follicle Stimulating Hormone in Advanced Prostate Cancer
NCT04134130 Lund University
Completed N/A September 16, 2019
Dual Ovarian Stimulation (Duostim) and Shanghai Protocols in Poor Ovarian Responders
NCT06199960 Royan Institute
Completed Phase 3 August 2, 2019

All 174 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
2,330
Serious
1,912
With death outcome
33

Most reported reactions

  • Ovarian hyperstimulation syndrome 778
  • Ascites 238
  • Abortion spontaneous 154
  • Abdominal pain 137
  • Abdominal distension 123
  • Nausea 117
  • Dyspnoea 110
  • Vomiting 90
  • Drug ineffective 89
  • Inappropriate schedule of drug administration 80
  • Pleural effusion 80
  • Off label use 71

Adverse event reports do not prove that the substance caused these effects. Side effects not listed here may still occur. Reaction terms are MedDRA terms as reported to FAERS.

Source: FDA FAERS (FAERS data as of July 30, 2026) · verified October 30, 2026 · API query

FDA prescribing information

Official US prescribing information. Dosing sections are intentionally not shown.

  • Gonal-f HUMAN PRESCRIPTION DRUG EMD Serono, Inc. September 2, 2025
  • Gonal-f RFF Redi-ject HUMAN PRESCRIPTION DRUG EMD Serono, Inc. April 3, 2025

Source: DailyMed / openFDA

Change history

No changes since monitoring began on October 30, 2026.