Evidence map›Paper›PMID 42919001›Full record

SynthesisClinical pharmacokinetics2026

The Variability in the Pharmacokinetics of Follitropin Alfa: A Systematic Review.

Ranita Kirubakaran, Toni J F Michael, Beverley J Vollenhoven, Vinayak Smith, Sophie L Stocker

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical pharmacokinetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ranita KirubakaranDepartment of Pharmacy, Seberang Jaya Hospital, Penang, Malaysia.ORCID http://orcid.org/0000-0002-8213-8710
Toni J F MichaelSchool of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-6422-8683
Beverley J VollenhovenSchool of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-8756-3994
Vinayak SmithDepartment of Obstetrics and Gynaecology, Monash University, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0001-6099-3671
Sophie L StockerSchool of Clinical medicine, St. Vincent's Healthcare Clinical Campus, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia. sophie.stocker@sydney.edu.au.ORCID http://orcid.org/0000-0002-2114-587X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite extensive research on the pharmacodynamics of follitropin alfa, a comprehensive synthesis of its pharmacokinetic variability is lacking. Understanding the interindividual and intraindividual variability in the pharmacokinetics of follitropin alfa may help inform dosing strategies by reducing variability in systemic exposure. This systematic review aimed to characterise the variability in the pharmacokinetics of follitropin alfa.

methodsEmbase, PubMed, Scopus and citation mining of included articles were searched from database inception to 10 November 2025. Studies performed in humans, published in English which reported the pharmacokinetics, route of administration and dosing regimen of follitropin alfa were eligible for inclusion.

resultsFifteen eligible studies were evaluated. The pharmacokinetics of follitropin alfa were described by a two-compartment model following intravenous administration, and a one-compartment model with first-order absorption after intramuscular or subcutaneous administration. Follitropin alfa exhibited dose-proportional pharmacokinetics. Moderate interindividual variability (26-42%) in apparent clearance was reported following multiple subcutaneous administrations. Body weight influenced the pharmacokinetics of subcutaneously administered follitropin alfa. Comparable pharmacokinetic characteristics of follitropin alfa were observed across (i) originator and biosimilar preparations, (ii) healthy and infertile individuals, and (iii) subcutaneous and intramuscular routes of administration.

conclusionsWeight-based dosing of follitropin alfa may reduce pharmacokinetic interindividual variability. However, whether this reduction in variability translates into more consistent ovarian response remains unclear and requires further investigation.

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.