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Choriogonadotropin alfa (recombinant human chorionic gonadotropin, r-hCG) is a recombinant glycoprotein hormone developed by Merck KGaA (marketed as Ovitrelle and Ovidrel). It is produced using recombinant DNA technology in Chinese hamster ovary (CHO) cells. Choriogonadotropin alfa acts as an analog of luteinizing hormone (LH) by binding to the LH/hCG receptor (LHCGR) on ovarian theca and granulosa cells. This binding triggers final follicular maturation, resumption of oocyte meiosis, and ovulation, mimicking the natural mid-cycle LH surge. It is indicated for the induction of final follicular maturation and early luteinization in women undergoing assisted reproductive technologies (ART), such as in vitro fertilization (IVF), as well as for the induction of ovulation and pregnancy in anovulatory or oligo-ovulatory infertile patients.
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