Luteal Phase Support in IUI MOH Treatment Luteal Phase Support in IUI MOH Treatment (LUMO)
LUMO Study: Luteal Phase Support in IUI MOH Treatment Luteal Phase Support in IUI MOH
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Participating sites consist of academic and non-academic hospitals and fertility clinics in The Netherlands. There are two treatment arms (MOH/IUI treatment with LPS vs MOH/IUI treatment with placebo) with a non-blinded superiority design. Participants are randomly distributed across both treatment arms for the entire study-period (six months, non-crossover).
Eligibility criteria are: 1) couples starting IUI with Mild Ovarian HyperStimulation (MOH), with the intend to receive this treatment for at least six months. 2) Indication for MOH/IUI treatment is in accordance with current (dutch) NVOG guidelines; Diagnosis of unexplained (primary or secondary) infertility with Hunault <30% (or >30%, after an expectant management period of at least 6 additional months). Total mobile sperm count (VCM) >10 million. 3) Females aged >18 years with regular menstrual cycle.
(Mild) Ovarian stimulating treatment and insemination are according to regular treatment protocol. Females assigned to the treatment group start LPS, applying 3dd200mg Utrogestan in vaginal capsules, on the day of IUI. Treatment is continued until the onset of menstruation, a negative pregnancy test, miscarriage or confirmed vital intra-uterine pregnancy at 7 weeks gestation.
Main outcome is pregnancy within 6 months of treatment, leading to Live birth. Secondary outcomes are; Clinical pregnancy rate. Miscarriage rate. Multiple pregnancy rate. Pregnancy complications. Perinatal outcomes. Side effects and compliance to therapy. Added Medication Costs. Budget impact.
The analyses will include a cost-effectiveness analysis.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Simone Broer, Dr.
- Phone Number: 088 755 75 25
- Email: s.l.broer-2@umcutrecht.nl
Study Locations
-
-
-
Utrecht, Netherlands
- Recruiting
- UMC Utrecht
-
Contact:
- Simone Broer
- Phone Number: 088 755 75 25
- Email: s.l.broer-2@umcutrecht.nl
-
Contact:
- Broer
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Couples starting IUI with Mild Ovarian HyperStimulation (MOH), with the intend to receive this treatment for at least six months.
- Diagnosis of unexplained (primary or secondary) infertility
- Hunault <30% (or >30%, after an expectant management period of at least 6 additional months).
- Females aged >18 years with regular menstrual cycle.
- Total mobile sperm count (VCM) >10 million.
Exclusion cirteria:
- Cycle irregularities
- Male factor infertility
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: MOH/IUI treatment with LPS
(Mild) Ovarian stimulating treatment and insemination are according to regular treatment protocol.
Females assigned to the treatment group start LPS, applying 3dd200mg Utrogestan in vaginal capsules, on the day of IUI.
Treatment is continued until the onset of menstruation, a negative pregnancy test, miscarriage or confirmed vital intra-uterine pregnancy at 7 weeks gestation
|
3dd200mg
Other Names:
|
|
Placebo Comparator: MOH/IUI treatment with placebo
Females will receive regular MOH/IUI treatment. The female cycle is mildly stimulated and monitored until the desired amount of ripe follicles is achieved. In the absence of other reasons to cancel the treatment, ovulation is triggered and subsequently pre-washed semen is inseminated into the uterus. Females assigned to the placebo group start placebo, applying 3dd1 vaginal capsules, on the day of IUI. Treatment is continued until the onset of menstruation, a negative pregnancy test, miscarriage or confirmed vital intra-uterine pregnancy at 7 weeks gestation |
3dd1 vaginal capsule
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Live Birth
Time Frame: 6 months
|
Pregnancy leading to Live birth within six months.
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinical pregnancy rate
Time Frame: <6 months
|
Number and rate of patients that achieve a clinical pregnancy within six months
|
<6 months
|
|
Miscarriage rate
Time Frame: <6 months
|
Number and rate of patients that experience miscarriage (gestation <16weeks) within six months
|
<6 months
|
|
Multiple pregnancy rate
Time Frame: <6 months
|
Number of pregnancies with 2 or more fetuses
|
<6 months
|
|
Pregnancy complications
Time Frame: 1 year
|
Pregnancies complicated by preterm labor (<37 weeks), loss of pregnancy (>16weeks), gestational diabetes, preeclampsia, HELLP syndrome or pregnancy induced hypertension.
|
1 year
|
|
Perinatal outcomes
Time Frame: <6 weeks
|
Stillbirth/Livebirth/Perinatal death, Gestational age at delivery, birthweight
|
<6 weeks
|
|
Side effects
Time Frame: <1 year
|
Nausea, stomach ache, vaginal discharge, other (self reported) side effects
|
<1 year
|
|
Compliance to therapy
Time Frame: 6 months
|
Use of medication as prescribed
|
6 months
|
|
Added medication costs
Time Frame: 1 year
|
Increae in total therapy costs due to the addition of Utrogestan (the treatment).
|
1 year
|
|
Budget impact
Time Frame: 1 year
|
Economic assessment that estimated financial consequences of adopting a new intervention
|
1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Broekmans, Prof. Dr., Professor Reproductive Medicine
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2359660
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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