One-shot Ovarian Stimulation Protocol (One-shot) (One-shot)
One-Shot Ovarian Stimulation Protocol: A Pilot Study Investigating the Endocrine Profile
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Ignacio Rodríguez, MSc
- Phone Number: 22029 0034932274700
- Email: nacrod@dexeus.com
Study Contact Backup
- Name: Nikolaos P Polyzos, MD, PhD
- Phone Number: 0034932274700
- Email: nikpol@dexeus.com
Study Locations
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Barcelona, Spain, 08037
- Not yet recruiting
- Departamento de Ginecología Obstetricia y Reproducción. Hospital Universitari Dexeus
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Contact:
- Ignacio Rodríguez, BsC
- Phone Number: 22029 0034932274700
- Email: nacrod@dexeus.com
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Principal Investigator:
- Nikolaos P Polyzos, MD PhD
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Sub-Investigator:
- Valeria Donno, MD
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Barcelona
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Sabadell, Barcelona, Spain, 08203
- Recruiting
- Dexeus Mujer Sabadell
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Contact:
- Silvia Grau, MD
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Principal Investigator:
- Silvia Grau
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Sant Cugat Del Vallès, Barcelona, Spain, 08195
- Recruiting
- Dexeus Mujer Sant Cugat
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Contact:
- Silvia Grau, MD
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Principal Investigator:
- Silvia Grau, MD
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Age <= 40
AMH (Anti-Mullerian Hormone) 1.2-3.5 ng/ml or AFC 7-20
No family history of hereditary or chromosomal diseases
Body mass index (BMI) 18 to 30 kg/m2
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Corifollitropin alfa (CFA) 150 mcg + Clomiphene Citrate (CC) 100 mg/day from D1
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On day 2 or 3 of the menstrual cycle or after 5 days of pill-free interval, a single injection of 150 mcg of CFA (Stimulation Day 1) will be administered.
On day 2 or 3 of the menstrual cycle or after 5 days of pill-free interval, the patients will start oral administration of Clomiphene Citrate 100/day continuing up to and including the day of ovulation triggering
Scan controls and blood exams will be performed on stimulation days 1, 6, 8, 10 and, according to clinical needs, until trigger day.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Estradiol
Time Frame: days 1, 6, 8, 10,the day of ovulation triggering, the day of ovulation triggering day+1 and 7 days after oocyte retrieval
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Estradiol levels
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days 1, 6, 8, 10,the day of ovulation triggering, the day of ovulation triggering day+1 and 7 days after oocyte retrieval
|
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Progesterone
Time Frame: days 1, 6, 8, 10,the day of ovulation triggering, the day of ovulation triggering day+1 and 7 days after oocyte retrieval
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Progesterone levels
|
days 1, 6, 8, 10,the day of ovulation triggering, the day of ovulation triggering day+1 and 7 days after oocyte retrieval
|
|
Follicle stimulating hormone (FSH)
Time Frame: days 1, 6, 8, 10,the day of ovulation triggering, the day of ovulation triggering day+1 and 7 days after oocyte retrieval
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FSH levels
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days 1, 6, 8, 10,the day of ovulation triggering, the day of ovulation triggering day+1 and 7 days after oocyte retrieval
|
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Luteinizing hormone (LH)
Time Frame: days 1, 6, 8, 10,the day of ovulation triggering, the day of ovulation triggering day+1 and 7 days after oocyte retrieval
|
LH levels
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days 1, 6, 8, 10,the day of ovulation triggering, the day of ovulation triggering day+1 and 7 days after oocyte retrieval
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Days of stimulation
Time Frame: 7 -20 days from initiation of ovarian stimulation
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7 -20 days from initiation of ovarian stimulation
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Number of oocytes retrieved (COCs)
Time Frame: 7 -20 days from initiation of ovarian stimulation
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7 -20 days from initiation of ovarian stimulation
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Number of MII oocytes
Time Frame: 7 -20 days from initiation of ovarian stimulation
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7 -20 days from initiation of ovarian stimulation
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Follicular Output Rate (FORT)
Time Frame: 7 -20 days from initiation of ovarian stimulation
|
expressed as the ratio between the total number of oocytes retrieved at oocyte pick-up and the number of antral follicles available at the start of stimulation
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7 -20 days from initiation of ovarian stimulation
|
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Follicle-to-oocyte index (FOI)
Time Frame: 7 -20 days from initiation of ovarian stimulation
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expressed as the ratio between the total number of oocytes retrieved at oocyte pick-up and the number of antral follicles available at the start of stimulation
|
7 -20 days from initiation of ovarian stimulation
|
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Cancellation rate
Time Frame: 7 -20 days from initiation of ovarian stimulation
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7 -20 days from initiation of ovarian stimulation
|
|
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Ovarian hyperstimulation syndrome (OHSS) rate
Time Frame: Until 15 days after punction
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Until 15 days after punction
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Nikolaos P Polyzos, MD, PhD, Dexeus Fertility
Publications and helpful links
General Publications
- Dickey RP, Holtkamp DE. Development, pharmacology and clinical experience with clomiphene citrate. Hum Reprod Update. 1996 Nov-Dec;2(6):483-506. doi: 10.1093/humupd/2.6.483.
- Martinez F, Rodriguez-Purata J, Clua E, Garcia S, Coroleu B, Polyzos N. Ovarian response in oocyte donation cycles under LH suppression with GnRH antagonist or desogestrel progestin: retrospective and comparative study. Gynecol Endocrinol. 2019 Oct;35(10):884-889. doi: 10.1080/09513590.2019.1604662. Epub 2019 May 12.
- Martinez F, Racca A, Rodriguez I, Polyzos NP. Ovarian stimulation for oocyte donation: a systematic review and meta-analysis. Hum Reprod Update. 2021 Jun 22;27(4):673-696. doi: 10.1093/humupd/dmab008.
- Fares FA, Suganuma N, Nishimori K, LaPolt PS, Hsueh AJ, Boime I. Design of a long-acting follitropin agonist by fusing the C-terminal sequence of the chorionic gonadotropin beta subunit to the follitropin beta subunit. Proc Natl Acad Sci U S A. 1992 May 15;89(10):4304-8. doi: 10.1073/pnas.89.10.4304.
- Glasier AF, Irvine DS, Wickings EJ, Hillier SG, Baird DT. A comparison of the effects on follicular development between clomiphene citrate, its two separate isomers and spontaneous cycles. Hum Reprod. 1989 Apr;4(3):252-6. doi: 10.1093/oxfordjournals.humrep.a136882.
- Practice Committee of the American Society for Reproductive Medicine. Use of clomiphene citrate in infertile women: a committee opinion. Fertil Steril. 2013 Aug;100(2):341-8. doi: 10.1016/j.fertnstert.2013.05.033. Epub 2013 Jun 27.
- Kerin JF, Liu JH, Phillipou G, Yen SS. Evidence for a hypothalamic site of action of clomiphene citrate in women. J Clin Endocrinol Metab. 1985 Aug;61(2):265-8. doi: 10.1210/jcem-61-2-265.
- Teramoto S, Kato O. Minimal ovarian stimulation with clomiphene citrate: a large-scale retrospective study. Reprod Biomed Online. 2007 Aug;15(2):134-48. doi: 10.1016/s1472-6483(10)60701-8.
- Messinis IE, Templeton A. Blockage of the positive feedback effect of oestradiol during prolonged administration of clomiphene citrate to normal women. Clin Endocrinol (Oxf). 1988 Nov;29(5):509-16. doi: 10.1111/j.1365-2265.1988.tb03700.x.
- Melo AS, Paula CTV, Santos TLD, Faria VAC, Rufato MAF, Barboza RP, Barreto J. Corifollitropin alpha, clomiphene citrate and dydrogesterone without daily gonadotrophin: a new option of a friendly protocol for high-responder oocyte donors. JBRA Assist Reprod. 2022 Apr 17;26(2):315-320. doi: 10.5935/1518-0557.20210082.
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
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Genital Diseases, Female
- Infertility
- Infertility, Female
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Reproductive Control Agents
- Hormone Antagonists
- Anticoagulants
- Estrogen Antagonists
- Chelating Agents
- Sequestering Agents
- Fertility Agents, Female
- Fertility Agents
- Selective Estrogen Receptor Modulators
- Estrogen Receptor Modulators
- Calcium Chelating Agents
- Sodium Citrate
- Citric Acid
- Clomiphene
- Enclomiphene
- Zuclomiphene
Other Study ID Numbers
Other Study ID Numbers
- FSD-ONE-2024-09
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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