Dual GIP/GLP-1 Receptor Agonist in Obese Women Before Frozen Embryo Transfer
Dual Glucose-dependent Insulinotropic Peptide (GIP) and Glucagon-like Peptide-1 (GLP-1) Receptor Agonist in Women With Obesity for Frozen Embryo Transfer (FET): Pragmatic, Multicenter, Randomized Controlled Trial
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: Yun Sun, Professor
- Phone Number: +86 20284574
- Email: sunyun_rj@163.com
Study Contact Backup
- Name: Yao Lu
- Phone Number: +86 20284574
- Email: yaoluinrenji@163.com
Study Locations
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 200025
- Renji Hospital
-
Contact:
- Yun Sun, Professor
- Phone Number: +86 20284574
- Email: sunyun_rj@163.com
-
Contact:
- Yao Lu
- Phone Number: +86 20284574
- Email: yaoluinrenji@163.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Women aged 20-40 years;
- Body Mass Index(BMI) ≥ 28kg/m2;
- Women who intend to undergo frozen-thawed embryo transfer;
- At least one embryo available for transfer;
- Be capable of giving informed consent.
Exclusion Criteria:
- Women who have been diagnosed with diseases affecting uterine cavity or endometrial receptivity;
- Presence of endocrine disorders that may significantly affect body weight;
- Use of drugs that may cause significant weight changes within 8 weeks before screening;
- Presence of contraindications to the use of dual GIP/GLP-1 receptor agonist;
- Previous bariatric surgery (e.g., gastric bypass) or planning to undergo such surgery during the study period;
- Serum triglycerides (TG) > 5.64mmol/L;
- Calcitonin≥50 ng/L;
- Presence of medical contraindications to assisted reproductive technology and/or pregnancy;
- Any other condition considered inappropriate for participation by the investigator.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Delayed FET
Participants will receive 16-week tirzepatide pretreatment prior to FET alongside lifestyle modification guidance, with a target weight loss of 10%-15% of total body weight.
|
16 weeks treatment
Other Names:
|
|
No Intervention: Standard FET
Participants will receive lifestyle modification guidance and proceed to FET with no predefined weight-loss target.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Good birth outcome rate
Time Frame: at delivery
|
good birth outcome is defined as live birth(s) at ≥37 weeks, with infant birth weight between 2500 and 4000g and without a major congenital anomaly.
|
at delivery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Biochemical pregnancy rate
Time Frame: 12-17 days after frozen embryo transfer
|
biochemical pregnancy is defined as serum beta-human chorionic gonadotropin (β-hCG) ≥10 mIU/ml.
|
12-17 days after frozen embryo transfer
|
|
Clinical pregnancy rate
Time Frame: 28-35 days after frozen embryo transfer
|
clinical pregnancy is defined as the ultrasound confirmation of at least one intrauterine gestational sac.
|
28-35 days after frozen embryo transfer
|
|
Implantation rate
Time Frame: 28-35 days after frozen embryo transfer
|
implantation rate is calculated as the number of gestational sacs by a transvaginal ultrasound scan/number of embryos transferred.
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28-35 days after frozen embryo transfer
|
|
Pregnancy loss rate
Time Frame: From the date of confirmation of pregnancy until the date of pregnancy loss, up to 9 months
|
pregnancy loss is defined as pregnancies that eventuate in a spontaneous abortion or therapeutic abortion that occurred throughout pregnancy.
|
From the date of confirmation of pregnancy until the date of pregnancy loss, up to 9 months
|
|
Live birth rate
Time Frame: at delivery
|
live birth is defined as the delivery of any neonate with signs of life at ≥ 28 weeks of gestation.
|
at delivery
|
|
Gestational weight gain
Time Frame: at delivery
|
maternal weight gain during pregnancy.
|
at delivery
|
|
Incidences of obstetric and neonatal complications
Time Frame: From the establishment of clinically recognized pregnancy until six weeks after delivery
|
including gestational diabetes mellitus, pre-eclampsia, placenta previa, placental abruption, congenital anomalies, postpartum hemorrhage, preterm birth, neonatal respiratory distress syndrome, neonatal jaundice, neonatal infection, neonatal death, etc.
|
From the establishment of clinically recognized pregnancy until six weeks after delivery
|
|
Incidence of composite endpoint of obesity-related pregnancy complications
Time Frame: From the establishment of clinically recognized pregnancy until six weeks after delivery
|
composite incidences of miscarriage, gestational diabetes mellitus, hypertensive disorders of pregnancy, and preterm birth.
|
From the establishment of clinically recognized pregnancy until six weeks after delivery
|
|
Birth weight
Time Frame: at delivery
|
birth weight of the newborn at delivery.
|
at delivery
|
|
Incidence of congenital anomalies
Time Frame: From the establishment of clinically recognized pregnancy until six weeks after delivery
|
congenital malformations or birth defects.
|
From the establishment of clinically recognized pregnancy until six weeks after delivery
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Estimated)
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
- Nutrition Disorders
- Overnutrition
- Body Weight
- Overweight
- Pathological Conditions, Signs and Symptoms
- Nutritional and Metabolic Diseases
- Signs and Symptoms
- Obesity
- Amino Acids, Peptides, and Proteins
- Proteins
- Glucagon-Like Peptide-1 Receptor
- Glucagon-Like Peptide Receptors
- Receptors, G-Protein-Coupled
- Receptors, Cell Surface
- Membrane Proteins
- Receptors, Gastrointestinal Hormone
- Receptors, Peptide
- Tirzepatide
Other Study ID Numbers
Other Study ID Numbers
- LY2026-062-B
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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