- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01757249
Pituitary Down-regulation Before IVF for Women With Endometriosis
A Single Centre Open-label Randomised Controlled Trial of Long Term Pituitary Down-regulation Before in Vitro Fertilisation for Women With Endometriosis: a Pilot Study
Endometriosis is a hormone dependent disease of women, in which endometrial tissue (the cells which line the uterus or womb) are found outside the uterus (womb). Some women with endometriosis may be infertile. However, treatments for infertility such as in vitro fertilization (IVF) or IVF with intracytoplasmic sperm injection (IVF-ICSI) appear to be less successful, i.e. the pregnancy rates are lower, for women with endometriosis than for women who may be infertile for other reasons.
Since endometriosis is hormone dependent, it has been suggested that suppressing the activity of hormones produced by the ovaries (which affect endometrial growth) may inactivate endometriosis and so increase the chances of pregnancy. Recently it has been proposed that taking the oral contraceptive pill (OCP) for 6 to 8 weeks before IVF or IVF-ICSI treatment could be used for this purpose.
For our study, which is a randomised controlled trial, women with endometriosis meeting the study criteria planning to undergo IVF or IVF-ICSI at the Oxford Fertility Unit will be recruited. Study participants will be randomised into 2 arms: experimental group and control group. The experimental group will be instructed to complete an 8 week course of OCP before beginning standard IVF treatment. The control group do not take any study medication before beginning standard IVF treatment. The IVF or IVF-ICSI treatment for both groups is not altered by participation in the study.
The aim of the study will be to determine if pretreatment with OCP improves IVF or IVF-ICSI success rates, such as live birth and pregnancy rates, in patients who suffer from endometriosis. The study is funded by the Oxford Fertility Unit.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Oxford, United Kingdom, OX4 2HW
- NDOG, University of Oxford
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Participant is willing and able to give informed consent for participation in the study.
- Female aged 18 to 39 years old.
- Intending to undergo treatment with a first, second or third cycle of IVF or IVF-ICSI.
- Diagnosed with any degree of endometriosis or endometrioma.
- Participants must meet World Health Organisation Group 1 or 2 eligibility requirements for Combined Oral Contraceptive use.
Exclusion Criteria:
The participant does not understand the English language, or has special communication needs. This is because it is impractical to provide, for this small scale study, information sheets and consent forms in other languages except English.
- The patient has already undergone 3 or more IVF or IVF-ICSI cycles.
- Patients who are already taking any medication to treat endometriosis such as progestins, OCP, Gonadotrophin Releasing Hormone agonists, danazol, mirena, etc. or who have done so within the last 3 months.
- Participants who do not meet World Health Organisation Group 1 or 2 eligibility requirements for Combined Oral Contraceptive use.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Group 1 OCP
Combined oral contraceptive pill (OCP) (Microgynon 30) containing Levonorgestrel/Ethinylestradiol 150/30mcg.
Taken orally on a continuous regime for 8 weeks, once a day.
|
Pre-IVF treatment for 8 weeks
Other Names:
|
No Intervention: Group 2 Control
Control Group - no intervention
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Live birth rate
Time Frame: up to 40 weeks following embryo transfer date
|
The birth of a live child after 24 gestational weeks
|
up to 40 weeks following embryo transfer date
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
IVF Cycle outcomes
Time Frame: up to 40 weeks following embryo transfer date
|
Cancelled cycles, failed cycles - negative pregnancy test, biochemical pregnancy, clinical pregnancy, miscarriage, stillbirth
|
up to 40 weeks following embryo transfer date
|
Treatment responses per cycle
Time Frame: up to one week after egg collection
|
No. of follicles aspirated, No. of oocytes retrieved, No. of cleavage embryos obtained, Total dose and duration of Gonadotrophins
|
up to one week after egg collection
|
Number of cases of Ovarian Hyperstimulation Syndrome
Time Frame: Up to 4 weeks after final embryo transfer
|
Up to 4 weeks after final embryo transfer
|
|
Multiple pregnancy rate
Time Frame: Up to 6 weeks after final embryo transfer
|
Up to 6 weeks after final embryo transfer
|
|
Number of ectopic pregnancies
Time Frame: up to 6 weeks after embryo transfer
|
up to 6 weeks after embryo transfer
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Tim Child, University of Oxford
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Endometriosis
- Physiological Effects of Drugs
- Contraceptive Agents, Hormonal
- Reproductive Control Agents
- Contraceptive Agents, Female
- Contraceptives, Oral, Synthetic
- Contraceptives, Oral, Hormonal
- Contraceptives, Postcoital, Synthetic
- Contraceptives, Postcoital
- Contraceptives, Postcoital, Hormonal
- Contraceptive Agents
- Contraceptives, Oral
- Contraceptives, Oral, Combined
- Ethinyl estradiol, levonorgestrel drug combination
- Ethinyl Estradiol-Norgestrel Combination
Other Study ID Numbers
- NDOG-12/SC/0645
- 2012-004954-27 (EudraCT Number)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Fertility
-
Charite University, Berlin, GermanyKarl and Veronica Carstens FoundationTerminatedFertility Issues | Fertility Disorders | IVF | Sub Fertility, Female | Sub-fertilityGermany
-
Sandstone DiagnosticsCompletedFertility, Male | Sub-Fertility, MaleUnited States
-
Fundación Santiago Dexeus FontRecruiting
-
University of NottinghamCompleted
-
Ava AGUniversity Hospital, Zürich; Empa, Swiss Federal Laboratories for Materials... and other collaboratorsCompleted
-
University of SaskatchewanCanadian Institutes of Health Research (CIHR)Completed
-
Fundació Privada EuginCompleted
-
Main Line Fertility CenterMerck Sharp & Dohme LLCCompletedFertilityUnited States
-
Northwell HealthTerminated
-
Michigan State UniversityMichigan Department of Community HealthCompleted
Clinical Trials on Combined Oral Contraceptive Pill (Microgynon 30)
-
HRA PharmaCompletedEmergency ContraceptionSweden, Netherlands, United Kingdom
-
University of Colorado, DenverCompletedContraception | Uterine HemorrhageUnited States
-
AstraZenecaCompletedScientific Terminology Rheumatoid Arthritis, Healthy Female Volunteers, Pharmacokinetics, Oral Contraceptive, Drug-drug Interaction | Laymen Terminology Level of Oral Contraceptive in Blood, Oral Contraceptive, Rheumatoid Arthritis, Drug -Drug InteractionUnited Kingdom
-
Eisai Inc.CompletedPartial Onset EpilepsyUnited Kingdom
-
UCB Biopharma SRLTerminatedHealthy Female ParticipantsUnited Kingdom
-
Federal University of Rio Grande do SulHospital de Clinicas de Porto Alegre; Coordenação de Aperfeiçoamento de Pessoal... and other collaboratorsCompletedPolycystic Ovary Syndrome
-
BayerCompleted
-
Columbia UniversityMemorial Sloan Kettering Cancer Center; Weill Medical College of Cornell UniversityCompletedContraceptionUnited States
-
Jeffrey JensenBill and Melinda Gates FoundationCompleted