- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03237117
Effect of Growth Hormone on Uterine Receptivity in Women With RIF in an Oocyte Donation Program
Effect of Growth Hormone on Uterine Receptivity in Women With RIF in an Oocyte Donation Program: a Randomized Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This study includes in total 105 infertile couples treated by assisted reproduction with oocyte donation. Seventy couples that have experienced at least two previous failures with this approach at our clinic are referred to as recurrent implantation failure (RIF) patients throughout this study. Thirty five of these couples are included in the GH-treatment protocol, while the remaining 35 couples are treated in a usual way (non-GH group). Other 35 couples, treated in the same period and undergoing their first oocyte donation attempt, are included as a positive control group.
RIF patients are randomly allocated into two groups (labeled I and II). Then the assignments are concealed in sealed opaque envelopes until the time of enrollment: group I (GH patients) and group II (non-GH patients). All injections are performed by an independent nurse who is informed by the trial coordinator of each woman´s number and the treatment allocation. Consequently, both the clinician and the patients are blinded as to the treatment received. The positive control (non-RIF) group is created by allocating all consecutive couples undergoing their first oocyte donation attempt. This allocation started immediately after the allocation of the first RIF couple and will be terminated as soon as 35 cases are enrolled.
Ovarian stimulation of the oocyte donors is as follows: oocyte donors are stimulated with the use of a long GnRH agonist protocol and human recombinant FSH (Puregon or Gonal F). Human menopausal gonadotropin (Menopur) is added when blood LH concentration, which is repeatedly determined during ovarian stimulation, falls below 1 IU/l. Final oocyte maturation is triggered by subcutaneous injection of 250 micrograms recombinant hCG (Ovitrelle), when at least 5 follicles measure 18 mm or more. Ovarian puncture for oocyte recovery is performed 36.5 h after recombinant hCG injection.
Oocyte recipients are treated with progressively increasing doses of orally administered pure estradiol (Provames) or estradiol valerate (Progynova) after previous pituitary desensitization with a single injection of the long-acting preparation of GnRH agonist triptorelin (Decapeptyl 3,75 mg). The interval between triptorelin injection and the beginning of oral estradiol treatment is ranging between 8 and 20 days. This interval is determined individually, in each case, in view of the optimal synchronization of the recipient's endometrial development and the follicular growth of the corresponding donor.
Study Type
Enrollment (Anticipated)
Phase
- Early Phase 1
Contacts and Locations
Study Locations
-
-
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Granada, Spain, 18016
- Recruiting
- University of Granada
-
Contact:
- Signe Altmäe, PhD
- Phone Number: +34693730222
- Email: signealtmae@ugr.es
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Contact:
- Nicolas Mendoza, MD, PhD
- Phone Number: +34653673769
- Email: nicomendoza@telefonica.net
-
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria for oocyte recipients:
- age below 51 years
- 2 or more previous implantation failures in oocyte donation program
- voluntary participation
Inclusion Criteria for oocyte donors:
- age up to 25 year
- healthy
- voluntary participation
Exclusion Criteria:
- cancellation of the treatment
- no wish to participate any longer
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: GH group
35 women with a history of RIF with donated oocytes.
For receiving donated oocytes, the women are treated with progressively increasing doses of oral estradiol followed by intravaginal progesterone after previous pituitary desensitization with GnRH agonist.
Additionally, these patients are co-treated with growth hormone (GH).
|
to evaluate the effect of GH administration in the donated oocyte recipient program among women with RIF (repeated implantation failure)
|
Active Comparator: non-GH group
35 women with a history of RIF with donated oocytes.
For receiving donated oocytes, the women are treated with progressively increasing doses of oral estradiol followed by intravaginal progesterone after previous pituitary desensitization with GnRH agonist.
The treatment protocol is identical to the GH group, only that no GH is added.
|
to evaluate the effect of GH administration in the donated oocyte recipient program among women with RIF (repeated implantation failure)
|
No Intervention: positive control group
35 infertile women undergoing their first oocyte donation attempt are included as a positive control group.
Women receiving donated oocytes are treated with progressively increasing doses of oral estradiol followed by intravaginal progesterone after previous pituitary desensitization with GnRH agonist.
The treatment protocol is identical to the non-GH group, with no GH added.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pregnancy rate
Time Frame: 2010-2017
|
Pregnancy rate is calculated as the number of patients with positive beta-hCG test divided by the number of patients in whom embryos were transferred
|
2010-2017
|
live birth rate
Time Frame: 2010-2017
|
Live birth rate is calculated as the number of babies born by the number of embryos transferred
|
2010-2017
|
live delivery rate
Time Frame: 2010-2017
|
live delivery rate is obtained by dividing the number of births with the number of transfers
|
2010-2017
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
ongoing pregnancy rate
Time Frame: 2010-2017
|
ongoing pregnancy rate is the number of patients with the presence of fetal heart activity divided by the number of transfer procedures
|
2010-2017
|
implantation rate
Time Frame: 2010-2017
|
Implantation rate is the number of embryonic sacs detected on ultrasound divided by the number of embryos transferred
|
2010-2017
|
ongoing implantation rate
Time Frame: 2010-2017
|
ongoing implantation rate is calculated by dividing the number of living fetuses developing beyond 20 weeks divided by the number of embryos transferred
|
2010-2017
|
miscarriage rate
Time Frame: 2010-2017
|
miscarriage rate is defined as the number of miscarriages before 20 weeks divided by the number of women with a positive pregnancy test
|
2010-2017
|
Collaborators and Investigators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- MarGen
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
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.
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