- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03544073
GnRH Agonist at Embryo Transfer: IVF Outcomes (GRAET)
Does a GnRH Agonist Given at Embryo Transfer Improve Clinical Pregnancy and Live Birth Rates of Women Undergoing In-Vitro Fertilization?
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a randomized, double-blinded, placebo-controlled study. On the day of embryo transfer (5-6 days after a fresh egg retrieval and on the 6th day of progesterone administration in a frozen embryo transfer cycle), patients will receive either a single injection of 20 Units (1mg) of Lupron or an identical placebo injection. Patients undergoing day 3 embryo transfers will not be eligible and will not be randomized.
Randomization will be in 22 blocks of 20 patients. Based on the power analysis with a power of 0.8 and alpha-error of 0.05, the investigators will need to enroll 352 patients, so the investigators will recruit 440 to account for attrition.
Randomization scheme will be computed via a computerized program accessible at randomization.com or via SPSS. There will be one randomization: both fresh and frozen embryo cycles will be randomized in the same group. Sequential cards with randomization allocation will be placed in doubly sealed, opaque envelopes, with a single sheet confirming eligibility status. Confirmation of the presence of the signed Informed Consent will be in the first envelope. The second envelope will be opened after there is confirmation that the patient is eligible and consented. This envelope will have a card stating the group the patient has been assigned to, with blank spaces designated to record patient information. This card will be completed by the study staff and saved for reference purposes. The card will state the group that the patient was randomized to, the date of embryo transfer, the patient's medical record number, name, and cycle type. There will also be a log book to record the information and medication lot numbers.
Injections will be prepared at the time of randomization by the research coordinator and will be administered by the clinical RN, who will not know its contents. The clinical staff assessing and planning care of the patient (attending physicians and nurses) will not know the contents of the syringe (either Lupron 20 IU or the same amount of normal saline).
Study Type
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
New York
-
Brooklyn, New York, United States, 11204
- Genesis Fertility Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Women undergoing in-vitro fertilization who are receiving an embryo transfer of a day 5 blastocyst
Exclusion Criteria:
- Those who have a contraindication to receiving the medication
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
PLACEBO_COMPARATOR: Saline Solution for Injection
This arm will receive a one-time subcutaneous injection of 0.4mL normal saline solution at the time of embryo transfer.
This arm will continue to receive all the same treatments that everyone routinely receives for the IVF cycle, e.g.
estrogen and progesterone supplements.
|
Placebo arm will receive a saline injection
Other Names:
|
EXPERIMENTAL: Leuprolide Acetate
This arm will receive a one-time subcutaneous injection of 0.4U (0.2mg=0.4mL)
Leuprolide acetate at the time of embryo transfer.
This arm will continue to receive all the same routine treatments for the IVF cycle, e.g.
estrogen and progesterone supplements.
|
Treatment arm will receive a Leuprolide injection
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Live birth rate
Time Frame: 2 years
|
Percentage of live births for all patients included.
|
2 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Miscarriage rate
Time Frame: 2 years
|
Percentage of pregnancies that ended in miscarriage
|
2 years
|
Clinical pregnancy rate
Time Frame: 2 years
|
Percentage of patients who had a clinical pregnancy, i.e. positive urine pregnancy test
|
2 years
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Antonios Likourezos, M.P.H., M.A., Maimonides Medical Center
Study record dates
Study Major Dates
Study Start (ANTICIPATED)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2018-03-14
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.
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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