- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03989024
Pulsatile Gonadotropin-releasing Hormone for Infertility in Non-obese Patients With Polycystic Ovary Syndrome
June 15, 2019 updated by: RenJi Hospital
Polycystic ovary syndrome (PCOS) patients are often accompanied by infertility.
Non-obese PCOS infertility is more difficult to treat than obese PCOS.
The study included non-obese PCOS patients who had not recovered from regular menstruation after six months of metformin treatment.
Half of the patients were treated with clomiphene for ovulation induction and half with GnRH pulse therapy.
Study Overview
Status
Unknown
Intervention / Treatment
Detailed Description
To investigate whether GnRH pulse therapy of non-obese PCOS women can improve ovulation rate.The investigators plan to recruit non-obese PCOS women with abnormal GnRH pulse mode not effective of metformin treatment at childbearing age.
By using GnRH pulse therapy and Clomiphene therapy.
the investigators will intervent the participants for 3 months and to compare outcome in each group.
Study Type
Interventional
Enrollment (Anticipated)
78
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Tao Tao, MD
- Phone Number: +86-13817701776
- Email: taotaozhen@hotmail.com
Study Locations
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-
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Shanghai, China, 200127
- Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine
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Contact:
- Tao Tao, Doctor
- Phone Number: +86-13817701776
- Email: taotaozhen@hotmail.com
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
24 years to 45 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- PCOS of childbearing age (24-45 years old);
- non-obesity;
- After 6 months of metformin (at least 1000-1500 mg/d) intervention, the normal menstrual cycle was still not restored.
- No drug intervention except metformin was used in last 3 monthes:
- There is a pregnancy plan within 1 years.
- The pregnancy test was negative.
- Heart and liver function is normal, thyroid function is normal, adrenal function is normal.
- The GnRH stimulation test confirmed that the pituitary and ovarian reserve function was good.
- Chromosome examination is normal.
- Did not take part in other clinical trials.
Exclusion Criteria:
- PCOS was not diagnosed.
- Severe liver and kidney dysfunction (ALT is 2.5 times greater than normal upper limit, or Cr > 132 umol/l, or eGFR < 60 mL/min/1.73 m2), thyroid dysfunction, adrenal dysfunction, psychosis, severe infection, severe anemia, neutropenia;
- Other serious organic heart diseases, such as congenital heart disease, rheumatic heart disease, hypertrophic or dilated cardiomyopathy, NYHA cardiac function grade (> III);
- Kallmann syndrome, secondary hypogonadotropic hypogonadism, acquired central nervous system diseases, infertility caused by hypothalamic amenorrhea and other secondary infertility;
- Has a history of abuse of active substances, including alcohol and a history of alcohol related diseases in the past 2 years.
- Previous history of central nervous system and gonad-related surgery, or other central nervous system and gonad-related surgery (such as central nervous system tumor resection, ovarian chocolate cyst resection) within one year, or other non-central nervous system and gonad surgery within six months;
- In the past five years, there have been organ system tumors (except for local cutaneous basal cell carcinomas) that have been treated or not treated, regardless of whether there is evidence of local recurrence or metastasis;
- Hypoglycemic drugs, contraceptives (Dain, Marvelon), ovulation-promoting drugs (clomiphene, letrozole), emergency contraceptives and sex hormone drugs have been or are being used to adjust menstrual cycle and promote ovulation except metformin.
- Pregnancy;
- GnRH stimulation test confirmed pituitary and ovarian reserve dysfunction.
- Abnormal chromosome detection.
- Patients who are allergic to drugs with similar chemical structure.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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: Pulsatile Gonadotropin-releasing Hormone
Drug: Gonadorelin.
Use Gonadorelin for 3 months to treat PCOS.
The pulse was administered with a hormone pump, once every 90 min, and 10ug per pulse.
|
Drug: Gonadotropin-releasing Hormone.
Generic name: Gonadorelin.
Dosage form: 600ug.
Dosage: 10ug/puls.
Frequency: every 90 min.
Duration: 3 months
|
Experimental: Clomiphene
Use Clomiphene for 3 months to treat PCOS
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Drug: Clomiphene.
Generic name: Clomiphene.
Dosage form: 50mg.
Dosage: 50mg.
Frequency: once a day.
Duration: 3 months
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants with ovulation recovery (according to basal body temperature, progesterone levels on cycle day 21, or ultrasonography)
Time Frame: up to 12 weeks
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Number of participants with ovulation recovery (according to basal body temperature, progesterone levels on cycle day 21, or ultrasonography) after use of drugs
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up to 12 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time Frame: up to 12 weeks
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Number of participants with treatment-related adverse events as assessed by CTCAE v4.0.
Evaluation of efficacy and safety of short-term GnRH pulse therapy for non obese PCOS
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up to 12 weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: TAO TAO, DM, RenJi hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
July 1, 2019
Primary Completion (Anticipated)
December 30, 2020
Study Completion (Anticipated)
December 30, 2021
Study Registration Dates
First Submitted
May 30, 2019
First Submitted That Met QC Criteria
June 15, 2019
First Posted (Actual)
June 18, 2019
Study Record Updates
Last Update Posted (Actual)
June 18, 2019
Last Update Submitted That Met QC Criteria
June 15, 2019
Last Verified
June 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms
- Endocrine System Diseases
- Disease
- Ovarian Cysts
- Cysts
- Ovarian Diseases
- Adnexal Diseases
- Gonadal Disorders
- Polycystic Ovary Syndrome
- Syndrome
- Infertility
- Physiological Effects of Drugs
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Hormone Antagonists
- Estrogen Antagonists
- Reproductive Control Agents
- Fertility Agents, Female
- Fertility Agents
- Selective Estrogen Receptor Modulators
- Estrogen Receptor Modulators
- Clomiphene
- Prolactin Release-Inhibiting Factors
Other Study ID Numbers
- 18411968700
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
Yes
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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