Luteal Phase FSH in the IVF Poor Responder
Luteal Phase Recombinant FSH vs. Follicular Phase Recombinant FSH for IVF Stimulation in the Poor Responder
2 other identifiers
interventional
20
1 country
1
Brief Summary
In vitro fertilization (IVF) is a common procedure used to assist couples who have difficulty conceiving a pregnancy. IVF is a process where oocytes (eggs) are retrieved from a woman's ovaries and fertilized with sperm in the laboratory. In order to maximize the number of oocytes that can be retrieved, a women undergoes ovarian stimulation with recombinant follicle stimulating hormone (FSH). Typically 6-20 oocytes are retrieved, but in some cases there is a limited response to the stimulation, producing a limited number of oocytes. This is called poor ovarian response. This study is designed to objectively compare two treatment regimens currently advocated in clinical practice, but never compared directly. The purpose is to assess ovarian response to starting treatment at the end of the preceding cycle may increase the number of developing oocytes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Sep 2005
Typical duration for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2005
CompletedFirst Submitted
Initial submission to the registry
September 21, 2005
CompletedFirst Posted
Study publicly available on registry
September 23, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2008
CompletedDecember 3, 2015
December 1, 2015
1.2 years
September 21, 2005
December 1, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of oocytes retrieved for IVF
One cycle
Secondary Outcomes (6)
Number of follicles >10mm on day of human chorionic gonadotropin (hCG) administration;
1 cycle
Number of days of stimulation;
1 cycle
Estradiol level on the day of hCG administration;
1 cycle
Clinical pregnancy rate per transfer: defined as the presence of an intrauterine sac on transvaginal ultrasound;
1 cycle
Delivery rate per transfer;
1 cycle
- +1 more secondary outcomes
Study Arms (2)
1
ACTIVE COMPARATORFollitropin beta
2
ACTIVE COMPARATORGanirelix acetate
Interventions
Eligibility Criteria
You may qualify if:
- Infertile women planning to undergo IVF
- Poor ovarian response in most-recent previous IVF cycle within the past 18 months as defined by the following criteria:
- A) \<5 dominant follicles day of hCG, B) \<5 oocytes retrieved, or C) cancellation of a previous IVF cycle due to poor response to ovulation stimulation.
- Aged 20-42 (inclusive) at the time of randomization
- Presence of both ovaries
- Normal pap smear within past three years
- At least 45 days after the last IVF cycle
- Be willing and able to comply with the protocol for the duration of the study
- Have given written informed consent, prior to any study-related procedure, not part of normal medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to their future medical care.
You may not qualify if:
- Clinically significant systemic disease
- Current regular cigarette smoking by patient report
- Known to be positive for Human Immunodeficiency Virus
- Any medical condition which, in the judgment of the investigator and sponsor, may interfere with the absorption, distribution, metabolism or excretion of the medications used
- Abnormal, undiagnosed gynecological bleeding
- Known allergy or hypersensitivity to human gonadotropin preparations
- Simultaneous participation in another investigational drug or device trial
- Subject fails, in 2 separate menstrual cycle attempts, to have FSH ≤12.0 and an ultrasound exam within normal limits (per standard for IVF) at the Baseline Visit
- For subjects randomized to the Luteal Phase Regimen, failure to ovulate in 2 separate menstrual cycle attempts, as evidenced by ovulation predictor kit, progesterone level, and /or visualization of corpus luteum cyst on an ovary by ultrasound exam at the Luteal Visit
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Pennsylvania Reproductive Research Unit
Philadelphia, Pennsylvania, 19104, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kurt T Barnhart, MD, MSCE
University of Pennsylvania
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 21, 2005
First Posted
September 23, 2005
Study Start
September 1, 2005
Primary Completion
December 1, 2006
Study Completion
June 1, 2008
Last Updated
December 3, 2015
Record last verified: 2015-12