NCT00756028

Brief Summary

Purpose: Comparing a GnRH agonist and an antagonist protocol for IVF/ICSI with regard to

  1. 1.frequency of ovarian hyperstimulation syndrome (OHSS) (1. outcome measure)
  2. 2.quality of life (2. outcome measure)
  3. 3.live birth rate (2. outcome measure)
  4. 4.gene expression profiles of granulosa and cumulus cells, and concentrations of estradiol and vascular endothelial growth factor in follicular fluid(not only compared between GnRH agonist and antagonist protocol, but also between patients with OHSS and no OHSS and patients becoming pregnant and not becoming pregnant (2. outcome measure), and
  5. 5.number of oocytes removed per treatment, number of embryo transfers per treatment and number of spontaneous abortions per treatment (these three parameters are tertiary outcome measures).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,099

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Jan 2009

Longer than P75 for phase_4

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 18, 2008

Completed
1 day until next milestone

First Posted

Study publicly available on registry

September 19, 2008

Completed
3 months until next milestone

Study Start

First participant enrolled

January 1, 2009

Completed
5.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2014

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2015

Completed
Last Updated

January 13, 2016

Status Verified

January 1, 2016

Enrollment Period

5.9 years

First QC Date

September 18, 2008

Last Update Submit

January 12, 2016

Conditions

Keywords

OHSSquality of lifeIVFICSIGnRH-agonistGnRH-antagonist

Outcome Measures

Primary Outcomes (1)

  • Frequency of Ovarian Hyperstimulation Syndrome (OHSS)

    3 years

Secondary Outcomes (4)

  • Quality of life during treatment

    3 years

  • Live births

    3 years

  • Gene expression profiles of granulosa and cumulus cells

    3 years

  • Estradiol and vascular endothelial growth factor concentrations in follicular fluid.

    3 years

Study Arms (2)

1

EXPERIMENTAL

Patients receiving short protocol IVF/ICSI-treatment. Intervention pharmacon: GnRH-antagonist (Orgalutran®: Ganirelix)

Drug: Patients receiving short protocol IVF/ICSI-treatment.

2

ACTIVE COMPARATOR

Patients receiving long protocol IVF/ICSI-treatment. Intervention pharmacon: GnRH-agonist (Synarela®: Nafarelin)

Drug: Long protocol

Interventions

Injection s.c. Orgalutran® (Ganirelix)0.25 mg once daily from day 5 of FSH-stimulation until HCG-day

1

Patients receiving long protocol IVF/ICSI-treatment. Intervention pharmacon: GnRH-agonist (Synarela®:Nafarelin)

2

Eligibility Criteria

Age18 Years - 39 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • All patients referred for infertility receiving their first IVF or IVF+ICSI treatment

You may not qualify if:

  • Previous IVF or IVF+ICSI-treatment
  • Uterine anomalies
  • It is necessary to perform direct sperm aspiration from husband's/partner's testicles
  • Allergy to one of the intervention products
  • Patient is 40 years or above

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Dronninglund Fertility Clinic

Dronninglund, 9330, Denmark

Location

Fertility Clinic, Hvidovre Hospital

Hvidovre, 2650, Denmark

Location

Related Publications (3)

  • Toftager M, Sylvest R, Schmidt L, Bogstad J, Lossl K, Praetorius L, Zedeler A, Bryndorf T, Pinborg A. Quality of life and psychosocial and physical well-being among 1,023 women during their first assisted reproductive technology treatment: secondary outcome to a randomized controlled trial comparing gonadotropin-releasing hormone (GnRH) antagonist and GnRH agonist protocols. Fertil Steril. 2018 Jan;109(1):154-164. doi: 10.1016/j.fertnstert.2017.09.020. Epub 2017 Nov 23.

  • Toftager M, Bogstad J, Lossl K, Praetorius L, Zedeler A, Bryndorf T, Nilas L, Pinborg A. Cumulative live birth rates after one ART cycle including all subsequent frozen-thaw cycles in 1050 women: secondary outcome of an RCT comparing GnRH-antagonist and GnRH-agonist protocols. Hum Reprod. 2017 Mar 1;32(3):556-567. doi: 10.1093/humrep/dew358.

  • Toftager M, Bogstad J, Bryndorf T, Lossl K, Roskaer J, Holland T, Praetorius L, Zedeler A, Nilas L, Pinborg A. Risk of severe ovarian hyperstimulation syndrome in GnRH antagonist versus GnRH agonist protocol: RCT including 1050 first IVF/ICSI cycles. Hum Reprod. 2016 Jun;31(6):1253-64. doi: 10.1093/humrep/dew051. Epub 2016 Apr 8.

MeSH Terms

Conditions

InfertilityOvarian Hyperstimulation Syndrome

Condition Hierarchy (Ancestors)

Genital DiseasesUrogenital DiseasesOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsGonadal DisordersEndocrine System Diseases

Study Officials

  • Thue Bryndorf

    Hvidovre University Hospital

    STUDY CHAIR
  • Helle Meinertz

    Hvidovre University Hospital

    STUDY CHAIR
  • Peter Hornnes

    Hvidovre University Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
MD, DMSc

Study Record Dates

First Submitted

September 18, 2008

First Posted

September 19, 2008

Study Start

January 1, 2009

Primary Completion

December 1, 2014

Study Completion

December 1, 2015

Last Updated

January 13, 2016

Record last verified: 2016-01

Locations