Effect of Testosterone Treatment on Embryo Quality
A Randomized Double Blind Control Trial of Transdermal Testosterone Supplementation vs Placebo on Follicular Development and Atresia, Oocyte and Embryo Quality Among Women With Diminished Ovarian Reserve Undergoing in Vitro Fertilization
2 other identifiers
interventional
180
1 country
2
Brief Summary
The purpose of this study is to determine the effect of treatment with trans-dermal testosterone cream compared to placebo on measures of ovarian reserve, oocyte and embryo quality, and pregnancy rates among women with evidence of diminished ovarian reserve that have persistently low serum testosterone and free testosterone after completing six previous weeks of DHEA supplementation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Jul 2012
Longer than P75 for phase_1
2 active sites
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
July 1, 2012
CompletedFirst Submitted
Initial submission to the registry
August 2, 2012
CompletedFirst Posted
Study publicly available on registry
August 10, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2022
CompletedNovember 12, 2020
February 1, 2020
9.9 years
August 2, 2012
November 9, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical and Ongoing Pregnancy
Clinical pregnancy is defined as the presence of a viable gestational sac visible in the uterus 4 weeks after embryo transfer. Clinical ongoing pregnancy is defined as intrauterine pregnancy with evidence of an active fetal heart at 6 weeks after embryo transfer.
8 weeks post treatment initiation
Secondary Outcomes (2)
Measures of Atresia
8 weeks after intervention initiation
Oocytes number
8 weeks after initiation of intervention
Study Arms (2)
DHEA+Testosterone
ACTIVE COMPARATORThese patients will be administered the testosterone cream along with standard DHEA supplements
DHEA+Placebo
PLACEBO COMPARATORThese patients will receive the placebo cream along with her DHEA supplements. In other words, no testosterone will be administered.
Interventions
Testosterone cream 2 gms per day applied transdermally to the left wrist to deliver 1.mg daily dose with estimated absorption of 100 ug per day testosterone
DHEA 25mg tid
Carrier cream without added testosterone in the identical type of pump
Eligibility Criteria
You may qualify if:
- Women with 38 to 44 years old planning to undergo ovulation induction for IVF who are willing to sign an informed consent.
- BMI \> 18 and \<= 30 kg/m\^2
- FSH \> 10 mIU/mL
- AMH =\< 1.05 ng/mL
- Using DHEA for treatment of DOR/POA.
- Baseline Total Testosterone less than 30 ng per deciliter (1.0 nmol per liter) or serum free testosterone concentrations of less than 3.5 pg per milliliter (12.1 pmol per liter), which are below the median values for normal premenopausal women (Endocrine Sciences, Calabasas Hills, Calif.).
You may not qualify if:
- History of hormone dependent neoplasm
- History of severe acne or hirsutism.
- Hyperlipidemia.
- Pre existing cardiac, renal or hepatic disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Center For Human Reproduction
New York, New York, 10021, United States
Department of Medicine; Division of Endocrinology and Metabolism, University of Rochester School of Medicine and Dentistry
Rochester, New York, 14642, United States
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Norbert Gleicher, MD
Center for Human Reproduction
- PRINCIPAL INVESTIGATOR
David H Barad, MD, MS
Center for Human Reproduction
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 2, 2012
First Posted
August 10, 2012
Study Start
July 1, 2012
Primary Completion
June 1, 2022
Study Completion
December 31, 2022
Last Updated
November 12, 2020
Record last verified: 2020-02
Data Sharing
- IPD Sharing
- Will not share
We do not plan to share IPD