Nifedipine Treatment on Uterine Contractility in IVF
The Influence of Nifedipine Treatment on Uterine Contractility During Frozen Embryo Transfer
1 other identifier
interventional
90
1 country
1
Brief Summary
The main factors associated with pregnancy rate in In Vitro Fertilization (IVF) treatment are embryo quality and the uterine ability to accept the embryo for implantation. This ability is influenced by uterine contractions (UC), which change in pattern and direction during the menstrual cycle. An abnormal uterine contraction pattern can displace the embryo from the proper position in the uterine cavity towards the cervix or the fallopian tubes and as a result may decrease pregnancy rates and increase the risk of ectopic pregnancy. Indeed, previous studies demonstrated a negative correlation between uterine contraction rate and implantation/pregnancy rates. Suppression of uterine contractions during embryo transfer can be achieved by a large array of drugs, such as cyclo-oxygenase inhibitors, β2-adrenoreceptor agonists, calcium-channel blockers, phosphodiesterase inhibitors and oxytocin antagonists. The objective of this study is to evaluate the efficacy of Nifedipine administration in reducing uterine contractility during IVF-frozen embryo transfer (FET) treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Mar 2014
Typical duration for phase_2
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
First Submitted
Initial submission to the registry
February 24, 2014
CompletedFirst Posted
Study publicly available on registry
February 26, 2014
CompletedStudy Start
First participant enrolled
March 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2018
CompletedMarch 1, 2017
February 1, 2017
4 years
February 24, 2014
February 28, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
uterine contractility after treatment
Uterine contractility will be measured by vaginal ultrasound before and 30 minutes after treatment with Nifedipine or placebo
30 minutes after treatment
Secondary Outcomes (1)
Implantation and pregnancy rates
4 weeks
Study Arms (2)
Nifedipine
EXPERIMENTALNifedipine 5mg single dose
Placebo
PLACEBO COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Patient undergoing frozen embryo transfer
You may not qualify if:
- Body mass index (BMI) \> 38 kg/m2
- Early follicular phase (day 2-4) serum follicle stimulating hormone (FSH) level \> 20 mIU/ml.
- Abnormal uterine cavity as evidenced by sonohysterogram or hysterosalpingography
- Any contraindication to being pregnant and carrying a pregnancy to term.
- Contraindication for the use of nifedipine, Estrogen and Progesterone suppositories.
- Patient treating with other drugs that interact with cytochrome P450 activity: azole antifungals, cimetidine, cyclosporine, erythromycin, quinidine, terfenadine, warfarin, benzodiazepines, flecainide, imipramine, propafenone and theophylline.
- Irregular heart beat or already being treated with another medication for high blood pressure.
- Any ovarian or abdominal abnormality that may interfere with adequate transvaginal sonography (TVS) evaluation.
- Administration of any investigational drugs within three months prior to study enrollment.
- Patient not able to communicate adequately with the investigators and to comply with the requirements of the entire study.
- Unwillingness to give written informed consent. Previous entry into this study or simultaneous participation in another clinical trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hadassah Medical Organization
Jerusalem, Israel
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Assaf Ben-Meir, MD
Hadassah Medical Organization
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, CARE PROVIDER
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 24, 2014
First Posted
February 26, 2014
Study Start
March 1, 2014
Primary Completion
March 1, 2018
Study Completion
June 1, 2018
Last Updated
March 1, 2017
Record last verified: 2017-02