NCT02294773

Brief Summary

The aim of this study is to assess the impact of the timing of intrauterine insemination (IUI) in relation to the natural surge of luteinizing hormone (LH), as detected by home ovulation predictor kits, on pregnancy rates per treatment cycle. The study will take place at the offices of Midwest Fertility Specialists and include patients who have been independently recommended by their primary physician to undergo ovulation induction with clomiphene citrate (CC) or letrozole and IUI as therapy for infertility.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
13

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Oct 2013

Typical duration for not_applicable

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

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2013

Completed
1 year until next milestone

First Submitted

Initial submission to the registry

October 1, 2014

Completed
2 months until next milestone

First Posted

Study publicly available on registry

November 19, 2014

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2015

Completed
3 months until next milestone

Results Posted

Study results publicly available

December 9, 2015

Completed
Last Updated

December 9, 2015

Status Verified

November 1, 2015

Enrollment Period

1.9 years

First QC Date

October 1, 2014

Results QC Date

September 27, 2015

Last Update Submit

November 4, 2015

Conditions

Keywords

InfertilityIntrauterine inseminationLuteinizing hormone surge

Outcome Measures

Primary Outcomes (1)

  • Number of Pregnancies Achieved Per Menstrual Cycle.

    Up to 3 months

Other Outcomes (4)

  • Per Cycle Pregnancy Rate Based on Infertility Diagnosis

    Up to cycle day 35

  • Pregnancy Rate Per Female Partner Age

    Up to cycle day 35

  • Pregnancy Rate Per Semen Morphology Score

    Up to cycle day 35

  • +1 more other outcomes

Study Arms (2)

Day Of

ACTIVE COMPARATOR

This group takes either clomiphene or letrozole on cycle days 3-7 and then receives intrauterine insemination on the day the home ovulation predictor kit first turns positive.

Procedure: Intrauterine InseminationDrug: ClomipheneDrug: Letrozole

Day After

ACTIVE COMPARATOR

This group takes either clomiphene or letrozole on cycle days 3-7 and then receives intrauterine insemination on the day after the home ovulation predictor kit first turns positive.

Procedure: Intrauterine InseminationDrug: ClomipheneDrug: Letrozole

Interventions

Intrauterine insemination is either performed on the day the home ovulation predictor kit first turns positive or the day after the first positive.

Day AfterDay Of

Patient is to take clomiphene citrate during cycle days 3-7.

Also known as: clomid
Day AfterDay Of

Patient is to take letrozole during cycle days 3-7.

Day AfterDay Of

Eligibility Criteria

Age21 Years - 39 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • All couples consisting of male and female partner undergoing CC or letrozole cycle plus IUI at a single infertility center (Midwest Fertility Specialists)
  • The female partner must be aged 21-39
  • Infertile couples include those with a diagnosis(s) of unexplained infertility, mild male factor, ovulatory dysfunction, or anovulation
  • Evidence of a normal uterus and at least unilateral tubal patency on saline infusion sonogram or hysterosalpingogram within the last 2 years
  • Semen analysis for male partner must have minimal sperm concentration of 10 million per milliliter

You may not qualify if:

  • Recurrent miscarriages
  • Nursing mothers
  • Diagnoses of primary ovarian failure, diminishing ovarian reserve (as indicated by blood follicle stimulating hormone \>10 milliInternationalUnits/mL and/or anti-mullerian hormone level \<0.5), abnormal uterine bleeding of undetermined origin, ovarian cyst of undetermined origin, stage IV endometriosis, or sex-hormone dependent tumors
  • Documented bilateral tubal obstruction or other uncorrected uterine anomalies (e.g. uterine septum)
  • Previous gonadotropin use and/or previous treatment with in vitro fertilization
  • Abnormal semen analysis (sperm concentration less than 10 million per mL) or ejaculatory dysfunction in male partner
  • Other uncorrected medical condition in female partner that would be a contraindication to attempting elective ovulation induction (e.g., uncontrolled diabetes, intracranial lesion, thyroid or adrenal disease)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Midwest Fertility Specialists- Fort Wayne

Fort Wayne, Indiana, 46825, United States

Location

Midwest Fertility Specialists

Indianapolis, Indiana, 46032, United States

Location

MeSH Terms

Conditions

Infertility

Interventions

ClomipheneLetrozole

Condition Hierarchy (Ancestors)

Genital DiseasesUrogenital Diseases

Intervention Hierarchy (Ancestors)

StilbenesBenzylidene CompoundsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsNitrilesTriazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Results Point of Contact

Title
Dr. Matt Will or Dr. Lauren Messinger
Organization
Midwest Fertility Specialists or St. Vincent Women's Hospital

Study Officials

  • Matthew Will, MD

    Midwest Fertility Specialists

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 1, 2014

First Posted

November 19, 2014

Study Start

October 1, 2013

Primary Completion

September 1, 2015

Study Completion

September 1, 2015

Last Updated

December 9, 2015

Results First Posted

December 9, 2015

Record last verified: 2015-11

Locations