NCT02741154

Brief Summary

study the effect of aromataze inhibitor induction together with short stimulation protocol by gonadotrphin releasing hormon antagonist in cases that expected to be poor responder before ICSI

Trial Health

87
On Track

Trial Health Score

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

Enrollment
50

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Aug 2016

Shorter than P25 for phase_4

Geographic Reach
1 country

1 active site

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

April 12, 2016

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 18, 2016

Completed
4 months until next milestone

Study Start

First participant enrolled

August 12, 2016

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 24, 2017

Completed
10 days until next milestone

Study Completion

Last participant's last visit for all outcomes

September 3, 2017

Completed
Last Updated

September 6, 2017

Status Verified

September 1, 2017

Enrollment Period

1 year

First QC Date

April 12, 2016

Last Update Submit

September 4, 2017

Conditions

Keywords

aromataze inhibitor, poor responder ,induction

Outcome Measures

Primary Outcomes (2)

  • Number of follicles per cycle that reach more than 17mm in diameter(quantity of ova)

    measurement of the diameter of follicles by transvaginal ultrasoundand description of diameter in report

    day of HCG injection

  • quality of ova

    After ova picking up examination of all ova under microscope and report how many ova reach metaphase II (quality) if more than 3 ova reach metaphase II considered satisfactory quality of ova in the current cycle

    day of ovum pick up

Secondary Outcomes (1)

  • pregnancy rate

    14 days after ovum pick up

Study Arms (2)

aromataze group

EXPERIMENTAL

patients will receive induction with HMG plus aromataze inhibitor plus GnRh antagonist plus HCG injection

Drug: induction with aromataze inhibitorDrug: HMGDrug: GnRh aDrug: HCG

classic group

ACTIVE COMPARATOR

same protocol for induction without aromataze inhibitor

Drug: HMGDrug: GnRh aDrug: HCG

Interventions

letrozole 2.5mg once daily start in the first day of menses for 5days

Also known as: letrozole
aromataze group
HMGDRUG

HMG 300 IU injection once daily start at first day of menses with follow up by trans vaginal ultrasound (TVUS ) till at least three follicles reach 14 mm in diameter

Also known as: merional
aromataze groupclassic group
GnRh aDRUG

antagonist given 0.1 ml injection once daily with continous follow up when at least three follicles reach 17mm in diameter HCG 10.000 IU injection and ovum pick up 24-36hours after injection

Also known as: decapeptyl
aromataze groupclassic group
HCGDRUG

10.000 IU HCG injection when at least three follicles reach 17mm in diameter

Also known as: choriomon
aromataze groupclassic group

Eligibility Criteria

Age18 Years - 44 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • infertlity indicated for ICSI
  • Ovarian factor
  • Tubal factor
  • Unexplained infertility
  • poor responders

You may not qualify if:

  • Expected high responder
  • Endometriosis
  • Male and uterine factors
  • Ovarian mass or cyst

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Minia University

Minya, Minya Governorate, 61519, Egypt

Location

Related Publications (1)

  • Mitwally MF, Casper RF. Aromatase inhibition improves ovarian response to follicle-stimulating hormone in poor responders. Fertil Steril. 2002 Apr;77(4):776-80. doi: 10.1016/s0015-0282(01)03280-0.

MeSH Terms

Interventions

Neoadjuvant TherapyLetrozolehMG-IBSAricin A-GnRH conjugateTriptorelin Pamoate

Intervention Hierarchy (Ancestors)

Combined Modality TherapyTherapeuticsNitrilesOrganic ChemicalsTriazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsGonadotropin-Releasing HormonePituitary Hormone-Releasing HormonesHypothalamic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsNeuropeptidesPeptidesAmino Acids, Peptides, and ProteinsOligopeptidesNerve Tissue ProteinsProteins

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
doctor

Study Record Dates

First Submitted

April 12, 2016

First Posted

April 18, 2016

Study Start

August 12, 2016

Primary Completion

August 24, 2017

Study Completion

September 3, 2017

Last Updated

September 6, 2017

Record last verified: 2017-09

Locations