Study Stopped
Difficulty with patient enrollment
Weight Adjusted Low Molecular Weight Heparin in Recurrent Implantation Failure: a Randomized Open Labeled Trial
1 other identifier
interventional
271
0 countries
N/A
Brief Summary
Prospective randomized study of patients with infertility candidates to Assisted ReproductiveTechniques (ART), screened for all inclusion and exclusion criteria, submitted to ART cycle with or without low molecular weight heparin (LMWH) administration. Aims of the study are to evaluate, primarily, pregnancy rate/embryo transfer, secondarily take home babies/embryo transfer, implantation rate, and the role of thrombophilic factors
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Jul 2011
Typical duration for phase_3
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, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2015
CompletedFirst Submitted
Initial submission to the registry
November 29, 2016
CompletedFirst Posted
Study publicly available on registry
December 14, 2016
CompletedDecember 14, 2016
December 1, 2016
3.7 years
November 29, 2016
December 13, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
pregnancy rate/embryo transfer
the investigators measured the pregnancy rate/embryo transfer using betaHcg dosage 12 days after embryo transfer
12-14 days
Secondary Outcomes (3)
take home babies/embryo transfer
38-40 weeks after embryo transfer
implantation rate
3 weeks
role of thrombophilia in interfering with pregnancy rate/take home baby/implantation rate
12-14 days and 38-40 weeks and 3 weeks
Study Arms (2)
parnaparin sodium
EXPERIMENTALWomen in LMWH arm are administered with routine ovulation induction protocol and prophylactic dose of parnaparin sodium (LMWH), starting the day before the beginning of stimulation phase of the cycle until the result of the procedure is confirmed in terms of pregnancy yes or no and in case of pregnancy until the delivery or the end of pregnancy. Women in the LMWH arm will be tested for blood cell count twice in the first 10 days of therapy. Parnaparin will be administered at the dose of 100 IU/kg/day from the day before the beginning of stimulation phase of the cycle until the result of the procedure is confirmed in terms of pregnancy yes or no and in case of pregnancy until delivery or the end of the pregnancy. Used dosages Parnaparin 0.4 4250 UI Parnaparin 0.6 6400 UI
no treatment
NO INTERVENTIONWomen in the control arm are administered with routine ovulation induction protocol, without the addition of parnaparin sodium.
Interventions
Parnaparin sodium ( Fluxum 4250 anti-Xa IU /0.4 mL or Fluxum 6400 anti-Xa IU /0.6mL; Alfa Wassermann S.p.A.) was administered at a dose of 100 IU/kg/day from the day before the beginning of the stimulation phase of the cycle until the result of the procedure was confirmed by pregnancy and, in the case of evolutive pregnancy, until delivery or the end of pregnancy
Eligibility Criteria
You may qualify if:
- Women ≥18 years and ≤40 years, candidated to a fresh IVF/ICSI cycle with routine ovulation induction protocol
You may not qualify if:
- v-vCouples candidated to a frozen IVF/ICSI cycle with routine ovulation induction protocol
- Testicular or frozen sperm (TESE procedure not allowed)
- Presence of hormonal disorders not compensated with specific therapy or history of immunological disease (autoimmune thyroiditis, connectivitis, RA, SLE, etc )
- Presence of antiphospholipides autoantibodies or other severe thrombophilia (AT, PS, PC deficiency or homozygous FV Leiden or FIIG20210A, or double eterozygous FV Leiden and FIIG20210A)
- Presence of abnormal platelets count and congenital or acquired coagulopathy ASA or steroid therapy administration
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
corrado lodigiani, MD,PHD
Thrombosis Center
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 29, 2016
First Posted
December 14, 2016
Study Start
July 1, 2011
Primary Completion
March 1, 2015
Study Completion
December 1, 2015
Last Updated
December 14, 2016
Record last verified: 2016-12
Data Sharing
- IPD Sharing
- Will not share