Vaginal Progesterone Improves Clinical Outcomes of RIF Patients
A Single-center Randomized Controlled Trial of Vaginal Progesterone to Improve Clinical Pregnancy Outcomes in Patients With Repeated Implantation Failure
1 other identifier
interventional
152
1 country
1
Brief Summary
This study is a single-center, randomized, controlled prospective study. Those patients with repeated implantation failure (RIF) who will recieve frozen thawed embryo transfer (FET) are enrolled in the study. To determine the effect of vaginal progesterone on the clinical pregnancy outcomes of RIF patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2023
Typical duration for not_applicable
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
Study Start
First participant enrolled
August 1, 2023
CompletedFirst Submitted
Initial submission to the registry
August 15, 2023
CompletedFirst Posted
Study publicly available on registry
August 22, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2025
CompletedAugust 22, 2023
August 1, 2023
1.4 years
August 15, 2023
August 15, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Embryo implantation rate
The proportion of the number of implanted embryos to the total number of transferred embryos is the embryo implantation rate.
45 days after embryo transfer
Secondary Outcomes (4)
Clinical pregnancy rate
45 days after embryo transfer
Early pregnancy loss rate
12 weeks after embryo transfer
Persistent pregnancy rate
20 weeks after embryo transfer
Live birth rate
40 weeks after embryo transfer
Study Arms (2)
Vaginal progesterone supplementation
EXPERIMENTAL90 mg progesterone vaginal sustained-release gel is added daily to induce endometrial transformation and luteal support
Regular progesterone
NO INTERVENTIONNo additional vaginal progesterone gel, routine endometrial transformation and luteal support drugs
Interventions
90 mg progesterone vaginal sustained-release gel is added daily during endometrial transformation and luteal support
Eligibility Criteria
You may qualify if:
- Aged between 20 and 40 years old;
- BMI: 18-28 kg/m2;
- Consistent with the diagnosis of repeated implantation failure of unknown reasons, the previous embryo transfer situation meets one of the following:
- Total embryos transferred ≥ 4 high-quality cleavage-stage embryos; ≥ 2 blastocysts; ≥ 2 high quality cleavage-stage embryos +≥ 1 blastocysts;
- At least 1 high-quality embryo remained for embryo transfer;
- Volunteer to participate in the study and sign the informed consent form.
You may not qualify if:
- Patients with recurrent pregnancy loss (≥ 2 biochemical pregnancies or ≥ 2 spontaneous abortions);
- Adverse pregnancy history (stillbirth, fetal malformation, etc.);
- Severe paternal factors: need for TESA or PESA;
- PGT;
- Failure of embryo implantation due to any definite reason, including but not limited to: endometrial adhesion (moderate to severe), thin endometrium (\<7 mm before transformation), endometritis, endometriosis (medium or severe), adenomyosis, untreated hydrosalpinx, hysteromyoma (submucosal fibroids, non submucosal fibroids \> 4.0 cm and/or endometrial compression), reproductive malformation, serious immune disease, serious coagulation function abnormality;
- Chromosome abnormality of either spouse;
- Those with contraindications to pregnancy or assisted reproductive technology.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Reproductive Medicine Center, The affiliated Drum Towel Hospital of Nanjing University Medical School
Nanjing, Jiangsu, 210008, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- principal investigator
Study Record Dates
First Submitted
August 15, 2023
First Posted
August 22, 2023
Study Start
August 1, 2023
Primary Completion
December 31, 2024
Study Completion
December 31, 2025
Last Updated
August 22, 2023
Record last verified: 2023-08