The Effect of Dual Trigger (GnRH Agonist + hCG) for Final Maturation in Oocyte Donors With History of a Previous Cycle With Suboptimal Response to GnRH Agonist Only Trigger
1 other identifier
interventional
80
1 country
1
Brief Summary
The goal of this clinical trial is to compare GnRH-agonist trigger with dual GnRH-agonist and HCG trigger in oocyte donors. The main questions it aims to answer are:
- Maturation rate (Metaphase II/ Total number of COCs collected)
- Fertilization rate
- Embryo quality day 3
- Fragmentation rate embryo day 3
- Blastulation rate (Day5/6/7)
- Quality of blastocyst (Gardner criteria) Participants will undergo controlled ovarian stimulation with a GnRH antagonist protocol Researchers will compare the effects of final maturation with GnRH-agonist trigger to a dual trigger (hCG and GnRH-a)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 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
November 1, 2023
CompletedFirst Submitted
Initial submission to the registry
November 9, 2023
CompletedFirst Posted
Study publicly available on registry
November 21, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2026
CompletedNovember 21, 2023
November 1, 2023
1.4 years
November 9, 2023
November 20, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Oocyte maturation rate
Number of metaphase II oocytes per total number of oocytes retrieved in oocyte pick-up day
18 months prospective trial
Fertilization rate
number of 2PN embryos per total number of MII oocytes fertilised
18 months prospective trial
Blastulation rate
Number of blastocysts up to day 6 per number of fertilised 2PN embryos
18 months prospective trial
Secondary Outcomes (3)
Number of recipients per donor cycle
18 months prospective trial
Ongoing Pregnancy Rate
28 months prospective trial
Live Birth Rate
28 months prospective trial
Study Arms (2)
Dual trigger (GnRH-agonist plus hCG)
EXPERIMENTALParticipants in this arm will be administered a GnRH-agonist trigger plus hCG (dual trigger) for final maturation
Gn-RH-agonist only trigger
ACTIVE COMPARATORParticipants in this arm will be administered a GnRH-agonist trigger only for final maturation
Interventions
Human chorionic gonadotropin will be added to GnRH-agonist as a dual trigger in participants previously having had a suboptimal response to GnRH-agonist trigger only
GnRH-agonist only will be used for final maturation
Eligibility Criteria
You may qualify if:
- BMI: 18 - 25
- AMH: 1-3ng/ml
- AFC: 15
- Peak E2 in previous ovarian stimulation cycle: \< 4000 pg/ml
- Ovarian response in first stimulation cycle: \< 20 follicles over 10mm in total, at time of triggering
- Peak E2 in study cycle: \< 4000 pg/ml
- Suboptimal response to trigger medication at first stimulation cycle
- Male age \< 50 years old with normospermia
You may not qualify if:
- Oocyte donors which are at risk for development of ovarian hyperstimulation syndrome (OHSS)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Embryolab Fertility Cliniclead
- ART Fertility Clinics LLCcollaborator
Study Sites (1)
Embryolab Fertility Clinic
Thessaloniki, 55133, Greece
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
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
- Consultant Obstetrician Gynaecologist - Clinical Director
Study Record Dates
First Submitted
November 9, 2023
First Posted
November 21, 2023
Study Start
November 1, 2023
Primary Completion
April 1, 2025
Study Completion
February 1, 2026
Last Updated
November 21, 2023
Record last verified: 2023-11
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
- Time Frame
- at the end of study as already submitted
At the trial completion IPD are to be shared with researchers from ART Fertility Clinics for statistical analysis