Skip to content

Trial · Interventional

CompletedNot applicableResults postedRegistry data

GnRH-a and Pregnancy Rate in In Vitro Fertilization (IVF) Cycles.

Overview

Status
Completed
Phase
Not applicable
Enrollment
180 participants (actual)
Sponsor
University of Ioannina · Other
Design
Randomized · Open label (no masking)
Countries
1 country

Greece

Start
May 2004
Primary completion
Aug 2010
Completion
Sept 2010
First posted
4 Jan 2011 (estimated)
Last update posted
30 Jul 2013 (estimated)
Conditions
Endometriosis · Infertility

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2004200620082010
  1. N/A

    GnRH-a and Pregnancy Rate in In Vitro Fertilization (IVF) Cycles.

    NCT01269125

    May 2004 to Sept 2010

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The investigators attempted to establish a rationale for the Gonadotropin Releasing Hormone-agonist (GnRH-a) administration, post-laparoscopically, in women with mild endometriosis (until stage II, according to AFS) who underwent IVF-ET procedure. Since GnRH-a reduces cytokine's concentration in serum (Iwabe et al., 1998; Iwabe et al., 2003) and peritoneal fluid of women with endometriosis (Taketani et al., 1992) the investigators hypothesized that GnRH-a can reduces also cytokine's concentration in the follicular fluid and this action may improve the oocyte quality and the fertility of these women.

Interventions

  • LeuprolideDrug
  • IVFProcedure

Arms3

  • Active comparator

    Endometriosis, leuprolide, IVF

    Women with stage II endometriosis received GnRH-a (leuprolide) prior to an IVF attempt.

  • Active comparator

    Endometriosis, IVF

    Women with mild endometriosis who underwent an IVF attempt without prior administration of GnRH-a.

  • Active comparator

    Tubal infertility, IVF

    Women with tubal infertility underwent an IVF attempt.

Primary outcomes4

Outcomes the sponsor listed as primary.

  1. Clinical Pregnancy Rate

    Time frame · June 2004-August 2010

    Registry description

    Clinical pregnancy was confirmed by observing fetal cardiac activity on transvaginal ultrasound four weeks after a positive pregnancy test.

  2. Embryo Quality (the Percentage of Grade 1 Embryos Per Participant).

    Time frame · June 2004-August 2010

    Registry description

    Embryo development was evaluated 2 days after oocyte pick-up. The number of blastomeres and the proportion of embryo volume occupied by fragments were used for the evaluation. Embryos with \< 10%, \< 10-20%, \< 20-30% and \>30% fragments were estimated as grade 1,2,3 and 4, respectively.

  3. Fertilization Rate (Percentage of Fertilized Oocytes).

    Time frame · June 2004-August 2010

    Registry description

    The fertilization rate was estimated for every woman 24 hours after oocyte retrieval

  4. Clinical Pregnancy Rate

    Time frame · 4 weeks after a positive pregnancy test

    Registry description

    Clinical pregnancy rate was confirmed by observing fetal cardiac activity on transvaginal ultrasound four weeks after a positive pregnancy test.

Secondary outcomes(1)
  1. Follicular Fluid's TNF-a Concentration.

    Time frame · June 2004-August 2010

    Registry description

    TNF-a was measured in the FF of all women (secondary outcome measures). To prevent any cytokine alterations, only blood-free samples were used.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeMean· June 2004-August 2010

Clinical Pregnancy Rate

GroupValue (percentage)
Endometriosis, GnRH-a Treatment, IVF28.3
Endometriosis, IVF25.4
Tubal Infertility, IVF33.3
Primary outcomeMean· June 2004-August 2010

Embryo Quality (the Percentage of Grade 1 Embryos Per Participant).

GroupValue (Percentage of grade 1 embryos)
Endometriosis, GnRH-a Treatment, IVF25.5
Endometriosis, IVF22.6
Tubal Infertility, IVF27.0
Primary outcomeMean· June 2004-August 2010

Fertilization Rate (Percentage of Fertilized Oocytes).

GroupValue (percentage)
Endometriosis, GnRH-a Treatment, IVF73.7
Endometriosis, IVF62.7
Tubal Infertility, IVF75.7
Primary outcomeMean· 4 weeks after a positive pregnancy test

Clinical Pregnancy Rate

GroupValue (Percentage)
Endometriosis, GnRH-a Treatment, IVF28.3
Endometriosis, IVF25.4
Tubal Infertility, IVF33.3
Secondary and other outcome results(1)
Secondary outcomeMean· June 2004-August 2010

Follicular Fluid's TNF-a Concentration.

GroupValue (pg/ml)Spread
Endometriosis, GnRH-a Treatment, IVF21.46.7
Endometriosis, IVF38.67.6
Tubal Infertility, IVF22.55.4

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Endometriosis, GnRH-a Treatment, IVFWomen with mild endometriosis who received GnRH-a treatment prior to an IVF attempt.–2 / 601 / 56
Endometriosis, IVFWomen with mild endometriosis who underwent an IVF attempt without prior administration of GnRH-a.–4 / 601 / 60
Tubal Infertility, IVFWomen with tubal infertility underwent an IVF attempt.–0 / 600 / 60

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies1

Studies that cite this trial.

Studies with results

1 study on this page

Indexing hint: Randomized controlled trial · 1999

5 results

A gonadotrophin-releasing hormone agonist compared with expectant management after conservative surgery for symptomatic endometriosis.

Vercellini et al. 1999British journal of obstetrics and gynaecologycited by 73

PMID 10428523DOI 10.1111/j.1471-0528.1999.tb08366.xPUB-10428523

Full text at the publisher5 results

Other registry references

References listed at the registry that are not in PepBank. They link to PubMed.

  • DerivedKaponis A, Chatzopoulos G, Paschopoulos M, Georgiou I, Paraskevaidis V, Zikopoulos K, Tsiveriotis K, Taniguchi F, Adonakis G, Harada T. Ultralong administration of gonadotropin-releasing hormone agonists before in vitro fertilization improves fertilization rate but not clinical pregnancy rate in women with mild endometriosis: a prospective, randomized, controlled trial. Fertil Steril. 2020 Apr;113(4):828-835. doi: 10.1016/j.fertnstert.2019.12.018. Epub 2020 Mar 5. PMID 32147182

Eligibility

Who could join, as posted.

Sex
Female
Age
from 29 Years up to 38 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Infertility * Mild endometriosis (until stage II) Exclusion Criteria: * ovarian endometrioma \> 2 cm * FSH \> 12 mIU/ml * Mail factor infertility

PepBank is a research reference. Talk to a doctor before you use any peptide.