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Trial · Interventional

CompletedPhase 4Results postedRegistry data

Co-administration of Low Dose hCG at the Time of GnRH Agonist Trigger or 35 Hours Later for the Prevention of OHSS

Overview

Status
Completed
Phase
Phase 4
Enrollment
89 participants (actual)
Sponsor
UConn Health · Other
Design
Randomized · Quadruple masking
Countries
1 country

United States

Start
Mar 2013
Primary completion
Dec 2015
Completion
Oct 2016
First posted
20 Mar 2013 (estimated)
Last update posted
26 Oct 2018
Conditions
Ovarian Hyperstimulation Syndrome

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20132014201520162017
  1. Ph 4

    Co-administration of Low Dose hCG at the Time of GnRH Agonist Trigger or 35 Hours Later for the Prevention of OHSS

    NCT01815138

    Mar 2013 to Oct 2016

Registry summary

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

This a prospective randomized double blind study involving patients at high risk of OHSS development with peak serum E2 levels \< 4,000 pg/ml comparing the ongoing pregnancy rates in patients who receive adjuvant hCG 1,000 IU at the time of GnRH agonist trigger or adjuvant hCG 1,500 IU 35 hours after GnRH agonist trigger.

Interventions

  • hCGDrug
  • hCGDrug

Arms2

  • Experimental

    hCG given at time of GnRHa trigger

    Adjuvant low dose hCG 1,000 IU administered at the time of GnRH agonist trigger. Placebo administered 35 hours after GnRH agonist trigger

  • Active comparator

    hCG given 35 hours after GnRHa trigger

    Placebo administered at the time of GnRH agonist trigger Adjuvant low dose hCG 1,500 IU administered 35 hours after GnRH agonist trigger.

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Ongoing Pregnancy

    Time frame · Through time of study completion, on average 1-2years

    Registry description

    Positive serum pregnancy test and ultrasound evidence of fetal pole and fetal heart rate .

Secondary outcomes(1)
  1. Ovarian Hyperstimulation Syndrome

    Time frame · Within 4 weeks of oocyte retrieval

    Registry description

    Evaluation of symptoms and signs of OHSS at 9 days after trigger of oocyte maturation. Patients who also present with symptoms of OHSS wil also be evaluated for OHSS within 4 weeks after oocyte maturation.

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 outcomeNumber· Through time of study completion, on average 1-2years

Ongoing Pregnancy

GroupValue (participants)
hCG Given at Time of GnRHa Trigger15
hCG Given 35 Hours After GnRHa Trigger19
Secondary and other outcome results(3)
Secondary outcomeCount of participants· Within 4 weeks of oocyte retrieval

Ovarian Hyperstimulation Syndrome

GroupValue (Participants)
hCG Given at Time of GnRHa Trigger1
hCG Given 35 Hours After GnRHa Trigger3
Other pre specified outcomeMean· Within 60 days after trigger of oocyte maturation

Markers of Corpus Luteum Function

GroupValue (ng/mL)Spread
hCG Given at Time of GnRHa Trigger13.6811.0
hCG Given 35 Hours After GnRHa Trigger21.778.5
Other pre specified outcomeCount of participants· Within 2 weeks after trigger of oocyte maturation

Proportion of Patients With Abdominal Distension

GroupValue (Participants)
hCG Given at Time of GnRHa Trigger2
hCG Given 35 Hours After GnRHa Trigger11

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
hCG Given at Time of GnRHa TriggerAdjuvant low dose hCG 1,000 IU administered at the time of GnRH agonist trigger. Placebo administered 35 hours after GnRH agonist trigger hCG: Adjuvant low dose hCG 1,000 IU administered at the time of GnRH agonist trigger0 / 261 / 260 / 26
hCG Given 35 Hours After GnRHa TriggerPlacebo administered at the time of GnRH agonist trigger Adjuvant low dose hCG 1,500 IU administered 35 hours after GnRH agonist trigger. hCG: Adjuvant low dose hCG 1,500 IU administered 35 hours after GnRH agonist trigger0 / 311 / 310 / 31

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

Studies0

Studies that cite this trial.

No study cites this trial.

Other registry references

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

  • DerivedKaye L, Griffin D, Thorne J, Neuber E, Nulsen J, Benadiva C, Engmann L. Independent serum markers of corpora lutea function after gonadotropin-releasing hormone agonist trigger and adjuvant low dose human chorionic gonadotropin in in vitro fertilization. Fertil Steril. 2019 Sep;112(3):534-544. doi: 10.1016/j.fertnstert.2019.04.034. Epub 2019 Jun 18. PMID 31227286

Eligibility

Who could join, as posted.

Sex
Female
Age
from 18 Years up to 39 Years
Healthy volunteers
Accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Normal baseline serum follicle stimulating hormone, polycystic ovarian syndrome (PCOS), Polycystic ovarian morphology, Previous high responder or previous OHSS, must have \> 14 follicles of over 11 mm in diameter and with peak serum E2 levels \< 4,000 pg/mL on the day of trigger of oocyte maturation. Exclusion Criteria: * Hypothalamic dysfunction, Patients with \< 14 follicles \< 11 mm in diameter, peak serum E2 levels \>= 4,000 pg/mL.

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