Skip to content

Trial · Interventional

Status unknownPhase 2/3Results postedRegistry data

Outcome of Cetrotide Therapy for Management of Women at High-risk of Ovarian Hyperstimulation Syndrome

NCTNCT02823080 (opens ClinicalTrials.gov in a new tab)Other idBenha UOther idkmsalama

Overview

Status
Status unknown
Phase
Phase 2/3
Enrollment
48 participants (actual)
Sponsor
Benha University · Other
Design
Randomized · Triple masking
Countries
1 country

Egypt

Start
Oct 2014
Primary completion
Apr 2017 (estimated)
Completion
May 2017 (estimated)
First posted
6 Jul 2016 (estimated)
Last update posted
30 Mar 2017
Conditions
Infertility

Timeline

1 trial · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20142015201620172018
  1. Ph 2/3

    Outcome of Cetrotide Therapy for Management of Women at High-risk of Ovarian Hyperstimulation Syndrome

    NCT02823080

    Oct 2014 to est. May 2017

Registry summary

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

To evaluate safety and efficacy of 3-day cetrotide therapy started on day of oocyte retrieval (Day-0) in women at high-risk for development of ovarian hyperstimulation syndrome (OHSS) after gonadotropin- releasing hormon agonist induction protocol. Patients \& Methods: Forty-eight women fulfilling inclusion criteria underwent ultrasound scanning for maximal ovarian diameter (MOD) estimation and ascites grading. Patients underwent embryo freezing, but study group received 3-day Cetrotide sc injection (0.25 mg/day) started on Day-0. Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8

Interventions

  • CetrorelixDrug

Arms2

  • Active comparator

    cetrotide

    study group (24 patients = intervention) received intervention for 3-daysCetrorelix Acetate sc injection (0.25 mg/day) started on Day-0. Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.

  • No intervention

    no cetrotide

    control group (24 patients) did not receive 3-daysCetrorelix Acetate (no intervention). Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.

Primary outcomes2

Outcomes the sponsor listed as primary.

  1. Daily Serum E2 Levels

    Time frame · 8 days

    Registry description

    Serum E2 levels (Serum E2 level in picograms/ml) were evaluated daily.

  2. Daily Maximal Ovarian Diameter

    Time frame · 8 days

    Registry description

    MOD (maximal ovarian diameter in mm) were evaluated daily.

Secondary outcomes(4)
  1. Daily Numerical Pain Visual Analogue Scale Score

    Time frame · 8 days.

    Registry description

    -All patients were clinically evaluated for the presence of abdominal pain and if present was graduated using a numerical pain visual analogue scale (VAS) with 0 means no pain and 10 means severe intolerable pain .

  2. Daily Hematocrits Value

    Time frame · 0-8 days.

    Registry description

    Blood samples were obtained under complete aseptic condition for determination of hematocrits value (Ht%)

  3. Ultrasound Detected Severity Grades of Ascites From Days 0-8

    Time frame · 0-8 days

    Registry description

    -US detected severity grades of ascites determined at Day -0, Day -3 and Day -8.

  4. Daily Total Leucocytic Count

    Time frame · 0 -8days.

    Registry description

    TLC(x 1ooo cells/ml)

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· 8 days

Daily Serum E2 Levels

GroupValue (picograms/ml)Spread
Cetrotide4761940
no Cetrotide5004792
Primary outcomeMean· 8 days

Daily Maximal Ovarian Diameter

GroupValue (mm)Spread
Cetrotide9.44.5
no Cetrotide10.45.8
Secondary and other outcome results(5)
Secondary outcomeMean· 8 days.

Daily Numerical Pain Visual Analogue Scale Score

GroupValue (units on a scale)Spread
Cetrotide5.31.6
no Cetrotide5.41.7
Secondary outcomeMean· 0-8 days.

Daily Hematocrits Value

GroupValue (percentge)Spread
Cetrotide42.25.2
no Cetrotide39.84.2
Secondary outcomeNumber· 0-8 days

Ultrasound Detected Severity Grades of Ascites From Days 0-8

GroupValue (US detected ascitis)
Cetrotide8
no Cetrotide6
Secondary outcomeMean· 0 -8days.

Daily Total Leucocytic Count

GroupValue (1000 cells/ml)Spread
Cetrotide12.753.1
no Cetrotide11.63.7
Other pre specified outcomeNumber· 0-6 days

Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy

GroupValue (GI manifestations)
Cetrotide5
no Cetrotide6

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Cetrotidestudy group (24 patients = intervention) received intervention for 3-daysCetrorelix Acetate sc injection (0.25 mg/day) started on Day-0. Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.0 / 240 / 240 / 24
no Cetrotidecontrol group (24 patients) did not receive 3-daysCetrorelix Acetate (no intervention). Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.0 / 240 / 240 / 24

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

PubMed tag: none · 1997

7 results

Comparison of different doses of gonadotropin-releasing hormone antagonist Cetrorelix during controlled ovarian hyperstimulation.

Albano et al. 1997Fertility and sterilitycited by 150

PMID 9130900DOI 10.1016/s0015-0282(97)81407-0PUB-09130900

Full text at the publisher7 results

Other registry references

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

  • DerivedSalama KM, Abo Ragab HM, El Sherbiny MF, Morsi AA, Souidan II. Sequential E2 levels not ovarian maximal diameter estimates were correlated with outcome of cetrotide therapy for management of women at high-risk of ovarian hyperstimulation syndrome: a randomized controlled study. BMC Womens Health. 2017 Nov 13;17(1):108. doi: 10.1186/s12905-017-0466-z. PMID 29132339

Eligibility

Who could join, as posted.

Sex
Female
Age
from 20 Years up to 35 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: 1. number of retrieved oocytes was ≥20 2. mean number of follicles with a diameter of \>16 mm was ≥18 3. serum E2 concentrations of ≥3500 pg/ml 4. ovarian diameter on the day of ovum retrieval of \>10 cm 5. presentation of evident symptoms of OHSS on the day of aspiration . Exclusion Criteria: 1- Absence of one or more of the items of the inclusion criteria.

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