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Trial · Interventional

Status unknownPhase 4Registry data

GnRH Antagonist Pre-treatment for the Prevention of Asynchronous Follicular Growth

Overview

Status
Status unknown
Phase
Phase 4
Enrollment
15 participants (estimated)
Sponsor
Assaf-Harofeh Medical Center · Other gov
Design
Allocation not applicable · Open label (no masking)
Countries
1 country

Israel

Start
1 Apr 2021
Primary completion
1 Mar 2023 (estimated)
Completion
1 Mar 2023 (estimated)
First posted
8 Oct 2021
Last update posted
8 Oct 2021
Conditions
IVF

Timeline

1 trial

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2021202220232024
  1. Ph 4

    GnRH Antagonist Pre-treatment for the Prevention of Asynchronous Follicular Growth

    NCT05071339

    1 Apr 2021 to est. 1 Mar 2023

Registry summary

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

In the study the investigators would like to examine the effect of GnRH antagonist administration at the beginning of the follicular phase in patients presenting with high baseline estradiol levels of 200 pmol/L or above with a leading follicle of 11-13 mm. In the unit's practice, patients presenting for cycle initiation with a leading follicle \> 10 in the presence of E2 \> 200 pmol/L (54 pg/ml) are deferred and receive a priming antagonist protocol in their sequential cycle. The aim of this intervention is to suppress FSH levels at the beginning of the cycle thus preventing estradiol secretion of the leading follicle. This may contribute to better synchronization of the remaining antral follicles cohort and allow for a better cycle outcome instead of cancellation or one-month postponement. As previous studies using GnRH antagonist pre-treatment prior to GT initiation for synchronization purposes demonstrated positive results (including different patient population) , no deleterious effects are expected.

Interventions

  • Ganirelix Acetate, Cetrolix AcetateDrug

Arms1

  • Experimental

    Participants

    Patients treated at the IVF unit at Shamir Medical Center planned for an antagonist cycle will undergo blood test and US exam at day 2-3 of their menstrual cycle. Patients will be recruited if a leading follicle 10-13 is shown in the presence of E2 \> 200-350 pmol/L. Patients will start GnRH antagonist injections \[Cetrotide (cetrolix) or Orgalutran (ganirelix) - depending on their primary prescription\] for 3-5 days intervention.

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Synchronization of follicles

    Time frame · 2 year

    Registry description

    Ratio of number of large (\>15 mm) to small (\<10-15mm) follicles.

Secondary outcomes(3)
  1. Number of mature oocytes that originate from the leading follicles

    Time frame · 2 year

    Registry description

    the absolute number of mature oocytes

  2. Ratio of mature oocytes out of number of follicles

    Time frame · 2 year

    Registry description

    Number of actual oocyte yield (mature oocytes) out of expected yield (number of large follicles).

  3. Number of oocytes compared to a previous cycle

    Time frame · 2 years

    Registry description

    Number of oocytes in the current cycle compared to the number of oocytes in a previous or future cycle using a different protocol

Posted results

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

No results are posted for this trial.

A trial that is still running, or that stopped early, may post results later.

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.

Eligibility

Who could join, as posted.

Sex
Female
Age
from 18 Years up to 45 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Planed antagonist protocol. * Presentation for cycle initiation with a leading follicle 10-13 in the presence of E2 \> 200 and \<350 pmol/L (54 pg/ml). Exclusion Criteria: * Inability to provide informed consent. * Oocyte donor

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