IVF Clinical Trial of Two Different Treatment Protocols.

NCT ID: NCT00799929

Last Updated: 2015-12-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

564 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2014-10-31

Brief Summary

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The purpose of this study is to compare two different in vitro fertilization (IVF) treatments: conventional IVF protocol and minimal stimulation IVF protocol, in terms of success rates, stress of treatment, drug-related side effects, multiple pregnancies and cost of treatment.

Detailed Description

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A random population of 564 sub-fertile women or couples with a female between ages of 18 and 38 years and a desire to undergo their first IVF cycle will be included in this outpatient clinical trial. The participation in this study will be approximately six months with a total of 20 to 25 visits. After successful completion of the pre-screening tests participants are randomized into one of the two arms of the study: Arm A - mini IVF protocol, and Arm B - conventional IVF protocol.

Conditions

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Infertility

Keywords

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IVF Research Study Infertility Sudy in vitro fertilization Mini IVF Conventional IVF

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ARM A - Mini IVF

The Mini IVF method entails pre-treatment with oral contraceptive pills. Ovarian stimulation is achieved using an oral anti-estrogen in conjunction with injections of gonadotropin (225IU-600IU per cycle), with initial dose of 75IU-150IU per injection. Ovulation is induced by a GnRH (gonadotropin-releasing hormone) agonist nasal spray/hCG (human chorionic gonadotropin) injection. Retrieved oocytes following in vitro fertilization (IVF/ICSI) are cultured to the blastocyst stage. Blastocyst stage embryos are vitrified using the CryoTop method. No fresh embryo transfer is conducted. Subsequently, SET of a thawed blastocyst is performed in a natural cycle/HRT that does not involve ovarian stimulation. SETs are conducted until pregnancy is achieved or all vitrified blastocysts have been used.

Group Type ACTIVE_COMPARATOR

in vitro fertilization (IVF/ICSI)

Intervention Type OTHER

Arm B - Conventional IVF

The standard IVF method entails pre-treatment with a GnRH analog injections in the midluteal phase. Controlled ovarian hyperstimulation is achieved with injections of gonadotropin (150IU-300IU/day). Ovulation is induced by hCG injection and retrieved oocytes following in vitro fertilization (IVF/ICSI) are cultured to the blastocyst stage. If this occurs on day 5, then fresh SET/DET (single embryo transfer/double embryo transfer) is performed. Remaining blastocysts are cryopreserved and transferred in subsequent natural cycles/HRT (hormone replacement therapy) that does not involve ovarian stimulation.

Group Type ACTIVE_COMPARATOR

in vitro fertilization (IVF/ICSI)

Intervention Type OTHER

Interventions

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in vitro fertilization (IVF/ICSI)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Valid indication for IVF treatment
* First IVF attempt
* Female age between 18 and 38 years
* Male partner 18 years of age or older
* Both partners STD free
* Must be able to understand that they may NOT become pregnant

Exclusion Criteria

* Not willing or able to sign the consent form
* Pre-existing medical condition preventing/interfering with IVF treatment
* Abnormal IVF screening tests, which includes Complete Blood Count, Varicella titer, Rubella titer, PAP smear, Syphilis, HIV 1\&2, Hepatitis B, Hepatitis C, Chlamydia, and Gonorrhea
* Abnormal pap smear
* Body Mass Index (BMI) falls below 18.5 or above 32.0
* Female participant with irregular menstrual cycles
Minimum Eligible Age

18 Years

Maximum Eligible Age

38 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

OTHER

Sponsor Role collaborator

New Hope Fertility Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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John J Zhang, MD, MSc, PhD

Role: PRINCIPAL_INVESTIGATOR

New Hope Fertility Center

Locations

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New Hope Fertility Center

New York, New York, United States

Site Status

Countries

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United States

References

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Zhang JJ, Yang M, Merhi Z. Efficiency of metaphase II oocytes following minimal/mild ovarian stimulation in vitro fertilization. Fertil Res Pract. 2016 Sep 1;2:2. doi: 10.1186/s40738-016-0025-6. eCollection 2016.

Reference Type DERIVED
PMID: 28620528 (View on PubMed)

Other Identifiers

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NHFC

Identifier Type: -

Identifier Source: secondary_id

JZ-09-08

Identifier Type: -

Identifier Source: org_study_id