Intra-uterine Injection of Human Chorionic Gonadotrophin (hCG) Before Embryo Transfer

NCT ID: NCT01030393

Last Updated: 2012-08-21

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

PHASE4

Total Enrollment

472 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2011-02-28

Brief Summary

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Chorionic gonadotrophins (hCG) play an important role in implantation. The aim of the study is to evaluate the effect of intrauterine injection of hCG before embryo transfer in IVF/ICSI on the implantation and pregnancy rates. The rational is that intrauterine hCG injection will attract regulatory T cells and improve implantation.

Detailed Description

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Background :

Human chorionic gonadotrophin ( hCG) was found to secreted immediately after fertilization by the embryo. It plays an important role in implantation and in attracting regulatory T cells to the endometrium.

Rational :

Intrauterine injection of hCG before embryo transfer in IVF/ICSI may increase endometrial regulatory T cells ( Treg ) and improve the implantation and pregnancy rates.

Aim of the work :

To study the effect of intrauterine injection of hCG before embryo transfer on the implantation and pregnancy rates after IVF/ICSI.

Subjects :

Infertile patients undergoing ICSI.

Inclusion criteria :

* Female age less than 40 years
* Male factor infertility
* Normal female hormonal profile and uterine cavity

Exclusion criteria :

* Previous ICSI failure
* Azoospermia
* Endometriosis

Study group: Intrauterine injection of 100 iu of hCG (group 1)or 200 iu of hCG ( group 2) will be done during the dummy embryo transfer which is done 10-15 minutes before the actual embryo transfer.

Control group: The embryo transfer will be done without prior intrauterine injection of hCG

Main outcome measures :

Implantation and pregnancy rates

Secondary outcome measures :

miscarriage and delivery rates

Conditions

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Infertility

Keywords

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hCG pregnancy implantation ICSI IVF

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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intrauterine hCG

Experimental arm : intrauterine injection of 100 iu(group1)or 200 iu (group2) of hCG before embryo transfer.

Intrauterine injection of 500 iu hCG before embryo transfer

Group Type EXPERIMENTAL

human chorionic gonadotrophin

Intervention Type DRUG

intrauterine injection of 100 iu (group1) or 200 iu (group2) of hCG before embryo transfer in IVF/ICSI And intrauterine injection of 500 iu hCG before embryo transfer .

Interventions

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human chorionic gonadotrophin

intrauterine injection of 100 iu (group1) or 200 iu (group2) of hCG before embryo transfer in IVF/ICSI And intrauterine injection of 500 iu hCG before embryo transfer .

Intervention Type DRUG

Other Intervention Names

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choriomon

Eligibility Criteria

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Inclusion Criteria

* male factor infertility
* normal female hormonal profile
* normal uterine cavity

Exclusion Criteria

* previous ICSI failure
* endometriosis
* azoospermia
Minimum Eligible Age

20 Years

Maximum Eligible Age

39 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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The Egyptian IVF-ET Center

OTHER

Sponsor Role lead

Responsible Party

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Ragaa Mansour

Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ragaa T Mansour, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

The Egyptian IVF-ET Center

Locations

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The Egyptian IVF- ET center

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Schumacher A, Brachwitz N, Sohr S, Engeland K, Langwisch S, Dolaptchieva M, Alexander T, Taran A, Malfertheiner SF, Costa SD, Zimmermann G, Nitschke C, Volk HD, Alexander H, Gunzer M, Zenclussen AC. Human chorionic gonadotropin attracts regulatory T cells into the fetal-maternal interface during early human pregnancy. J Immunol. 2009 May 1;182(9):5488-97. doi: 10.4049/jimmunol.0803177.

Reference Type BACKGROUND
PMID: 19380797 (View on PubMed)

Mansour R, Tawab N, Kamal O, El-Faissal Y, Serour A, Aboulghar M, Serour G. Intrauterine injection of human chorionic gonadotropin before embryo transfer significantly improves the implantation and pregnancy rates in in vitro fertilization/intracytoplasmic sperm injection: a prospective randomized study. Fertil Steril. 2011 Dec;96(6):1370-1374.e1. doi: 10.1016/j.fertnstert.2011.09.044. Epub 2011 Nov 1.

Reference Type DERIVED
PMID: 22047664 (View on PubMed)

Other Identifiers

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hCG 100

Identifier Type: -

Identifier Source: org_study_id