Endometrial Injury for Assisted Reproduction

NCT ID: NCT01132144

Last Updated: 2014-02-17

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

158 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2012-12-31

Brief Summary

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The objective of this study is to evaluate the effect of endometrial injury performed prior ovulation induction for assisted reproductive techniques main outcomes.

Detailed Description

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Conditions

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Infertility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Endometrial injury group

Endometrial biopsy was performed once with a pipelle de Cornier® in the month before initiating controlled ovarian stimulation.

Group Type EXPERIMENTAL

Endometrial injury

Intervention Type PROCEDURE

Evaluate the position and size of the uterus by transabdominal ultrasonography, with the bladder comfortably full.

Identify the cervix with a disposable speculum. Open one sealed opaque envelope for allocation.

Endometrial injury:

* Slide the Pipelle de Cornier® (Laboratoires Prodimed, Neully-En-Thelle, France) gently through the cervix up to the uterine fundus. Transbadominal ultrasound might be used to confirm position.
* Draw back the piston to the end of the biopsy cannula until it locks creating a negative pressure.
* Sweep the uterine fundus slowly several times up to the internal orifice of the cervix, using regular to-and-fro movements while rotating the sampler to include the whole uterine cavity in the specimen, for 30 seconds or until participant ask for stopping.

Control group

Introduction of the speculum and wiping of the cervix with gaze for 30 seconds.

Group Type SHAM_COMPARATOR

Control group

Intervention Type PROCEDURE

The investigator will dry the cervix with gauze and forceps for for 30 seconds or until participant ask for stopping.

Interventions

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Endometrial injury

Evaluate the position and size of the uterus by transabdominal ultrasonography, with the bladder comfortably full.

Identify the cervix with a disposable speculum. Open one sealed opaque envelope for allocation.

Endometrial injury:

* Slide the Pipelle de Cornier® (Laboratoires Prodimed, Neully-En-Thelle, France) gently through the cervix up to the uterine fundus. Transbadominal ultrasound might be used to confirm position.
* Draw back the piston to the end of the biopsy cannula until it locks creating a negative pressure.
* Sweep the uterine fundus slowly several times up to the internal orifice of the cervix, using regular to-and-fro movements while rotating the sampler to include the whole uterine cavity in the specimen, for 30 seconds or until participant ask for stopping.

Intervention Type PROCEDURE

Control group

The investigator will dry the cervix with gauze and forceps for for 30 seconds or until participant ask for stopping.

Intervention Type PROCEDURE

Other Intervention Names

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Sham procedure

Eligibility Criteria

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Inclusion Criteria

* Women who will start assisted reproductive techniques with planned fresh embryo transfer.
* Age between 18 and 38 years.
* Written informed consent.

Exclusion Criteria

* None
Minimum Eligible Age

18 Years

Maximum Eligible Age

38 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fundação de Apoio ao Ensino, Pesquisa e Assistência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo

OTHER

Sponsor Role collaborator

Conselho Nacional de Desenvolvimento Científico e Tecnológico

OTHER_GOV

Sponsor Role collaborator

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.

OTHER_GOV

Sponsor Role collaborator

University of Sao Paulo

OTHER

Sponsor Role lead

Responsible Party

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Wellington P Martins, MD

PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wellington P Martins, PhD

Role: PRINCIPAL_INVESTIGATOR

Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

Locations

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Setor de Reproducao Humana do HC-FMRP-USP

Ribeirão Preto, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Lensen SF, Armstrong S, Gibreel A, Nastri CO, Raine-Fenning N, Martins WP. Endometrial injury in women undergoing in vitro fertilisation (IVF). Cochrane Database Syst Rev. 2021 Jun 10;6(6):CD009517. doi: 10.1002/14651858.CD009517.pub4.

Reference Type DERIVED
PMID: 34110001 (View on PubMed)

Other Identifiers

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HCRP10340/09

Identifier Type: -

Identifier Source: org_study_id

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