Trial Outcomes & Findings for Effect of Colony Stimulating Factor on Implantation and Pregnancy Rates Following IVF (in Vitro Fertilization) (NCT NCT01202656)

NCT ID: NCT01202656

Last Updated: 2014-12-02

Results Overview

Implantation rate: The number of gestational sacs noted in the endometrial cavity 26 to 30 days after embryo transfer divided by the number of embryos transferred Clinical pregnancy: Gestational sac with evidence of a viable pregnancy at least 28 days after embryo transfer

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

129 participants

Primary outcome timeframe

26 to 30 days after embryo transfer

Results posted on

2014-12-02

Participant Flow

All patients presenting for embryos transfer between October 3, 2010, and January 1, 2013, were offered participation in the trial. A total of 419 eligible patients were offered participation: Only 129 patients consented to participate in this study,(12 addtional patient participated in the thin endometrium study) and 278 declined

The principal reasons for refusal to participate were ''lack of interest'' and technical difficulties in presenting in timely fashion for the treatment to the center. Women with renal disease, sickle cell disease, or a history of malignancy were considered ineligible. No consenting patient was excluded from participation for medical reasons.

Participant milestones

Participant milestones
Measure
G-CSF Then Saline
G-CSF (Granulocyte colony stimulating factor) G-CSF 300 units administered by trans-cervical infusion one time on day of human chorionic gonadotropin(hCG) trigger for Ovulation
Saline Then G-CSF
Normal Saline Saline administered by trans-cervical infusion one time on day of hCG trigger for ovulation
Cycle 1
STARTED
67
62
Cycle 1
COMPLETED
67
62
Cycle 1
NOT COMPLETED
0
0
CrossoverCycle
STARTED
18
14
CrossoverCycle
COMPLETED
18
14
CrossoverCycle
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Colony Stimulating Factor on Implantation and Pregnancy Rates Following IVF (in Vitro Fertilization)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
G-CSF Then Saline
n=67 Participants
G-CSF (Granulocyte colony stimulating factor) G-CSF 300 units administered by trans-cervical infusion one time on day of hCG trigger for Ovulation then Normal Saline Saline administered by trans-cervical infusion one time on day of hCG trigger for ovulation
Saline Then G-CSF
n=62 Participants
Normal Saline Saline administered by trans-cervical infusion one time on day of hCG trigger for ovulation then G-CSF (Granulocyte colony stimulating factor) G-CSF 300 units administered by trans-cervical infusion one time on day of hCG trigger for Ovulation
Total
n=129 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
67 Participants
n=93 Participants
62 Participants
n=4 Participants
129 Participants
n=27 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Sex: Female, Male
Female
67 Participants
n=93 Participants
62 Participants
n=4 Participants
129 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
11 Participants
n=93 Participants
12 Participants
n=4 Participants
23 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
12 Participants
n=93 Participants
8 Participants
n=4 Participants
20 Participants
n=27 Participants
Race (NIH/OMB)
White
44 Participants
n=93 Participants
42 Participants
n=4 Participants
86 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
66 participants
n=93 Participants
61 participants
n=4 Participants
127 participants
n=27 Participants
Region of Enrollment
Germany
0 participants
n=93 Participants
1 participants
n=4 Participants
1 participants
n=27 Participants
Region of Enrollment
United Kingdom
1 participants
n=93 Participants
0 participants
n=4 Participants
1 participants
n=27 Participants
AntiMulerian Hormone (AMH)
2.07 ng/mL
STANDARD_DEVIATION 2.17 • n=93 Participants
1.99 ng/mL
STANDARD_DEVIATION 2.38 • n=4 Participants
2.03 ng/mL
STANDARD_DEVIATION 2.26 • n=27 Participants

PRIMARY outcome

Timeframe: 26 to 30 days after embryo transfer

Population: Presuming an implantation rate of 10% and anticipating a 10% increase to 20% with treatment, about 200 embryos transferred in each study arm would be needed for 80% power and alpha of 0.05.

Implantation rate: The number of gestational sacs noted in the endometrial cavity 26 to 30 days after embryo transfer divided by the number of embryos transferred Clinical pregnancy: Gestational sac with evidence of a viable pregnancy at least 28 days after embryo transfer

Outcome measures

Outcome measures
Measure
G-CSF
n=212 Embryos Transferred
G-CSF (Granulocyte colony stimulating factor) G-CSF 300 units administered by trans-cervical infusion one time on day of hCG trigger for Ovulation
Saline
n=207 Embryos Transferred
Normal Saline Saline administered by trans-cervical infusion one time on day of hCG trigger for ovulation
Embryo Implantation and Clinical Pregnancy Rates
32 Gestational sacs
33 Gestational sacs

SECONDARY outcome

Timeframe: Within nine months of embryo transfer

Live birth rates among normal infertile couples undergoing IVF

Outcome measures

Outcome measures
Measure
G-CSF
n=81 Participants
G-CSF (Granulocyte colony stimulating factor) G-CSF 300 units administered by trans-cervical infusion one time on day of hCG trigger for Ovulation
Saline
n=80 Participants
Normal Saline Saline administered by trans-cervical infusion one time on day of hCG trigger for ovulation
Live Birth Rates
22 Live Birth
19 Live Birth

Adverse Events

G-CSF

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Saline

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. David Barad

Center for Human Reproduction

Phone: 212 994-4400

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place