Single Injection of Ganirelix in Gonadotropin Intrauterine Insemination (IUI) Cycles

NCT ID: NCT01286051

Last Updated: 2013-03-20

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

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2012-09-30

Brief Summary

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Ovulation induction (OI) using gonadotropins is one of the most widely prescribed treatments of infertility. One common problem encountered while attempting OI using gonadotropins is premature ovulation. The purpose of this study is to examine the effect of a single injection of a medication, called ganirelix, to prevent premature ovulation. Patients will be divided into two groups. In the first group, gonadotropins will be used to stimulate the ovaries. In the second group gonadotropins will be used in addition to a single injection of ganirelix, a gonadotropin releasing hormone (GnRH) antagonist. Pregnancy rates will be compared between groups.

Detailed Description

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A randomized prospective study will be performed on patients attempting pregnancy using ovulation induction/intra-uterine insemination (IUI). Patients will be randomly assigned to one of two protocols:

Protocol A (control group): On menstrual cycle day 3, the patient will start gonadotropins (Follistim) injections at a starting dose of 75-150 IU and monitored according to the discretion of the treating physician. When the leading follicle reaches a size of at least 18mm, intramuscular human chorionic gonadotripin (hCG) (10,000 IU) is administered, followed by two inseminations, one at 12 hours after hCG, and the other at 36 hours. All patients will have luteal support using progesterone vaginal suppositories at a dose of 200mg two times per day (BID). Pregnancy testing will be scheduled at 2 weeks after the IUI. The treatment cycle typically lasts from 8-13 days, depending on the patient's response.

Protocol B (study group): On menstrual cycle day 3, the patient will start gonadotropins (Follistim) injections at a starting dose of 75-150 IU and monitored according to the discretion of the treating physician. When the leading follicle reaches a size of 13-14mm in mean diameter, or when the estradiol level reaches a level of 400 pg/ml, ganirelix injection at the standard dose of 250mcg is given once subcutaneously. When the leading follicle reaches a size of at least 18mm, intramuscular hCG (10,000IU) is administered followed by two inseminations, one at 12 hours after hCG, and the other at 36 hours. All patients will have luteal support using progesterone suppositories at a dose of 200mg BID. Pregnancy testing will be scheduled at 2 weeks after the IUI. The treatment cycle typically lasts from 8-13 days, depending on the patient's response.

Patients will be randomized, via computer generated program, in a 1:1 fashion.

Conditions

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Compare Pregnancy Rates Between FSH Stimulation and FSH and GnRH Antagonist

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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Follistim

standard treatment

Group Type ACTIVE_COMPARATOR

Follistim administration

Intervention Type DRUG

adminstation of FSH for ovulation induction

Follistim plus single ganirelix injection

Group Type EXPERIMENTAL

Follistim plus Ganirelix

Intervention Type DRUG

Follistim plus single injection of ganirelix

Interventions

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Follistim administration

adminstation of FSH for ovulation induction

Intervention Type DRUG

Follistim plus Ganirelix

Follistim plus single injection of ganirelix

Intervention Type DRUG

Other Intervention Names

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Follistim Follistim ganirelix

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing ovulation induction (OI) between ages 18 - 39 years.
* One or more of the following infertility diagnoses: ovulation dysfunction, mild male factor infertility (sperm concentration of 5- 20 million/ml, and/or sperm motility 10% - 40%) , absence teratospermia (i.e. strict morphology \> 4%), unexplained infertility.
* Patent Fallopian tubes.
* Normal uterine structure (i.e. absence of mullerian anomalies)
* Ability to consent to the study.
* Patients should be Houston Fertility Institute patients

Exclusion Criteria

* Age 39 or above
* Severe male factor (concentration \< 10 million/ml or strict morphology \< 4%)
* Obstructed Fallopian tubes on one or both sides
* Stage III or IV endometriosis
* Elevated FSH level (\>10 IU/L)
* Low antral follicular count (\< 4 antral follicles per ovary)
* Any other contraindication for ovulation induction
* Inability to consent to the study
* History of any prior failed OI/IUI cycle
Minimum Eligible Age

18 Years

Maximum Eligible Age

39 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Houston Fertility Institute

OTHER

Sponsor Role lead

Responsible Party

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Ghassan F. Haddad

Medical Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ghassan F Haddad, M.D.

Role: PRINCIPAL_INVESTIGATOR

Houston Fertility Institute

Locations

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Houston Fertility Institute

Houston, Texas, United States

Site Status

Countries

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United States

Related Links

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http://www.hfi-ivf.com

practice website

Other Identifiers

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P08115

Identifier Type: -

Identifier Source: org_study_id

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