Clomifene Citrate as First Line Treatment in in Vitro Fertilization Cycles for Patients With Lower Ovarian Reserve

NCT ID: NCT01389713

Last Updated: 2011-07-12

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

289 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-09-30

Study Completion Date

2010-12-31

Brief Summary

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Women with compromised ovarian reserve requiring in vitro fertilization (IVF) still represent a demanding challenge for clinicians. It has classically been claimed that using higher dosages of gonadotropins may overcome the scarce ovarian responsiveness to hyper-simulation and increase the chances of success. However, scientific evidence supporting this view is scanty and costs are inevitably much higher. In this study, the investigators hypothesized that similar chances of pregnancy may be achieved with a mild stimulation using exclusively Clomiphene citrate (CC).

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

NONE

Study Groups

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High doses

Administration of high doses of gonadotrophins to stimulate ovarian follicular growth

Group Type ACTIVE_COMPARATOR

GnRH analog and recombinant human FSH

Intervention Type DRUG

daily subcutaneous 0.1 mg decapeptyl from day 1-2 of the menstrual cycle and recombinant human FSH 450 IU/die from day 3.

Clomid

Administration of Clomiphene Citrate to obtain ovarian follicular growth

Group Type EXPERIMENTAL

Clomifene Citrate

Intervention Type DRUG

3x50 mg die for 5 days from day 3 to day 7 of the menstrual cycle

Interventions

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Clomifene Citrate

3x50 mg die for 5 days from day 3 to day 7 of the menstrual cycle

Intervention Type DRUG

GnRH analog and recombinant human FSH

daily subcutaneous 0.1 mg decapeptyl from day 1-2 of the menstrual cycle and recombinant human FSH 450 IU/die from day 3.

Intervention Type DRUG

Other Intervention Names

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clomid decapeptyl Gonal-F

Eligibility Criteria

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Inclusion Criteria

* age 18-42 years
* infertility status
* Day 3 serum FSH \> 12 IU/ml in at least two occasions or previous poor response (≤3 oocytes retrieved) to hyper-stimulation

Exclusion Criteria

* contraindications to infertility treatments or pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

42 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Istituto Clinico Humanitas

OTHER

Sponsor Role collaborator

IRCCS San Raffaele

OTHER

Sponsor Role collaborator

Istituti Clinici Zucchi

OTHER

Sponsor Role collaborator

Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico

OTHER

Sponsor Role lead

Responsible Party

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Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico

Principal Investigators

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guido ragni, md

Role: PRINCIPAL_INVESTIGATOR

Fondazione Ca' Granda Ospedale Maggiore Policlinico

Locations

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Fondazione Ca' Granda Ospedale Maggiore Policlinico

Milan, , Italy

Site Status

Countries

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Italy

References

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Heijnen EM, Eijkemans MJ, De Klerk C, Polinder S, Beckers NG, Klinkert ER, Broekmans FJ, Passchier J, Te Velde ER, Macklon NS, Fauser BC. A mild treatment strategy for in-vitro fertilisation: a randomised non-inferiority trial. Lancet. 2007 Mar 3;369(9563):743-749. doi: 10.1016/S0140-6736(07)60360-2.

Reference Type BACKGROUND
PMID: 17336650 (View on PubMed)

Eijkemans MJ, Heijnen EM, de Klerk C, Habbema JD, Fauser BC. Comparison of different treatment strategies in IVF with cumulative live birth over a given period of time as the primary end-point: methodological considerations on a randomized controlled non-inferiority trial. Hum Reprod. 2006 Feb;21(2):344-51. doi: 10.1093/humrep/dei332. Epub 2005 Oct 20.

Reference Type BACKGROUND
PMID: 16239317 (View on PubMed)

Ragni G, Levi-Setti PE, Fadini R, Brigante C, Scarduelli C, Alagna F, Arfuso V, Mignini-Renzini M, Candiani M, Paffoni A, Somigliana E. Clomiphene citrate versus high doses of gonadotropins for in vitro fertilisation in women with compromised ovarian reserve: a randomised controlled non-inferiority trial. Reprod Biol Endocrinol. 2012 Dec 18;10:114. doi: 10.1186/1477-7827-10-114.

Reference Type DERIVED
PMID: 23249758 (View on PubMed)

Other Identifiers

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clomid re-007

Identifier Type: -

Identifier Source: org_study_id

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