Role of Melatonin Supplementation in Follicular Fluid of in Vitro Fertilization (IVF) Patients With Polycystic Ovarian Syndrome

NCT ID: NCT01540747

Last Updated: 2012-02-29

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

Study Classification

INTERVENTIONAL

Brief Summary

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To evaluate the effects of melatonin supplementation on the main in vitro fertilization (IVF) outcomes during ovarian stimulation in patients with Polycystic ovarian syndrome (PCOS).

Detailed Description

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Polycystic ovarian syndrome (PCOS) is a common endocrine disorder that causes infertility due to anovulation in women of reproductive age. Anovulation and also decreased oocyte and embryo quality may be cause of infertility in women with PCOS. Furthermore, the reactive oxygen species (ROS) induce oxidative stress which may be responsible for poor oocyte quality. The ROS generation from mononuclear cells is elevated in women with PCOS and a significant increment of lipid peroxidation products in women with PCOS has been reported.

Melatonin is a documented powerful free radical scavenger and a broad spectrum antioxidant. It has been observed that a non-PCOS group co-treated with inositol, folic acid, and melatonin (Inofolic Plus by LO.LI.Pharma) results in a significantly greater mean number of mature oocytes, and a lower mean number of immature oocytes in patients with low oocyte quality history when compared to treatment only with inositol and folic acid (Inofolic by LO.LI.Pharma).

The aim of the study is to evaluate the possible effects of melatonin supplementation on the main IVF outcomes during ovarian stimulation of patients with PCOS.

From July 2009 to December 2011, 358 patients with PCOS (Rotterdam criteria) were enrolled in this prospective randomized controlled trial.

Conditions

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Polycystic Ovary Syndrome

Keywords

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intrafollicular melatonin PCOS embryos quality oocytes quality

Study Groups

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Inofolic plus

178 patients

Group Type EXPERIMENTAL

Myo-inositol + folic acid + melatonin

Intervention Type DIETARY_SUPPLEMENT

Myo-inositol (2000mg)+ folic acid (200 mcg)+ melatonin(3 mg)

Inofolic

180 patients

Group Type ACTIVE_COMPARATOR

Myo-inositol + folic acid

Intervention Type DIETARY_SUPPLEMENT

Myo-inositol (2000mg) + folic acid (200 mcg)

Interventions

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Myo-inositol + folic acid + melatonin

Myo-inositol (2000mg)+ folic acid (200 mcg)+ melatonin(3 mg)

Intervention Type DIETARY_SUPPLEMENT

Myo-inositol + folic acid

Myo-inositol (2000mg) + folic acid (200 mcg)

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* diagnosis of PCOS
* irregular menstrual cycle (\> than 28-30 days)
* normal uterine cavity
* body mass index of 20 to 26 Kg/m2
* first IVF treatment

Exclusion Criteria

* presence of tubal, uterine, genetics and male causes of infertility
* diagnosis of cancer
* hormonal treatment in the last six months
Minimum Eligible Age

27 Years

Maximum Eligible Age

38 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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AGUNCO Obstetrics and Gynecology Centre

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Praxi Pro Vita Centro di Fertilità

Rome, , Italy

Site Status

Countries

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Italy

Other Identifiers

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Mel_FF

Identifier Type: -

Identifier Source: org_study_id