Use of GM-CSF Treatment in Recurrent Implantation Failure

NCT ID: NCT01715974

Last Updated: 2022-07-20

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-12

Study Completion Date

2022-08-31

Brief Summary

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The purpose of this study is to determine whether in Assisted Reproductive Technologies the treatment with GM-CSF, a growth factor working on stem cells, may improve the pregnancy rate and pregnancy outcome in patients experiencing recurrent implantation failure in IVF cycles.

Detailed Description

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The GM-CSF is a cytokine promoting leukocyte growth, but also trophoblast development. In this randomized sudy investigators will test this cytokine as a treatment for recurrent implantation failure after IVF, at leat three failed previous IVF attempts.

The study will be conducted in 100 women with recurrent implantation failure of egg donation cycles. The inclusion criteria will be, at least three previous failed Egg Donation attempts where at least 4 good blastocysts were transferred, women less than 50 years old, absence of systemic diseases. These women will undergo egg donation cycle and they will randomly divided in two groups: one (50 women) will be treated with subcutaneous GM-CSF 60 micrograms/day from the day of transfer to the day of β-hCG test, and if it will be positive the treatment will be continued for other 40 days; the group of control will be treated with subcutaneous saline solution infusion in the same way of the study group. Primary outcomes will be considered: pregnancy rate and live birth rate, the of β-hCG levels at 14/21/28 and 35 days after embryo transfer.

Conditions

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Women With Recurrent Implantation Failure in IVF

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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CONTROL

patients with recurrent implantation failure treated with PLACEBO (saline solution) from the day of embryo transfer through the day of beta hCG test

Group Type PLACEBO_COMPARATOR

CONTROL

Intervention Type DRUG

saline infusion every day from the day of embryo transfer through the day of beta HCG test

GM-CSF group

patients with recurrent implantation failure treated with GM-CSF (30 micrograms/day) from the day of embryo transfer through the day of beta hCG test

Group Type EXPERIMENTAL

GM-CSF group

Intervention Type DRUG

30 micrograms/day of GM-CSF from the day of embryo transfer through the day of beta HCG test

Interventions

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GM-CSF group

30 micrograms/day of GM-CSF from the day of embryo transfer through the day of beta HCG test

Intervention Type DRUG

CONTROL

saline infusion every day from the day of embryo transfer through the day of beta HCG test

Intervention Type DRUG

Other Intervention Names

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GM-CSF SALINE INFUSION

Eligibility Criteria

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Inclusion Criteria

* women 50 years old or less with three or more previous egg donation cycles failed,
* with a total of at least 4 blastocysts replaced in uterus

Exclusion Criteria

* chromosomal defects in the patients,
* metabolic diseases (diabetes etc.)
* genetic diseases (thalassemia, cystic fibrosis, etc.)
Minimum Eligible Age

20 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Centre for Endocrinology and Reproductive Medicine, Italy

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marco Sbracia, MD

Role: STUDY_CHAIR

Centre for Endocrinology and Reproductive Medicine, Italy

Locations

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Cerm-Hungaria

Rome, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Marco Sbracia, MD

Role: CONTACT

+393479037433

Fabio Scarpellini, MD

Role: CONTACT

+393278779064

Facility Contacts

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Marco Sbracia, MD

Role: primary

+393479037433

Fabio Scarpellini, MD

Role: backup

+393278779064

References

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Scarpellini F, Sbracia M. Use of granulocyte colony-stimulating factor for the treatment of unexplained recurrent miscarriage: a randomised controlled trial. Hum Reprod. 2009 Nov;24(11):2703-8. doi: 10.1093/humrep/dep240. Epub 2009 Jul 17.

Reference Type BACKGROUND
PMID: 19617208 (View on PubMed)

Scarpellini F, Sbracia M, Marconi D, Fracassi A, Santi K, Desole E. A Randomised Controlled Trial on the Treatment of Recurrent Implantation Failure Women Who Failed Egg Donation Cycles Using Low-Dose GM-CSF. Am J Reprod Immunol. 2025 Sep;94(3):e70162. doi: 10.1111/aji.70162.

Reference Type DERIVED
PMID: 40965804 (View on PubMed)

Other Identifiers

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HC0003

Identifier Type: -

Identifier Source: org_study_id

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