Endometrial Injury and IVF Outcome Parameters in Patients With Failed IVF Cycles

NCT ID: NCT01798862

Last Updated: 2016-06-10

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

PHASE2/PHASE3

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2016-06-30

Brief Summary

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The iatrogenic induction of local endometrial injury caused through hysteroscopy or pipelle sampling in the preceding non- transfer cycle improves the IVF outcome parameters in patients with previous IVF failures.

Detailed Description

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Endometrial injury was preformed either through hysteroscope during office hysteroscopy through the non touch technique or through pipelle biopsy in the early follicular phase (days 5 to 9) in the preceding cycle of the IVF treatment.

Conditions

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Repeated Implantation Failures

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Endometrial injury by hysteroscopy or pipelle sapling

Endometrial Sampling by pipelle or hysteroscopy performed once between 6th to 10th day in the cycle prior to the fresh IVF/ ICSI cycle.

Group Type EXPERIMENTAL

Endometrial injury by hysteroscopy or pipelle sampling

Intervention Type PROCEDURE

COH for IVF without hysteroscopy or pipelle sampling

Procedure: COH for IVF Both GnRH agonists (long, starting at day 2 or 21) with triptorelin acetate 0.1 mg (Gonapeptyl daily) and antagonists with ganirelix 0.25mg (Orgalutran) or cetrorelix 0.25mg (Cetrotide) protocols will be used; for ovarian stimulation both recombinant FSH ( Puregon) and human menopausal gonadotrophin ( Menopur) will be used. Ovarian response will be monitored by ultrasonography, oocyte retrieval will be performed 36-38 hours after the Hcg triggering and for luteal phase support 600 mg progesterone tablets ( Utrogestan) will be applied.

Group Type ACTIVE_COMPARATOR

Proceed to COH directly

Intervention Type PROCEDURE

Interventions

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Endometrial injury by hysteroscopy or pipelle sampling

Intervention Type PROCEDURE

Proceed to COH directly

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Personal history of 2 or more failed IVF/ICSI cycles (RIF)
* Age\</= 42 years
* Good response with good quality embryos in previous attempts (\>2)

Exclusion Criteria

* Personal history of endometrial tuberculosis/ antituberculous treatment
* Sonographically detected hydrosalpinges
* Intramural fibroids distorting the endometrial cavity, submucous myomas or Asherman's syndrome
* Thrombophilia
Minimum Eligible Age

25 Years

Maximum Eligible Age

42 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National and Kapodistrian University of Athens

OTHER

Sponsor Role lead

Responsible Party

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Siristatidis Charalampos, MD, PhD

Assistant Professor in Obstetrics and Gynecology / Assisted Reproduction

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Maria Kreatsa, MD/PhD

Role: PRINCIPAL_INVESTIGATOR

National and Kapodistrian University of Athens

Charalampos Siristatidis, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

National Kapodistrian University of Athens

Locations

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Assisted Reproduction Unit 3rd Department of Obstetrics & Gynecology, Attikon University Hospital

Athens, Attica, Greece

Site Status

Assisted Reproduction Unit

Alexandroupoli, Thrace, Greece

Site Status

Countries

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Greece

References

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Narvekar SA, Gupta N, Shetty N, Kottur A, Srinivas M, Rao KA. Does local endometrial injury in the nontransfer cycle improve the IVF-ET outcome in the subsequent cycle in patients with previous unsuccessful IVF? A randomized controlled pilot study. J Hum Reprod Sci. 2010 Jan;3(1):15-9. doi: 10.4103/0974-1208.63116.

Reference Type RESULT
PMID: 20607003 (View on PubMed)

El-Toukhy T, Sunkara S, Khalaf Y. Local endometrial injury and IVF outcome: a systematic review and meta-analysis. Reprod Biomed Online. 2012 Oct;25(4):345-54. doi: 10.1016/j.rbmo.2012.06.012. Epub 2012 Jun 26.

Reference Type RESULT
PMID: 22885017 (View on PubMed)

Potdar N, Gelbaya T, Nardo LG. Endometrial injury to overcome recurrent embryo implantation failure: a systematic review and meta-analysis. Reprod Biomed Online. 2012 Dec;25(6):561-71. doi: 10.1016/j.rbmo.2012.08.005. Epub 2012 Sep 12.

Reference Type RESULT
PMID: 23063812 (View on PubMed)

Baum M, Yerushalmi GM, Maman E, Kedem A, Machtinger R, Hourvitz A, Dor J. Does local injury to the endometrium before IVF cycle really affect treatment outcome? Results of a randomized placebo controlled trial. Gynecol Endocrinol. 2012 Dec;28(12):933-6. doi: 10.3109/09513590.2011.650750. Epub 2012 Sep 3.

Reference Type BACKGROUND
PMID: 22943664 (View on PubMed)

Karimzadeh MA, Ayazi Rozbahani M, Tabibnejad N. Endometrial local injury improves the pregnancy rate among recurrent implantation failure patients undergoing in vitro fertilisation/intra cytoplasmic sperm injection: a randomised clinical trial. Aust N Z J Obstet Gynaecol. 2009 Dec;49(6):677-80. doi: 10.1111/j.1479-828X.2009.01076.x.

Reference Type RESULT
PMID: 20070722 (View on PubMed)

Other Identifiers

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121212

Identifier Type: -

Identifier Source: org_study_id

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