Comparison of 2 Ovarian Stimulation Protocols for Women With Low Ovarian Reserve

NCT ID: NCT02128360

Last Updated: 2014-11-20

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

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-31

Study Completion Date

2016-06-30

Brief Summary

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The purpose of this study is to determine whether minimal ovarian stimulation for in vitro fertilization is superior to high dose stimulation. Number of mature eggs, number of embryos as well as pregnancy rates will be compared.

Detailed Description

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A prospective randomized trial will be carried out. The Minimal stimulation (MS) protocol is based on low dose letrozole 2.5 mg over 5 days, starting from cycle day 2, overlapping with low dose gonadotropins, starting from day 3 of the letrozole at 150 units per day. GnRH antagonist wil be introduced to avoid premature LH surge when one or more of the growing follicles reached approximately 14 mm in size. The high dose stimulation protocol is based on high dose of gonadotropins (≥300 IU/day) throughout the cycle with the usage of gonadotropin-releasing hormone (GnRH) antagonist to avoid premature luteinizing hormone (LH) surge as described above.

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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Minimal stimulation protocol

Low dose Letrozole 2.5 mg over 5 days, starting from cycle day 2, overlapping with low dose gonadotropins, starting from day 3 of the Letrozole at 150 units per day. GnRH antagonist to avoid premature LH surge will be introduced when one or more of the growing follicles reached approximately 14 mm in size

Group Type ACTIVE_COMPARATOR

Letrozole, Gonadotropins

Intervention Type DRUG

High dose protocol

High dose of gonadotropins (≥300 IU/day) starting from cycle day 3. GnRH antagonist will be introduced to avoid premature LH surge when one or more of the growing follicles will reach approximately 14 mm in size

Group Type ACTIVE_COMPARATOR

Gonadotropins

Intervention Type DRUG

Interventions

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Letrozole, Gonadotropins

Intervention Type DRUG

Gonadotropins

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of poor responder to ovarian stimulation

Exclusion Criteria

* Patients undergoing pregestational diagnosis (PGD)
* Patients using donor eggs
Minimum Eligible Age

18 Years

Maximum Eligible Age

43 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Sheba Medical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shir Dar, MD

Role: PRINCIPAL_INVESTIGATOR

Sheba Medical Center

Locations

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The Chaim Sheba Medical Center

Tel Litwinsky, , Israel

Site Status

Countries

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Israel

Central Contacts

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Shir Dar, MD

Role: CONTACT

Other Identifiers

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SHEBA-14-1034-SD-CTIL

Identifier Type: -

Identifier Source: org_study_id