The Effect of LMWH on ICSI in Patients With Unexplained Infertility and Negative Immunological Markers

NCT ID: NCT02861105

Last Updated: 2016-08-12

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

PHASE4

Total Enrollment

716 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2016-03-31

Brief Summary

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The purpose of this study is to assess the efficacy of LMWH treatment in women with unexplained infertility and negative immunological markers undergoing ICSI.

Detailed Description

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Inclusion criteria:

1. patients undergoing 1st trial ICSI
2. unexplained infertility
3. negative immunological markers including ACL abs, LAC, ANA, ATA, AnitdsDNA

Exclusion criteria:

1. previous IVF/ICSI
2. Any cause of infertility
3. Suspected and/or unexpected poor response during ovulation induction
4. positive immunological markers
5. Age \> 40 years.

All participants will undergo IVF/ICSI cycle using the Long luteal phase protocol. the dose of gonadotropins will be calculated according to patient age and BMI. All patients will have 2-3 embryos transferred at D5 according to their age. the primary outcome will be LBR. secondary outcomes will include biochemical pregnancy rate and clinical pregnancy rate.

Conditions

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Unexplained Infertility

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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LMWH supplementation

40 mg of enoxaparin injected subcutaneously every 24 hours starting the day of ovum pick-up to the documentation of fetal life by ultrasound at 7 weeks of gestation

Group Type ACTIVE_COMPARATOR

LMWH

Intervention Type DRUG

LMWH will be given on daily basis subcutaneously every 24 hours starting one day after ovum pick up till documentation of fetal life by ultrasound at 7 weeks.

0.9% saline solution

0.9% saline injected subcutaneously every 24 hours starting the day of ovum pick-up to the documentation of fetal life by ultrasound at 7 weeks of gestation

Group Type PLACEBO_COMPARATOR

0.9% saline solution

Intervention Type OTHER

0.9% saline solution will be given subcutaneously every 24 hours starting one day after ovum pick up till documentation of fetal life by ultrasound at 7 weeks.

Interventions

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LMWH

LMWH will be given on daily basis subcutaneously every 24 hours starting one day after ovum pick up till documentation of fetal life by ultrasound at 7 weeks.

Intervention Type DRUG

0.9% saline solution

0.9% saline solution will be given subcutaneously every 24 hours starting one day after ovum pick up till documentation of fetal life by ultrasound at 7 weeks.

Intervention Type OTHER

Other Intervention Names

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Clexane Enoxaparin 0.9% sodium chloride solution

Eligibility Criteria

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Inclusion Criteria

* age less than 38 years
* at least 12 months of infertility
* women with unexplained infertility

Exclusion Criteria

* age more than or equals 38 years
* serum AMH level less than or equals 1 ng/ml
* patients of anticoagulant therapy
* immune-compromised patients
* patients with contraindications to low molecular weight heparin
* positive immunological markers
* patients with other than unexplained infertility
* male factor infertility
* refusal of participation
* patients with unexpected poor or over response during induction of ovulation
Maximum Eligible Age

38 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Mostafa Fouad Gomaa

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mostafa F Gomaa, MD

Role: PRINCIPAL_INVESTIGATOR

Ain Shams University

Other Identifiers

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ASU-OG-333

Identifier Type: -

Identifier Source: org_study_id

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