Cabergoline Versus Calcium Gluconate Infusion in the Prevention of Ovarian Hyperstimulation Syndrome

NCT ID: NCT02875587

Last Updated: 2018-12-27

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

Total Enrollment

170 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-31

Study Completion Date

2018-12-31

Brief Summary

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The aim of this study is to compare the efficacy of calcium gluconate infusion versus cabergoline in the prevention of ovarian hyperstimulation syndrome (OHSS) in patients pretreated with GnRH agonist long protocol who are at high risk for OHSS.

Detailed Description

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Ovarian hyperstimulation syndrome (OHSS) is a serious complication of assisted reproduction.

Previous studies revealed that calcium gluconate infusion reduced the risk of OHSS. Other studies revealed that cabergoline (potent dopamine receptor agonist on D2 receptors)was effective in preventing OHSS.

The aim of this study is to compare the efficacy of calcium gluconate infusion versus cabergoline in the prevention of ovarian hyperstimulation syndrome (OHSS) in patients pretreated with GnRH agonist long protocol who are at high risk for OHSS.

Conditions

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OHSS

Keywords

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OHSS Infertility Cabergoline Calcium gluconate IVF-ET

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Cabergoline group

Cabergoline is administered starting on the day of HCG administration.

Group Type ACTIVE_COMPARATOR

Cabergoline

Intervention Type DRUG

Cabergoline (Dostinex; Pfizer, Italy) at a daily dose of 0.5 mg is administered orally at bed time for 8 days starting on the day of HCG administration

Calcium gluconate infusion group

Calcium gluconate is administered starting on the day of HCG administration.

Group Type EXPERIMENTAL

Calcium gluconate

Intervention Type DRUG

Intravenous 10% calcium gluconate, 10 mL in 200 mL of physiologic saline on the day of ovum pickup, day 1, day 2, and day 3 after ovum pickup. Intravenous infusion will be performed within 30 minutes.

Interventions

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Cabergoline

Cabergoline (Dostinex; Pfizer, Italy) at a daily dose of 0.5 mg is administered orally at bed time for 8 days starting on the day of HCG administration

Intervention Type DRUG

Calcium gluconate

Intravenous 10% calcium gluconate, 10 mL in 200 mL of physiologic saline on the day of ovum pickup, day 1, day 2, and day 3 after ovum pickup. Intravenous infusion will be performed within 30 minutes.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients who are stimulated using the long luteal GnRH agonist protocol and at high risk for developing OHSS \[have more than 18 follicles (\> 11mm) and serum estradiol ≥ 3000 pg/ml on the day of HCG administration\].

Exclusion Criteria

* Fibrosis of lung
* Swelling or inflammation around the heart or lung
* Hypertension
* Liver disease
* Heart valve disease and allergy to cabergoline or ergot derivatives.
Minimum Eligible Age

18 Years

Maximum Eligible Age

37 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Aljazeera Hospital

OTHER

Sponsor Role lead

Responsible Party

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Prof .Usama M.Fouda

M.D, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Usama M Fouda, M.D,PhD

Role: STUDY_CHAIR

Aljazeera( Al Gazeera) hospital

Locations

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Aljazeera hospital

Giza, , Egypt

Site Status

Riyadh Fertility and Reproductive Health center

Giza, , Egypt

Site Status

Countries

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Egypt

References

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Gurgan T, Demirol A, Guven S, Benkhalifa M, Girgin B, Li TC. Intravenous calcium infusion as a novel preventive therapy of ovarian hyperstimulation syndrome for patients with polycystic ovarian syndrome. Fertil Steril. 2011 Jul;96(1):53-7. doi: 10.1016/j.fertnstert.2011.04.094. Epub 2011 May 31.

Reference Type BACKGROUND
PMID: 21621772 (View on PubMed)

Other Identifiers

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Cabergoline/calcium gluconate

Identifier Type: -

Identifier Source: org_study_id