Optimising FSH Dosage During in Vitro Fertilization Fertilization (IVF)

NCT ID: NCT02915900

Last Updated: 2017-09-19

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

NA

Total Enrollment

196 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2017-07-31

Brief Summary

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During in vitro fertilisation (IVF) treatment, women receive hormone stimulation with gonadotropins to induce growth of several ovarian follicles. Selecting the optimal dosage of gonadotropin is important to avoid maturation of too few or too many follicles, which may impair the chances of treatment success, lead to treatment cancellation, or serious side effects.

Motivated by the lack of standardised procedures to estimate the optimal dosage of gonadotropins, a patient-specific test has been developed to predict the optimal hormone dosage. By measuring internalisation of gonadotropin by the patient's monocytes isolated form the peripheral blood ex vivo, the Gonadotropin Removal Test determines whether a patient needs increased or reduced hormon doses.

In this clinical study the investigators compare deviation from optimal outcome at oocyte pick-up day in two patient groups. Optimal outcome of stimulation is defined as 10 oocytes collected in the group of patients matching the inclusion criteria of the study.

The control group receives starting hormone dosage assigned by the clinician according to standard clinical procedures. The intervention group receives starting hormone dosage adjusted according to the results of the Gonadotropin Removal Test.

Detailed Description

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Conditions

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Infertility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Intervention

Hormone dosage is calculated by using the new method Gonadotropin removal test.

Group Type EXPERIMENTAL

Gonadotropin removal test

Intervention Type OTHER

Patient receives hormone dosage adjusted according to the results of the Gonadotropin removal test.

Routine IVF method

Hormone dosage is chosen by the clinician according to standard clinical routine.

Group Type ACTIVE_COMPARATOR

Routine IVF method

Intervention Type OTHER

Patient receives hormone dosage according to the standard dosage regimen, without revealing the results of the Gonadotropin removal test to the clinician.

Interventions

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Gonadotropin removal test

Patient receives hormone dosage adjusted according to the results of the Gonadotropin removal test.

Intervention Type OTHER

Routine IVF method

Patient receives hormone dosage according to the standard dosage regimen, without revealing the results of the Gonadotropin removal test to the clinician.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Stimulation according to the mid-luteal phase gonadotropin-releasing hormone-agonist protocol
* Pre-selected starting dose \<110 IU or \>270 IU FSH

Exclusion Criteria

* Risk for hyperstimulation
* Polycystic ovary syndrome
* Endometriosis stage \>III
* BMI\>33
* Anti-mullerian hormone value missing
Minimum Eligible Age

18 Years

Maximum Eligible Age

38 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Oslo University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Peter Zoltan Fedorcsak

Head of Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Peter Fedorcsak, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

OUS-HF

Locations

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Department of Reproductive Medicine, Oslo University Hospital

Oslo, , Norway

Site Status

Countries

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Norway

Related Links

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Other Identifiers

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233978

Identifier Type: -

Identifier Source: org_study_id