Effect of Addition of Aromatase Inhibitor to Ovarian Stimulation Therapy in IVF Treatment

NCT ID: NCT02946684

Last Updated: 2019-07-08

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

129 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-01

Study Completion Date

2018-10-30

Brief Summary

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This project seeks to determine whether estradiol suppression achieved with adjuvant treatment with an aromatase inhibitor improves end-follicular and midluteal phase parameters during IVF. 128 patients will be randomized to either placebo or active treatment.

Detailed Description

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The aim of the study is to investigate whether the detrimental effects of ovarian stimulation on outcomes in fresh embryo transfer cycles be ameliorated by co-treatment with aromatase inhibitors? The research questions are:

1. Can the impact of ovarian stimulation on late follicular phase sex steroid levels (and hence endometrial receptivity) be mitigated by co-treatment with aromatase inhibitors during ovarian stimulation?
2. Does co-treatment with aromatase inhibitors 'normalize' the endocrinology of the midluteal phase

Conditions

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Infertility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Lactose Monohydrate

2 tablets of placebo are administered daily from stimulation start to day before hCG as adjunctive therapy to 150 IU of recFSH

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Adjuvant therapy to recFSH during ovarian stimulation

Letrozole 5mg

2 tablets of 2,5mg Letrozole are administered daily from stimulation start to day before hCG as adjunctive therapy to 150 IU of recFSH

Group Type ACTIVE_COMPARATOR

Letrozole

Intervention Type DRUG

Adjuvant therapy to recFSH during ovarian stimulation

Interventions

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Letrozole

Adjuvant therapy to recFSH during ovarian stimulation

Intervention Type DRUG

Placebo

Adjuvant therapy to recFSH during ovarian stimulation

Intervention Type DRUG

Other Intervention Names

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Aromatase Inhibitor Lactose Monohydrate

Eligibility Criteria

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Inclusion Criteria

* Indication for IVF/ICSI treatment
* Eligible for IVF/ICSI treatment according to local criteria
* Regular cycles 21-35 days (both included)
* Age \< 40
* AMH 8- 32 (both included)
* Written consent

Exclusion Criteria

* Any contraindication for IVF/ICSI treatment according to local criteria
* Previous stimulation for IVF/ICSI with \< 4 oocytes obtained
* PCOS
* Undergoing IVF/ICSI for the purpose of fertility preservation
* Allergy towards study drug
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Rigshospitalet, Denmark

OTHER

Sponsor Role collaborator

Hvidovre University Hospital

OTHER

Sponsor Role collaborator

Holbaek Sygehus

OTHER

Sponsor Role collaborator

Region Capital Denmark

OTHER

Sponsor Role collaborator

Copenhagen University Hospital, Denmark

OTHER

Sponsor Role collaborator

Zealand University Hospital

OTHER

Sponsor Role collaborator

Sven O. Skouby

OTHER

Sponsor Role lead

Responsible Party

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Sven O. Skouby

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Sven O. Skouby, Professor

Role: PRINCIPAL_INVESTIGATOR

Unit of Reproductive Medicine, Herlev/Gentofte Hospital

Locations

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Unit of Reproductive Medicine, Herlev Hospital

Herlev, Capital Region, Denmark

Site Status

Department of Fertility, Juliane Marie Centeret

Copenhagen, Capitol Region, Denmark

Site Status

Clinic of Fertility, Hvidovre Hospital

Hvidovre, Capitol Region, Denmark

Site Status

Clinic of Fertility, Holbæk Hospital

Holbæk, Region of Zealand, Denmark

Site Status

Countries

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Denmark

References

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Bulow NS, Warzecha AK, Nielsen MV, Andersen CY, Holt MD, Petersen MR, Sopa N, Zedeler A, Englund AL, Pinborg A, Grondahl ML, Skouby SO, Macklon NS. Impact of letrozole co-treatment during ovarian stimulation on oocyte yield, embryo development, and live birth rate in women with normal ovarian reserve: secondary outcomes from the RIOT trial. Hum Reprod. 2023 Nov 2;38(11):2154-2165. doi: 10.1093/humrep/dead182.

Reference Type DERIVED
PMID: 37699851 (View on PubMed)

Bulow NS, Skouby SO, Warzecha AK, Udengaard H, Andersen CY, Holt MD, Grondahl ML, Nyboe Andersen A, Sopa N, Mikkelsen ALE, Pinborg A, Macklon NS. Impact of letrozole co-treatment during ovarian stimulation with gonadotrophins for IVF: a multicentre, randomized, double-blinded placebo-controlled trial. Hum Reprod. 2022 Jan 28;37(2):309-321. doi: 10.1093/humrep/deab249.

Reference Type DERIVED
PMID: 34792133 (View on PubMed)

Other Identifiers

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2015-005682-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

H-15021850

Identifier Type: OTHER

Identifier Source: secondary_id

HGH-2016-045_04513

Identifier Type: OTHER

Identifier Source: secondary_id

RIOTA2015

Identifier Type: -

Identifier Source: org_study_id

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