Metformin Use and Clinical Pregnancy Rate in Women With Unexplained Infertility

NCT ID: NCT03681197

Last Updated: 2019-03-21

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

EARLY_PHASE1

Total Enrollment

170 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-15

Study Completion Date

2019-05-31

Brief Summary

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The aim of this study is to asses the effect of metformin on clinical pregnancy rate in women with unexplained infertility (randomized controlled trial).

This study will be conducted in infertility clinic,Ain Shams university maternity hospital,170 women with unexplained infertility will be enrolled in this study.

Statistical analysis of the data will be performed .

Detailed Description

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Metformin is usually used with induction regimen in patients with PCOS as it improves ovulation rate by direct effect on ovarian tissue,Metformin will be used in combination with clomiphene citrate in women with unexplained infertility with previous failed cycle to asses its efficacy on clinical pregnancy rate.

Study will be conducted in infertility clinic,Ain Shams university maternity hospital.Study population comprises women with unexplained infertility aged 20-35 years with total sample size of 170 who willbe randomized into two groups with 85 women in each group.

Group A:is case group who will receive metformin plus clomiphene citrate. Group B:is control group who will receive clomiphene citrate plus placebo. Metformin will be started at time of booking and will be continued till pregnancy is confirmed in a dose of 850 mg twice daily in form of tablet.

Vaginal ultrasound is done for all in day 2 to exclude presence of ovarian cyst and to identify normal appearance of ovaries,then folliculometry on day 9 followed by serial folliculometry every other day till reaching dominant follicle 18 mm or more where HCG intramuscular injection will be given in a dose of 10000 iu .

serum pregnancy test will be done after 16 days. Transvaginal ulterasound will be done on day 35.

Conditions

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Infertility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Each of the consecutive women numbers will be written on sequentially numbered opaque sealed envelope that contains the assignment code.At the time of procedure,the responsible investigator will open the envelope to reveal the assignment,and she will introduce the planned method. Monitoring and follow up will be done. After enrollment,the cases will be randomly allocated into two groups.

Study Groups

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Metformin Group

Will receive metformin plus clomiphene citrate

Group Type ACTIVE_COMPARATOR

Metformin

Intervention Type DRUG

Metformin 850 mg tablet will be started twice daily immediately at booking time and continued with induction by clomiphene citrate, it will be stopped once pregnancy is confirmed.

Clomiphene Citrate

Intervention Type DRUG

50 mg of clomiphene citrate will be given starting day 2 of menstrual cycle for 5 days

Placebo

Will receive placebo plus clomiphene citrate.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

In placebo group,placebo will be strted twice daily at booking time and continued with induction by clomiphene citrate, it will be stopped once pregnancy is confirmed.

Clomiphene Citrate

Intervention Type DRUG

50 mg of clomiphene citrate will be given starting day 2 of menstrual cycle for 5 days

Interventions

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Metformin

Metformin 850 mg tablet will be started twice daily immediately at booking time and continued with induction by clomiphene citrate, it will be stopped once pregnancy is confirmed.

Intervention Type DRUG

Placebo

In placebo group,placebo will be strted twice daily at booking time and continued with induction by clomiphene citrate, it will be stopped once pregnancy is confirmed.

Intervention Type DRUG

Clomiphene Citrate

50 mg of clomiphene citrate will be given starting day 2 of menstrual cycle for 5 days

Intervention Type DRUG

Other Intervention Names

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glucophage Clomid

Eligibility Criteria

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Inclusion Criteria

* Age 20-35 years old.
* BMI 20-\<30
* FSH 12 IU/L or less
* Normal transvaginal ulterasound(normal uterus and ovaries with no congenital anomalies).
* Patent fallopian tubes assesd by hysterosalpingogram or laparoscopy.
* Normal semen analysis.
* Infertile women with history of previous failed induction cycle.

Exclusion Criteria

* Women younger than 20 or elder than 35 years old.
* Women with BMI equal to or more than 30.
* Uncorrected congenital or acquired uterine anomaly.
* Other causes of infertility rather than unexplained infertility.
* Patient with Diabetes Mellitus.
Minimum Eligible Age

20 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Elham Raafat

OTHER

Sponsor Role lead

Responsible Party

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Elham Raafat

resident of obstetric and gynecology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Sarah S Moawad, Lecturer

Role: STUDY_DIRECTOR

Ain Shams Maternity Hospital

Ahmed M Bahaa Eldin, Professor

Role: STUDY_DIRECTOR

Ain Shams Maternity Hospital

Hisham M Fathy, Professor

Role: STUDY_DIRECTOR

Ain Shams Maternity Hospital

Locations

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Elham Raafat Mohamed

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Elham R Mohamed

Role: CONTACT

0021156230921

Facility Contacts

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Elham R Mohamed

Role: primary

0021156230921

Other Identifiers

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1982

Identifier Type: -

Identifier Source: org_study_id

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