Prospective Randomized Trial Comparing Corifollitropin-alfa Late Start vs. Corifollitropin-alfa Standard Start in Expected Poor, Normal and High-responders Undergoing IVF

NCT ID: NCT03816670

Last Updated: 2019-01-25

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

113 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-01

Study Completion Date

2018-12-31

Brief Summary

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To compare the number of retrieved oocytes in the late start CF-alfa (day 4) versus standard CF-alfa protocols (day 2) in patients undergoing IVF. The primary analysis will be also performed in specific subgroups of patients: expected poor-responders, expected normal responders and expected hyper-responders

Detailed Description

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The investigators hypothesize that:

1. CF-alfa late start (day 4) will show comparable efficacy in terms of number of retrieved oocytes versus standard CF-alfa (day 2) protocol. In certain groups of patients, CF-alfa late start might show differences in terms of efficacy such as in poor-responder patients.
2. CF-alfa late start (day 4) will obtain similar results in terms of vital pregnancy rates with a similar safety profile with respect to COS performed using CF-alfa standard administration (day 2) in expected normal, poor, or high responders.
3. Oocytes and embryos obtained using CF-alfa late start will have comparable morphological features and development potential than those obtained with CF-alfa standard.
4. The patients' satisfaction will possibly be higher using CF-alfa late start than with CF-alfa standard expecially in those patients who will not have the need to add further daily recFSH injections

Conditions

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Fertility Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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poor responders day 2

"poor responders" women stimulated with CF from day 2 of menstrual cycle

Group Type EXPERIMENTAL

Corifollitropin Alfa

Intervention Type DRUG

late start (day 4) vs. corifollitropin-alfa standard start (day 2)

poor responders day 4

"poor responders" women stimulated with CF from day 4 of menstrual cycle

Group Type EXPERIMENTAL

Corifollitropin Alfa

Intervention Type DRUG

late start (day 4) vs. corifollitropin-alfa standard start (day 2)

normal responders day 2

"normal responders" women stimulated with CF from day 2

Group Type EXPERIMENTAL

Corifollitropin Alfa

Intervention Type DRUG

late start (day 4) vs. corifollitropin-alfa standard start (day 2)

normal responders day 4

"normal responders" women stimulated with CF from day 4

Group Type EXPERIMENTAL

Corifollitropin Alfa

Intervention Type DRUG

late start (day 4) vs. corifollitropin-alfa standard start (day 2)

high responders day 2

"high responders" women stimulated with CF from day 2

Group Type EXPERIMENTAL

Corifollitropin Alfa

Intervention Type DRUG

late start (day 4) vs. corifollitropin-alfa standard start (day 2)

high responders day 4

"high responders" women stimulated with CF from day 4

Group Type EXPERIMENTAL

Corifollitropin Alfa

Intervention Type DRUG

late start (day 4) vs. corifollitropin-alfa standard start (day 2)

Interventions

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Corifollitropin Alfa

late start (day 4) vs. corifollitropin-alfa standard start (day 2)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* aged 18- 43 years
* Male or tubal infertility with indication for IVF treatment
* No PCOS
* No previous IVF treatments in the past two months
* No history of previous Ovarian Hyperstimulation Syndrome (OHSS)
* No previous IVF cycle with more than 30 growing follicles ≥ 11 mm
* Antral Follicle Count (AFC) \<20
* No ovarian cyst nor malignant ovarian tumour, breast, uterus or central nervous cancer

Exclusion Criteria

* AMH \< 0.2 ng/ml
* Età \> 43 anni
Minimum Eligible Age

18 Years

Maximum Eligible Age

43 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Turin, Italy

OTHER

Sponsor Role lead

Responsible Party

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Alberto Revelli

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Physiopathology of Reproduction and IVF Unit, S. Anna Hospital

Torino, , Italy

Site Status

Countries

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Italy

References

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Revelli A, Gennarelli G, Sestero M, Canosa S, Carosso A, Salvagno F, Pittatore G, Filippini C, Benedetto C. A prospective randomized trial comparing corifollitropin-alpha late-start (day 4) versus standard administration (day 2) in expected poor, normal, and high responders undergoing controlled ovarian stimulation for IVF. J Assist Reprod Genet. 2020 May;37(5):1163-1170. doi: 10.1007/s10815-020-01742-5. Epub 2020 Mar 18.

Reference Type DERIVED
PMID: 32185595 (View on PubMed)

Other Identifiers

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IIS#53736

Identifier Type: -

Identifier Source: org_study_id

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