Oestradiol Supplementation in Luteal Long Agonist Fresh In Vitro Fertilization/Intra Cytoplasmic Sperm Injection ( IVF/ICSI) Cycle .

NCT ID: NCT03832894

Last Updated: 2019-02-07

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

PHASE3

Total Enrollment

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-01

Study Completion Date

2020-01-01

Brief Summary

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Whether oestradiol administration affects the pregnancy rate in long agonist fresh IVF/ICSI cycles. Oestradiol level will be measured the day of HCG trigger to assess whether oestradiol level affects cycle outcome results.

Detailed Description

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6\. Background and Rationale: Progesterone is essential for successful implantation and maintenance of early pregnancy . Although the oestrogen is not essential, it is important to maintain the progesterone level during the pregnancy and promote the transformation of the endometrium from the secretory to proliferative phase.

Compromised granulosa cells luteinisation could cause infertility or early miscarriage. In assisted reproductive technologies (ART) cycles, curettage of the granulosa cells during oocyte retrieval is thought to reduce corpora lutea function and thus progesterone production, resulting in a decrease in pregnancy rate.

Therefore, luteal support is routinely performed in ART cycles. Consensus has been reached on the supplementation of progesterone after the day of oocyte retrieval, which was performed in approximately 80% of the cycles and significantly improved clinical outcomes.However, the efficacy of oestradiol supplementation in luteal support remains controversial.

Previous studies have shown that the lower the serum estrogen level was at 4, 7 and 9 days following transplantation, the lower the clinical pregnancy rate. Previous studies showed that in patients with long or short duration ovulation induction, luteal support with oestradiol supplementation led to an increased serum estrogen level and an improved pregnancy rate . It was also found that patients having luteal support with estrogen (4 mg per day) had a significantly higher clinical pregnancy rate (40.6% vs 21.6%) and a significantly lower abortion rate (12.8% vs 38%) than those treated with progesterone alone.

In contrast, other investigators have failed to show any benefit of oestradiol supplementation during the luteal phase and a Cochrane review published in 2015 reported no differences in rates of live birth or ongoing pregnancy between the progesterone group and progesterone add oestrogen group. Hence, it remains unclear whether the addition of estrogen to progesterone for luteal support is associated with higher pregnancy rate and live birth rate.

In this study, the investigators will evaluate outcomes of patients undergoing IVF/ICSI-ET with oestradiol supplementation in addition to progesterone for luteal support. The investigators also report on the efficacy implications of oestradiol supplementation for patients undergoing IVF/ICSI-ET.

Conditions

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Infertility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Investigators
Randomization will be held by using the computer generated randomization codes, which will then be placed in the sealed envelopes by a third party (nurse).

Each patient will choose a sealed envelope containing randomization number either group A or B. Both participant and health provider will be blinded to patients grouping

Study Groups

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Group receiving oestradiol tablets in addition to progesterone

Group A :Will receive 400mg progesterone in the form of vaginal or rectal suppositories in addition to estradiol valerate oral tablets in a dose of 4mg/day(2x2), for luteal phase support. Starting from the day of ovum pickup and for 14 days after embryo transfer.

Group B : Will receive a dose of 400mg progesterone in the form of vaginal or rectal suppositories in addition to 2 placebo oral tablets(similar to estrogen tablets) for luteal phase support, from the day of Ovum pickup and for 14 days after embryo transfer.

Group Type ACTIVE_COMPARATOR

Estradiol Valerate

Intervention Type DRUG

Oestradiol supplementation starting from day of trigger through out the luteal phase

Group not receiving oestradiol tablets.

Group B : Will receive a dose of 400mg progesterone in the form of vaginal or rectal suppositories in addition to 2 placebo oral tablets(similar to estrogen tablets) for luteal phase support, from the day of Ovum pickup and for 14 days after embryo transfer

Group Type PLACEBO_COMPARATOR

Estradiol Valerate

Intervention Type DRUG

Oestradiol supplementation starting from day of trigger through out the luteal phase

Interventions

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Estradiol Valerate

Oestradiol supplementation starting from day of trigger through out the luteal phase

Intervention Type DRUG

Other Intervention Names

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Progynova Progesterone vaginal suppositories

Eligibility Criteria

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Inclusion Criteria

1. Age group 20-38 years old.
2. Patients Undergoing gonadotropin Releasing Hormone (Gn RH) long agonist protocol, with fresh embryo transfer.
3. Day 3 Grade 1 embryos.
4. Trilamellar endometrium with ranging endometrial thickness from 8 mm to 14 mm.

Exclusion Criteria

1. Karyotypic abnormalities in either partner.
2. Patients with uterine abnormalities.
3. G3-G4 quality embryos.
4. Estradiol level 10,000 or more at time of trigger.
5. Cases of egg donation/sperm donation/embryo donation.
6. Polycystic ovary syndrome (PCOS )patients.
7. Poor responders (maternal age \>40, Antral follicle counts (AFC )\<5, Anti Mullerian Hormone (AMH )\<1 and previous trial \<5 oocyte retrieved ) (bologna criteria 2011)
8. Those with 3 or more implantation failure.
9. Endometrial thickness \<8 or \>14mm.
10. Severe male factor.
Minimum Eligible Age

20 Years

Maximum Eligible Age

38 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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sherine Hosny Mohamed Gad Allah

Assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Art Unit/ Obatetrics and Gynecology Department

Cairo, Cair0, Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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SHERINE HOSNY

Role: CONTACT

01097665573

Facility Contacts

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Sherine H Hosny

Role: primary

01097665573

Other Identifiers

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MD IVF

Identifier Type: -

Identifier Source: org_study_id

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