To Investigate the Cumulative Live Birth Rates Using GnRH Antagonist or Agonist Protocol for COS in ART Treatment

NCT ID: NCT04026282

Last Updated: 2019-11-08

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

888 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-27

Study Completion Date

2022-07-31

Brief Summary

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This is a Phase IV, prospective, randomized controlled study to investigate the cumulative live birth rates (CLBRs) of gonadotrophin-releasing hormone (GnRH) antagonist protocol (GnRH-ant group) compared with the standard GnRH agonist long protocol (GnRH-a group) for controlled ovarian stimulation in supposed normal ovarian responders.

Detailed Description

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This is a Phase IV, prospective, randomized controlled study to investigate the cumulative live birth rates (CLBRs) of gonadotrophin-releasing hormone (GnRH) antagonist protocol (GnRH-ant group) compared with the standard GnRH agonist long protocol (GnRH-a group) for controlled ovarian stimulation in supposed normal ovarian responders.

In this study, patients who are planning to undergo IVF/ICSI cycle aged ≤38 years old with normal ovarian reserve will be considered for enrollment. Approximately 888 patients will be enrolled at approximately 5 centers in China over a period of 10 months.

About 12-20 visits will be performed in this study for each patient. The CLBR with first live birth resulting from one initiated COS cycle will be compared between GnRH-a group and GnRH-ant group.

Conditions

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Sterility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

When patients enter this study, they will be randomly assigned to GnRH-ant group or GnRH-a group at ratio1:1 by the randomization schedule generated by a computer program.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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GnRH-ant protocol

Recombinant FSH (Gonal-f®) will be administrated as routinely practiced by investigators. FSH doses will be adjusted according to the clinical experiences of investigators.The GnRH-ant (Cetrotide®) will be initiated in a fixed protocol on stimulation days 5 or 6 per the investigator's ART protocol.

Group Type EXPERIMENTAL

GnRH-ant protocol

Intervention Type PROCEDURE

Recombinant FSH (Gonal-f®) will be administrated as routinely practiced by investigators. FSH doses will be adjusted according to the clinical experiences of investigators.The GnRH-ant (Cetrotide®) will be initiated in a fixed protocol on stimulation days 5 or 6 per the investigator's ART protocol.

GnRH-a long protocol

The GnRH-a (Diphereline® or Decapetyl®) 0.1mg will be administered for about 14 to 20 days for down-regulation. Gonal-f® will be administrated as routinely practiced by investigators. GnRH-a types, GnRH-a and FSH doses will be adjusted according to the clinical experiences of investigators in each site.

Group Type ACTIVE_COMPARATOR

GnRH-a long protocol

Intervention Type PROCEDURE

The GnRH-a (Diphereline® or Decapetyl®) 0.1mg will be administered for about14 to 20 days for down-regulation. Gonal-f® will be administrated as routinely practiced by investigators. GnRH-a types, GnRH-a and FSH doses will be adjusted according to the clinical experiences of investigators in each site.

Interventions

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GnRH-ant protocol

Recombinant FSH (Gonal-f®) will be administrated as routinely practiced by investigators. FSH doses will be adjusted according to the clinical experiences of investigators.The GnRH-ant (Cetrotide®) will be initiated in a fixed protocol on stimulation days 5 or 6 per the investigator's ART protocol.

Intervention Type PROCEDURE

GnRH-a long protocol

The GnRH-a (Diphereline® or Decapetyl®) 0.1mg will be administered for about14 to 20 days for down-regulation. Gonal-f® will be administrated as routinely practiced by investigators. GnRH-a types, GnRH-a and FSH doses will be adjusted according to the clinical experiences of investigators in each site.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Infertile women planning to undergo IVF/ICSI cycle using conventional GnRH agonist long protocol or GnRH antagonist protocol
* Age ≤ 38 years old
* Basal AFC 8\~20
* Basal FSH≤10 IU/L
* Basal E 2 \<200pmol/L
* Normal uterus and at least one side of the normal ovary
* Informed consent form signed
* Willing to follow the study protocol, and able to complete this study

Exclusion Criteria

* Previous IVF/ICSI cycles \>2
* Severe hydro-salpinx (Ultrasound shows hydro salpinx﹥2cm)
* Severe endometriosis (Grade III - IV)
* Polycystic ovarian syndrome (PCOS)
* History of recurrent miscarriages (\>2 times of miscarriages)
* Plan to undergo ovarian stimulation for preimplantation genetic diagnosis or preimplantation genetic screening, oocyte donation, and social or medical freezing of oocytes
* Any major systemic disease that as per Investigator's discretion precludes subject for participation in the study
* With pregnancy contraindications
* Alcoholism, drug abuse, drug addiction or patients with uncured sexually transmitted disease
* According to the judgment of the Investigator, any medical condition or any concomitant surgery/medications that would interfere with evaluation of study medications
* Simultaneous participation in another clinical study
* Plan to use urinary gonadotrophin during COS treatment
Minimum Eligible Age

18 Years

Maximum Eligible Age

38 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Merck Serono GmbH, Germany

INDUSTRY

Sponsor Role collaborator

Fountain Medical Development Co., Ltd.

INDUSTRY

Sponsor Role collaborator

Guangzhou KingMed Center for Clinical Lab.Co., Ltd

UNKNOWN

Sponsor Role collaborator

Peking University Third Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jie Qiao

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Qiao Jie

Role: PRINCIPAL_INVESTIGATOR

Peking University Third Hospital

Locations

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Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

The second hospital of Hebei Medical University

Baoding, Hebei, China

Site Status RECRUITING

The third hospital of Zhengzhoui Medical University

Zhengzhou, Henan, China

Site Status RECRUITING

Jiangsu Provincial Hospital

Nanjing, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Qiao Jie

Role: CONTACT

010-82265080

Rui Yang

Role: CONTACT

13810002416

Facility Contacts

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Jie Qiao

Role: primary

010-82265080

Jiamin Hao

Role: primary

Xingling Wang

Role: primary

Feiyang Diao

Role: primary

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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MS700623_0020

Identifier Type: -

Identifier Source: org_study_id

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