Study Results
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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RECRUITING
NA
300 participants
INTERVENTIONAL
2019-11-18
2026-01-31
Brief Summary
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Comparative analysis between different ovarian stimulation protocols on thrombin formation and efficiency of fibrinolysis in women diagnosed with infertility.
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Detailed Description
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The parameters of thrombin generation and efficiency of fibrinolysis will be evaluated in women qualified for ovarian hyperstimulation. The study may improve the effectiveness of ART.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
DIAGNOSTIC
SINGLE
Study Groups
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Long protocol
Ovarian hyperstimulation started on day 2 or 3 of the cycle with daily subcutaneous injections of recombinant human FSH (follitropin α, Gonal F®, Merck Serono) and/or urinary human menopausal gonadotropin (menotropin, Menopur®, Ferring GmbH) or mixed recombinant human FSH/LH (Pergoveris®, Merck Serono) with a starting dose of 87.5-250 IE/day
fibrin clot properties
Assessment of thrombin generation and efficiency of fibrinolysis.
Short protocol
Ovarian hyperstimulation with a GnRH-antagonist consisted of the use of ganirelix (Orgalutran®, MSD) from the 6th day of stimulation until it's end at the daily dose of 0.25 mg
fibrin clot properties
Assessment of thrombin generation and efficiency of fibrinolysis.
Clomiphene citrate
Ovarian stimulation with clomiphene citrate (Clostilbegyt®, EGIS) 50 mg daily per os form 3rd to 7th day of the cycle
fibrin clot properties
Assessment of thrombin generation and efficiency of fibrinolysis.
Letrozole
Ovarian stimulation with letrozole (Lametta®, Vipharm) 2.5 mg daily per os form 3rd to 7th day of the cycle
fibrin clot properties
Assessment of thrombin generation and efficiency of fibrinolysis.
Gonadotropins
Ovarian hyperstimulation started on day 2 or 3 of the cycle with daily subcutaneous injections of recombinant human FSH (follitropin α, Gonal F®, Merck Serono).
fibrin clot properties
Assessment of thrombin generation and efficiency of fibrinolysis.
Interventions
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fibrin clot properties
Assessment of thrombin generation and efficiency of fibrinolysis.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* oral contraceptives use within previous 3 months
* dienogest therapy within 3 months until ART
* thrombotic events in the medical history
* severe hypertension
* diabetes mellitus
* the presence of known VTE risk factors, including obesity, recent major surgery with prolonged immobilization or trauma,
* deficiency of antithrombin, protein C or protein S,
* antiphospholipid syndrome,
* known malignancy,
* any chronic inflammatory diseases (e.g. rheumatoid arthritis)
* advanced chronic renal disease (estimated glomerular filtration rate \[eGFR\] \<30 ml/min),
* international normalized ratio (INR) more than 1.2 at the day of blood draw
* pregnancy.
18 Years
40 Years
FEMALE
No
Sponsors
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Jagiellonian University
OTHER
Responsible Party
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Magdalena Piróg, MD
Principal Investigator
Locations
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Department of Gynecological Endocrinology Jagiellonian University Medical College
Krakow, Małopolska, Poland
Countries
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Facility Contacts
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References
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Pirog M, Kacalska-Janssen O, Jach R, Wyroba J, Chrostowski B, Zabczyk M, Natorska J. GnRH Antagonist Protocol Enhances Coagulation During Controlled Ovarian Stimulation for IVF. Reprod Sci. 2022 Dec;29(12):3521-3531. doi: 10.1007/s43032-022-01026-6. Epub 2022 Jul 12.
Other Identifiers
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292/B/2014/MP
Identifier Type: -
Identifier Source: org_study_id
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