the Effect of Clomiphene Citrate Plus Estradiol Valerate Versus Letrozole on Endometrial Thickness and Pregnancy Rate in Infertile Women

NCT ID: NCT04619914

Last Updated: 2020-11-06

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

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-01

Study Completion Date

2019-08-10

Brief Summary

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The present randomized double blind study has been carried out in Gynecology and Obstetrics Department, Faculty of Medicine, Zagazig university on 70 women were previously received clomiphene citrate alone as management of infertile anovulatory PCOS women, but giving improper endometrial thickness \< 7mm during the period from March 2019 to September 2019

Detailed Description

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Polycystic Ovarian Syndrome (PCOS) is the most common endocrine disorder in infertile women. Infertility affects 40% of women with PCOS. Understanding the main causes of infertility and selecting an appropriate treatment plan is a diagnostic and therapeutic priority The aim of this work was to compare the effect of Clomiphene citrate plus Estradiol Valerate versus Letrozole on endometrial thickness and pregnancy rate in infertile PCOS women underwent ovulation induction

The study was designed as a randomized double blind study using a computer-generated randomization list and sequentially numbered opaque sealed envelopes, each containing the allocation information written on a card. Envelopes were opened sequentially by a study nurse to allocate patients to the assigned group. These patients were divided into two groups:

1. Group A (clomiphene citrate \& estradiol group): included 35 anovulatory PCO patients who received clomiphene citrate (Clomid; Aventis pharma S.AE, Global Napi pharmaceuticals, Cairo, Egypt) 100 mg daily from cycle day 3 to 7 with estradiol valerate 4-mg (two white tablets of cyclopregynova) from cycle day 8 to 14.
2. Group B (Letrozole group): included 35 anovulatory PCO patients who received letrozole (Femara; Novartis pharma AG, Basle, Switzerland) 5 mg daily from cycle day 3 to day 7.

Conditions

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Endometrial Thickness Pregnancy Rate

Keywords

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Letrozole clomiphene Citrate PCOS Endometrial thickness

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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Group A (clomiphene citrate & estradiol group)

included 35 anovulatory PCO patients who received clomiphene citrate (Clomid; Aventis pharma S.AE, Global Napi pharmaceuticals, Cairo, Egypt) 100 mg daily from cycle day 3 to 7 with estradiol valerate 4-mg (two white tablets of cyclopregynova) from cycle day 8 to 14

Group Type EXPERIMENTAL

Clomid; Aventis pharma S.AE, Global Napi pharmaceuticals, Cairo, Egypt

Intervention Type DRUG

CLOMID (clomiphene citrate tablets USP) is an orally administered, nonsteroidal, ovulatory stimulant designated chemically as 2-\[p-(2-chloro-1,2-diphenylvinyl)phenoxy\] triethylamine citrate (1:1)

Group B (Letrozole group)

included 35 anovulatory PCO patients who received letrozole (Femara; Novartis pharma AG, Basle, Switzerland) 5 mg daily from cycle day 3 to day 7.

Group Type EXPERIMENTAL

letrozole (Femara; Novartis pharma AG, Basle, Switzerland)

Intervention Type DRUG

Letrozole, or CGS 20267, is an oral non-steroidal type II aromatase inhibitor. It is a third generation aromatase inhibitor like exemestane and anastrozole, meaning it does not significantly affect cortisol, aldosterone, and thyroxine.

Interventions

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Clomid; Aventis pharma S.AE, Global Napi pharmaceuticals, Cairo, Egypt

CLOMID (clomiphene citrate tablets USP) is an orally administered, nonsteroidal, ovulatory stimulant designated chemically as 2-\[p-(2-chloro-1,2-diphenylvinyl)phenoxy\] triethylamine citrate (1:1)

Intervention Type DRUG

letrozole (Femara; Novartis pharma AG, Basle, Switzerland)

Letrozole, or CGS 20267, is an oral non-steroidal type II aromatase inhibitor. It is a third generation aromatase inhibitor like exemestane and anastrozole, meaning it does not significantly affect cortisol, aldosterone, and thyroxine.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* patients aged 18-35 years old with complete infertility workup
* patients diagnosed as having PCOs women
* Normal semen analysis

Exclusion Criteria

* Patients with male factor infertility, hyperprolactinemia, thyroid disorder.
* Patients with any tubal pathology or uterine pathology.
* Contraindication of ovulation induction, (Multiple ovarian cysts or allergy to inducing agent "clomid").
* Known or suspected pelvic infection (PID).
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Laylay Mohammed Khalleefah Alhibshi

OTHER_GOV

Sponsor Role lead

Responsible Party

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Laylay Mohammed Khalleefah Alhibshi

M.B.B.CH , Faculty of Medicine, Aljabal -Algharbi university - Libya

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Abdel-Mageed M Sarhan, MD

Role: STUDY_DIRECTOR

Zagazig University

Locations

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Faculty of Medicine

Zagazig, Sharqia Province, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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ZU-IRB# 5057/19-12-2018

Identifier Type: -

Identifier Source: org_study_id