Progesterone as Luteal Support in Frozen IVF Natural Cycles

NCT ID: NCT04725864

Last Updated: 2024-04-24

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

1800 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-01

Study Completion Date

2025-12-31

Brief Summary

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The ProFET study aims to investigate if luteal phase support by vaginal progesterone, is superior to no luteal phase support, in terms of live birth rate per woman after a frozen embryo transfer (FET), in a natural cycle (NC) after in-vitro fertilization (IVF), and if 7 weeks of treatment is superior to 3 weeks duration.

Detailed Description

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Vaginal progesterone supplementation is routine treatment after IVF with fresh embryo transfer, but it is uncertain whether vaginal progesterone after frozen embryo transfer in natural cycles is efficacious in terms of increasing the chance of a live birth.

The ProFET study is a multicenter, open randomized, controlled trial planning to include 1800 women, intended to undergo a FET in a natural cycle.

Primary objectives are to investigate if luteal phase support by vaginal progesterone, is superior to no luteal phase support, in terms of live birth rate per woman after a frozen embryo transfer, in a natural cycle and if 7 weeks of treatment is superior to 3 weeks duration.

Secondary objectives are to compare groups regarding pregnancy outcomes including biochemical pregnancy, clinical, ongoing and term pregnancy rates, as well as rates of miscarriage, termination of pregnancy, and ectopic pregnancy.

Secondary objectives are also perinatal and obstetrics outcomes, self-reported side effects, adverse events and cost effectiveness.

The investigators will also analyze the effect of S-Progesterone level before FET on the chance of achieving live birth and secondary pregnancy outcomes.

Conditions

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Infertility Embryo Transfer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Two main arms, of which the experimental arm is split in two arms with different duration of treatment
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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No progesterone

Patients will have FET in natural cycles with no extra intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Progesterone for 3 weeks

At day LH+3 patients will start treatment with vaginal progesterone tablet at 100mg three times daily for three weeks.

Group Type EXPERIMENTAL

Progesterone vaginal tablet

Intervention Type DRUG

The study drug is progesterone 100 mg administrated as a vaginal tablet three times daily.

Progesterone for 7 weeks

At day LH+3 patients will start treatment with vaginal progesterone tablet at 100mg three times daily for seven weeks.

Group Type EXPERIMENTAL

Progesterone vaginal tablet

Intervention Type DRUG

The study drug is progesterone 100 mg administrated as a vaginal tablet three times daily.

Interventions

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Progesterone vaginal tablet

The study drug is progesterone 100 mg administrated as a vaginal tablet three times daily.

Intervention Type DRUG

Other Intervention Names

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Lutinus, manufactured by Ferring GmbH. ATC code G03DA04

Eligibility Criteria

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Inclusion Criteria

* Planned for a FET-NC with a blastocyst
* BMI \>18.5 \<35
* Regular menstrual cycles 24-35 days
* Given informed consent
* Understand written and spoken Swedish, English or Arabic

Exclusion Criteria

* Oocyte donor cycles, preimplantation genetic testing (PGT) cycles. Uterine malformation, submucous myoma and endometrial polyps.
* Hypersensitivity against study medication. Other contraindications according to www.fass.se
* Development of serious disease contraindicating ART or pregnancy.
* Participation or recent participation in a clinical study with an investigational product (past 30 days). Previous participation in this study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

43 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Göteborg University

OTHER

Sponsor Role collaborator

Vastra Gotaland Region

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Åsa Magnusson, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Vastra Gotaland

Locations

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Department of Reproductive Medicine

Gothenburg, , Sweden

Site Status RECRUITING

Countries

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Sweden

Central Contacts

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Åsa Magnusson, MD, PhD

Role: CONTACT

+46 70-265 55 85

Caroline Stadelmann, MD

Role: CONTACT

+46 73-903 14 13

Facility Contacts

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Åsa Magnusson, MD,PhD

Role: primary

+46313421000 ext. 29560

Caroline Stadelmann, MD

Role: backup

+46739031413

References

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Duffy JMN, AlAhwany H, Bhattacharya S, Collura B, Curtis C, Evers JLH, Farquharson RG, Franik S, Giudice LC, Khalaf Y, Knijnenburg JML, Leeners B, Legro RS, Lensen S, Vazquez-Niebla JC, Mavrelos D, Mol BWJ, Niederberger C, Ng EHY, Otter AS, Puscasiu L, Rautakallio-Hokkanen S, Repping S, Sarris I, Simpson JL, Strandell A, Strawbridge C, Torrance HL, Vail A, van Wely M, Vercoe MA, Vuong NL, Wang AY, Wang R, Wilkinson J, Youssef MA, Farquhar CM; Core Outcome Measure for Infertility Trials (COMMIT) initiative. Developing a core outcome set for future infertility research: an international consensus development studydagger double dagger. Hum Reprod. 2020 Dec 1;35(12):2725-2734. doi: 10.1093/humrep/deaa241.

Reference Type RESULT
PMID: 33252685 (View on PubMed)

Stadelmann C, Bergh C, Brannstrom M, Olsen KH, Khatibi A, Kitlinski M, Liffner S, Lundborg E, Rodriguez-Wallberg KA, Strandell A, Westlander G, Widlund G, Magnusson A. Vaginal progesterone as luteal phase support in natural cycle frozen-thawed embryo transfer (ProFET): protocol for a multicentre, open-label, randomised controlled trial. BMJ Open. 2022 Jul 8;12(7):e062400. doi: 10.1136/bmjopen-2022-062400.

Reference Type DERIVED
PMID: 35803628 (View on PubMed)

Related Links

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Other Identifiers

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2020-005552-38

Identifier Type: -

Identifier Source: org_study_id

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