Can Drospirenone be Used to Prevent LH Surge in Controlled Ovarian Stimulation in PCOS?!

NCT ID: NCT06608186

Last Updated: 2025-01-22

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

PHASE1/PHASE2

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-01

Study Completion Date

2025-01-19

Brief Summary

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The goal of this clinical trial is to learn if drospirenone can work to prevent LH surge in controlled ovarian stimulation in PCOS cases undergoing ART cycles. The main questions it aims to answer are:

Can drospirenone prevent LH surge in controlled ovarian stimulation in PCOS cases ? Can it prevent the occurance of ovarian hyperstimulation?

Researchers will compare drospirenone to cetrorelix (A well known drug for such cases) to see if drospirenone works the same way.

Participants will:

Take drospirenone or cetrorelix from stimulation day 5 ( 5 days of ovarian stimulation) till day of hCG trigger

\- monitoring will be done before the cycle and through the cycles with vaginal ultrasound assessment and lab testing

Detailed Description

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The goal of this novel clinical trial is to study if drospirenone can work to prevent LH surge in controlled ovarian stimulation in PCOS cases undergoing ART cycles in comparison to a gold standard drug cetrorelix:

All PCOS cases: 50 case in this novel trial. 25 in each group will be randomized after taking 5 days of ovarian stimulation to either drospirenone tablet/d or cetrorelix injection/d till the day of hCG.

At the day of hCG, lab testing will be done in addition to ultrasound assessment by transvaginal probe. the tests are: progesterone, E2, LH.

Assesment will be done for the number quality of follicles and the number quality of embryos developed, development of OHSS, vitrification/thawing of embryos after 1 month then the clinical and chemical pregnancy rate.

Conditions

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PCOS (Polycystic Ovary Syndrome)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

50 case in this novel trial. 25 in each group will be randomized after taking 5 days of ovarian stimulation to either drospirenone tablet/d or cetrorelix injection/d till the day of hCG.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
statistician

Study Groups

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Drospirenone

25 cases will receive drospirenone in the form of 1 tablet / d from day 5 of stimulation till hCG trigger day

Group Type EXPERIMENTAL

Drospirenone drug

Intervention Type DRUG

A drug drospirenone in the form of 1 tablet / d from day 5 of stimulation till hCG trigger day

cetrorelix

25 cases will receive cetrorelix from day 5 of stimualtion till hCG trigger day

Group Type ACTIVE_COMPARATOR

Cetrorelix drug

Intervention Type DRUG

a drug injection daily sc. from day 5 of stimulation till hCG trigger day

Interventions

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Cetrorelix drug

a drug injection daily sc. from day 5 of stimulation till hCG trigger day

Intervention Type DRUG

Drospirenone drug

A drug drospirenone in the form of 1 tablet / d from day 5 of stimulation till hCG trigger day

Intervention Type DRUG

Other Intervention Names

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cetrorelix

Eligibility Criteria

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Inclusion Criteria

* PCOS was diagnosed according to the Rotterdam consensus criteria (two out of three of the following criteria):

1. oligo- or anovulation
2. clinical and/or biochemical signs of hyperandrogenism
3. polycystic ovaries).
* A diagnosis of congenital adrenal hyperplasia, Cushing's syndrome, androgen-producing tumours, hyperprolactinemia and thyroid dysfunction were all rulled out.

Exclusion Criteria

* age 38 years
* basal FSH level 12 mIU/mL
* previous ovarian surgery
* congenital uterine anomaly anomaly, intrauterine adhesion and male partner with non-obstructive azoospermia.
Minimum Eligible Age

20 Years

Maximum Eligible Age

38 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Ahmed Saad

OTHER

Sponsor Role lead

Responsible Party

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Ahmed Saad

Professor of Obsterics & Gynecology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Ahmed s saad, phD

Role: STUDY_DIRECTOR

Professor of OB & GYN

Locations

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Hawaa Fertility center

Banhā, Qalyubia Governorate, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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Hawaa-10

Identifier Type: -

Identifier Source: org_study_id

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