The Effect of VitC on IVF Outcome of DOR Patients

NCT ID: NCT06794047

Last Updated: 2025-06-17

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

NA

Total Enrollment

1100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-17

Study Completion Date

2027-12-31

Brief Summary

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In the context of the accelerating aging population and the continuous decline in birth rates nationwide, delaying reproductive aging in women and protecting the fertility of women of childbearing age have become urgent issues and key demands that need to be addressed in the field of maternal and child health in China. The ovaries have reproductive and hormone secretion functions and are crucial throughout the female reproductive lifecycle. Women of childbearing age in China face a serious problem of diminished ovarian reserve (DOR), which can lead to infertility, failed in vitro fertilization (IVF) treatments, miscarriage, and other adverse pregnancy outcomes, severely affecting the safety of women and their offspring. For DOR patients who desire to conceive, failure to intervene and treat promptly can result in irreversible losses and impose a significant psychological burden on them. However, there are currently no clear and reliable interventions that can improve ovarian function and enhance fertility in women with DOR. Therefore, exploring new, safe, and patient-acceptable intervention strategies is urgently needed, as it may bring hope and light to women with DOR. Nutrient supplementation, especially vitamin supplementation, has received increasing attention in disease treatment due to its safety, bioavailability, and effectiveness. Previous studies have shown that vitamin C may play an important role in treating diminished ovarian reserve. However, its effects on ovarian function need to be validated in the population.

Based on the above research background, this project will conduct a randomized, placebo-controlled, double-blind, multicenter trial. The study subjects will be DOR infertility patients undergoing IVF/ICSI treatment. The intervention group will receive oral vitamin C supplementation at a dosage of 500 mg per dose, twice a day; the control group will receive a placebo with the same dosage and method for at least three months. Patients will be followed up until delivery outcomes, comparing the IVF/ICSI treatment results between the vitamin C supplementation group and the placebo group. The primary endpoint of this clinical trial is the live birth rate of the IVF/ICSI treatment cycle. Secondary endpoints include indicators of improved ovarian reserve function, ovarian aging molecular clocks, IVF-embryo culture indicators, pregnancy rates, pregnancy complications, and neonatal conditions, thereby providing new clues and theoretical basis for clinical treatment plans for DOR patients.

Detailed Description

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Conditions

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Diminished Ovarian Reserve IVF Outcomes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
During the entire implementation of the RCT, a double-blind design was employed for both the study subjects and researchers. Group allocation concealment was applied to study subjects, clinical practitioners involved in the RCT, outcome observers and assessors, and subsequent data analysts. The pharmaceutical company assigned numbers and labels to the drugs, and when study subjects were enrolled, they were assigned the corresponding drug number. The specific group corresponding to the number remained concealed from the project researchers, participants, and study subjects, with the blind data kept by independent personnel.

After the follow-up, independent personnel who maintained the blind data provided group information to the data analysts. The vitamin C and control groups were still represented as A and B, concealing the specific identities of the AB groups from the data analysts. After the data comparison between the two groups the unblinding of the AB groups was conducted.

Study Groups

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VitC

The women will intake the vitamin C twice a day, 500mg per time.

Group Type EXPERIMENTAL

Vitamin C

Intervention Type DIETARY_SUPPLEMENT

Vitamin C tablets, please instruct the patient to swallow with water, 500mg twice daily, morning and evening.

Placebo

Tablets with the same material, flavor, and appearance as the intervention group.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Tablets with the same material, flavor, and appearance as the intervention group.

Interventions

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Vitamin C

Vitamin C tablets, please instruct the patient to swallow with water, 500mg twice daily, morning and evening.

Intervention Type DIETARY_SUPPLEMENT

Placebo

Tablets with the same material, flavor, and appearance as the intervention group.

Intervention Type OTHER

Other Intervention Names

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VitC VC Ascorbic acid control

Eligibility Criteria

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Inclusion Criteria

* Infertile women undergoing their 1st or 2nd IVF treatment
* Diagnosed with DOR: POSEIDON criteria (AMH \<1.2 ng/mL or bilateral AFC \<5) BMI between 18.5-28.0 kg/m²
* Signed informed consent

Exclusion Criteria

* PGT (preimplantation genetic testing) candidates
* DOR caused by ovarian surgery, cancer radiotherapy/chemotherapy
* Other ovulation disorders (e.g., PCOS, Cushing's syndrome, non-classic congenital adrenal hyperplasia, hyperprolactinemia) or endometriosis (chocolate cysts)
* Severe thyroid disorders: Hyperthyroidism, Graves' disease, Hashimoto's thyroiditis
* Acute/chronic renal insufficiency, hemodialysis, or history of severe kidney impairment
* Infectious diseases: HIV, active hepatitis, metabolic acidosis, tuberculosis, etc.
* Severe autoimmune diseases (e.g., rheumatoid arthritis, lupus, Crohn's disease)
* Cardiovascular events within the past 3 months: Coronary artery disease/myocardial infarction/clinically significant congestive heart failure;Stroke/transient ischemic attack (TIA);Deep vein thrombosis/pulmonary embolism;Poorly controlled hypertension (SBP ≥160 mmHg or DBP ≥90 mmHg);Diagnosed diabetes mellitus;Coronary intervention (PCI) or coronary artery bypass grafting (CABG);
* Neurological disorders (e.g., dementia,Alzheimer's, Parkinson's) or use of related medications
* Psychiatric disorders or use of antiepileptic/antidepressant drugs
* History of cancer or radiotherapy/chemotherapy
* Allergy to vitamin C
* Current high-dose vitamin C supplementation (\>500 mg/day)
* Unwillingness to take the study-provided supplements
* Alcohol abuse, smoking, or drug addiction
* Participation in other clinical trials within the past month
Minimum Eligible Age

20 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Beijing Obstetrics and Gynecology Hospital

OTHER

Sponsor Role collaborator

Peking University Shenzhen Hospital

OTHER

Sponsor Role collaborator

Tang-Du Hospital

OTHER

Sponsor Role collaborator

General Hospital of Ningxia Medical University

OTHER

Sponsor Role collaborator

The Second Hospital of Hebei Medical University

OTHER

Sponsor Role collaborator

Peking University Third Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jie Qiao

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Beijing Obstetrics and Gynecology Hospital,Capital Medical University

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking university third hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

The second hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status RECRUITING

General Hospital of Ningxia Medical University

Yinchuan, Ningxia, China

Site Status RECRUITING

Tang Du Hospital

Xi’an, Shanxi, China

Site Status RECRUITING

Peking University Shenzhen Hospital

Shenzhen, Shenzhen, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Tian Tian, Ph.D

Role: CONTACT

+86 01082266355

Facility Contacts

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Xiaokui Yang, Professor

Role: primary

+86 13552326071

Tian Tian, Ph.D

Role: primary

010-82266355

Guimin Hao, Professor

Role: primary

+86 13623218091

Junli Zhao, Professor

Role: primary

+86 15825310348

Xiaohong Wang, Professor

Role: primary

+86 18165178306

Xi Xia, Professor

Role: primary

+86 15989897064

Other Identifiers

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No2024

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

M2024646

Identifier Type: -

Identifier Source: org_study_id

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