Clinical Evaluation of Integrated Chinese-Western Medicine for Infertility With DOR Patients in Women Achieving Natural Pregnancy

NCT ID: NCT07296614

Last Updated: 2025-12-22

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

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-25

Study Completion Date

2028-07-30

Brief Summary

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This study aims to evaluate the superiority of an integrated traditional Chinese and Western medicine regimen ("Xiehe DOR Bushen Tongzhi Formula" + ovulation induction therapy with ovulation monitoring and timed intercourse) compared to standard treatment alone (placebo + ovulation induction therapy with ovulation monitoring and timed intercourse) in improving the natural cumulative clinical pregnancy rate in infertile patients with kidney deficiency-type diminished ovarian reserve (DOR).

Detailed Description

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Conditions

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Diminished Ovarian Reserve (DOR) Infertility

Keywords

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Diminished ovarian reserve (DOR) Infertility Integrated Traditional Chinese and Western Clinical Medicine Randomized controlled trial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Western medicine group

Take the placebo granules orally for three months, followed by three cycles of letrozole while continuing the placebo.

Group Type PLACEBO_COMPARATOR

Western Medicine

Intervention Type DRUG

Letrozole is administered orally at 2.5 mg once daily from Day 2 to Day 5 of the menstrual cycle (5 consecutive days).

Placebo

Intervention Type DRUG

The appearance and packaging of the placebo are exactly the same as those of "Xiehe DOR Kidney-Tonifying Universal Formula". It is also taken by dissolving one sachet in hot water, three times daily.

Integrated traditional Chinese and Western medicine

Take the "Xiehe DOR Kidney-Tonifying Universal Formula" orally for three months; thereafter, continue the Chinese herbal formula while combining it with three cycles of letrozole.

Group Type EXPERIMENTAL

Western Medicine

Intervention Type DRUG

Letrozole is administered orally at 2.5 mg once daily from Day 2 to Day 5 of the menstrual cycle (5 consecutive days).

Traditional Chinese Medicine

Intervention Type DRUG

"Xiehe DOR Kidney-Tonifying Universal Formula" is a traditional Chinese medicine (TCM) granule formulation prepared in-hospital. It is taken by dissolving one sachet in hot water, three times daily.

Interventions

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Western Medicine

Letrozole is administered orally at 2.5 mg once daily from Day 2 to Day 5 of the menstrual cycle (5 consecutive days).

Intervention Type DRUG

Traditional Chinese Medicine

"Xiehe DOR Kidney-Tonifying Universal Formula" is a traditional Chinese medicine (TCM) granule formulation prepared in-hospital. It is taken by dissolving one sachet in hot water, three times daily.

Intervention Type DRUG

Placebo

The appearance and packaging of the placebo are exactly the same as those of "Xiehe DOR Kidney-Tonifying Universal Formula". It is also taken by dissolving one sachet in hot water, three times daily.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Female patients aged 22 to 39 years (inclusive).
2. Meet the diagnostic criteria for diminished ovarian reserve (requiring at least two of the following: Basal FSH 10-25 IU/L; AMH \< 1.1 ng/mL; AFC \< 7) and infertility(defined as the failure to achieve pregnancy after 12 months of regular unprotected sexual intercourse).
3. Meet the diagnostic criteria for kidney deficiency syndrome in traditional Chinese medicine
4. Voluntarily participate in this study and provide written informed consent.

Exclusion Criteria

1. Patients with premature ovarian insufficiency or premature ovarian failure (basal FSH \>25 IU/L), organic pathologies such as ovarian tumors, endometrial tuberculosis, intrauterine adhesions, or endometrial injuries, as well as those with congenital adrenal hyperplasia or Cushing's syndrome;
2. Infertility caused by organic lesions of the fallopian tubes, uterus, cervix, etc.
3. Infertility due to male factors (based on semen analysis reports, meeting the diagnostic criteria for oligoasthenoteratozoospermia according to the WHO 5th edition standards).
4. DOR caused by iatrogenic factors (such as pelvic surgery, radiotherapy/chemotherapy, uterine artery embolization, etc.).
5. Patients with severe primary diseases of the cardiovascular, cerebrovascular, hepatic, renal, or hematopoietic systems, or psychiatric disorders.
6. Individuals with known allergies to the investigational drug or its components.
7. Use of hormonal medications (e.g., estrogen, contraceptive drugs) within one month prior to enrollment, or use of kidney-tonifying Chinese herbal medicines or proprietary Chinese medicinal products within one month prior to enrollment.
8. Patients currently participating in or planning to participate in other clinical trials.
Minimum Eligible Age

22 Years

Maximum Eligible Age

39 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Dongfang Hospital Beijing University of Chinese Medicine

OTHER

Sponsor Role collaborator

Beijing University of Chinese Medicine

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School

OTHER

Sponsor Role collaborator

Hunan University of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Shandong University

OTHER

Sponsor Role collaborator

Xiamen University

OTHER

Sponsor Role collaborator

Beijing Obstetrics and Gynecology Hospital

OTHER

Sponsor Role collaborator

Xiyuan Hospital of China Academy of Chinese Medical Sciences

OTHER

Sponsor Role collaborator

The Third Affiliated Hospital of Beijing University of Chinese Medicine

OTHER

Sponsor Role collaborator

Hunan Provincial Maternal and Child Health Care Hospital

OTHER

Sponsor Role collaborator

Guangdong Provincial Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

The Affiliated Hospital of Shandong University of Traditional Chinese Medicine

UNKNOWN

Sponsor Role collaborator

Institute of Basic Medical Sciences CAMS

UNKNOWN

Sponsor Role collaborator

First Affiliated Hospital of Heilongjiang Chinese Medicine University

OTHER

Sponsor Role collaborator

Shunde Women and Children's Hospital (Maternity and Child Healthcare Hospital of Shunde Foshan)

UNKNOWN

Sponsor Role collaborator

The First Affiliated Hospital of Zhengzhou University

OTHER

Sponsor Role collaborator

Shenyang Women's and Children's Hospital

UNKNOWN

Sponsor Role collaborator

Peking Union Medical College Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Peking union medical college hospital

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Central Contacts

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Yingying Guo, Doctor

Role: CONTACT

Phone: 86+010-69158331

Email: [email protected]

Other Identifiers

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K9220

Identifier Type: -

Identifier Source: org_study_id