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Trial registered on ANZCTR
Registration number
ACTRN12607000636459
Ethics application status
Approved
Date submitted
10/12/2007
Date registered
13/12/2007
Date last updated
13/12/2007
Type of registration
Retrospectively registered
Titles & IDs
Public title
Gonadotropin-releasing hormone (GnRH) antagonist vs. gonadotropin-releasing hormone agonist protocol for in vitro fertilization in non-obese patients with Polycystic Ovary Syndrome (PCOS). A prospective randomized study.
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Scientific title
A prospective randomized study comparing clinical and embryological outcomes in controlled ovarian hyperstimulation protocols with GnRH antagonist and GnRH agonist for in vitro fertilization in PCOS non-obese patients.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
GnRH antagonists in PCOS
2619
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Condition category
Condition code
Reproductive Health and Childbirth
2735
2735
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0
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Fertility including in vitro fertilisation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Controlled ovarian hyperstimulation with GnRH antagonists (Cetrotide 0,25 mg/day; intramuscular; starting when the two follices reach the diameter of 14mm untill the criteria for human chorionic gonadotropin administartion) and agonists (Triptorelin 3,75 mg; intramuscular; once, on the 20-22 day of the preceding cycle),
intracytoplasmic sperm injection
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Intervention code [1]
2354
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Treatment: Drugs
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Comparator / control treatment
Active group, women stimulated with GnRH agonist in a standard long protocol
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Control group
Active
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Outcomes
Primary outcome [1]
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Delivery per attempt, clinical pregnancy per attempt, implantation rate
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Assessment method [1]
3624
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Timepoint [1]
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Pregnancy was confirmed by pregnancy test 14 days after embryo transfer (ET) and by vaginal ultrasound scan at 6 and 12 weeks of gestation.
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Secondary outcome [1]
6069
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Matured oocytes (M2) rate, fertilization rate, embryo quality,
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Assessment method [1]
6069
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Timepoint [1]
6069
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Fertilizations checked 16-18 hours after intracytoplasmic sperm injection (ICSI)
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Eligibility
Key inclusion criteria
1. meeting of 2003 Rotterdam PCOS criteria; 2. age=40 years; 3. body mass index <27 kg/m2; 4. FSH < 12 mIU/ml on the 3rd day of the cycle; 5. negative screening for hepatitis B and C virus infection and human immunodeficiency virus (HIV) infection.
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Minimum age
No limit
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Maximum age
40
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
>2 miscarriages, >3 unsuccessful IVF/ICSI cycles, anatomical abnormalities of the uterus on laparoscopy or hysteroscopy and existence of ovarian cysts.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomisation table created by a computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3 / Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
2/02/2004
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
70
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
711
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Poland
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State/province [1]
711
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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State Committee for Scientific Research
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Address [1]
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1/3 Wspolna Street
Warsaw 00-529 Poland
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Country [1]
2872
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Poland
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Funding source category [2]
2876
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Government body
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Name [2]
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State Committee for Scientific Research
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Address [2]
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1/3 Wspolna Street
Warsaw 00-529 Poland
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Country [2]
2876
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Poland
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Primary sponsor type
Government body
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Name
State Committee for Scientific Research
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Address
1/3 Wspolna Street
Warsaw 00-529 Poland
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Country
Poland
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Secondary sponsor category [1]
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University
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Name [1]
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Pomeranian Medical University
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Address [1]
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1 Rybacka Street
Szczecin 70-204 Poland
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Country [1]
2589
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Poland
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Many clinical trials demonstrate that overall outcomes are comparable in GnRH agonists and antagonists protocols. However, recent data suggest that the duration of stimulation as well as the incidence of severe OHSS are significantly reduced in COH protocols with GnRH antagonist. There are only few studies comparing clinical outcome of GnRH agonist and antagonist protocols in PCOS patients. Nevertheless, none of those studies include a detailed embryological description. Because obesity was reported to be associated with relative gonadotropin resistance as well as lower number of collected oocytes we excluded obese patients. Mentioned studies did not consider high BMI as an exclusion criteria. In the current study, we decided to verify if women with PCOS can also benefit from GnRH antagonist protocol. Additionally, since the relative importance and the role of monitoring of LH in follicular development is still disputable we investigate correlation between LH levels and the treatment outcome.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
28236
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Ciepiela Przemyslaw
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Address
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Department of Reproductive Medicine and Gynecology
Pomeranian Medical University
2 Siedlecka Street
Szczecin-Police 72-010
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Country
11393
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Poland
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Phone
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+48 91 4256960
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Fax
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+48 91 4256960
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Email
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[email protected]
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Contact person for scientific queries
Name
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Ciepiela Przemyslaw
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Address
2321
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Department of Reproductive Medicine and Gynecology
Pomeranian Medical University
2 Siedlecka Street
Szczecin-Police 72-010
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Country
2321
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Poland
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Phone
2321
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+48 91 4256960
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Fax
2321
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+48 91 4256960
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Email
2321
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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