Traditional Clomiphene Citrate Administration vs. Stair-step Approach
NCT01008319 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2018-01-08
Summary
The purpose of this study is to compare the length of time to achieve ovulation and pregnancy with a traditional protocol administration of clomiphene citrate versus a stair step administration.
Our hypothesis is by using a stair-step approach in which a period is not induced between administrations of escalating doses of clomiphene citrate, the time to ovulation and pregnancy may be reduced.
Conditions
- Ovulatory Dysfunction
- Anovulation
- Ovulation Induction
Interventions
- DRUG
-
clomiphene citrate
Clomiphene citrate 50 mg for 5 days starting on cycle day 5. Transvaginal ultrasound between cycle days 11 to 14 to determine if there is a dominant follicle. If NO dominant follicle present, another ultrasound and blood draw (to test progesterone level) will be done one week later to confirm no response to the medication dose. Medroxyprogesterone acetate (Provera) 10 mg per day for 10 days. Increased dose of clomiphene citrate for 5 days starting on cycle day 5. This process will be repeated at increased doses of clomiphene citrate (100 mg and 150 mg) until a dominant follicle(s) is present.
- DRUG
-
clomiphene citrate
Clomiphene citrate 50 mg for 5 days starting on cycle day 5. Transvaginal ultrasound between cycle days 11 to 14 to determine if there is a dominant follicle. If NO dominant follicle present, a blood draw (to test progesterone level) will be done. Increased dose of clomiphene citrate for 5 days starting that day. A repeat transvaginal ultrasound in one week to determine if there is a dominant follicle. This process will be repeated at increased doses of clomiphene citrate (100 mg and 150 mg) until a dominant follicle(s) is present.
Sponsors & Collaborators
-
University of Oklahoma
lead OTHER
Principal Investigators
-
LaTasha Craig, MD · University of Oklahoma
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 45 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-10-31
- Primary Completion
- 2015-11-30
- Completion
- 2015-11-30
Countries
- United States
Study Locations
More Related Trials
-
Androgen Blockade and Progesterone Augmentation of Gonadotropin Secretion
NCT04597099 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Phytoestrogen, NO Donors, N-acetyl Cysteine Add Therapy to Clomiphene Citrate to Improve Pregnancy Rate in PCO Patients
NCT02493933 ·Status: UNKNOWN ·Phase: PHASE1
-
Clomiphene Citrate Plus Gonadotropins and GnRH Antagonist Versus Flexible GnRH Antagonist Protocol Versus Microdose GnRH Agonist Protocol in Poor Responders Undergoing IVF
NCT02201914 ·Status: UNKNOWN ·Phase: PHASE4
-
A Novel Stimulation Protocol and the Conventional Low Dose Step-up and Step Down Regimens
NCT01112111 ·Status: UNKNOWN
-
Use of Clomiphene Citrate as an Inhibitor of Ovulation in an Oocyte Cryopreservation Cycle
NCT05866068 ·Status: UNKNOWN
-
Cost Effectiveness Analysis for Induction of Ovulation in the Polycystic Ovary Syndrome by Letrozole Versus Clomiphene Citrate
NCT04361175 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Clomifene Citrate as First Line Treatment in in Vitro Fertilization Cycles for Patients With Lower Ovarian Reserve
NCT01389713 ·Status: COMPLETED ·Phase: NA
-
Comparison of Recombinant Follicle Stimulating Hormone and the Combination of Recombinant Follicle Stimulating Hormone With Clomiphene Citrate in Stimulated Intrauterine Insemination Cycles
NCT05670795 ·Status: RECRUITING ·Phase: NA
-
Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH) Response to Low Dose Clomiphene Citrate in Normally Menstruating Fertile Women
NCT01340521 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Maximal Stimulation and Delayed Fertilization for Diminished Ovarian Reserve: a Randomized Pilot Study
NCT01921166 ·Status: COMPLETED ·Phase: PHASE4
-
RCT of Low-dose Clomiphene vs. High Dose Gonadotropin Protocol for IVF Poor Responders
NCT01577199 ·Status: WITHDRAWN ·Phase: PHASE4
-
Optimizing Ovulation Induction in the Poor Responder
NCT01200537 ·Status: WITHDRAWN ·Phase: NA
-
Does Clomiphene Citrate Used for Induction of Ovulation Effect Levels of AMH and Inhibin B
NCT02036411 ·Status: UNKNOWN
-
Induction of Ovulation Using Clomiphene Citrate and N-acetyl Cysteine Versus Letrozole
NCT03241472 ·Status: COMPLETED ·Phase: PHASE3
-
Concomitant CC and E2 Versus CC Alone in Ovulation Induction
NCT02186782 ·Status: UNKNOWN ·Phase: PHASE4
-
Hormonal Stimulation in IUI Treatment: Is Clomifen Combined With Ethinyl Estradiol Better, Worse or Equal to Menopur
NCT01569945 ·Status: COMPLETED ·Phase: NA
-
Randomized Controlled Trial of Combined Letrozole and Clomid (CLC II) Versus Letrozole Alone for Women With Anovulation
NCT05206448 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Impact of Clomiphene Citrate Administration During the Early Luteal Phase on Endocrine Profile in IVF Cycles
NCT01791751 ·Status: COMPLETED ·Phase: PHASE4
-
Progesterone Primed Ovarian Stimulation Protocol Versus Antagonist Protocol for PCO Patient
NCT05847660 ·Status: UNKNOWN ·Phase: NA
-
Clomiphene Citrate (CC) Co-treatment With HP Urinary FSH vs HP Urinary FSH in CC-resistant PCOS
NCT01212263 ·Status: COMPLETED ·Phase: NA
-
Letrozole Versus Clomifene Citrate for Ovulation Induction
NCT00478504 ·Status: COMPLETED ·Phase: PHASE4
-
Endocrinology Profile in Patients Undergoing Clomiphene, Letrozole, and Combination Clomiphene and Letrozole Cycles
NCT02377479 ·Status: WITHDRAWN ·Phase: NA
-
Extended Letrozole Regimen Versus Clomiphene Citrate for Superovulation in Patients With Unexplained Infertility Undergoing Intrauterine Insemination
NCT01232075 ·Status: COMPLETED ·Phase: PHASE2
-
Endometrial Shedding Prior to Ovulation Induction Pilot Study
NCT02340013 ·Status: COMPLETED ·Phase: PHASE4
-
Incremental Clomiphene Citrate Doses in Successive Cycles and FSH, LH and Steroid Hormone Levels
NCT04210765 ·Status: COMPLETED ·Phase: PHASE4