Dehydroepiandrosterone Versus Growth Hormone in Women Undergoing ICSI With Expected Poor Ovarian Response
NCT02736591 · Status: UNKNOWN · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 210
Last updated 2016-07-06
Summary
300 women with expected poor ovarian response (POR) undergoing in vitro fertilization or intra-cytoplasmic sperm injection (ICSI) will be randomly divided into 2 equal groups using computer generated random numbers. Group 1 will receive Dehydroepiandrosterone (DHEA) 25 mg ( DHEA 25mg, Natrol , USA) t.d.s daily for 12 weeks before starting IVF/ICSI cycle and a placebo similar to growth hormone (GH) daily from day 6 of stimulation until the day of human chorionic gonadotrophin (hCG) trigger. Group 2 will receive an oral placebo t.d.s. daily for 12 weeks before ICSI in addition to GH (Somatotropin, Sedico, Egypt) 4 IU on day 6 of hMG stimulation in a daily dose of 2.5 mg subcutaneous (SC) until the day of hCG triggering.
Patients included in the study will be subjected to full history taking and clinical examination. On the second day of menstruation serum FSH, LH, Prolactin and Oestradiol will be assessed and the antral follicular count (AFC) will be assessed using a vaginal ultrasound scan. AFC will be defined as the number of follicles measuring 3-10mm.
All patients will have gonadotropin antagonist protocol with Human menopausal gonadotrophin (hMG) stimulation until the day of hCG administration. On the day of hCG administration, ovarian ultrasound scan will be performed using a transvaginal probe. Oocytes will be aspirated 34-36 hours after HCG administration. Oocytes will be fertilized and embryos will be transferred. Both groups will be compared regarding the proportion of ongoing pregnancy.
Conditions
- Subfertility
Interventions
- DRUG
-
DHEA
Women will receive oral DHEA 25 mg t.d.s. 12 weeks before ICSI.
- DRUG
-
Growth Hormone-Releasing Hormone
Women will receive 4 IU of growth hormone on day 6 of hMG stimulation in a daily dose of 2.5 mg SC until the day of hCG triggering
- DRUG
-
Placebo 1
Women will receive an oral placebo similar to DHEA for 12 weeks before ICSI.
- DRUG
-
Placebo 2
Women will receive a placebo injection similar to growth hormone daily from day 6 of hMG stimulation until the day of hCG triggering.
Sponsors & Collaborators
-
Cairo University
lead OTHER
Principal Investigators
-
AbdelGany M Hassan · Cairo University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 43 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-06-30
- Primary Completion
- 2017-04-30
Countries
- Egypt
Study Locations
More Related Trials
-
Dydrogesterone, Cetrorelix Acetate and Triptorelin in Intra Cytoplasmic Sperm Injection Outcomes
NCT05972902 ·Status: UNKNOWN ·Phase: PHASE3
-
Growth Hormone Co-treatment Within a GnRH Antagonist Protocol in Patients With Poor Ovarian Response
NCT03373149 ·Status: UNKNOWN ·Phase: PHASE2
-
Poor Responders Infertile Patients -A Great Clinical Challenge
NCT03402620 ·Status: COMPLETED ·Phase: NA
-
The Value of Addition of Human Menopausal Gonadotropin Drug Following Oocytes Retrieval in IVF Cycles
NCT03209687 ·Status: COMPLETED ·Phase: PHASE4
-
IVF/ICSI Protocols in Poor Responders With Growth Hormone
NCT01897324 ·Status: COMPLETED ·Phase: PHASE4
-
Three Small Doses of HCG Versus Booster Dose of HCG on Ovum Pickup Day
NCT02397551 ·Status: COMPLETED ·Phase: PHASE4
-
Progesterone Primed Protocol Versus GnRH Antagonist in With PCO Undergoing ICSI
NCT05951400 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Dehydroepiandrosterone Supplementation for Poor Responder Patients During in Vitro Fertilization Treatment
NCT01145144 ·Status: COMPLETED ·Phase: NA
-
Low-dose GH Supplementation Increases Clinical Pregnancy Rate
NCT02359695 ·Status: COMPLETED ·Phase: PHASE1
-
Effect of Estradiol Pretreatment on Antagonist ICSI Cycles
NCT05197374 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Vitamin D Status on Clinical Pregnancy Rates Following Intra Cytoplasmic Sperm Injection
NCT02987478 ·Status: UNKNOWN
-
Dydrogesterone-Primed Ovarian Stimulation Protocol Versus Gonadotropin Releasing Hormone Antagonist Protocol in ICSI
NCT05751681 ·Status: UNKNOWN ·Phase: NA
-
Controlled Ovarian Hyperstimulation (COH) With Sequential HPFSH & HMG Versus Rec-F.S.H Alone in ICSI Cycle
NCT04539613 ·Status: UNKNOWN
-
Effects of Pentoxifylline and Vitamin E on Pregnancy Rate in Infertile Women Treated by ICSI:
NCT03476564 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Effect of GnRH Agonist Treatment Protocols on Ovarian Reserve
NCT05567731 ·Status: COMPLETED ·Phase: NA
-
Oestradiol Supplementation in Luteal Long Agonist Fresh In Vitro Fertilization/Intra Cytoplasmic Sperm Injection ( IVF/ICSI) Cycle .
NCT03832894 ·Status: UNKNOWN ·Phase: PHASE3
-
Comparative Study Between Single Versus Dual Trigger for Poor Responders in GnRH-antagonist ICSI Cycles
NCT04008966 ·Status: COMPLETED ·Phase: PHASE4
-
Extended Letrozole Regimen Co-treatment With Gonadotropin Releasing Hormone Antagonist Protocol Versus Gonadotropin Releasing Hormone Antagonist Protocol in Poor Responders Undergoing IVF-ET
NCT04268927 ·Status: UNKNOWN ·Phase: PHASE2
-
Delayed Embryo Transfer in Poor Responders
NCT02431689 ·Status: COMPLETED ·Phase: NA
-
Human Chorionic Gonadotropin (hCG) Priming Prior to Controlled Ovarian Hyperstimulation (COH) in Poor Responder In Vitro Fertilization (IVF) Patients
NCT00870025 ·Status: COMPLETED ·Phase: PHASE4
-
Growth Hormone Pretreatment in Poseidon Type IV Undergoing ICSI Using Minimal Induction Protocol: A Randomized Controlled Trial
NCT05089344 ·Status: UNKNOWN ·Phase: NA
-
Role of Aromatase Inhibitor to Enhance Ovulation in Poor Responder During Induction With Short Antagonist Protocol in Cases of ICSI
NCT02741154 ·Status: COMPLETED ·Phase: PHASE4
-
Is Adding E2 to P4 Luteal Support In High Responder Long Gn-RH Agonist ICSI Cycles Detrimental to Outcome? RCT
NCT01790282 ·Status: COMPLETED ·Phase: NA
-
Extended High Dose Letrozole Regimen Versus Short Low Dose Letrozole Regimen as an Adjuvant to GnRH Antagonist Protocol in the Management of Poor Responders Undergoing IVF-ET
NCT01219153 ·Status: COMPLETED ·Phase: PHASE2
-
GDF-8 Levels in ICSI Cycles
NCT06529627 ·Status: COMPLETED ·Phase: NA