Trial Outcomes & Findings for Outcome of Cetrotide Therapy for Management of Women at High-risk of Ovarian Hyperstimulation Syndrome (NCT NCT02823080)

NCT ID: NCT02823080

Last Updated: 2017-03-30

Results Overview

Serum E2 levels (Serum E2 level in picograms/ml) were evaluated daily.

Recruitment status

UNKNOWN

Study phase

PHASE2/PHASE3

Target enrollment

48 participants

Primary outcome timeframe

8 days

Results posted on

2017-03-30

Participant Flow

Participant milestones

Participant milestones
Measure
Cetrotide
study group (24 patients = intervention) received intervention for 3-daysCetrorelix Acetate sc injection (0.25 mg/day) started on Day-0. Serum E2, pain scores and MOD(maximal ovarian diameter) were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
no Cetrotide
control group (24 patients) did not receive 3-daysCetrorelix Acetate (no intervention). Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Overall Study
STARTED
24
24
Overall Study
COMPLETED
24
24
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Outcome of Cetrotide Therapy for Management of Women at High-risk of Ovarian Hyperstimulation Syndrome

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cetrotide
n=24 Participants
study group (24 patients = intervention) received intervention for 3-daysCetrorelix Acetate sc injection (0.25 mg/day) started on Day-0. Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
no Cetrotide
n=24 Participants
control group (24 patients) did not receive 3-daysCetrorelix Acetate (no intervention). Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Total
n=48 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Age, Categorical
Between 18 and 65 years
24 Participants
n=39 Participants
24 Participants
n=41 Participants
48 Participants
n=35 Participants
Age, Categorical
>=65 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Sex: Female, Male
Female
24 Participants
n=39 Participants
24 Participants
n=41 Participants
48 Participants
n=35 Participants
Sex: Female, Male
Male
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
White
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
More than one race
24 Participants
n=39 Participants
24 Participants
n=41 Participants
48 Participants
n=35 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Region of Enrollment
Egypt
12 participants
n=39 Participants
12 participants
n=41 Participants
24 participants
n=35 Participants
Region of Enrollment
Saudi Arabia
12 participants
n=39 Participants
12 participants
n=41 Participants
24 participants
n=35 Participants

PRIMARY outcome

Timeframe: 8 days

Serum E2 levels (Serum E2 level in picograms/ml) were evaluated daily.

Outcome measures

Outcome measures
Measure
no Cetrotide
n=24 Participants
control group (24 patients) did not receive 3-daysCetrorelix Acetate (no intervention). Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Cetrotide
n=24 Participants
study group (24 patients = intervention) received intervention for 3-daysCetrorelix Acetate sc injection (0.25 mg/day) started on Day-0. Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Daily Serum E2 Levels
Day-7
1275 picograms/ml
Standard Deviation 588
969 picograms/ml
Standard Deviation 118
Daily Serum E2 Levels
Day-0
5004 picograms/ml
Standard Deviation 792
4761 picograms/ml
Standard Deviation 940
Daily Serum E2 Levels
Day-1
4212 picograms/ml
Standard Deviation 950
3397 picograms/ml
Standard Deviation 1361
Daily Serum E2 Levels
Day-2
3620 picograms/ml
Standard Deviation 1037
2772 picograms/ml
Standard Deviation 1456
Daily Serum E2 Levels
Day-3
3592 picograms/ml
Standard Deviation 862
2067 picograms/ml
Standard Deviation 900
Daily Serum E2 Levels
Day-4
2570 picograms/ml
Standard Deviation 914
1452 picograms/ml
Standard Deviation 617
Daily Serum E2 Levels
Day-5
1914 picograms/ml
Standard Deviation 965
1173 picograms/ml
Standard Deviation 180
Daily Serum E2 Levels
Day-6
1544 picograms/ml
Standard Deviation 812
1173 picograms/ml
Standard Deviation 180
Daily Serum E2 Levels
Day-8
1044 picograms/ml
Standard Deviation 200
902 picograms/ml
Standard Deviation 66

PRIMARY outcome

Timeframe: 8 days

MOD (maximal ovarian diameter in mm) were evaluated daily.

Outcome measures

Outcome measures
Measure
no Cetrotide
n=24 Participants
control group (24 patients) did not receive 3-daysCetrorelix Acetate (no intervention). Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Cetrotide
n=24 Participants
study group (24 patients = intervention) received intervention for 3-daysCetrorelix Acetate sc injection (0.25 mg/day) started on Day-0. Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Daily Maximal Ovarian Diameter
Day-0
10.4 mm
Standard Deviation 5.8
9.4 mm
Standard Deviation 4.5
Daily Maximal Ovarian Diameter
Day-1
10.2 mm
Standard Deviation 5.6
9.3 mm
Standard Deviation 4.6
Daily Maximal Ovarian Diameter
Day-2
9.6 mm
Standard Deviation 4.6
9.1 mm
Standard Deviation 4.2
Daily Maximal Ovarian Diameter
Day-3
9.4 mm
Standard Deviation 4.9
8.7 mm
Standard Deviation 4.3
Daily Maximal Ovarian Diameter
Day-4
9.2 mm
Standard Deviation 4.7
8.5 mm
Standard Deviation 4.3
Daily Maximal Ovarian Diameter
Day-5
9 mm
Standard Deviation 4.6
7.8 mm
Standard Deviation 4
Daily Maximal Ovarian Diameter
Day-6
8.5 mm
Standard Deviation 4.6
7.5 mm
Standard Deviation 4.2
Daily Maximal Ovarian Diameter
Day-7
8.2 mm
Standard Deviation 4.5
7.3 mm
Standard Deviation 4
Daily Maximal Ovarian Diameter
Day-8
7.9 mm
Standard Deviation 4.2
7.1 mm
Standard Deviation 3.7

SECONDARY outcome

Timeframe: 8 days.

-All patients were clinically evaluated for the presence of abdominal pain and if present was graduated using a numerical pain visual analogue scale (VAS) with 0 means no pain and 10 means severe intolerable pain .

Outcome measures

Outcome measures
Measure
no Cetrotide
n=24 Participants
control group (24 patients) did not receive 3-daysCetrorelix Acetate (no intervention). Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Cetrotide
n=24 Participants
study group (24 patients = intervention) received intervention for 3-daysCetrorelix Acetate sc injection (0.25 mg/day) started on Day-0. Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Daily Numerical Pain Visual Analogue Scale Score
Day-0
5.4 units on a scale
Standard Deviation 1.7
5.3 units on a scale
Standard Deviation 1.6
Daily Numerical Pain Visual Analogue Scale Score
Day-1
5 units on a scale
Standard Deviation 1.3
4.3 units on a scale
Standard Deviation 1.3
Daily Numerical Pain Visual Analogue Scale Score
Day-2
4.9 units on a scale
Standard Deviation 1.8
3.6 units on a scale
Standard Deviation 1
Daily Numerical Pain Visual Analogue Scale Score
Day-3
4.6 units on a scale
Standard Deviation 1.8
2.3 units on a scale
Standard Deviation 1.8
Daily Numerical Pain Visual Analogue Scale Score
Day-4
4.5 units on a scale
Standard Deviation 1.4
1.6 units on a scale
Standard Deviation 1.2
Daily Numerical Pain Visual Analogue Scale Score
Day-5
3.7 units on a scale
Standard Deviation 2
0.92 units on a scale
Standard Deviation 1.1
Daily Numerical Pain Visual Analogue Scale Score
Day-6
2.4 units on a scale
Standard Deviation 1.1
0.33 units on a scale
Standard Deviation 0.6
Daily Numerical Pain Visual Analogue Scale Score
Day-7
1.6 units on a scale
Standard Deviation 1.1
0.17 units on a scale
Standard Deviation 0.38
Daily Numerical Pain Visual Analogue Scale Score
Day-8
1.1 units on a scale
Standard Deviation 1.7
0.13 units on a scale
Standard Deviation 0.34

SECONDARY outcome

Timeframe: 0-8 days.

Blood samples were obtained under complete aseptic condition for determination of hematocrits value (Ht%)

Outcome measures

Outcome measures
Measure
no Cetrotide
n=24 Participants
control group (24 patients) did not receive 3-daysCetrorelix Acetate (no intervention). Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Cetrotide
n=24 Participants
study group (24 patients = intervention) received intervention for 3-daysCetrorelix Acetate sc injection (0.25 mg/day) started on Day-0. Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Daily Hematocrits Value
Day-0
39.8 percentge
Standard Deviation 4.2
42.2 percentge
Standard Deviation 5.2
Daily Hematocrits Value
Day-3
38.8 percentge
Standard Deviation 3.3
38.7 percentge
Standard Deviation 3.3
Daily Hematocrits Value
Day-6
38 percentge
Standard Deviation 3.1
37.3 percentge
Standard Deviation 2.5
Daily Hematocrits Value
Day-8
37.5 percentge
Standard Deviation 1.5
36.8 percentge
Standard Deviation 2.6

SECONDARY outcome

Timeframe: 0-8 days

-US detected severity grades of ascites determined at Day -0, Day -3 and Day -8.

Outcome measures

Outcome measures
Measure
no Cetrotide
n=24 Participants
control group (24 patients) did not receive 3-daysCetrorelix Acetate (no intervention). Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Cetrotide
n=24 Participants
study group (24 patients = intervention) received intervention for 3-daysCetrorelix Acetate sc injection (0.25 mg/day) started on Day-0. Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Ultrasound Detected Severity Grades of Ascites From Days 0-8
Low grade ascitis at Day-0
6 US detected ascitis
8 US detected ascitis
Ultrasound Detected Severity Grades of Ascites From Days 0-8
Low grade ascitis at Day-3
13 US detected ascitis
18 US detected ascitis
Ultrasound Detected Severity Grades of Ascites From Days 0-8
Low grade ascitis at Day-8
17 US detected ascitis
21 US detected ascitis
Ultrasound Detected Severity Grades of Ascites From Days 0-8
moderate grade ascitis at Day-0
18 US detected ascitis
16 US detected ascitis
Ultrasound Detected Severity Grades of Ascites From Days 0-8
moderate grade ascitis at Day-3
8 US detected ascitis
6 US detected ascitis
Ultrasound Detected Severity Grades of Ascites From Days 0-8
moderate grade ascitis at Day-8
5 US detected ascitis
3 US detected ascitis
Ultrasound Detected Severity Grades of Ascites From Days 0-8
severe grade ascitis at Day-0
0 US detected ascitis
0 US detected ascitis
Ultrasound Detected Severity Grades of Ascites From Days 0-8
severe grade ascitis at Day-3
3 US detected ascitis
0 US detected ascitis
Ultrasound Detected Severity Grades of Ascites From Days 0-8
severe grade ascitis at Day-8
2 US detected ascitis
0 US detected ascitis

SECONDARY outcome

Timeframe: 0 -8days.

TLC(x 1ooo cells/ml)

Outcome measures

Outcome measures
Measure
no Cetrotide
n=24 Participants
control group (24 patients) did not receive 3-daysCetrorelix Acetate (no intervention). Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Cetrotide
n=24 Participants
study group (24 patients = intervention) received intervention for 3-daysCetrorelix Acetate sc injection (0.25 mg/day) started on Day-0. Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Daily Total Leucocytic Count
Day-0
11.6 1000 cells/ml
Standard Deviation 3.7
12.75 1000 cells/ml
Standard Deviation 3.1
Daily Total Leucocytic Count
Day-3
11.3 1000 cells/ml
Standard Deviation 3.6
11.5 1000 cells/ml
Standard Deviation 2.8
Daily Total Leucocytic Count
Day-6
11.2 1000 cells/ml
Standard Deviation 3.6
11 1000 cells/ml
Standard Deviation 1.9
Daily Total Leucocytic Count
Day-8
10.1 1000 cells/ml
Standard Deviation 2.2
9.75 1000 cells/ml
Standard Deviation 3.1

OTHER_PRE_SPECIFIED outcome

Timeframe: 0-6 days

-severity grades of gastrointestinal manifestations determined at Day -0,Day -3 and Day -6.

Outcome measures

Outcome measures
Measure
no Cetrotide
n=24 Participants
control group (24 patients) did not receive 3-daysCetrorelix Acetate (no intervention). Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Cetrotide
n=24 Participants
study group (24 patients = intervention) received intervention for 3-daysCetrorelix Acetate sc injection (0.25 mg/day) started on Day-0. Serum E2, pain scores and MOD were checked daily. Hematocrit value (Ht%), total leucocytic count (TLC), gastrointestinal (GI) manifestations and ascites grading were re-evaluated on Day-3, 6 and 8.
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
severe Abdominal distension at Day-3
0 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
Nil Nausea at Day-0
6 GI manifestations
5 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
mild Nausea at Day-0
7 GI manifestations
8 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
moderate Nausea at Day-0
6 GI manifestations
7 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
severe Nausea at Day-0
5 GI manifestations
4 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
Nil Nausea at Day-3
12 GI manifestations
19 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
mild Nausea at Day-3
8 GI manifestations
4 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
moderate Nausea at Day-3
4 GI manifestations
1 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
severe Nausea at Day-3
0 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
Nil Nausea at Day-6
22 GI manifestations
24 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
mild Nausea at Day-6
2 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
moderate Nausea at Day-6
0 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
severe Nausea at Day-6
0 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
Nil Vomiting at Day-0
12 GI manifestations
14 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
mild Vomiting at Day-0
8 GI manifestations
7 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
moderatel Vomiting at Day-0
4 GI manifestations
2 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
severe Vomiting at Day-0
0 GI manifestations
1 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
Nil Vomiting at Day-3
20 GI manifestations
24 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
mild Vomiting at Day-3
4 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
moderate Vomiting at Day-3
0 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
severe Vomiting at Day-3
0 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
Nil Vomiting at Day-6
24 GI manifestations
24 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
mild Vomiting at Day-6
0 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
moderat Vomiting at Day-6
0 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
severe Vomiting at Day-6
0 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
Nil Abdominal distension at Day-0
4 GI manifestations
5 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
mild Abdominal distension at Day-0
7 GI manifestations
8 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
moderate Abdominal distension at Day-0
10 GI manifestations
9 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
severe Abdominal distension at Day-0
3 GI manifestations
2 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
Nil Abdominal distension at Day-3
9 GI manifestations
15 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
mild Abdominal distension at Day-3
12 GI manifestations
8 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
moderate Abdominal distension at Day-3
3 GI manifestations
1 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
Nil Abdominal distension at Day-6
20 GI manifestations
24 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
mild Abdominal distension at Day-6
4 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
moderate Abdominal distension at Day-6
0 GI manifestations
0 GI manifestations
Resolution of Gastrointestinal Manifestations Determined Prior to Start of Therapy
severe Abdominal distension at Day-6
0 GI manifestations
0 GI manifestations

Adverse Events

Cetrotide

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

no Cetrotide

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

dr khalid M Salama

Benha university

Phone: 01225861026

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place