UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007486
Receipt number R000008830
Scientific Title Effects of long-term gonadotropin-releasing hormone agonist treatment on the pregnancy outcome of IVF-ET in infertile patients with endometriosis.
Date of disclosure of the study information 2012/03/12
Last modified on 2020/05/07 17:09:01

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Basic information

Public title

Effects of long-term gonadotropin-releasing hormone agonist treatment on the pregnancy outcome of IVF-ET in infertile patients with endometriosis.

Acronym

long-term gonadotropin-releasing hormone agonist treatment for patients with endometriosis.

Scientific Title

Effects of long-term gonadotropin-releasing hormone agonist treatment on the pregnancy outcome of IVF-ET in infertile patients with endometriosis.

Scientific Title:Acronym

long-term gonadotropin-releasing hormone agonist treatment for patients with endometriosis.

Region

Japan


Condition

Condition

endometriosis

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effectiveness of long-term gonadotropin-releasing hormone agonist (GnRHa) treatment before IVF-ET in infertile patients with endometriosis.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

pregnancy rate

Key secondary outcomes

number of growing follicle, mature follicle and oocyte retrieved.
fertilization rate
implantation rate
concentrations of cytokines and oxidative stress markers in follicular fluids.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Active

Stratification


Dynamic allocation

NO

Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

long-term GnRHa treatment (LG group)

Interventions/Control_2

long protocol (control group)

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

40 years-old >=

Gender

Female

Key inclusion criteria

Infertile patients with endometriosis.
patients undergoing in vitro fertilization and embryo transfer (IVF-ET) program.

Key exclusion criteria

Patients were nonsmokers and free from major medical illness including hypertension.
Patients were excluded if they had myoma, adenomyosis, a congenital uterine anomaly, or if they used any kind of sex-steroidal agent including estrogens, progesterone, androgens, and OC.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Norihiro
Middle name
Last name Sugino

Organization

Yamaguchi University Graduate School of Medicine

Division name

Department of Obstetrics and Gynecology

Zip code

755-8505

Address

Minamikogushi 1-1-1, Ube, 755-8505 Japan

TEL

+81-836-22-2288

Email

sugino@yamaguchi-u.ac.jp


Public contact

Name of contact person

1st name Hiroshi
Middle name
Last name Tamura

Organization

Yamaguchi University Graduate School of Medicine

Division name

Department of Obstetrics and Gynecology

Zip code

755-8505

Address

Minamikogushi 1-1-1, Ube, 755-8505 Japan

TEL

+81-836-22-2288

Homepage URL


Email

hitamura@yamaguchi-u.ac.jp


Sponsor or person

Institute

Yamaguchi University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Scientific Research from the Ministry of Education, Science, and Culture, Japan.

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Yamaguchi University Graduate School of Medicine

Address

Minamikogushi 1-1-1, Ube, 755-8505 Japan

Tel

0832-22-2288

Email

hitamura@yamaguchi-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

Yamaguchi University Graduate School of Medicine


Other administrative information

Date of disclosure of the study information

2012 Year 03 Month 12 Day


Related information

URL releasing protocol

https://doi.org/10.1186/s13048-014-0100-8

Publication of results

Published


Result

URL related to results and publications

https://doi.org/10.1186/s13048-014-0100-8

Number of participants that the trial has enrolled

23

Results

The numbers of mature follicles and retrieved oocytes, and fertilization rates did not differ between the two groups. Implantation rates and pregnancy rates tended to be higher in the UL group compared with the C group. TNFa and 8OHdG concentrations in the follicular fluid were significantly lower in the UL group than those in the C group, while melatonin concentrations were significantly higher in the UL group compared with the C group.

Results date posted

2020 Year 05 Month 06 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2014 Year 10 Month 21 Day

Baseline Characteristics

Twenty-three infertile female patients with endometriosis were recruited for this study. Severity of endometriosis was scored according to the four-stage classification of the revised American Society for Reproductive Medicine (rASRM) score, and all patients had stage III or IV endometriosis.

Participant flow

Eleven patients received three courses of GnRHa (1.8 mg s.c. every 28 days), followed by a standard controlled ovarian hyperstimulation (COH) for IVF-ET (ultralong group). The other 12 patients received a standard COH with mid-luteal phase GnRHa down-regulation (control group).

Adverse events

none

Outcome measures

The numbers of matured follicles and retrieved oocytes, fertilization rates, implantation rates, clinical pregnancy rate, and intrafollicular concentrations of TNFa, 8-OHdG and hexanoyl-lysine adduct (HEL) as oxidative stress markers, and melatonin and Cu,Zu-superoxide dismutase (Cu,Zn-SOD) as antioxidants

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 03 Month 12 Day

Date of IRB

2007 Year 08 Month 29 Day

Anticipated trial start date

2012 Year 03 Month 01 Day

Last follow-up date

2012 Year 08 Month 01 Day

Date of closure to data entry

2014 Year 10 Month 21 Day

Date trial data considered complete

2014 Year 10 Month 21 Day

Date analysis concluded

2014 Year 10 Month 21 Day


Other

Other related information



Management information

Registered date

2012 Year 03 Month 11 Day

Last modified on

2020 Year 05 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008830


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name