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InfertilityPhase 2NCT01667406

The Use of the Hormone Kisspeptin in 'in Vitro Fertilisation' (IVF) Treatment

A Phase 2 study testing Kisspeptin 1.6nmol/kg, Kisspeptin 3.2nmol/kg and Kisspeptin 6.4nmol/kg in people with Infertility, run by Imperial College London at 1 site in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

We want to find out if kisspeptin is successful in stimulating oocyte maturation when it is used as a 'trigger' injection during IVF therapy for infertility. Read more about this study

Who is it for?
Ages 18 to 34 years, women only
Conditions the study is for
Infertility
What is being tested?
Kisspeptin 1.6nmol/kg, Kisspeptin 3.2nmol/kg and Kisspeptin 6.4nmol/kg
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
175 participants
Where
1 siteUnited Kingdom
Study dates
1 Jun 2012to 11 Oct 2016
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 34 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Aged 18 - 34 years
  • Body mass index between 18 and 29 kg/m2
  • Stable body weight for at least 3 months
  • Normal early menstrual cycle follicular phase serum FSH concentration
  • Serum anti-Mullerian hormone (AMH) > 40pmol/L
  • No more than one previous IVF treatment cycle
  • Both ovaries intact

Who cannot join

  • History of any medical, psychological or other condition, or use of any medications, including over-the-counter products, which, in the opinion of the investigators, would either interfere with the study or potentially cause harm to the volunteer
  • Without access at home to a telephone, or other factor likely to interfere with ability to participate reliably in the study
  • Treatment with an investigational drug within the preceding 2 months
  • Donated blood during the preceding 3 months or intention to do so before the end of the study
  • Previous poor response to IVF treatment

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Hammersmith Hospital

    London, W12 0NN

Other trials in United Kingdom

About this study

We want to find out if kisspeptin is successful in stimulating oocyte maturation when it is used as a 'trigger' injection during IVF therapy for infertility.

Read the detailed description

Participants in the study will have a standard Gonadotrophin Releasing Hormone (GnRH) antagonist IVF cycle, but instead of having a trigger injection of hCG (human chorionic gonadotrophin) they will be randomised to receive one of 4 doses of kisspeptin injection.

Oocytes will be retrieved and graded by an embryologist to see whether or not they have matured.

The reproductive hormones Luteinising hormone, follicle stimulating hormone, oestradiol and progesterone will also be measured

Conditions
Infertility
Being tested
Kisspeptin 1.6nmol/kg, Kisspeptin 3.2nmol/kg, Kisspeptin 6.4nmol/kg, Kisspeptin 9.6nmol/kg, Kisspeptin 12.8nmol/kg
Keywords
kisspeptin, infertility, in vitro fertilisation
Medical subject headings
Infertility

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Kisspeptin 1.6nmol/kgDrug

    Also called kisspeptin-54

    single kisspeptin dose 1.6 nmol/kg subcutaneously

  • Kisspeptin 3.2nmol/kgDrug

    Also called kisspeptin-54

    single kisspeptin dose 3.2 nmol/kg subcutaneously

  • Kisspeptin 6.4nmol/kgDrug

    Also called kisspeptin-54

    single kisspeptin dose 6.4 nmol/kg subcutaneously

  • Kisspeptin 9.6nmol/kgDrug

    Also called kisspeptin-54

    single kisspeptin dose 9.6 nmol/kg subcutaneously

  • Kisspeptin 12.8nmol/kgDrug

    Also called kisspeptin-54

    single kisspeptin dose 12.8 nmol/kg subcutaneously

  • Kisspeptin 9.6 nmol/kg doubleDrug

    Also called kisspeptin-54

    kisspeptin dose 9.6 nmol/kg given twice 10hrs apart subcutaneously

  • Kisspeptin 9.6 nmol/kg + salineDrug

    Also called kisspeptin-54

    kisspeptin dose 9.6 nmol/kg subcutaneously and saline subcutaneously, 10hrs apart

Study groups in NCT01667406
Study groupRoleWhat they receive
Kisspeptin-54, 1.6 singleExperimentalParticipant undergoing in vitro fertilisation (IVF) treatment will receive a single trigger injection of Kisspeptin, dose of 1.6 nmol/kg
Receives: Drug: Kisspeptin 1.6nmol/kg
Kisspeptin-54, 3.2 singleExperimentalParticipant undergoing in vitro fertilisation (IVF) treatment will receive a single trigger injection of Kisspeptin, dose of 3.2 nmol/kg
Receives: Drug: Kisspeptin 3.2nmol/kg
Kisspeptin-54, 6.4 singleExperimentalParticipant undergoing in vitro fertilisation (IVF) treatment will receive a single trigger injection of Kisspeptin, dose of 6.4 nmol/kg
Receives: Drug: Kisspeptin 6.4nmol/kg
Kisspeptin-54, 12.8 singleExperimentalParticipant undergoing in vitro fertilisation (IVF) treatment will receive a single trigger injection of Kisspeptin, dose of 12.8 nmol/kg
Receives: Drug: Kisspeptin 12.8nmol/kg
Kisspeptin-54 OHSS, 3.2 singleExperimentalParticipant undergoing in vitro fertilisation (IVF) treatment and who is at high risk of ovarian hyper stimulation syndrome (OHSS) will receive a single trigger injection of Kisspeptin, dose of 3.2 nmol/kg
Receives: Drug: Kisspeptin 3.2nmol/kg
Kisspeptin-54 OHSS, 6.4 singleExperimentalParticipant undergoing in vitro fertilisation (IVF) treatment and who is at high risk of ovarian hyper stimulation syndrome (OHSS) will receive a single trigger injection of Kisspeptin, dose of 6.4 nmol/kg
Receives: Drug: Kisspeptin 6.4nmol/kg
Kisspeptin-54 OHSS, 9.6 singleExperimentalParticipant undergoing in vitro fertilisation (IVF) treatment and who is at high risk of ovarian hyper stimulation syndrome (OHSS) will receive a single trigger injection of Kisspeptin, dose of 9.6 nmol/kg
Receives: Drug: Kisspeptin 9.6nmol/kg
Kisspeptin-54 OHSS, 12.8 singleExperimentalParticipant undergoing in vitro fertilisation (IVF) treatment and who is at high risk of ovarian hyper stimulation syndrome (OHSS) will receive a single trigger injection of Kisspeptin, dose of 12.8 nmol/kg
Receives: Drug: Kisspeptin 12.8nmol/kg
Kisspeptin-54 OHSS, 9.6 + 9.6ExperimentalParticipant undergoing in vitro fertilisation (IVF) treatment and who is at high risk of ovarian hyper stimulation syndrome (OHSS) will receive a trigger injection of Kisspeptin, dose of 9.6 nmol/kg and a further injection of Kisspeptin, dose of 9.6 nmol/kg 10 hours later
Receives: Drug: Kisspeptin 9.6 nmol/kg double
Kisspeptin-54 OHSS, 9.6 + salineExperimentalParticipant undergoing in vitro fertilisation (IVF) treatment and who is at high risk of ovarian hyper stimulation syndrome (OHSS) will receive a trigger injection of Kisspeptin, dose of 9.6 nmol/kg and a further injection of saline10 hours later
Receives: Drug: Kisspeptin 9.6 nmol/kg + saline

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Oocyte Maturation

    This was assessed by oocyte yield (percentage of mature [metaphase 2; M2] oocytes collected from the number of follicles ≥ 14 mm on final ultrasound scan prior to kisspeptin-54 trigger administration

    Measured: 36 hours post Kisspeptin-54 trigger injection

Secondary outcomes (5)
  1. Biochemical Pregnancy

    Number of participants achieving biochemical pregnancy by serum βhCG > 10 mIU/mL

    Measured: 11 days after embryo transfer

  2. Occurrence of OHSS

    Women were routinely screened for the development of early OHSS and late OHSS. Women were screened by symptoms, blood analysis, and ultrasound parameters

    Measured: 11 days following embryo transfer

  3. Fertilization Rate

    Percentage of M2 oocytes that fertilize to form two pronuclear [2PN] zygotes following intracytoplasmic injection with sperm [ICSI]

    Measured: 3 days after oocyte retrieval

  4. Embryo Formation

    All embryos were graded at day 3 by an independent embryologist, blinded to doses of kisspeptin administered, using the British Fertility Society and Association of Clinical Embryologist embryo grading scheme for cleavage stage embryos, which describes embryos based on cell number, blastomere size, and fragmentation

    Measured: 3 days after oocyte retrieval

  5. Number of Participants With Clinical Pregnancy

    Intrauterine gestational sac with heartbeat on ultrasound at 6 weeks' gestation

    Measured: 6 weeks after embryo transfer

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Aug 2012 (estimated)
  2. Study start1 Jun 2012
  3. Primary completion11 Oct 2016
  4. Study completion11 Oct 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Different dose for each volunteer
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
175 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01667406
Sponsor's protocol ID
13HH0199
Other IDs
2012-000154-61
Status last verified
May 2021
First submitted
8 Aug 2012
Last updated
8 Jun 2021
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Data will be presented in anonymised groups

Publications

  • Jayasena CN, Abbara A, Comninos AN, Nijher GM, Christopoulos G, Narayanaswamy S, Izzi-Engbeaya C, Sridharan M, Mason AJ, Warwick J, Ashby D, Ghatei MA, Bloom SR, Carby A, Trew GH, Dhillo WS. Kisspeptin-54 triggers egg maturation in women undergoing in vitro fertilization. J Clin Invest. 2014 Aug;124(8):3667-77. doi: 10.1172/JCI75730. Epub 2014 Jul 18.

    PubMed 25036713
  • Abbara A, Clarke S, Islam R, Prague JK, Comninos AN, Narayanaswamy S, Papadopoulou D, Roberts R, Izzi-Engbeaya C, Ratnasabapathy R, Nesbitt A, Vimalesvaran S, Salim R, Lavery SA, Bloom SR, Huson L, Trew GH, Dhillo WS. A second dose of kisspeptin-54 improves oocyte maturation in women at high risk of ovarian hyperstimulation syndrome: a Phase 2 randomized controlled trial. Hum Reprod. 2017 Sep 1;32(9):1915-1924. doi: 10.1093/humrep/dex253.

    PubMed 28854728
  • Abbara A, Jayasena CN, Christopoulos G, Narayanaswamy S, Izzi-Engbeaya C, Nijher GM, Comninos AN, Peters D, Buckley A, Ratnasabapathy R, Prague JK, Salim R, Lavery SA, Bloom SR, Szigeti M, Ashby DA, Trew GH, Dhillo WS. Efficacy of Kisspeptin-54 to Trigger Oocyte Maturation in Women at High Risk of Ovarian Hyperstimulation Syndrome (OHSS) During In Vitro Fertilization (IVF) Therapy. J Clin Endocrinol Metab. 2015 Sep;100(9):3322-31. doi: 10.1210/jc.2015-2332. Epub 2015 Jul 20.

    PubMed 26192876
  • Abbara A, Islam R, Clarke SA, Jeffers L, Christopoulos G, Comninos AN, Salim R, Lavery SA, Vuong TNL, Humaidan P, Kelsey TW, Trew GH, Dhillo WS. Clinical parameters of ovarian hyperstimulation syndrome following different hormonal triggers of oocyte maturation in IVF treatment. Clin Endocrinol (Oxf). 2018 Jun;88(6):920-927. doi: 10.1111/cen.13569. Epub 2018 Mar 6.

    PubMed 29446481
  • Owens LA, Abbara A, Lerner A, O'floinn S, Christopoulos G, Khanjani S, Islam R, Hardy K, Hanyaloglu AC, Lavery SA, Dhillo WS, Franks S. The direct and indirect effects of kisspeptin-54 on granulosa lutein cell function. Hum Reprod. 2018 Feb 1;33(2):292-302. doi: 10.1093/humrep/dex357.

    PubMed 29206944

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Kisspeptin 1.6nmol/kg, Kisspeptin 3.2nmol/kg and Kisspeptin 6.4nmol/kg in people with Infertility, run by Imperial College London at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Jun 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Oocyte Maturation (time frame: 36 hours post Kisspeptin-54 trigger injection). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01667406, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jun 2021.

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