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Repeated Embryo Implantation FailurePhase 3NCT02149277

Gcsf Injection in Women With Repeated Implantaiton Failure

A Phase 3 study testing Filgrastim in people with Repeated Embryo Implantation Failure, run by Clinique Ovo at 1 site in Canada.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of the study is to see the impact of intrauterine injection of recombinant GCSF on pregnancy and implantation rate during IVF-ICSI (intracytoplasmic sperm injection) protocols as well as in frozen embryo transfer. In addition, following the injection, the level of G-CSF in the bloodstream will be verified. Read more about this study

Who is it for?
Ages 18 to 37 years, women only
Conditions the study is for
Repeated Embryo Implantation Failure
What is being tested?
Filgrastim
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
15 participants
Where
1 siteCanada
Study dates
Mar 2013to Dec 2017
Phase
Phase 3
Are there results?
None posted in the registry

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 37 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Women between the ages of 18 and 37
  • Indication of the Antagonist IVF protocol or indication of a substituted frozen embryo transfer
  • Subjects with repetitive embryo implantation failure meaning: a history of 3 embryos transferred including frozen embryo without a positive pregnancy test for women 35 years and younger
  • Subjects with repetitive embryo implantation failure meaning: a history of 4 embryos transferred including frozen embryo without a positive pregnancy test for women between the ages of 35 and 37.
  • Negative repetitive implantation failure work up

Who cannot join

  • Renal failure or cardiac failure
  • Chronic neutropenia
  • Past or present cancer history
  • Sickle cell anemia
  • Lithium treatment
  • Voluntary withdrawal from the study
  • Use of concomitant medication: DHEA (dehydroepiandrosterone ), CoQ10 (coenzyme Q10), Growth Hormone and Viagra

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Clinique Ovo

    Montreal, Quebec, H4P 2S4

Other trials in Canada

About this study

Official title: Effects of Exogenous Recombinant GCSF in Patients With Repeated Implantation Failure - A Randomized Single-blind Trial

The purpose of the study is to see the impact of intrauterine injection of recombinant GCSF on pregnancy and implantation rate during IVF-ICSI (intracytoplasmic sperm injection) protocols as well as in frozen embryo transfer. In addition, following the injection, the level of G-CSF in the bloodstream will be verified.

Read the detailed description

Recently, scientists have been interested in G-CSF (Granulocyte - Colony Stimulating Factor) and the latter has seen its use grow in reproductive pathology.

G -CSF, a true center pivot, would act concurrently on oocyte quality and endometrial receptivity, improving:

  • Immune tolerance
  • The self-healing of oocyte chromosome abnormalities
  • The adherence of the embryo

The injection of G-CSF molecule has been used in different circumstances. One of its uses, among others, is to help rebuild the immune system in patients undergoing chemotherapy. Some studies have been conducted in patients having embryo implantation problems; they have demonstrated improved rates of pregnancy and childbirth after treatment.

Being tested
Filgrastim
Keywords
Infertility, IVF, Embryo transfer
Medical subject headings
Infertility

What participants receive

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

  • FilgrastimDrug

    Also called Neupogen

    The fertility specialist will inject the study medication or its placebo on the 6th day of gonadotrophin stimulation for IVF subjects. For the subjects undergoing embryo transfer, the injection will be done once the endometrial lining measure more than 8mm.

Study groups in NCT02149277
Study groupRoleWhat they receive
FilgrastimActive comparatorInjection Filgrastim 300 ug intravaginally during an IVF cycle or during an embryo transfer
Receives: Drug: Filgrastim
Sodium ChloridePlacebo comparatorInjection of 1 ml of Sodium Chloride intravaginally during an IVF cycle or during an embryo transfer cycle.
Receives: Drug: Filgrastim

What is being measured

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

  1. Dosage of G-CSF

    Measure dosage of G-CSF in the bloodstream on the day of oocyte retrieval and measure the implantation rate as well as pregnancy rate following the G-CSF injection

    Measured: up to 3 years

  2. Pregnancy and Implantation

    Measure the pregnancy and embryo implantation rate post G-CSF injection

    Measured: up to 3 years

Timeline

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

  1. First posted29 May 2014 (estimated)
  2. Study startMar 2013
  3. Primary completionDec 2017
  4. Study completionDec 2017

Why it stopped: Recruitment difficulty

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02149277
Sponsor's protocol ID
ovo-12-06
Status last verified
Apr 2022
First submitted
19 Mar 2014
Last updated
27 Apr 2022
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Filgrastim in people with Repeated Embryo Implantation Failure, run by Clinique Ovo at 1 site in Canada.

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 5 inclusion and 7 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: stopped early, as of the sponsor's last update on 27 Apr 2022. 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 Canada. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

The study was stopped early (reason given: Recruitment difficulty). Results are not available in the source record.

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?

Dosage of G-CSF (time frame: up to 3 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 27 Apr 2022.

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