InfertilityNCT03358199
LOD Before IVF/ICSI in PCOS Patients With High AMH
An observational study of Infertility and Polycystic Ovarian Syndrome, run by Mansoura University at 1 site in Egypt.
Trial summary
To evaluate the effect of performing laparoscopic ovarian drilling (LOD) before proceeding to in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) on the cycle outcomes in polycystic ovarian syndrome (PCOS) patients with high antimullerian hormone (AMH) levels Read more about this study
- Who is it for?
- Ages 18 to 35 years, women only
- Conditions the study is for
- Infertility, Polycystic Ovarian Syndrome
- What is being tested?
- LOD
- Type of treatment
- Surgery or procedure
- How many people
- 120 participants
- Where
- 1 siteEgypt
- Study dates
- 22 Mar 2013to 18 Jun 2017
- Phase
- Observational
- 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 35 years
- Women only
- No healthy volunteers
- Adult
Study population: Fertility care clinic
Who may be able to join
- PCOS women subjected to COS through fixed gonadotropin releasing hormone (GnRH) antagonist protocol with final triggering of oocyte maturation by GnRH agonist (GnRHa)
- Elevated serum AMH level (≥ 7 ng/ml)
Who cannot join
- Age < 18 years or > 35 years
- Body mass index (BMI) < 19 kg/m2 or > 35 kg/m2
- Use of cabergoline therapy or coasting to minimize the risk of OHSS
Trial locations and contacts
1 site in 1 country.
Egypt1 site
Fertility Care Unit (FCU) in Mansoura University Hospital
Al Mansurah, Dakahlia Governorate, 35111
About this study
Official title: Laparoscopic Ovarian Drilling Before IVF/ICSI in Polycystic Ovarian Syndrome Patients With High Antimullarian Hormone
To evaluate the effect of performing laparoscopic ovarian drilling (LOD) before proceeding to in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) on the cycle outcomes in polycystic ovarian syndrome (PCOS) patients with high antimullerian hormone (AMH) levels
Read the detailed description
Retrospective case-control study of PCOS women with high serum AMH level (≥ 7 ng/ml) who were subjected IVF/ICSI. Women underwent LOD in the preceding 3 months prior to IVF/ICSI (study group) will be compared with a control group of women who did not underwent LOD (control group)
- Conditions
- Infertility, Polycystic Ovarian Syndrome
- Being tested
- LOD
- Keywords
- LOD, PCOS, AMH, OHSS
- Medical subject headings
- Infertility, Polycystic Ovary Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LODProcedure or surgery
Also called Laparoscopic ovarian drilling
Women underwent LOD in the preceding 3 months prior to IVF/ICSI
| Study group | Role | What they receive |
|---|---|---|
| Study group | PCOS women with AMH level (≥ 7 ng/ml) who underwent LOD in the preceding 3 months prior to IVF/ICSI Receives: Procedure: LOD | |
| Control group | PCOS women with AMH level (≥ 7 ng/ml) who did not undergo LOD in the preceding 3 months prior to IVF/ICSI |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of oocytes retrieved
Number of collected oocytes during oocyte retrieval
Measured: 36-38 hours after triggering of oocyte maturation
Oocyte maturity rate
Calculated for each woman by dividing the number of mature oocytes (MII oocytes) by the total number of oocytes retrieved
Measured: Within one hour after oocyte retrieval
Fertilization rate
Calculated for each couple by dividing the number of fertilized oocytes by the number of injected (or inseminated) oocytes
Measured: 20-24 hours after injection (or insemination)
Secondary outcomes (3)
Clinical pregnancy rate
Number of clinical pregnancies (defined as presence of at least one intrauterine gestational sac with fetal pole and cardiac activity on TVS scan at 4-6 weeks after the ET) divided by the number of ET procedures
Measured: 6 weeks after embryo transfer
Implantation rate
Number of gestational sacs on TVS scan at 4-6 weeks after ET divided by the number of transferred embryos
Measured: 6 weeks after embryo transfer
Incidence of early OHSS
Incidence of OHSS within 9 days of final triggering of oocyte maturation
Measured: Within 9 days of final triggering of oocyte maturation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Nov 2017
- Study start22 Mar 2013
- Primary completion31 May 2017
- Study completion18 Jun 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for InfertilityStudies of the same condition, open and under way.
- More trials run by Mansoura UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case-control
- Time perspective
- Retrospective
- Enrolment
- 120 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mansoura University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Mohamed Sayed Abdelhafez, Mansoura University
- Investigators
- Mohamed S Abdelhafez, Dr, Principal investigator, Mansoura UniversityAlaa Wageh, Dr, Study director, Mansoura UniversityWaleed El-refaie, Dr, Study director, Mansoura UniversityMaher Shams, Dr, Study director, Mansoura University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03358199
- Sponsor's protocol ID
- MSA6
- Status last verified
- Nov 2017
- First submitted
- 27 Nov 2017
- Last updated
- 2 Dec 2017
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 2 Dec 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Laparoscopic Ovarian Drilling Before IVF/ICSI in Polycystic Ovarian Syndrome Patients With High Antimullarian Hormone
- ClinicalTrials.gov ID
- NCT03358199
- Acronym / sponsor ID
- MSA6
- Conditions
- Infertility, Polycystic Ovarian Syndrome
- Keywords
- LOD, PCOS, AMH, OHSS
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 120 participants (actual)
- Lead sponsor
- Mansoura UniversityUniversity, hospital or other
- Study start
- 22 Mar 2013 (actual)
- Primary completion
- 31 May 2017 (actual)
- Study completion
- 18 Jun 2017 (actual)
- First posted
- 30 Nov 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the effect of performing laparoscopic ovarian drilling (LOD) before proceeding to in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) on the cycle outcomes in polycystic ovarian syndrome (PCOS) patients with high antimullerian hormone (AMH) levels
Detailed description
Retrospective case-control study of PCOS women with high serum AMH level (≥ 7 ng/ml) who were subjected IVF/ICSI. Women underwent LOD in the preceding 3 months prior to IVF/ICSI (study group) will be compared with a control group of women who did not underwent LOD (control group)
Study design
- Observational model
- Case-control
- Time perspective
- Retrospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Study group | – | Procedure: LODPCOS women with AMH level (≥ 7 ng/ml) who underwent LOD in the preceding 3 months prior to IVF/ICSI |
| Control group | – | –PCOS women with AMH level (≥ 7 ng/ml) who did not undergo LOD in the preceding 3 months prior to IVF/ICSI |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
- Study population
- Fertility care clinic
Key inclusion criteria (2 listed)
- PCOS women subjected to COS through fixed gonadotropin releasing hormone (GnRH) antagonist protocol with final triggering of oocyte maturation by GnRH agonist (GnRHa)
- Elevated serum AMH level (≥ 7 ng/ml)
Key exclusion criteria (3 listed)
- Age < 18 years or > 35 years
- Body mass index (BMI) < 19 kg/m2 or > 35 kg/m2
- Use of cabergoline therapy or coasting to minimize the risk of OHSS
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LODAlso: Laparoscopic ovarian drillingWomen underwent LOD in the preceding 3 months prior to IVF/ICSI | Procedure or surgery | Study group |
Primary outcome
Number of oocytes retrieved
Time frame: 36-38 hours after triggering of oocyte maturation
Number of collected oocytes during oocyte retrieval
Oocyte maturity rate
Time frame: Within one hour after oocyte retrieval
Calculated for each woman by dividing the number of mature oocytes (MII oocytes) by the total number of oocytes retrieved
Fertilization rate
Time frame: 20-24 hours after injection (or insemination)
Calculated for each couple by dividing the number of fertilized oocytes by the number of injected (or inseminated) oocytes
3 secondary outcomes
Clinical pregnancy rate
Time frame: 6 weeks after embryo transfer
Implantation rate
Time frame: 6 weeks after embryo transfer
Incidence of early OHSS
Time frame: Within 9 days of final triggering of oocyte maturation
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Dec 2017.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Mohamed S Abdelhafez, Dr principal investigator
Mansoura University
Alaa Wageh, Dr study director
Mansoura University
Waleed El-refaie, Dr study director
Mansoura University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Infertility and Polycystic Ovarian Syndrome, run by Mansoura University at 1 site in Egypt.
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 2 inclusion and 3 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 2 Dec 2017. 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 Egypt. 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.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Number of oocytes retrieved (time frame: 36-38 hours after triggering of oocyte maturation). The study lists 3 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 2 Dec 2017.