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Fertility PreservationHOLIDAYNCT07225660

Hormonal Optimization: Late vs. Immediate Start After Discontinuation of Oral Contraceptives in Assisted Reproductive technologY (HOLIDAY)

A study testing OCP pause in people with Fertility Preservation, run by Shady Grove Fertility Reproductive Science Center at 3 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

HOLIDAY is a two-arm, parallel-group, multi-center, randomized trial in which subjects undergoing planned oocyte cryopreservation will be randomized to receive either a 2-month pause of Combined Hormonal Contraceptives (CHC) or immediate start (without a pause). Read more about this study

Who is it for?
Ages 18 to 40 years, women only
Conditions the study is for
Fertility Preservation
What is being tested?
OCP pause
Could I receive a placebo?
No, everyone receives an active treatment
How many people
394 participants
Where
3 sitesUnited States
Study dates
25 Feb 2026to 1 Jul 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 40 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Ovary-bearing individuals 18 to 40 years of age.
  • BMI < 40 kg/m2
  • Non-smoker for at least 3 months prior to study enrollment.

Who cannot join

  • BMI greater than or equal to 40 kg/m2
  • Current Smoker
  • Any contraindications to ovarian stimulation or outpatient egg retrieval under anesthesia

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Tasha Newsome, Clinical Research Supervisor contact

301-545-1289

Tasha.Newsome@sgfertility.com

Seth J Barishansky, MD contact

475-267-9469

HolidayStudy@USFertility.com

United States3 sites, 3 recruiting
  • Reproductive Medicine Associates of New York

    New York, New York, 10022

    Miriam Andrusier, MD, 212-756-5777 ext 88270, HolidayStudy@USFertility.com

    Not yet recruiting
  • Yale Fertility Center

    Orange, Connecticut, 06477

    Seth J Barishansky, MD, 475-267-9469, HolidayStudy@USFertility.com

    Recruiting
  • Shady Grove Fertility Rockville

    Rockville, Maryland, 20850

    Tasha Newsome, 301-545-1289, 301-545-1289, Tasha.Newsome@sgfertility.com

    Amalia Namath, MD, HolidayStudy@USFertility.com

    Recruiting

Other trials in United States

About this study

Official title: A Randomized Blinded Controlled Trial Assessing Hormonal Optimization: Late vs. Immediate Start After Discontinuation of Oral Contraceptives in Assisted Reproductive technologY (HOLIDAY)

HOLIDAY is a two-arm, parallel-group, multi-center, randomized trial in which subjects undergoing planned oocyte cryopreservation will be randomized to receive either a 2-month pause of Combined Hormonal Contraceptives (CHC) or immediate start (without a pause).

Read the detailed description

Reproductive aging in women is a continuous process that begins prior to birth and extends until menopause. The primary mechanism behind this process is the depletion of the ovarian pool of non-growing follicles (NGFs). Previous models, such as the biphasic-exponential model, have postulated that female fertility prominently declines with age, significantly after age 32, and with a more accelerated rate after age 35. Newer models of ovarian follicular depletion predict no sudden change in decay rate but rather a constantly, increasing rate.

With the advent of vitrification, oocyte cryopreservation has become a powerful tool to help preserve female fertility potential against anticipated gamete exhaustion. At the same time, as more women choose to delay childbearing for various reasons, planned oocyte preservation is increasing in popularity. Continued optimization of protocols has led to improved outcomes with good oocyte yields. For women undergoing oocyte cryopreservation who are not actively attempting to conceive, endometrial development does not need to be synchronized with the oocytes. Thus, ovarian stimulation can be initiated irrespective of the phase of the menstrual cycle without adversely impacting oocyte yield or quality, thereby facilitating scheduling and reducing delays.

Many patients are utilizing combined hormonal contraception (CHC) at the time of their initial oocyte cryopreservation consultation. In the United States, about 14% of women aged 15-49 were using oral contraceptive pills (OCPs) in 2017-2019. While a short course of CHC exposure is unlikely to be detrimental to oocyte yield, longer-term CHC use may lead to significant suppression of the hypothalamic-pituitary-ovarian axis, gonadotropins, and in turn, follicular development. After only 3 months of CHC use, studies have demonstrated that the pituitary response to gonadotropin-releasing hormone is blunted. If hypothalamic-pituitary suppression from CHC prevents progression of follicle development to the antral stage, prolonged use may also lower the number of follicles susceptible to exogenous gonadotropin stimulation for oocyte collection and therefore total oocyte yield. Patients may require additional cycles and incur additional expense to achieve the desired number of cryopreserved oocytes.

It has been well demonstrated that markers of ORT, specifically, antral follicle count (AFC) and Anti-Müllerian hormone (AMH) are good predictors of oocyte yield. Existing evidence suggests that CHC use can suppress and diminish these measures of ovarian reserve by 20-30% via suppression of follicle-stimulating hormone (FSH). One study found that that long-term CHC user could increase AMH by 53% and AFC by 41%, with values returning to normal within 2 months and a plateau effect thereafter. Similarly, another study found after stopping long-term CHC use for 2 months, there was an average increase in AFC of 4.

Overall, existing literature regarding the association between hormonal contraceptive use and AMH concentration has historically been inconsistent but more recent data with large sample sizes, including a systematic review, concluded that AMH levels in women using CHC more than 6 months appears to markedly decline with recovery after discontinuation. Reproductive-age women with lower AMH percentiles at baseline may experience a greater suppressive effect from prolonged CHC use, while it is speculated that those with higher AMH percentiles at baseline may experience a lesser suppressive effect.

There are abundant observational data suggesting long-term CHC use is associated with reversable suppression of ovarian reserve markers, with biologic plausibility that this in turn may mask the "true biological potential" of the ovaries and possibly result in suboptimal oocyte yield. However, to date there are no published adequately powered prospective randomized data evaluating whether a contraceptive pause would lead to improved outcomes. Such practices may already be taking place in ART centers. The simple act of waiting for the potential of more oocytes takes on an obvious, low-risk appeal. Therefore, the investigators propose this assessor-blind, randomized clinical trial comparing a 2-month contraceptive pause to immediate oocyte cryopreservation, with oocyte yield as the primary outcome.

Being tested
OCP pause
Keywords
planned oocyte cryopreservation

What participants receive

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

  • OCP pauseOther

    Subjects in the study arm will be asked to discontinue combined hormonal contraceptives (CHC) for 2 months prior to planned oocyte cryopreservation

Study groups in NCT07225660
Study groupRoleWhat they receive
HolidayOtherPatients will undergo a 2 month drug holiday (pause) with combined hormonal contraceptives prior to planned oocyte cryopreservation
Receives: Other: OCP pause
Immediate StartNo interventionPatients will immediately begin planned oocyte cryopreservation after discontinuation of prolonged combined hormonal contraceptive

What is being measured

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

  1. Oocyte maturation rate

    Median number of percentage of vitrified MII oocytes yielded per cycle

    Measured: During oocyte retrieval

  2. Number of oocytes retrieved

    The median number of cumulus-oocyte complexes (COC) retrieved during oocyte retrieval

    Measured: During oocyte retrieval

Secondary outcomes (1)
  1. AMH levels

    Differences in AMH levels from baseline to cycle start

    Measured: AMH level differences from baseline to post-drug holiday (2 months)

Timeline

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

  1. First posted10 Nov 2025
  2. Study start25 Feb 2026
  3. Primary completion1 Jun 2027 (estimated)
  4. Study completion1 Jul 2027 (estimated)

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
394 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07225660
Sponsor's protocol ID
Pro00090115
Acronym
HOLIDAY
Status last verified
Feb 2026
First submitted
4 Nov 2025
Last updated
2 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Cohen BL, Katz M. Further studies on pituitary and ovarian function in women receiving hormonal contraception. Contraception. 1981 Aug;24(2):159-72. doi: 10.1016/0010-7824(81)90089-5.

    PubMed 6794980
  • Wan LS, Ganguly M, Weiss G. Pituitary response to LHRH stimulation in women on oral contraceptives: a followup dose response study. Contraception. 1981 Sep;24(3):229-34. doi: 10.1016/0010-7824(81)90035-4.

    PubMed 6796328
  • Yu Ng EH, Chi Wai Chan C, Tang OS, Shu Biu Yeung W, Chung Ho P. Effect of pituitary downregulation on antral follicle count, ovarian volume and stromal blood flow measured by three-dimensional ultrasound with power Doppler prior to ovarian stimulation. Hum Reprod. 2004 Dec;19(12):2811-5. doi: 10.1093/humrep/deh500. Epub 2004 Sep 9.

    PubMed 15358718
  • Tran ND, Aghajanova L, Kao CN, Cedars MI, Rosen MP. Impact of pituitary suppression on antral follicle count and oocyte recovery after ovarian stimulation. Fertil Steril. 2016 Mar;105(3):690-696. doi: 10.1016/j.fertnstert.2015.11.033. Epub 2015 Dec 13.

    PubMed 26696299
  • Cohen BL, Katz M. Pituitary and ovarian function in women receiving hormonal contraception. Contraception. 1979 Nov;20(5):475-87. doi: 10.1016/0010-7824(79)90053-2.

    PubMed 393456
  • Daniels K, Abma JC. Current Contraceptive Status Among Women Aged 15-49: United States, 2017-2019. NCHS Data Brief. 2020 Oct;(388):1-8.

    PubMed 33151146
  • Schattman GL. Cryopreservation of Oocytes. Author replies. N Engl J Med. 2016 Jan 21;374(3):288. doi: 10.1056/NEJMc1515128. No abstract available.

    PubMed 26789885
  • Doyle JO, Richter KS, Lim J, Stillman RJ, Graham JR, Tucker MJ. Successful elective and medically indicated oocyte vitrification and warming for autologous in vitro fertilization, with predicted birth probabilities for fertility preservation according to number of cryopreserved oocytes and age at retrieval. Fertil Steril. 2016 Feb;105(2):459-66.e2. doi: 10.1016/j.fertnstert.2015.10.026. Epub 2015 Nov 18.

    PubMed 26604065
  • Cil AP, Bang H, Oktay K. Age-specific probability of live birth with oocyte cryopreservation: an individual patient data meta-analysis. Fertil Steril. 2013 Aug;100(2):492-9.e3. doi: 10.1016/j.fertnstert.2013.04.023. Epub 2013 May 24.

    PubMed 23706339
  • Mesen TB, Mersereau JE, Kane JB, Steiner AZ. Optimal timing for elective egg freezing. Fertil Steril. 2015 Jun;103(6):1551-6.e1-4. doi: 10.1016/j.fertnstert.2015.03.002. Epub 2015 Apr 14.

    PubMed 25881876
  • Rudick B, Opper N, Paulson R, Bendikson K, Chung K. The status of oocyte cryopreservation in the United States. Fertil Steril. 2010 Dec;94(7):2642-6. doi: 10.1016/j.fertnstert.2010.04.079. Epub 2010 Jun 18.

    PubMed 20723535
  • Noyes N, Porcu E, Borini A. Over 900 oocyte cryopreservation babies born with no apparent increase in congenital anomalies. Reprod Biomed Online. 2009 Jun;18(6):769-76. doi: 10.1016/s1472-6483(10)60025-9.

    PubMed 19490780
  • Hansen KR, Knowlton NS, Thyer AC, Charleston JS, Soules MR, Klein NA. A new model of reproductive aging: the decline in ovarian non-growing follicle number from birth to menopause. Hum Reprod. 2008 Mar;23(3):699-708. doi: 10.1093/humrep/dem408. Epub 2008 Jan 11.

    PubMed 18192670
  • Sozou PD, Hartshorne GM. Time to pregnancy: a computational method for using the duration of non-conception for predicting conception. PLoS One. 2012;7(10):e46544. doi: 10.1371/journal.pone.0046544. Epub 2012 Oct 4.

    PubMed 23056338
  • Dunson DB, Baird DD, Colombo B. Increased infertility with age in men and women. Obstet Gynecol. 2004 Jan;103(1):51-6. doi: 10.1097/01.AOG.0000100153.24061.45.

    PubMed 14704244

Questions about this trial

What is this clinical trial studying?

A study testing OCP pause in people with Fertility Preservation, run by Shady Grove Fertility Reproductive Science Center at 3 sites in United States.

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 3 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: looking for participants now, as of the sponsor's last update on 2 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Tasha Newsome, Clinical Research Supervisor (301-545-1289, Tasha.Newsome@sgfertility.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Oocyte maturation rate (time frame: During oocyte retrieval). 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?

On the ClinicalTrials.gov record for NCT07225660, which also lists 16 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 2 Mar 2026.

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