The Effect of Human Albumin Infusion on VEGF Levels in Women at Risk for Ovarian Hyperstimulation Syndrome
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Purpose
This research study was designed to look at the effect of human albumin transfusion on circulating levels of Vascular Endothelial Derived Growth Factor (VEGF), a protein that is believed to be responsible for the syndrome of ovarian hyperstimulation. Patients have been asked to participate because they are identified as at risk for the Ovarian Hyperstimulation Syndrome (OHSS), a potentially serious complication of in vitro fertilization. It has been established that the onset of OHSS may be preventable by the infusion of albumin at the time of egg retrieval; however, we do not know by what mechanism albumin works. As we know the pathogenesis of OHSS is related to VEGF released from the ovaries, we believe human albumin may serve to "bind up" this VEGF and prevent it from causing its harmful effects. The purpose of this study is to evaluate the effect of albumin infusion on blood and urine VEGF levels in these patients.
| Condition | Intervention |
|---|---|
|
Ovarian Hyperstimulation Syndrome |
Drug: Human Albumin Infusion Drug: Saline Infusion |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Pharmacokinetics Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Diagnostic |
| Official Title: | The Effect of Human Albumin Infusion on VEGF Levels in Women at Risk for Ovarian Hyperstimulation Syndrome. |
- Serum VEGF levels [ Time Frame: Time surrounding egg retrieval ] [ Designated as safety issue: No ]
- Urine VEGF levels [ Time Frame: Time surrounding egg retrieval ] [ Designated as safety issue: No ]
- Pregnancy [ Time Frame: Time surrounding egg retrieval ] [ Designated as safety issue: No ]
| Enrollment: | 0 |
| Study Start Date: | September 2007 |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Group will receive infusion of human albumin
|
Drug: Human Albumin Infusion
Group will receive single infusion of albumin at the time of oocyte retrieval.
|
|
Placebo Comparator: 2
Group will receive infusion of saline
|
Drug: Saline Infusion
Group will receive single infusion of saline at the time of oocyte retrieval.
|
Eligibility| Ages Eligible for Study: | 18 Years to 42 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Infertile patients undergoing in vitro fertilization with or without ICSI
- Estradiol > 3000 pg/mL at the time of hCG administration
- >/= 20 follicles seen during ultrasound monitoring
- Patients with polycystic ovarian syndrome
Exclusion Criteria:
- Patients with only one ovary
- Patients with medical contraindication to human albumin (hypersensitivity, hypervolemia, cardiac insufficiency, hypertension, esophageal varices, pulmonary edema, severe anemia, renal failure)
Contacts and Locations| United States, Connecticut | |
| Yale Fertility Center | |
| New Haven, Connecticut, United States, 06510 | |
| Principal Investigator: | Pasquale Patrizio, MD, MBE, HCLD | Yale University |
More Information
No publications provided
| Responsible Party: | Yale University |
| ClinicalTrials.gov Identifier: | NCT00617864 History of Changes |
| Other Study ID Numbers: | 0707002880 |
| Study First Received: | February 5, 2008 |
| Last Updated: | February 20, 2012 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Ovarian Hyperstimulation Syndrome Ovarian Diseases Adnexal Diseases |
Genital Diseases, Female Gonadal Disorders Endocrine System Diseases |
ClinicalTrials.gov processed this record on May 23, 2013