Human Menopausal Gonadotropin (HMG) vs Recombinant Follicle Stimulating Hormone (rFSH) in Gonadotropin Releasing Hormone (GnRH) Antagonist Cycles
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Purpose
A randomized controlled trial comparing the ongoing pregnancy rate (primary end-point) in 280 patients undergoing IVF/ICSI after stimulation with hp-hMG or rFSH controlled with a GnRH antagonist. Non significant differences were observed between hp-hMG and rFSH in terms of the ongoing pregnancy rate per started cycle (35.0% vs. 32.1%; p=0.61); R.R: 1.09 (95% CI: 0.78-1.51; Risk Difference: 2.9%). No differences were observed for implantation, clinical pregnancy and pregnancy loss rates. Patients receiving rFSH obtained more oocytes (14.4 ± 8.1 vs. 11.3 ± 6.0; p=0.001). Estradiol was higher at the end of stimulation in the hp-hMG group, while Progesterone was higher in patients stimulated with rFSH.
| Condition | Intervention | Phase |
|---|---|---|
|
Ovarian Stimulation |
Drug: Human Menopausal Gonadotropin (HMG) & - Recombinant Follicle Stimulating Hormone (r-FSH) |
Phase 3 |
| Study Type: | Interventional |
| Official Title: | Highly Purified Human Menopausal Gonadotropin Versus Recombinant Follicle Stimulating Hormone in Ovarian Hyperstimulation With Gonadotropin Releasing Hormone Antagonists. A Randomized Study. |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: HMG
Human Menopausal Gonadotropin (HMG)
|
Drug: Human Menopausal Gonadotropin (HMG) & - Recombinant Follicle Stimulating Hormone (r-FSH) |
|
Active Comparator: r-FSH
Recombinant Follicle Stimulating Hormone
|
Drug: Human Menopausal Gonadotropin (HMG) & - Recombinant Follicle Stimulating Hormone (r-FSH) |
Eligibility| Ages Eligible for Study: | 18 Years to 37 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- women with good physical and mental health
- aged 18-37 years
- regular menstrual cycles ranging from 25 to 35 days; body mass index (BMI) < 30 kg/m2
- normal basal serum FSH (≤ 10 IU/L) and E2 (≤ 75 pg/mL) levels determined on the day 3 of the cycle previous to COH
- no uterine (fibroids, adenomyosis, mullerian malformations), ovarian (endometrioma, polycystic ovaries) or adnexa (hydrosalpinx) abnormalities assessed by vaginal ultrasound.
Exclusion Criteria:
- patients with a history of recurrent pregnancy loss
- any significant systemic disease, endocrine or metabolic disorder
- having concomitant medication interfering with the purposes of the study
- patients who have received any ovulation induction drug within one month before their inclusion in the study.
Contacts and Locations
More Information
No publications provided by Instituto Valenciano de Infertilidad, Spain
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00669786 History of Changes |
| Other Study ID Numbers: | VLC-EB-0103-0408-1 |
| Study First Received: | April 29, 2008 |
| Last Updated: | April 30, 2008 |
| Health Authority: | Spain: Ethics Committee |
Keywords provided by Instituto Valenciano de Infertilidad, Spain:
|
Ongoing Pregnancy Rate |
Additional relevant MeSH terms:
|
Hormone Antagonists Hormones Follicle Stimulating Hormone Menotropins Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs |
Pharmacologic Actions Fertility Agents, Female Fertility Agents Reproductive Control Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 18, 2013