The Results of Preimplantation Genetic Diagnosis and Preimplantation Genetic Screening of Embryos Obtained From GnRH-agonist Long and GnRH-antagonist Ovarian Stimulation Protocol
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Purpose
The aim of this study is to performed a randomized controlled trial to evaluate the rate of genetic and chromosomal abnormalities in embryos obtained from GnRH-agonist long and GnRH-antagonist ovarian stimulation protocols.
Patients will be prospectively randomized in two groups: the first undergoing controlled ovarian stimulation in GnRH-agonist long protocol and the second following GnRH-antagonist ovarian stimulation regimen.
The end-points of the study include the number of genetically and chromosomally abnormal embryos, the pregnancy, the implantation and the healthy baby birth rate.
The patients included in PGS program were selected on the base of advanced maternal age, repeated pregnancy lost and implantation failure whereas the patients who were know to carry sex-linked or monogenic disorders were considered for PGD strategy.
The uterine abnormalities, endometriosis and endocrinal diseases were considered to be the exclusion factors.
| Condition | Intervention | Phase |
|---|---|---|
|
Embryo's Genetic and Chromosomal Quality |
Drug: ghrh antagonist (cetrotide/orgalutran) Drug: gnrh agonist (suprefact) |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Screening |
- The results of Preimplantation Genetic Diagnosis and Preimplantation Genetic Screening of embryos obtained from GnRH-agonist long and GnRH-antagonist ovarian stimulation protocol [ Time Frame: one year ] [ Designated as safety issue: Yes ]difference in embryos' genetic and chromosomal quality using two different ovarian stimulation protocol
| Estimated Enrollment: | 200 |
| Study Start Date: | September 2012 |
| Estimated Study Completion Date: | September 2013 |
| Estimated Primary Completion Date: | February 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: short protocol
gnrh agonist versus gnrh antagonist
|
Drug: ghrh antagonist (cetrotide/orgalutran)
cetrotide/orgalutran 0.25 mg
|
| Active Comparator: long protocol |
Drug: gnrh agonist (suprefact)
suprefact 5.5 ml
|
Eligibility| Ages Eligible for Study: | 18 Years to 46 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- patients carrier genetic disease
- advanced maternal Age
- repeated IVF failure
- recurrent pregnancy loss
Exclusion Criteria:
- uterine abnormalities
- endometriosis
- endocrinal diseases
Contacts and Locations| Italy | |
| European Hospital | Not yet recruiting |
| Rome, Italy, 00148 | |
| Contact: Ermanno Greco, MD 06-65975643 ergreco@virgilio.it | |
| Principal Investigator: Ermanno greco, MD | |
More Information
No publications provided
| Responsible Party: | European Hospital |
| ClinicalTrials.gov Identifier: | NCT01636505 History of Changes |
| Other Study ID Numbers: | ECK011170 |
| Study First Received: | July 5, 2012 |
| Last Updated: | July 9, 2012 |
| Health Authority: | Italy: Ethics Committee |
Additional relevant MeSH terms:
|
Buserelin Ganirelix Cetrorelix Deslorelin Fertility Agents, Female Fertility Agents Reproductive Control Agents |
Physiological Effects of Drugs Pharmacologic Actions Therapeutic Uses Hormone Antagonists Hormones, Hormone Substitutes, and Hormone Antagonists Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 23, 2013