The Use of the Hormone Kisspeptin in IVF Treatment
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Purpose
Infertility affects one in six couples in the UK and has devastating physical, social and emotional consequences for affected couples. In vitro fertilisation (IVF) treatment is now widely and successfully used to enable infertile couples to conceive. However, IVF treatment can result in the potentially life threatening condition, ovarian hyperstimulation syndrome (OHSS). Mild forms of OHSS occur in approximately 1 in 3 of all IVF cycles, whilst approximately 1 in 10 IVF cycles result in moderate or severe OHSS. OHSS is caused by the use of human chorionic gonadotrophin (hCG) used in IVF treatment to stimulate oocyte (egg) maturation. Kisspeptin is a hormone which stimulates reproductive hormone secretion and is responsible for the release of reproductive hormones which result in oocyte maturation and ovulation (the release of an egg from the ovary). The significant advantage of kisspeptin over current treatments to stimulate ovulation, is that it would stimulate a more physiological increase in reproductive hormones and oocyte maturation during IVF treatment. The aims of this project are to investigate whether administration of kisspeptin to women can result in oocyte maturation.
| Condition | Intervention | Phase |
|---|---|---|
|
Infertility |
Drug: kisspeptin |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | The Use of the Hormone Kisspeptin in IVF Treatment |
- Oocyte maturation [ Time Frame: three years ] [ Designated as safety issue: No ]Oocyte maturation following kissppetin administration
- Luteinising hormone (LH) [ Time Frame: three years ] [ Designated as safety issue: No ]levels of serum LH
- Follicle Stimulation Hormone (FSH) [ Time Frame: three years ] [ Designated as safety issue: No ]levels of serum FSH
- Estradiol [ Time Frame: three years ] [ Designated as safety issue: No ]levels of serum estradiol
- Ovarian follicular number [ Time Frame: three years ] [ Designated as safety issue: No ]
- Oocyte quality [ Time Frame: three years ] [ Designated as safety issue: No ]
- Embryo quality [ Time Frame: three years ] [ Designated as safety issue: No ]
- beta human chorionic gonadotropin (BhCG) [ Time Frame: three years ] [ Designated as safety issue: No ]beta human chorionic gonadotropin (BhCG) concentration after embryo transfer
- Clinical pregnancy rate [ Time Frame: three years ] [ Designated as safety issue: No ]
- Fertilisation rate [ Time Frame: three years ] [ Designated as safety issue: No ]
- Live births [ Time Frame: three years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 102 |
| Study Start Date: | June 2012 |
| Estimated Study Completion Date: | June 2015 |
| Estimated Primary Completion Date: | June 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: kisspeptin
kisspeptin
|
Drug: kisspeptin |
Eligibility| Ages Eligible for Study: | 18 Years to 34 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Aged 18 - 34 years
- Body mass index between 18 and 29 kg/m2
- Stable body weight for at least 3 months
- Normal early menstrual cycle follicular phase serum FSH concentration • Serum anti-Mullerian hormone (AMH) > 10pmol/L
- No more than one previous IVF treatment cycle
- Both ovaries intact
- Normal menstrual cycles ranging from 24-35 days in length
Exclusion Criteria:
History of any medical, psychological or other condition, or use of any medications, including over-the-counter products, which, in the opinion of the investigators, would either interfere with the study or potentially cause harm to the volunteer
- Without access at home to a telephone, or other factor likely to interfere with ability to participate reliably in the study
- Treatment with an investigational drug within the preceding 2 months
- Donated blood during the preceding 3 months or intention to do so before the end of the study
- Previous poor response to IVF treatment
Contacts and Locations| Contact: Waljit S Dhillo, PhD | + 44 (0) 20 8383 2820 | w.dhillo@imperial.ac.uk |
| Contact: Steve R Bloom, PhD | + 44 (0) 208 383 3242 | s.bloom@imperial.ac.uk |
| United Kingdom | |
| Hammersmith Hospital | Recruiting |
| London, United Kingdom, W12 0NN | |
| Principal Investigator: | Waljit S Dhillo, PhD | Imperial College London |
More Information
No publications provided
| Responsible Party: | Imperial College London |
| ClinicalTrials.gov Identifier: | NCT01667406 History of Changes |
| Other Study ID Numbers: | CRO1473, 2012-000154-61 |
| Study First Received: | August 8, 2012 |
| Last Updated: | August 15, 2012 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency United Kingdom: National Research Ethics Service Committee West London |
Keywords provided by Imperial College London:
|
kisspeptin infertility in vitro fertilisation |
Additional relevant MeSH terms:
|
Infertility Genital Diseases, Male Genital Diseases, Female Hormones |
Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 17, 2013