Induction of Ovulation With Raloxifene or Clomiphene Citrate in Polycystic Ovarian Syndrome
Recruitment status was Recruiting
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Purpose
The Polycystic Ovarian Syndrome (PCOS) is a common disorder related to ovulation problems. Clomiphene citrate (CC) is the drug of first choice for this condition. Nevertheless, CC has a detrimental effect over uterine receptivity.
Raloxifene is a Selective Estrogen Receptor Modulator, that does not have a detrimental effect over the endometrium, and also increase the serum levels of FSH, thus, inducting ovulation.
The objective of this study is to compare the ovulation rate in PCOS patients between clomiphene citrate and raloxifene in a double blind randomized trial.
| Condition | Intervention | Phase |
|---|---|---|
|
Polycystic Ovary Syndrome |
Drug: clomiphene citrate Drug: raloxifene |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Induction of Ovulation With Raloxifene or Clomiphene Citrate in Polycystic Ovarian Syndrome |
- Ultrasound sign of ovulation [ Time Frame: cycle day 14-20 ] [ Designated as safety issue: No ]
- endometrial biopsy compatible with the +/- 3days of the cycle [ Time Frame: 8-10 days post-ovulation ] [ Designated as safety issue: No ]
- Serum levels of Progesterone [ Time Frame: 8-10 days after ovulation ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 80 |
| Study Start Date: | August 2008 |
| Estimated Study Completion Date: | August 2009 |
| Estimated Primary Completion Date: | August 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Uso of 100mg of clomiphene citrate during days 5-9 of the menstrual cycle
|
Drug: clomiphene citrate
100mg PO on days 5-9 of the menstrual cycle
Other Name: Clomid
|
|
Experimental: 2
Use of 100mg of raloxifene during days 5-9 of the menstrual cycle
|
Drug: raloxifene
100mg PO on days 5-9 of the menstrual cycle
Other Name: Evista
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 38 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- All patients with polycystic ovarian syndrome will be invited to participate in the study. The PCOS criteria are according to modified Rotterdam criteria (7); i.e., oligoovulation defined as < 6 menstrual periods per year, signs of clinical hyperandrogenism (Ferriman and Gallwey >8) or laboratorial (total Testosterone >=0.81 ng/dL) or polycystic ovary > 10cm3.
Furthermore, all patients with infertility diagnosis based solely on ovulation factor will included in the protocol
- Age >18 years old and <= 38 years old.
- No endometriosis on laparoscopy
Exclusion Criteria:
- Not willing to participate in the study
- use of IUD or contraceptive pill within 2 months before the study.
- Hyperprolactinemia (>20ng/mL)
- Abnormal serum levels of TSH(normal range:0.4-40 mUI/mL).
- High 17-OH progesterone (>=4.9ng/mL)
- Endometriosis
- Known allergy to clomiphene or raloxifene
Contacts and Locations| Contact: Ricardo F Savaris, MD, PhD | 55 51 91122184 | rsavaris@hcpa.ufrgs.br |
| Contact: Ricardo F Savaris, MD, PhD | 51 33311061 | rsavaris@hcpa.ufrgs.br |
| Brazil | |
| Hospital de Clínicas de Porto Alegre | Recruiting |
| Porto Alegre, Rio Grande do Sul, Brazil, 90035-003 | |
| Contact: Ricardo F Savaris, MD, PhD 55 51 21018405 rsavaris@hcpa.ufrgs.br | |
| Contact: Eduardo P Passos, MD, PhD 55 51 99810169 epp@via-rs.net | |
| Principal Investigator: Ricardo F Savaris, MD, PhD | |
| Sub-Investigator: Eduardo P Passos, MD, PhD | |
| Sub-Investigator: Helena Corleta, MD, PhD | |
| Principal Investigator: | Ricardo F Savaris, MD, PhD | Hospital de Clínicas de Porto Alegre |
| Study Chair: | Eduardo P Passos, MD, PhD | Hospital de Clínicas de Porto Alegre |
| Study Chair: | Helena Corleta, MD, PhD | Hospital de Clínicas de Porto Alegre |
| Study Director: | Bruce A Lessey, MD, PhD | Greenville Hospital System |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Ricardo Francalacci Savaris, HCPA-UFRGS |
| ClinicalTrials.gov Identifier: | NCT00427700 History of Changes |
| Other Study ID Numbers: | RACLO |
| Study First Received: | January 26, 2007 |
| Last Updated: | July 7, 2010 |
| Health Authority: | Brazil: Ministry of Health |
Keywords provided by Hospital de Clinicas de Porto Alegre:
|
Polycystic Ovary Syndrome clomiphene citrate Raloxifene |
Additional relevant MeSH terms:
|
Ovarian Cysts Polycystic Ovary Syndrome Cysts Neoplasms Ovarian Diseases Adnexal Diseases Genital Diseases, Female Gonadal Disorders Endocrine System Diseases Citric Acid Clomiphene Raloxifene Anticoagulants Hematologic Agents |
Therapeutic Uses Pharmacologic Actions Chelating Agents Molecular Mechanisms of Pharmacological Action Estrogen Antagonists Estrogen Receptor Modulators Hormone Antagonists Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Fertility Agents, Female Fertility Agents Reproductive Control Agents Selective Estrogen Receptor Modulators Bone Density Conservation Agents |
ClinicalTrials.gov processed this record on May 19, 2013