Surgical Ovarian Drilling Versus Hormonal Treatment for Infertility Associated to PolyCystic Ovaries Syndrome (PCOS) (PERCING)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified October 2007 by Assistance Publique - Hôpitaux de Paris.
Recruitment status was  Recruiting
Sponsor:
Collaborators:
Hopital Antoine Beclere
Jean Verdier Hospital (AP-HP)
Jean Rostand Intercommoned Hospital
Centre Hospitalier Universitaire, Amiens
University Hospital, Caen
University Hospital, Clermont-Ferrand
Lille Hospital : Jeanne de Flandre Hospital
Strasbourg Hospital : Civil Hospital
SIHCUS-CMCO (Schiltigheim)
Study and research center of sterility (Lyon)
Information provided by (Responsible Party):
Assistance Publique - Hôpitaux de Paris
ClinicalTrials.gov Identifier:
NCT00378729
First received: September 19, 2006
Last updated: October 3, 2011
Last verified: October 2007

September 19, 2006
October 3, 2011
October 2006
October 2011   (final data collection date for primary outcome measure)
Evaluation of the cumulative rate of on-going pregnancy (>12 weeks of amenorrhoea) obtained during 9 months of follow-up [ Time Frame: during 9 months of follow-up ] [ Designated as safety issue: Yes ]
Evaluation of the cumulative rate of on-going pregnancy (>12 weeks of amenorrhoea) obtained during 9 months of follow-up
Complete list of historical versions of study NCT00378729 on ClinicalTrials.gov Archive Site
  • Evaluation of tolerance [ Time Frame: during the study ] [ Designated as safety issue: Yes ]
  • Occurrence of multiple pregnancies [ Time Frame: at the end of the study ] [ Designated as safety issue: Yes ]
  • Duration of the menstrual cycles and hormonal ovarian dosages [ Time Frame: during the study ] [ Designated as safety issue: No ]
  • Occurrence of spontaneous miscarriages [ Time Frame: at the end of the study ] [ Designated as safety issue: No ]
  • Body Mass Index with each visit [ Time Frame: at each visit ] [ Designated as safety issue: No ]
  • Evaluation of tolerance
  • Occurrence of multiple pregnancies
  • Duration of the menstrual cycles and hormonal ovarian dosages
  • Occurrence of spontaneous miscarriages
  • Body Mass Index with each visit
Not Provided
Not Provided
 
Surgical Ovarian Drilling Versus Hormonal Treatment for Infertility Associated to PolyCystic Ovaries Syndrome (PCOS)
PERCING : Ovarian Drilling Versus Ovarian Stimulation + Intra Uterine Insemination (IUI) + Metformin in the PCOS (PolyCystic Ovaries Syndrome) Treatment

PolysCsytic Ovaries Syndrome (PCOS) is the most frequent endocrinopathy. The first stage of infertility treatment is Clomiphene Citrate which leads to 50 % pregnancies. In case of failure, it is possible to propose surgical ovarian drilling or ovarian hyperstimulation with Intra Uterine Insemination (IUI) which lead to 50% pregnancies each. However, surgical treatment could be associated to surgical complications, and medical treatment could be associated to ovarian hyperstimulation syndrome and/or multiple pregnancies.

The aim of this study is to compare the two treatments to demonstrate the equivalence of efficacy and the diminution of multiple pregnancies by the surgical treatments. After an ambulatory surgery we will observe the spontaneous fertility during 9 months. For the medical treatment, Metformin is proposed during 9 months associated with 3 cycles of ovarian hyperstimulation and IUI if the sperm is normal

PolysCsytic Ovaries Syndrome (PCOS) is the most frequent endocrinopathy. The first stage of infertility treatment is Clomiphene Citrate which leads to 50 % pregnancies. In case of failure, it is possible to propose surgical ovarian drilling or ovarian hyperstimulation with Intra Uterine Insemination (IUI) which lead to 50% pregnancies each. However, surgical treatment could be associated to surgical complications, and medical treatment could be associated to ovarian hyperstimulation syndrome and/or multiple pregnancies.

The aim of this study is to compare the two treatments to demonstrate the equivalence of efficacy and the diminution of multiple pregnancies by the surgical treatments. After an ambulatory surgery we will observe the spontaneous fertility during 9 months. For the medical treatment, Metformin is proposed during 9 months associated with 3 cycles of ovarian hyperstimulation and IUI if the sperm is normal Ovarian drilling will be performed by FERTILOSCOPY. 126 patients will be necessary in each group (with interval of equivalence : 10%).

Interventional
Phase 4
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Polycystic Ovary Syndrome
  • Drug: Metformin and FSHr
    treatment for infertility
    Other Name: treatment for infertility
  • Procedure: Ovarian drilling by FERTILOSCOPY
    surgical ovarian drilling
    Other Name: surgical ovarian drilling
  • Active Comparator: A
    Intervention: Drug: Metformin and FSHr
  • Active Comparator: B
    Intervention: Procedure: Ovarian drilling by FERTILOSCOPY
Fernandez H, Watrelot A, Alby JD, Kadoch J, Gervaise A, deTayrac R, Frydman R. Fertility after ovarian drilling by transvaginal fertiloscopy for treatment of polycystic ovary syndrome. J Am Assoc Gynecol Laparosc. 2004 Aug;11(3):374-8.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
252
October 2011
October 2011   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Age between 18 and 36 years old
  • Female patient with PCOS (Rotterdam criteria)
  • Failure of treatment with Clomiphene Citrate
  • Informed consent
  • Female patient with medical assurance
  • Patient in failure with PCOS and Clomiphene citrate

Exclusion Criteria:

  • Female patient is over 36 years old
  • Thyroid disease (4<TSH<0.3 mUI/L)
  • Virilizing tumor
  • FERTILOSCOPY non possible (Douglas cul de sac clinically fixed)
  • Anormality of SPERMOGRAM (abnormal time of migration of survival)
  • Prolactin > 1.5 N
  • Anormality of 17-OH Progesterone (<2 ng/mL)
  • Fallopian tubes non permeable TMS< 5 Millions
  • Female patient participant or have been participated to another clinical trial during the last month before the inclusion
  • Female patient without medical assurance
Female
18 Years to 36 Years
No
Contact: Hervé FERNANDEZ, MD,PhD +33(0)- 1 45 37 44 69 herve.fernandez@abc.aphp.fr
France
 
NCT00378729
P051008
Yes
Assistance Publique - Hôpitaux de Paris
Assistance Publique - Hôpitaux de Paris
  • Hopital Antoine Beclere
  • Jean Verdier Hospital (AP-HP)
  • Jean Rostand Intercommoned Hospital
  • Centre Hospitalier Universitaire, Amiens
  • University Hospital, Caen
  • University Hospital, Clermont-Ferrand
  • Lille Hospital : Jeanne de Flandre Hospital
  • Strasbourg Hospital : Civil Hospital
  • SIHCUS-CMCO (Schiltigheim)
  • Study and research center of sterility (Lyon)
Principal Investigator: Hervé FERNANDEZ, MD,PhD Assistance Publique - Hôpitaux de Paris
Assistance Publique - Hôpitaux de Paris
October 2007

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP