Administration of Increased Dose of GnRH Antagonist for Coasting for Decreasing the Risk for Ovarian Hyperstimulation Syndrome( OHSS)
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Purpose
Coasting is one of the means to reduce the risk of OHSS for patients at risk for severe OHSS. During coasting gonadotrophin administration is withheld until serum E2 levels drop to a range considered safe. Prolonged coasting reduces the chance for implantation and pregnancy. The aim of the study is to explore whether an increased dose of GnRH Antagonist will shorten the coasting period without an adverse effect on cycle outcome.
| Condition | Intervention | Phase |
|---|---|---|
|
Administration of Increased Dose of GnRH Antagonist for Coasting for Decreasing the Risk for Ovarian Hyperstimulation Syndrome( OHSS) |
Drug: Cetrotide |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Official Title: | Administration of Increased Dose of GnRH Antagonist for Coasting for Decreasing the Risk for Ovarian During Controlled Ovarian Stimulation(COH) for In Vitro Fertilisation(IVF) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Cetrotide | Drug: Cetrotide |
Detailed Description:
30 patients undergoing IVF using a GnRH antagonist protocol that present with a high response to gonadotrophin stimulation, will be randomized into one of two groups: group A - withdrawal of gonadotrophin support and continue a daily dose of 0.25 mg of the GnRH antagonist. group B - withdrawal of gonadotrophin support and continue a double daily dose of 0.5 mg of the GnRH antagonist.
The main outcome measures will be the duration of coasting (days)and the rate of serum E2 drop (%).
Eligibility| Ages Eligible for Study: | 18 Years to 35 Years |
| Genders Eligible for Study: | Female |
Inclusion Criteria:30 women undergoing IVF cycle with GnRH Antagonist protocol under 35 years old.
E2 higher than 3000 pg/ml. -
Exclusion Criteria: 3 or more failed fresh IVF cycles.
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Contacts and Locations
More Information
No publications provided
| Responsible Party: | Levran D., M.D, IVF Unit, Wolfson Medical center |
| ClinicalTrials.gov Identifier: | NCT01109888 History of Changes |
| Other Study ID Numbers: | 12101967 |
| Study First Received: | April 22, 2010 |
| Last Updated: | April 22, 2010 |
| Health Authority: | Israel: Ministry of Health |
Additional relevant MeSH terms:
|
Ovarian Hyperstimulation Syndrome Ovarian Diseases Adnexal Diseases Genital Diseases, Female Gonadal Disorders Endocrine System Diseases |
Cetrorelix Hormone Antagonists Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013