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Effect of Colony Stimulating Factor on Implantation and Pregnancy Rates Following IVF (in Vitro Fertilization)

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ClinicalTrials.gov Identifier: NCT01202656
Recruitment Status : Completed
First Posted : September 16, 2010
Results First Posted : December 2, 2014
Last Update Posted : December 2, 2014
Sponsor:
Collaborator:
Foundation for Reproductive Medicine
Information provided by (Responsible Party):
David H. Barad, Center for Human Reproduction

Study Description
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Brief Summary:
This a trial designed to test whether granulocyte colony stimulating factor (G-CSF, Neupogen) can increase the rate of embryo implantation following IVF and embryo transfer. Preliminary data at the Center for Human Reproduction(CHR) and elsewhere suggest that intrauterine infusion of G-CSF can improve endometrial development and can increase implantation rates of embryos.

Condition or disease Intervention/treatment Phase
Infertility, Female Drug: G-CSF Drug: Saline Phase 1 Phase 2

Detailed Description:

Objective: To investigate the effect of treatment with CSF on pregnancy rates in routine in vitro fertilization (IVF).

Design: Double blinded crossover randomized controlled clinical trial

Setting: Academically affiliated private infertility centers

Subjects: Normal female IVF patients 18-38 years old, and above age 38 years, who are willing to be randomized to treatment.

Interventions: Subjects receive transvaginally, utilizing an insemination catheter, a slow uterine lavage with G-CSF (Neupogen), 300ug (in 1 ml); controls receive saline. Patients who do not conceive will, after one month washout time, continue treatment in the opposite study arm.

Main Outcome Measures: Implantation rate(IR) and pregnancy rates.

Second Outcome Measures: Live birth rates and miscarriage rates.

Statistical and Power considerations: Analysis will be by regression with IR as dependent and treatment as independent. Results will be adjusted by age and indices of ovarian reserve, such as antiMulerian Hormone (AMH). Presuming an implantation rate of 10% and anticipating a 10% increase to 20% with treatment, 120 women, producing about 200 embryos in each study arm, will have to be recruited for 80% power and alpha of 0.05.

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 129 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: G-CSF(Granulocyte Colony Stimulating Factor) and Embryo Implantation and Pregnancy Following IVF (in Vitro Fertilization)
Study Start Date : September 2010
Actual Primary Completion Date : December 2012
Actual Study Completion Date : June 2013

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
Experimental: G-CSF then Saline
G-CSF (Granulocyte colony stimulating factor)
 Drug: G-CSF
One infusion of G-CSF 300 units administered by intrauterine infusion
Other Name: Neupogen (Filgrastim)

Drug: Saline
intrauterine saline infusion 1 cc
Other Names:
  • Normal Saline
  • 0.91% w/v of NaCl, about 300 mOsm/L
Placebo Comparator: Saline then G-CSF
Normal Saline
 Drug: G-CSF
One infusion of G-CSF 300 units administered by intrauterine infusion
Other Name: Neupogen (Filgrastim)

Drug: Saline
intrauterine saline infusion 1 cc
Other Names:
  • Normal Saline
  • 0.91% w/v of NaCl, about 300 mOsm/L


Outcome Measures
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Primary Outcome Measures :
  1. Embryo Implantation and Clinical Pregnancy Rates [ Time Frame: 26 to 30 days after embryo transfer ]

    Implantation rate: The number of gestational sacs noted in the endometrial cavity 26 to 30 days after embryo transfer divided by the number of embryos transferred

    Clinical pregnancy:

    Gestational sac with evidence of a viable pregnancy at least 28 days after embryo transfer



Secondary Outcome Measures :
  1. Live Birth Rates [ Time Frame: Within nine months of embryo transfer ]
    Live birth rates among normal infertile couples undergoing IVF


Eligibility Criteria
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Ages Eligible for Study:   18 Years to 45 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Women already enrolled in an IVF cycle at one of the participating institutions

Exclusion Criteria:

  • Sickle Cell disease
  • Renal insufficiency
  • Upper respiratory infection or Pneumonia
  • Chronic Neutropenia
  • Known Past or present malignancy
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01202656


Locations
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United States, New York
Center for Human Reproduction
New York, New York, United States, 10021
Sponsors and Collaborators
Center for Human Reproduction
Foundation for Reproductive Medicine
Investigators
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Principal Investigator: David H Barad, MD, MS Center for Human Reproduction
Study Chair: Norbert Gleicher, MD Center for Human Reproduction
More Information
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Publications of Results:

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Responsible Party: David H. Barad, Director of Clinical Research, Center for Human Reproduction
ClinicalTrials.gov Identifier: NCT01202656    
Other Study ID Numbers: 09012010-02
First Posted: September 16, 2010    Key Record Dates
Results First Posted: December 2, 2014
Last Update Posted: December 2, 2014
Last Verified: November 2014
Keywords provided by David H. Barad, Center for Human Reproduction:
Fertility Agents, Female
In vitro fertilization
Additional relevant MeSH terms:
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Infertility
Infertility, Female
Lenograstim
 Adjuvants, Immunologic
Immunologic Factors
Physiological Effects of Drugs