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Platelet-rich Plasma (PRP) for Endometrial Regeneration and Repair (PRP-E)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02825849
Recruitment Status : Terminated (Low recruitment and competing studies have published.)
First Posted : July 7, 2016
Results First Posted : February 9, 2021
Last Update Posted : February 9, 2021
Sponsor:
Information provided by (Responsible Party):
University of California, San Francisco

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Conditions Infertility
Asherman's Syndrome
Intervention Biological: Intrauterine infusion of platelet rich plasma
Enrollment 27
Recruitment Details  
Pre-assignment Details  
Arm/Group Title PRP Intrauterine Infusion Control Group With Standard Treatment Only
Hide Arm/Group Description

Intrauterine infusion of platelet rich plasma in combination with standard treatment, in patients with Asherman's Syndrome or thin uterine lining in frozen embryo transfer cycles

Intrauterine infusion of platelet rich plasma: Patients randomized to study group will have 30cc of blood drawn with isolation of platelet rich plasma (PRP) per standard manufacturer's protocol, with subsequent intrauterine infusion of this autologous PRP.

Patients with Asherman's Syndrome or thin uterine lining in frozen embryo transfer cycles undergoing standard treatment protocols
Period Title: Overall Study
Started 22 5
Completed 22 5
Not Completed 0 0
Arm/Group Title PRP Intrauterine Infusion Control Group With Standard Treatment Only Total
Hide Arm/Group Description

Intrauterine infusion of platelet rich plasma in combination with standard treatment, in patients with Asherman's Syndrome or thin uterine lining in frozen embryo transfer cycles

Intrauterine infusion of platelet rich plasma: Patients randomized to study group will have 30cc of blood drawn with isolation of platelet rich plasma (PRP) per standard manufacturer's protocol, with subsequent intrauterine infusion of this autologous PRP.

Patients with Asherman's Syndrome or thin uterine lining in frozen embryo transfer cycles undergoing standard treatment protocols Total of all reporting groups
Overall Number of Baseline Participants 22 5 27
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 22 participants 5 participants 27 participants
37.9  (3.2) 35.6  (6.3) 37.5  (3.9)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 22 participants 5 participants 27 participants
Female
22
 100.0%
5
 100.0%
27
 100.0%
Male
0
   0.0%
0
   0.0%
0
   0.0%
Race and Ethnicity Not Collected   [1] 
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 0 participants 0 participants 0 participants
0
[1]
Measure Analysis Population Description: Race and Ethnicity were not collected from any participant.
Region of Enrollment  
Measure Type: Count of Participants
Unit of measure:  Participants
United States Number Analyzed 22 participants 5 participants 27 participants
22
 100.0%
5
 100.0%
27
 100.0%
Endometrial Thickness  
Mean (Standard Deviation)
Unit of measure:  Cm
Number Analyzed 22 participants 5 participants 27 participants
6.3  (2.3) 4.3  (1.2) 5.9  (2.3)
Ashermans score on hysteroscopy   [1] [2] 
Mean (Standard Deviation)
Unit of measure:  Score
Number Analyzed 8 participants 5 participants 13 participants
5.6  (1.17) 5.8  (2.49) 5.67  (1.63)
[1]
Measure Description: The American Fertility Society (presently ASRM) developed a classification system upon hysteroscopic assessment of intrauterine adhesions. Parameters assessed are: extent of cavity involved (<1/3, 1/3-2/3 an >2/3, with scores 1, 2, 4 respectively), type of adhesions (filmy, filmy and dense and dense, with scores 1, 2, 4 respectively), menstrual pattern (normal, hypomenorrhea, amenorrhea, with scores 0, 2, 4 respectively). Then overall severity of intrauterine adhesive disease is expressed as a total: stage 1 (mild) - score 1-4, Stage II (moderate (score 5-8), Stage III (severe)- score 9-12.
[2]
Measure Analysis Population Description: This score was only calculated for patients with ashermans syndrome who had hysteroscopy in the randomized trial portion of the study.
1.Primary Outcome
Title Endometrial Thickness
Hide Description Endometrial thickness will be measured using transvaginal ultrasound per standard protocol
Time Frame 3-30 days after treatment
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title PRP Intrauterine Infusion Control Group With Standard Treatment Only
Hide Arm/Group Description:

Intrauterine infusion of platelet rich plasma in combination with standard treatment, in patients with Asherman's Syndrome or thin uterine lining in frozen embryo transfer cycles

Intrauterine infusion of platelet rich plasma: Patients randomized to study group will have 30cc of blood drawn with isolation of platelet rich plasma (PRP) per standard manufacturer's protocol, with subsequent intrauterine infusion of this autologous PRP.

Patients with Asherman's Syndrome or thin uterine lining in frozen embryo transfer cycles undergoing standard treatment protocols
Overall Number of Participants Analyzed 22 5
Mean (Standard Deviation)
Unit of Measure: cm
6.4  (2.4) 5.2  (2.3)
2.Secondary Outcome
Title Number of Participants With Ultrasound Confirmed Clinical Pregnancies
Hide Description Defined by ultrasound confirmed pregnancies per total participants in each arm
Time Frame at least 7 weeks after treatment
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title PRP Intrauterine Infusion Control Group With Standard Treatment Only
Hide Arm/Group Description:

Intrauterine infusion of platelet rich plasma in combination with standard treatment, in patients with Asherman's Syndrome or thin uterine lining in frozen embryo transfer cycles

Intrauterine infusion of platelet rich plasma: Patients randomized to study group will have 30cc of blood drawn with isolation of platelet rich plasma (PRP) per standard manufacturer's protocol, with subsequent intrauterine infusion of this autologous PRP.

Patients with Asherman's Syndrome or thin uterine lining in frozen embryo transfer cycles undergoing standard treatment protocols
Overall Number of Participants Analyzed 22 5
Measure Type: Count of Participants
Unit of Measure: Participants
12
  54.5%
3
  60.0%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection PRP Intrauterine Infusion, Control Group With Standard Treatment Only
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value .824
Comments [Not Specified]
Method Chi-squared
Comments [Not Specified]
Time Frame Adverse events were collected for up to 365 days after study treatment
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title PRP Intrauterine Infusion Control Group With Standard Treatment Only
Hide Arm/Group Description

Intrauterine infusion of platelet rich plasma in combination with standard treatment, in patients with Asherman's Syndrome or thin uterine lining in frozen embryo transfer cycles

Intrauterine infusion of platelet rich plasma: Patients randomized to study group will have 30cc of blood drawn with isolation of platelet rich plasma (PRP) per standard manufacturer's protocol, with subsequent intrauterine infusion of this autologous PRP.

Patients with Asherman's Syndrome or thin uterine lining in frozen embryo transfer cycles undergoing standard treatment protocols
All-Cause Mortality
PRP Intrauterine Infusion Control Group With Standard Treatment Only
Affected / at Risk (%) Affected / at Risk (%)
Total   0/22 (0.00%)   0/5 (0.00%) 
Hide Serious Adverse Events
PRP Intrauterine Infusion Control Group With Standard Treatment Only
Affected / at Risk (%) Affected / at Risk (%)
Total   0/22 (0.00%)   0/5 (0.00%) 
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
PRP Intrauterine Infusion Control Group With Standard Treatment Only
Affected / at Risk (%) Affected / at Risk (%)
Total   0/22 (0.00%)   0/5 (0.00%) 
The study was a pilot study and was not adequately powered to detect a difference. In addition the study was closed prior to full enrollment.
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Heather Huddleston
Organization: UCSF
Phone: 415-353-3040
EMail: heather.huddleston@ucsf.edu
Layout table for additonal information
Responsible Party: University of California, San Francisco
ClinicalTrials.gov Identifier: NCT02825849    
Other Study ID Numbers: 16-19764
First Submitted: July 3, 2016
First Posted: July 7, 2016
Results First Submitted: December 2, 2020
Results First Posted: February 9, 2021
Last Update Posted: February 9, 2021