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Levels of Anti-Mullerian Hormone (AMH) During Ovarian Stimulation With Gonadotropins

Primary Purpose

Female Infertility

Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Gonadotropins
Sponsored by
University of Athens
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Female Infertility focused on measuring AMH, IVF, ovarian stimulation

Eligibility Criteria

20 Years - 50 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • All infertile women undergoing ovarian stimulation for IVF.

Exclusion Criteria:

  • Women who can not undergo IVF

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    AMH levels

    Arm Description

    Patients in this group will be stimulated according to a short stimulation protocol with gonadotropins and GnRH antagonists. Levels of AMH will be measured prior and during the ovarian stimulation.

    Outcomes

    Primary Outcome Measures

    Level of AMH
    Anti-Mullerian Hormone (AMH) will be measured prior to the initiation of treatment and during ovarian stimulation.

    Secondary Outcome Measures

    Full Information

    First Posted
    September 9, 2014
    Last Updated
    September 10, 2014
    Sponsor
    University of Athens
    Collaborators
    Lito Maternity Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02237781
    Brief Title
    Levels of Anti-Mullerian Hormone (AMH) During Ovarian Stimulation With Gonadotropins
    Official Title
    Prospective Randomized Trial on the Level of Anti-Mullerian Hormone (AMH) in Women Undergoing Controlled Ovarian Stimulation for IVFwith Gonadotropins.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2014
    Overall Recruitment Status
    Unknown status
    Study Start Date
    October 2014 (undefined)
    Primary Completion Date
    December 2014 (Anticipated)
    Study Completion Date
    December 2015 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    University of Athens
    Collaborators
    Lito Maternity Hospital

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Anti-Mullerian Hormone (AMH) is produced only in small ovarian follicles with quite stable levels during the cycle. There is not yet sufficient data to inform couples undergoing IVF about the effect of ovarian stimulation on the levels of AMH due to the increasing size of follicles and chances of success of the method.
    Detailed Description
    Patients undergoing IVF will be included in the study. All patients will be counseled regarding their prognosis. Anti-Mullerian Hormone (AMH) will be measured prior to the initiation of IVF and during ovarian stimulation. Patients will be stimulated with a short GnRH-antagonist protocol. All women will have measurements of serum FSH and estradiol (E2) and a pelvic sonogram on the second day of their cycle. Ovarian stimulation will be initiated with of gonadotropins either in the form of a combination of highly purified urinary FSH and LH or with a combination of Rec FSH and Rec LH. The dose of gonadotropins will depend on the levels of estradiol and FSH prior stimulation. All patients will be re-evaluated on day 3 and 5 of the stimulation (measurment of AMH, E2 and pelvic sonogram), and dosage adjustments will be made and the antagonists (Cetrorelix or ganirelix 0.25 mg/day) will be initiated on day 5. Measurment of AMH, E2 and pelvic sonogram to conferm the size of follicles will be continue every second day untill the oocyte retrieval. When at least 2 follicles reach an average diameter of 17 mm, final oocyte maturation will be triggered with 10,000IU of hCG ( Pregnyl, Organon, Greece Inc.). Oocyte retrieval will be performed 34 to 36 hours later. Patients with successful fertilization will have embryo transfer under sonographic guidance on day 3 after retrieval.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Female Infertility
    Keywords
    AMH, IVF, ovarian stimulation

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2, Phase 3
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    50 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    AMH levels
    Arm Type
    Experimental
    Arm Description
    Patients in this group will be stimulated according to a short stimulation protocol with gonadotropins and GnRH antagonists. Levels of AMH will be measured prior and during the ovarian stimulation.
    Intervention Type
    Drug
    Intervention Name(s)
    Gonadotropins
    Other Intervention Name(s)
    Menopure, Gonal
    Intervention Description
    The dose of gonadotropins either in the form of a combination of highly purified urinary FSH and LH or with a combination of Rec FSH and Rec LH will depend on the levels of E2 and FSH prior to ovarian stimulation .
    Primary Outcome Measure Information:
    Title
    Level of AMH
    Description
    Anti-Mullerian Hormone (AMH) will be measured prior to the initiation of treatment and during ovarian stimulation.
    Time Frame
    6 months

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    50 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: All infertile women undergoing ovarian stimulation for IVF. Exclusion Criteria: Women who can not undergo IVF
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Nikos Vlahos, MD
    Phone
    30 210 7286000
    Ext
    256
    Email
    nikosvlahos@med.uoa.gr
    First Name & Middle Initial & Last Name or Official Title & Degree
    Olga Triantafyllidou, MD
    Phone
    30 2107485591
    Email
    triantafyllidouolga@yahoo.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Nikos Vlahos, MD
    Organizational Affiliation
    University of Athens, 2nd Department of Obstetrics and Gynecology
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

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    Levels of Anti-Mullerian Hormone (AMH) During Ovarian Stimulation With Gonadotropins

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