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Calcium Dobesilate Versus Coasting for Prevention of Ovarian Hyperstimulation Syndrome

Primary Purpose

Infertility

Status
Completed
Phase
Phase 2
Locations
Egypt
Study Type
Interventional
Intervention
Calcium Dobesilate
coasting
Sponsored by
khalid abd aziz mohamed
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Infertility

Eligibility Criteria

23 Years - 45 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Infertile women undergoing intracytoplasmic sperm injection or polycystic ovarian syndrome (PCO) with one of the following:

    • Presence of more than 20 follicles by ultrasound
    • E2 more than 3000 pg/ml
    • Retrieval of more than 15 follicles

Exclusion Criteria:

  • None

Sites / Locations

  • Benha univesity hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

group A

group B

Arm Description

In group A, (Calcium Dobesilate group), 1 cap / 8 hs Calcium Dobesilate ( 500mg) will be given from at day of HCG injection and for 21 days.

In group B, coasting (withholding gonadotrophins while maintaining pituitary suppression) for 3 days then either giving triggering or cycle cancellation is done

Outcomes

Primary Outcome Measures

Number of participants with ovarian hyperstimulation syndrome (OHSS)
this will be assessed by: Clinically: Abdominal bloating Mild abdominal pain Nausea ± vomiting Oliguria Acute respiratory distress syndrome By ultrasound Ovarian size usually ˃8 cm Ultrasound evidence of ascites Laboratory Haemoconcentration haematocrit ˃45% Hypoproteinaemia

Secondary Outcome Measures

pregnancy rate
β-hCG (serum hCG test) will be checked 14 days after embryos transfer

Full Information

First Posted
November 8, 2014
Last Updated
February 13, 2017
Sponsor
khalid abd aziz mohamed
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1. Study Identification

Unique Protocol Identification Number
NCT02290002
Brief Title
Calcium Dobesilate Versus Coasting for Prevention of Ovarian Hyperstimulation Syndrome
Official Title
Calcium Dobesilate Versus Coasting for Prevention of Ovarian Hyperstimulation Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
February 2017
Overall Recruitment Status
Completed
Study Start Date
June 2014 (undefined)
Primary Completion Date
December 2016 (Actual)
Study Completion Date
December 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
khalid abd aziz mohamed

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to compare the effect of oral Calcium Dobesilate versus costing in the prevention of ovarian hyperstimulation syndrome (OHSS) in high-risk women underwent intracytoplasmic sperm injection (ICSI).
Detailed Description
Two hundred and twenty women at risk of ovarian hyperstimulation syndrome during ICSI cycles will be randomly scheduled into two equal groups. In group A, (Calcium Dobesilate group), 1 cap / 8 hs Doxium ( 500mg) will be given at day of HCG injection and for 3 weeks ; while in group B (Coasting group), coasting (withholding gonadotrophins while maintaining pituitary suppression) follow up every day by measuring E2 for 3 days then either giving triggering or cycle cancellation is done

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Infertility

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
200 (Actual)

8. Arms, Groups, and Interventions

Arm Title
group A
Arm Type
Active Comparator
Arm Description
In group A, (Calcium Dobesilate group), 1 cap / 8 hs Calcium Dobesilate ( 500mg) will be given from at day of HCG injection and for 21 days.
Arm Title
group B
Arm Type
Active Comparator
Arm Description
In group B, coasting (withholding gonadotrophins while maintaining pituitary suppression) for 3 days then either giving triggering or cycle cancellation is done
Intervention Type
Drug
Intervention Name(s)
Calcium Dobesilate
Other Intervention Name(s)
doxium
Intervention Description
1 cap / 8 hs Calcium Dobesilate ( 500mg) will be given at day of HCG injection and for 21 days
Intervention Type
Other
Intervention Name(s)
coasting
Intervention Description
In group B, coasting (withholding gonadotrophins while maintaining pituitary suppression) for 3 days then either giving triggering or cycle cancellation is done
Primary Outcome Measure Information:
Title
Number of participants with ovarian hyperstimulation syndrome (OHSS)
Description
this will be assessed by: Clinically: Abdominal bloating Mild abdominal pain Nausea ± vomiting Oliguria Acute respiratory distress syndrome By ultrasound Ovarian size usually ˃8 cm Ultrasound evidence of ascites Laboratory Haemoconcentration haematocrit ˃45% Hypoproteinaemia
Time Frame
every two weeks for eight weeks
Secondary Outcome Measure Information:
Title
pregnancy rate
Description
β-hCG (serum hCG test) will be checked 14 days after embryos transfer
Time Frame
14 days after embryos transfer

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
23 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Infertile women undergoing intracytoplasmic sperm injection or polycystic ovarian syndrome (PCO) with one of the following: Presence of more than 20 follicles by ultrasound E2 more than 3000 pg/ml Retrieval of more than 15 follicles Exclusion Criteria: None
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
ahmed saad, MD
Organizational Affiliation
lecturer of ob/gyn
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
khalid mohamed, MD
Organizational Affiliation
lecturer of ob/gyn
Official's Role
Study Director
Facility Information:
Facility Name
Benha univesity hospital
City
Benha
ZIP/Postal Code
13518
Country
Egypt

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Calcium Dobesilate Versus Coasting for Prevention of Ovarian Hyperstimulation Syndrome

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