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Effect of Intrauterine Injection of HCG on Pregnancy Outcome in Repeated Implantation Failure Patients

Primary Purpose

Infertility

Status
Withdrawn
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
intrauterine injection of HCG
Sponsored by
Reproductive & Genetic Hospital of CITIC-Xiangya
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Infertility

Eligibility Criteria

20 Years - 35 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • women with unexplained RIF(two to four previous embryo transfers without achieving pregnancy);
  • age<36 years;
  • frozen embryo transfer cycles

Exclusion Criteria:

  • polycystic ovary syndrome
  • uterine abnormalities (double uterus, bicornuate uterus, unicornuate uterus and uterine mediastinum)
  • intrauterine adhesions
  • endometriosis
  • adenomyosis
  • hydrosalpinx
  • uterine fibroids (submucosal fibroids, non-mucosal fibroids > 4 cm and / or endometrial pressure)
  • thydroid dysfunction and hyperprolactinemia

Sites / Locations

  • Reproductive & Genetic Hospital of CITIC-XIANGYA

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

HCG group

Control group

Arm Description

intrauterine injection of HCG before blastocyst transfer

blastocyst transfer

Outcomes

Primary Outcome Measures

clinical pregnancy rate
clinical pregnancy rate

Secondary Outcome Measures

spontaneous abortion rate
spontaneous abortion rate
ectopic pregnancy rate
ectopic pregnancy rate

Full Information

First Posted
August 14, 2016
Last Updated
January 9, 2022
Sponsor
Reproductive & Genetic Hospital of CITIC-Xiangya
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1. Study Identification

Unique Protocol Identification Number
NCT02870855
Brief Title
Effect of Intrauterine Injection of HCG on Pregnancy Outcome in Repeated Implantation Failure Patients
Official Title
Effect of Intrauterine Injection of Human Chorionic Gonadotropin Before Embryo Transfer on Clinical Pregnancy Outcome in Repeated Implantation Failure Patients
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Withdrawn
Why Stopped
Entry criteria were changed, investigator have registrated a new trials.
Study Start Date
July 28, 2017 (Actual)
Primary Completion Date
January 1, 2018 (Actual)
Study Completion Date
January 1, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Reproductive & Genetic Hospital of CITIC-Xiangya

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Repeated implantation failure(RIF) is a insurmountable bottleneck in assisted reproductive technology, many studies have considered that the cause of two-thirds of implant failure is the decreased endometrial receptivity. Human chorionic gonadotropin (hCG) is an early pre-plant signal molecule secreted by the embryo, it can promote endometrial proliferation, increase blood flow and promote embryonic adhesion and inhibit self-regulate apoptosis of trophoblast cells. Previous studies showed that: intrauterine injection of HCG before embryo transfer can improve clinical outcomes in IVF/Intracytoplasmic sperm injection(ICSI). But some studies found that the intrauterine injection of HCG can not significantly improve the success rate of blastocyst transfer, and the reason may be the intrauterine injection of HCG time is too late to significantly increase the implantation rate. Would ahead of intrauterine injection of HCG be more effective? Thus, the patients of repeated implantation frozen embryo cycle according to the random principle accepted two kinds of transplants ways: ①intrauterine injection of HCG before blastocyst transfer; ②blastocyst transfer. Try to understand whether intrauterine injection of HCG can significantly improve the clinical pregnancy rate of blastocyst transfer in repeated implantation failure patients.

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
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HCG group
Arm Type
Experimental
Arm Description
intrauterine injection of HCG before blastocyst transfer
Arm Title
Control group
Arm Type
No Intervention
Arm Description
blastocyst transfer
Intervention Type
Drug
Intervention Name(s)
intrauterine injection of HCG
Intervention Description
intrauterine injection of HCG berore blastocyst transfer
Primary Outcome Measure Information:
Title
clinical pregnancy rate
Description
clinical pregnancy rate
Time Frame
Until 28 day after embryo transferred
Secondary Outcome Measure Information:
Title
spontaneous abortion rate
Description
spontaneous abortion rate
Time Frame
until 28 day after embryo transferred
Title
ectopic pregnancy rate
Description
ectopic pregnancy rate
Time Frame
until 28 day after embryo transferred

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: women with unexplained RIF(two to four previous embryo transfers without achieving pregnancy); age<36 years; frozen embryo transfer cycles Exclusion Criteria: polycystic ovary syndrome uterine abnormalities (double uterus, bicornuate uterus, unicornuate uterus and uterine mediastinum) intrauterine adhesions endometriosis adenomyosis hydrosalpinx uterine fibroids (submucosal fibroids, non-mucosal fibroids > 4 cm and / or endometrial pressure) thydroid dysfunction and hyperprolactinemia
Facility Information:
Facility Name
Reproductive & Genetic Hospital of CITIC-XIANGYA
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410000
Country
China

12. IPD Sharing Statement

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Effect of Intrauterine Injection of HCG on Pregnancy Outcome in Repeated Implantation Failure Patients

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