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Ovarian Hyperstimulation Syndrome and Cabergoline

Primary Purpose

Polycystic Ovarian Syndrome, Ovarian Hyperstimulation Syndrome

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Cabergoline
Sponsored by
Etlik Zubeyde Hanim Womens' Health and Teaching Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Polycystic Ovarian Syndrome

Eligibility Criteria

23 Years - 35 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Development of more than 14 leading follicles larger than 10 mm and serum estradiol more than 3000 pg/ml at the end of ovulation induction with long luteal ovulation induction protocol.
  • Having the criteria of PCOS

Exclusion Criteria:

  • Not having the inclusion criteria.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    No Intervention

    Arm Label

    Cabergoline administered group

    Control arm

    Arm Description

    The patients in this group will have cabergoline (Dostinex tablet, Pfizer, Istanbul, Turkey, started on day of HCG, 0.5 mg/day for 8 days) for prevention of OHSS. All patients were administered long luteal protocol for ovulation induction.

    The patients in the control group had no manipulation for prevention of OHSS and age-, BMI-matched with the active comparator group. All patients were administered long luteal protocol for ovulation induction.

    Outcomes

    Primary Outcome Measures

    Concentrations of follicular fluid AMH

    Secondary Outcome Measures

    Concentrations of follicular fluid inhibin B
    Concentrations of follicular fluid HGF

    Full Information

    First Posted
    March 26, 2012
    Last Updated
    April 3, 2012
    Sponsor
    Etlik Zubeyde Hanim Womens' Health and Teaching Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01569256
    Brief Title
    Ovarian Hyperstimulation Syndrome and Cabergoline
    Official Title
    The Effect Of Cabergoline On Follicular Microenvironment Profile In Patients With High Risk Of Ohss
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2012
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2008 (undefined)
    Primary Completion Date
    March 2009 (Actual)
    Study Completion Date
    March 2009 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Etlik Zubeyde Hanim Womens' Health and Teaching Hospital

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Cabergoline prevents ovarian hyperstimulation syndrome in high risk patients by disrupting follicular fluid hormone microenvironmentally altering the follicular fluid levels of insulin like growth hormone -I (IGF-I), antimullerian hormone (AMH), inhibin B and hepatocyte growth factor (HGF) levels in women with PCOS and high risk of ovarian hyperstimulation syndrome (OHSS).
    Detailed Description
    Dopamine agonists have been proposed as a prophylactic treatment for OHSS in women with high risk of OHSS, however the possible mechanism of action has not been clearly known. In experimental studies, inhibition of vascular endothelial growth factor based pathway was proposed as a possible action of mechanism of dopamine agonists. However the role hepatocyte growth factor (HGF), insulin like growth factor-I (IGF-I), inhibin B and antimullerian hormone (AMH) on cabergoline action in OHSS prevention has not been known.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Polycystic Ovarian Syndrome, Ovarian Hyperstimulation Syndrome

    7. Study Design

    Primary Purpose
    Basic Science
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    40 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Cabergoline administered group
    Arm Type
    Active Comparator
    Arm Description
    The patients in this group will have cabergoline (Dostinex tablet, Pfizer, Istanbul, Turkey, started on day of HCG, 0.5 mg/day for 8 days) for prevention of OHSS. All patients were administered long luteal protocol for ovulation induction.
    Arm Title
    Control arm
    Arm Type
    No Intervention
    Arm Description
    The patients in the control group had no manipulation for prevention of OHSS and age-, BMI-matched with the active comparator group. All patients were administered long luteal protocol for ovulation induction.
    Intervention Type
    Drug
    Intervention Name(s)
    Cabergoline
    Other Intervention Name(s)
    Dostinex
    Intervention Description
    Cabergoline tablet, Pfizer, Istanbul, Turkey, started on day of HCG, 0.5 mg/day for 8 days
    Primary Outcome Measure Information:
    Title
    Concentrations of follicular fluid AMH
    Time Frame
    1 year
    Secondary Outcome Measure Information:
    Title
    Concentrations of follicular fluid inhibin B
    Time Frame
    1 year
    Title
    Concentrations of follicular fluid HGF
    Time Frame
    1 year

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    23 Years
    Maximum Age & Unit of Time
    35 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Development of more than 14 leading follicles larger than 10 mm and serum estradiol more than 3000 pg/ml at the end of ovulation induction with long luteal ovulation induction protocol. Having the criteria of PCOS Exclusion Criteria: Not having the inclusion criteria.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Emine Seda Guvendag Guven, MD
    Organizational Affiliation
    Rize University, Faculty of Medicine
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Learn more about this trial

    Ovarian Hyperstimulation Syndrome and Cabergoline

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