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Phytoestrogens as an Alternative to Estradiol in Ovulation Induction in PCOS (PCOS)

Primary Purpose

Polycystic Ovaries

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
phytoestrogen
estradiol valerate
clomiphene citrate
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Polycystic Ovaries focused on measuring PCOS, Phytoestrogens, ovulation induction

Eligibility Criteria

20 Years - 37 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

Women with both 1ry and 2ry infertility were included. All women were between 20 and 37 years old.

Exclusion Criteria:

women with endocrinological abnormalities as thyroid dysfunction or abnormal prolactin levels, those with hypothalamic or pituitary dysfunctions evaluated by low gonadotropin level, other causes of infertility as tubal factor evaluated by HSG or laparoscopy, abnormal uterine cavity evaluated by sonohystrography or hysteroscopy and male factor evaluated by semen analysis. Women with ovarian cysts were also excluded from the study

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Active Comparator

    Active Comparator

    Active Comparator

    Arm Label

    clomiphene citrate

    estradiol valerate and CC

    Phytoestrogen and CC

    Arm Description

    only50 mg orally every 8 hours started from cycle day 3 for 5 days

    2mg estradiol valerate orally daily from cycle day 7 - 11 in addition to CC

    20mg of cimifuga racemosaorally from day 1- 12) in addition to CC

    Outcomes

    Primary Outcome Measures

    endometrial thickness

    Secondary Outcome Measures

    Full Information

    First Posted
    January 25, 2015
    Last Updated
    March 22, 2017
    Sponsor
    Cairo University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02352597
    Brief Title
    Phytoestrogens as an Alternative to Estradiol in Ovulation Induction in PCOS
    Acronym
    PCOS
    Official Title
    Phytoestrogens as an Alternative to Estradiol in Reversing the Antiestrogenic Effect of Clomid on Endometrium in Ovulation Induction in Cases of Polycystic Ovarian Syndrome
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2013 (undefined)
    Primary Completion Date
    January 2015 (Actual)
    Study Completion Date
    January 2015 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Cairo University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Prospective study conducted on 150 women with polycystic ovarian syndrome (PCOS) were randomly divided into 3 groups: group I (50 women) received clomiphene citrate (CC) only 50 mg orally every 8 hours started from cycle day 3 for 5 days, group II (50 women) received 2mg estradiol valerate daily from cycle day 7 - 11 in addition to CC and group III (50 women) received phytoestrogen (20mg of cimifuga racemosa from day 1- 12) in addition to CC.
    Detailed Description
    Prospective study conducted on 150 women with PCOS were randomly divided into 3 groups: group I (50 women) received CC only50 mg orally every 8 hours started from cycle day 3 for 5 days, group II (50 women) received 2mg estradiol valerate daily from cycle day 7 - 11 in addition to CC and group III (50 women) received phytoestrogen (20mg of cimifuga racemosa from day 1- 12) in addition to CC.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Polycystic Ovaries
    Keywords
    PCOS, Phytoestrogens, ovulation induction

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    150 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    clomiphene citrate
    Arm Type
    Active Comparator
    Arm Description
    only50 mg orally every 8 hours started from cycle day 3 for 5 days
    Arm Title
    estradiol valerate and CC
    Arm Type
    Active Comparator
    Arm Description
    2mg estradiol valerate orally daily from cycle day 7 - 11 in addition to CC
    Arm Title
    Phytoestrogen and CC
    Arm Type
    Active Comparator
    Arm Description
    20mg of cimifuga racemosaorally from day 1- 12) in addition to CC
    Intervention Type
    Drug
    Intervention Name(s)
    phytoestrogen
    Other Intervention Name(s)
    Klimadynon
    Intervention Description
    20mg of cimifuga racemosa from day 1- 12
    Intervention Type
    Drug
    Intervention Name(s)
    estradiol valerate
    Other Intervention Name(s)
    cycloprogynova
    Intervention Description
    2mg from cycle day 7 to day 11
    Intervention Type
    Drug
    Intervention Name(s)
    clomiphene citrate
    Other Intervention Name(s)
    clomid
    Intervention Description
    50 mg orally every 8 hours started from cycle day 3 for 5 days
    Primary Outcome Measure Information:
    Title
    endometrial thickness
    Time Frame
    day 14 of menstrual cycle

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    37 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Women with both 1ry and 2ry infertility were included. All women were between 20 and 37 years old. Exclusion Criteria: women with endocrinological abnormalities as thyroid dysfunction or abnormal prolactin levels, those with hypothalamic or pituitary dysfunctions evaluated by low gonadotropin level, other causes of infertility as tubal factor evaluated by HSG or laparoscopy, abnormal uterine cavity evaluated by sonohystrography or hysteroscopy and male factor evaluated by semen analysis. Women with ovarian cysts were also excluded from the study
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Ahmed Maged, MD
    Organizational Affiliation
    Kasr Alainy medical school
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Phytoestrogens as an Alternative to Estradiol in Ovulation Induction in PCOS

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