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Effect of GnRH Agonist vs GnRH Antagonist on Oocyte Morphology During IVF/ICSI

Plain-language guide to NCT04724486: phase 4 non-randomized trial of hCG (human chorionic gonadotropin) and HMG (Human Menopausal Gonadotropin), 50 participants. Who took part, design and what was measured.

Key Facts

Registry ID
NCT04724486
Phase
phase 4
Status
completed
Start
2020-08-22
Completion (planned or actual)
2022-03-15
Participants
50 (actual)
Design
non-randomized, open label (everyone knows who gets what), treatment
Conditions studied
In Vitro Fertilization; Intracytoplasmic Sperm Injection; Infertility
Results posted
not yet

What This Study Did, in Plain Language

What Was Tested

The trial (phase 4) is built around hCG (human chorionic gonadotropin) and HMG (Human Menopausal Gonadotropin).

Selection of developmentally competent oocytes enhances IVF efficiency.

Usually, oocyte quality is determined based on its nuclear maturation and the presence of specific cytoplasmic and extracytoplasmic morphologic features.

It had two arms (groups): Agonist Group (Long protocol): (active comparator) and Antagonist Group (Flexible protocol): (experimental).

The registry classes the interventions as drug.

Who Took Part

50 actual participants took part.

It was open to women only aged from 18 years up to 39 years.

Healthy volunteers were not accepted; participants needed the condition being studied.

Examples of who could join: Women undergoing IVF/ICSI. Age: 18-39 years. Both ovaries present.

The full record lists 3 inclusion and 8 exclusion criteria; among the exclusions: age ≥ 40 years; history of three or more previous ivf failures; patients with hormonal disorders like hyperprolactinemia, thyroid disorders.

How the Study Was Run

Design: non-randomized, parallel-group and open-label.

Groups ran in parallel: each of the participants stayed in one arm throughout.

Nothing was hidden in this open-label hCG (human chorionic gonadotropin) study: the participants and staff both knew the treatment.

It started in 2020-08-22 with completion listed for 2022-03-15.

It ran at 1 site in Syria.

Its stated primary purpose is treatment.

What Was Measured

It also tracked 12 secondary outcomes, for example Number of oocytes retrieved:, Number of Metaphase II Oocytes (MII):, Number of Metaphase I Oocytes (MI):, Number of Germinal Vesicle Oocytes (GV):, Number of Atretic Oocytes: and Maturation Rate%:.

What This Means in Plain Language

Put simply, this is a phase 4, non-randomized trial of hCG (human chorionic gonadotropin) and HMG (Human Menopausal Gonadotropin) in 50 people.

The trial is marked completed; no results are posted to the registry yet, so nothing here describes outcomes.

More context: the hCG (human chorionic gonadotropin) compound page and the HMG (Human Menopausal Gonadotropin) compound page, all human trials.

Our Notes on the Compounds

hCG (human chorionic gonadotropin): An LH analog that drives Leydig-cell testosterone production.

HMG (Human Menopausal Gonadotropin): Menotropins: a glycoprotein preparation that supplies follicle-stimulating hormone (FSH) and luteinizing hormone (LH) activity.

Triptorelin: A 10-amino-acid GnRH analog (Trelstar, Decapeptyl, Triptodur) used in prostate cancer, early puberty and fertility protocols.

Related Pages

Source: ClinicalTrials.gov record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.