Tailored Ovarian Stimulation Based on BMI, AMH, AFC
Study Details
Study Description
Brief Summary
The study objective is to develop a tailored based strategy for ovarian stimulation in IVF patients using AMH, BMI, antral follicle count (AFC).
300 patients will be randomized in 2 arms:
-
control group: standard care rec FSH.
-
study group: modified dose of Rec FSH based on AFC with a correction factor based on BMI and basal AMH level.
Primary endpoints: number of mature follicles and eggs collected at egg retrieval; amount of rec FSH used.
Secondary endpoints: fertilization rate; cleavage rate; clinical pregnancy rate; inhibin B and AMH levels during ovarian stimulation.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Detailed Description
The study objective is to develop a tailored based strategy for ovarian stimulation in IVF patients using AMH, BMI, AFC and inhibin B.
300 patients will be stimulated with rec FSH and an antagonist pituitary inhibition protocol, and randomized (at random computer generated numbers) in 2 arms:
-
control group: standard care recFSH based on age, basal FSH and AFC.
-
study group: modified dose of Rec FSH based on AFC with a correction factor based on BMI and basal AMH level.
FSH administration: 20IU per antral follicle (from 2-5mm) corrected as follows:
Correction factor for
AMH:
<1 pMol/L X4 1-6 pMol/L X2 7-18 pMol/L X1 >18 pMol/L X0.5 BMI 16.5-18.5 X0.75 18.5-25 X1 25-30 X1.25 30-35 X1.5 35-40 X2 Primary endpoints: number of mature follicles and eggs collected at egg retrieval; amount of rec FSH used.
Secondary endpoints: fertilization rate; cleavage rate; clinical pregnancy rate; inhibin B and AMH levels during ovarian stimulation.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Other: control group standard care recFSH |
Drug: recFSH
Other Names:
|
Experimental: study group modified dosage of recFSH for controlled ovarian stimulation based on AMH, BMI and AFC |
Drug: recFSH
Other Names:
|
Outcome Measures
Primary Outcome Measures
- number of mature follicles [2 years]
- number of oocytes retrieved [2 years]
- rec FSH dose used [2 years]
Secondary Outcome Measures
- fertilization rate [2 years]
- cleavage rate [2 years]
- clinical pregnancy rate [2 years]
- AMH level during stimulation [2 years]
- Inhibin B level during stimulation [2 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
- female infertile patients eligible for IVF treatment
Exclusion Criteria:
-
polycystic ovaries
-
untreated thyroid pathology
-
hypogonadotropic hypogonadism
-
untreaed hyperprolactinemia
-
study drug hypersensitivity
-
previous OHSS
-
unilateral ovariectomy
-
genital malformation
-
BMI>40
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Cliniques universitaires Saint Luc | Brussels | Belgium | 1200 |
Sponsors and Collaborators
- Cliniques universitaires Saint-Luc- Université Catholique de Louvain
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- AMH1