The Effect of Human Albumin Infusion on VEGF Levels in Women at Risk for Ovarian Hyperstimulation Syndrome
Study Details
Study Description
Brief Summary
This research study was designed to look at the effect of human albumin transfusion on circulating levels of Vascular Endothelial Derived Growth Factor (VEGF), a protein that is believed to be responsible for the syndrome of ovarian hyperstimulation. Patients have been asked to participate because they are identified as at risk for the Ovarian Hyperstimulation Syndrome (OHSS), a potentially serious complication of in vitro fertilization. It has been established that the onset of OHSS may be preventable by the infusion of albumin at the time of egg retrieval; however, we do not know by what mechanism albumin works. As we know the pathogenesis of OHSS is related to VEGF released from the ovaries, we believe human albumin may serve to "bind up" this VEGF and prevent it from causing its harmful effects. The purpose of this study is to evaluate the effect of albumin infusion on blood and urine VEGF levels in these patients.
Condition or Disease | Intervention/Treatment | Phase |
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|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: 1 Group will receive infusion of human albumin |
Drug: Human Albumin Infusion
Group will receive single infusion of albumin at the time of oocyte retrieval.
|
Placebo Comparator: 2 Group will receive infusion of saline |
Drug: Saline Infusion
Group will receive single infusion of saline at the time of oocyte retrieval.
|
Outcome Measures
Primary Outcome Measures
- Serum VEGF levels [Time surrounding egg retrieval]
Secondary Outcome Measures
- Urine VEGF levels [Time surrounding egg retrieval]
- Pregnancy [Time surrounding egg retrieval]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Infertile patients undergoing in vitro fertilization with or without ICSI
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Estradiol > 3000 pg/mL at the time of hCG administration
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/= 20 follicles seen during ultrasound monitoring
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Patients with polycystic ovarian syndrome
Exclusion Criteria:
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Patients with only one ovary
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Patients with medical contraindication to human albumin (hypersensitivity, hypervolemia, cardiac insufficiency, hypertension, esophageal varices, pulmonary edema, severe anemia, renal failure)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Yale Fertility Center | New Haven | Connecticut | United States | 06510 |
Sponsors and Collaborators
- Yale University
Investigators
- Principal Investigator: Pasquale Patrizio, MD, MBE, HCLD, Yale University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 0707002880