infertility within female asthma patients as a result of systemic inflamation.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: * 18-40 years old • Informed consent • Diagnosis of asthma with or without allergy • Infertility due to male factor infertility, tubal factor infertility or unexplained infertility. • Referred to IVF treatment with or without ICSI • Willingness to receive treatment with biologic drugs during menstruation period • Controlled disease with an ACQ = 1.5 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 180 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • Other respiratory diseases than asthma • Other inflammatory disease or a disease that affects fertility. • Allergy to the investigational drugs • Respiratory infections requiring antibiotics or anti-viral treatment within 30 days • TESA / TESE, Endometriosis • Infertility due to other reasons than male factor, tubal factor or unexplained infertility
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To compare, pregnancy rates in asthma patients undergoing IVF/ICSI treatment when treated with either omalizumab or placebo in up to three consecutive fertility treatments with embryo transfer. The primary endpoint is pregnancy confirmed by ultra sound in week 7.;Secondary Objective: A) Change in Sputum and blood Eosinophilic cell count (before treatment and after treatment). B) Change in VEGF, CRP, IL6, IL8, IgE, TNFa, ECP in blood, sputum and uterus secretion (before treatment, and after treatment). C) Changes in the microbiota in sputum (before treatment and after treatment). D) Change in airway inflammation, the inflammatory markers in the blood, the inflammation in the uterus and the sex hormones before and after treatment. E) Rate of pregnancy loss: Difference between positive s-hCG and ongoing pregnancy week 7, week 12, and birth – number of malformation , preterm, preeclampsia, perinatal death, SGA, birth weight in both groups. F) Primary outcome in relation to length of infertility prior to referral and TTP ;Primary end point(s): The pregnancy rate, measured as birt or loss of pregnancy after three consecutive IVF cycles ;Timepoint(s) of evaluation of this end point: 31 december 2024 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1st day of menstruation, 6th day of menstruation, at time of ovulation (both treatments). A) Change in Sputum and blood Eosinophilic cell count (before treatment and after treatment) B) Change in VEGF, CRP, IL6, IL8, IgE, TNFa, ECP in blood, sputum and uterus secretion (before treatment, and after treatment). No collections will be done during the menstruation period. C) Changes in the microbiota in sputum (before treatment and after treatment). No collections will be done during menstruation period. D) Change in airway inflammation, the inflammatory markers in the blood, the inflammation in the uterus secretion and the sex hormones before and after treatment. E) Rate of miscarriages: ongoing s-hCG week 7, ongoing s-hCG week 12, and birth. – number of malformation , preterm, preeclampsia, perinatal death, SGA, birth weight in both groups. F) Total time from first attempt at conceiving to first treatment day, adjusted TTP. End points sub-study: A) Number of malformations and/or other conditions of the children born in the study B) Descriptive information about sex, weight, height C) Information from (if any) lab samples etc. ;Timepoint(s) of evaluation of this end point: 31 december 2029 | — |
Countries
Denmark
Contacts
Hvidovre Hospital. Dep of Respiratory Medicin