Infertility
Conditions
Keywords
Letrozole, Clomiphene citrate, Anovulatory infertility, Ovulation induction
Brief summary
OBJECTIVE: To compare the effectiveness of letrozole and clomiphene citrate (CC) in patients with anovulatory infertility. DESIGN: Open, prospective, randomized, parallel group, multicentric, comparative trial. SETTING: Out patient clinics of infertility centers in India. PATIENT(S): Fifty-five patients with anovulatory infertility were recruited. Twenty-seven patients (59 cycles) were given letrozole and twenty-eight patients (68 cycles) were given CC. Both drugs were given orally on days 3-7 of menstrual cycle. INTERVENTION(S): Letrozole, CC, ovulation induction, vaginal micronized progesterone, IUI.
Detailed description
MAIN OUTCOME MEASURE(S): Occurrence of ovulation, endometrial thickness and pregnancy rates.
Interventions
Tablet Letrozole 2.5 mg once a day for 5 days for 3 cycles
Clomiphene citrate 100 mg or 150 mg once a day for 5 days in 3 cycles
Sponsors
Study design
Eligibility
Inclusion criteria
* Females with anovulatory infertility 20-38 years of age. * Diagnosis of anovulatory infertility as established by standard criteria. * Normal Pelvic USG and bilateral tubal patency * Willingness and giving written Informed Consent.
Exclusion criteria
* Uterine and adnexal pathology e.g. leiomyomata * Ovarian cyst * Hyperprolactinaemia * Hyperthyroidism or Hypothyroidism\* * FSH \>9mIU/ml (during early follicular phase).\* (As per Chemoluminescence method) * Previous surgery related to genital tract as per history * Appendicitis, peritonitis, genital tuberculosis as per history and/or having an abnormal pelvic anatomy * Impaired hepatic /renal function * Diabetes mellitus/Random blood sugar- \> 140mg/dl * Drugs likely to interfere with ovulation * Alcohol intake as per history * History of hypersensitivity to the study drug or to its excipients * Planned travel outside the study area for a substantial portion (\>5 days) of the study period by potential participants * Lack of willingness to give informed written consent * Participation in any clinical study within the preceding 1 month
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ovulation rate (ovulatory cycles/ all treatment cycles) by Ultrasonography (USG). | 3 cycles |
Secondary
| Measure | Time frame |
|---|---|
| Pregnancy Rate (Detection of pregnancy by beta-hCG and Ultrasonography) b. Endometrial thickness by Ultrasonography. | 3 cycles |
| Safety | 3 cycles |
Countries
India