Infertility
Conditions
Keywords
anovulatory/oligoovulatory infertility
Brief summary
The primary objective of this study is to determine the safety and efficacy of pulsatile GnRH delivered from a iontophoretic patch (Lutrepatch) for induction of ovulation in women with anovulatory/ oligoovulatory infertility, compared to placebo and to a reference treatment with clomiphene citrate.
Interventions
10 mg GnRH iontopheretic transdermal patch. A new patch is applied two times each day (every 12 hours). Delivery current and membrane thickness adjusted to deliver the 'high target' study dose, which is estimated to be 800 picograms/ml
Oral, 50 mg daily for 5 days
oral, taken for 5 days
Placebo transdermal patch with a high target delivery of placebo(every 90 minutes). New patch to be applied every 12 hours.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Females between the ages of 18 and 38 years 2. Desire to become pregnant 3. Infertile due to ovulatory dysfunction as described below: * Unable to conceive for at least 1 year and * Anovulatory (defined as 4 or fewer menstrual cycles per year) or Oligo-ovulatory (defined as menstrual cycle frequency \> 45 days)
Exclusion criteria
1. Requires donor oocytes or sperm 2. Two or more failed (defined as no biochemical pregnancy achieved) gonadotropin fertility treatment cycles - if previous gonadotropin success, no more than two failed subsequent cycles 3. Use of insulin-sensitizing drugs (e.g., Metformin) within 1 month prior to progesterone challenge
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ovulation rate | 30 days |
Secondary
| Measure | Time frame |
|---|---|
| Pregnancy rate | 30 days |
| Incidence of Ovarian Hyperstimulation Syndrome (OHSS) | 30 days |
| Incidence of skin irritation | 30 days |
Countries
United States