Infertility
Conditions
Keywords
In-Vitro Fertilization, Donor Egg IVF
Brief summary
The aim of this study is to evaluate both pharmaceutical therapy and advanced treatment techniques for infertile patients requiring in-vitro fertilization utilizing donor eggs.
Detailed description
The primary objective of this study is to evaluate the clinical pregnancy rate of micronized progesterone (Endometrin, Ferring Pharmaceuticals) compared to progesterone in oil injections in in-vitro fertilization (IVF) donor egg recipients. The secondary objective is to evaluate the effectiveness of freezing/vitrification of donor eggs. Effectiveness of vitrification will be evaluated by egg thaw/survival, fertilization, and implantation rates.
Interventions
100 mg per vagina TID
50 mg IM injection daily
Sponsors
Study design
Eligibility
Inclusion criteria
Oocyte Donors: * Age 21-34 years of age * BMI 18-34 * Normal ovarian reserve, defined as FSH \<10 and AFC \>10 * Medical evaluation consistent with FDA criteria for donor inclusion Donor Oocyte Recipients * Documented history of infertility requiring donor oocyte for optimal fertility potential * Documentation of a normal uterine cavity by hysteroscopy, hysterosonogram, or HSG within 1 year of study screening * Fresh or Frozen Sperm
Exclusion criteria
Oocyte Donors: * Abnormal ovarian reserve, defined as FSH \<10, AFC\>10, prior poor response to controlled ovarian hyper-stimulation(COHS) * Failure to meet FDA criteria for donor approval (risk factor and medical evaluation) * Previous history of poor response to COHS Donor Oocyte Recipients: * Uncontrolled hypothyroidism, hyperprolactinemia, or systemic disease that may interfere with study treatment * Active thrombophlebitis or thromboembolic disorders, or a history of hormone associated thrombophlebitis or thromboembolic disorders * Surgically aspirated sperm (TESE) * 2 or more clinical pregnancy losses (excluding aneuploidy for previous autologous cycles) * Clinically significant gynecologic pathology or uterine abnormality, such as submucosal fibroids \> 5 cm, communicating hydrosalpinx, uncorrected uterine septum, undiagnosed vaginal bleeding, endometrial atypia, or any other condition that could adversely affect pregnancy outcomes * History of 2 or more failed IVF donor cycles
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical pregnancy rate of micronized vaginal progesterone (Endometrin, Ferring Pharmaceuticals) compared to intramuscular progesterone supplementation for luteal phase support after IVF-ET from previously vitrified donor eggs | 10-12 days post IVF-ET |
Secondary
| Measure | Time frame |
|---|---|
| Evaluation of the effectiveness of vitrification of IVF donor oocytes. Effectiveness will be evaluated by ooctye thaw/survival rates, fertilization and implantation rates assessed from the day of oocyte thawing through IVF cycle outcome. | six to eight weeks |
Countries
United States