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Growth Hormone Adding to Controlled Ovarian Hyperstimulation for Improving Embryo Quality

Not Applicable
Conditions
Infertility,Female
Interventions
Registration Number
NCT03966339
Lead Sponsor
Reproductive & Genetic Hospital of CITIC-Xiangya
Brief Summary

GH plays an important role in the synthesis of ovarian steroid hormone and follicular development as a paracrine hormone.GH can regulate the growth hormone receptor and strengthen the function of mitochondria to improve the quality of the female oocyte.In this study, a prospective randomized control was used to explore the effect of GH adjuvant therapy on embryo quality.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
128
Inclusion Criteria
  • 1)infertility women whose age ≥20 and ≤39 years old; 2)women has done IVF/ICSI assisted treatment ≥1 times; 3)number of IVF/ICSI assisted treatment cylces with ≥6 oocytes retrieved ≥1; 4)number of IVF/ICSI assisted treatment cylces with ≥50% fertilization rate ≥1 ; 5)historical assisted reproduction cycles without ≥6C-Ⅱ level embryos at the third day after oocytes retrieval or without blastocyst formation after blastocyst culturing.
Exclusion Criteria
    1. Diseases related to IVF treatment outcome, such as untreated hydrosalpinx, uterine fibroids affecting uterine cavity, myometriosis, endometrial lesions, obvious uterine abnormalities,etc; 2)Severe acute or chronic liver or kidney diseases, such as cirrhosis, acute or chronic renal failure, hepatitis B virus activity period,etc.;in patients with abnormal liver and kidney function, the AST or ALT detection value was 2.5 times higher than the upper limit of normal, and the serum creatinine was 2 times higher than the upper limit of normal.

3)Endocrine and metabolic diseases and adrenal diseases, such as diabetes, Cushing's syndrome,etc.; 4)People has allergy history of growth hormone product; 5)Participating in other clinical research; 6)Other conditions that researchers determined not fit to be enrolled.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
GH groupGrowth hormoneGrowth Hormone adding to controlled ovarian hyperstimulation
Primary Outcome Measures
NameTimeMethod
proportion of high-quality embryos at D3the third day after oocyte retrieval

proportion of embryos grading 6C-II and above 6C-II at the third day after oocyte retrieval

number of high-quality embryos at D3the third day after oocyte retrieval

number of embryos grading 6C-II and above 6C-II at the third day after oocyte retrieval

Secondary Outcome Measures
NameTimeMethod
number of high-quality oocytesfour months

number of oocytes with diameter ≥18mm at triggering day

total days of Gn usedtwo months

total days of Gn used

E2 levels at triggering dayfour months

E2 levels at triggering day

clinical pregnancy rate28 days after embryo transplanted

proportion of patients with presence of a gestational sac with fetal heartbeat by transvaginal ultrasound at 28 days after ET in transplanted patients

total amount of Gn usedfour months

total amount of Gn used

implantation rate28 days after embryo transplanted

proportion of implanted embryos in transplanted embryos

IGF-I level at the first day of injecting Gn and before injecting Gnat the first day of injecting Gn and before injecting Gn

IGF-I level at the first day of injecting Gn and before injecting Gn

IGF-I level at triggering dayfour months

IGF-I level at triggering day

number of blastocysts at the fifth,sixth or seventh day after oocyte retrievalat the fifth,sixth or seventh day after oocyte retrieval

number of blastocysts formation after culturing at the fifth,sixth or seventh day after oocyte retrieval

IGF-I level at the first day of injecting GH and befor injecting GH(GH group)at the first day of injecting GH and befor injecting GH(GH group)

IGF-I level at the first day of injecting GH and befor injecting GH(GH group)

Trial Locations

Locations (1)

Reproductive & Genetic Hospital of CITIC-XIANGYA

🇨🇳

Changsha, Hunan, China

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