2024-511869-11-00招募中3 期
Efficacy of certolizumab in women with unexplained recurrent implantation failure: a double-blind randomized controlled trial (CERTIFY)
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 入组人数
- 161
- 试验地点
- 6
- 主要终点
- Clinical pregnancy defined as the presence of cardiac activity on ultrasound scan at 5 weeks +/- 6 days of gestation (post-implantation)
研究概览
简要总结
To evaluate the efficacy of certolizumab compared to placebo on clinical pregnancy rate in women with unexplained recurrent implantation failure.
研究设计
- 分配方式
- Randomized
- 主要目的
- Certify
- 盲法
- Double (Subject)
入排标准
- 年龄范围
- 18 years 至 64 years(18-64 Years)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Women aged 18-40 years
- •Idiopathic, male or tubal factor infertility
- •Unexplained recurrent implantation failure defined as consecutive failure to obtain clinical pregnancy after at least transfers of 3 good-quality embryos (Istanbul criteria)
- •Affiliation to a French social security system (beneficiary or legal)
- •Informed and signed consent
排除标准
- •Known cause of RIF among the following:
- •Hypersensitivity to the active substances or to any of the excipients
- •Primary or secondary immunodeficiency (history of or currently active)
- •Active uncontrolled infection
- •Active tuberculosis
- •Cardiac insufficiency (moderate to severe, NYHA III/IV classes)
- •Any malignant neoplasm except adequately treated basal or squamous cell carcinoma of the skin
- •Immunization with a live/ attenuated vaccine within 4 weeks prior to baseline or simultaneously with treatment
- •Cytopenia as defined by platelet count < 100 × 109/L (100,000/mm3), hemoglobin < 85 g/L (8.5 g/dL; 5.3 mmol/L), absolute neutrophil count < 2.0 × 109/L (2000/mm3), lymphocyte count < 0.5 × 109/L (500/mm3)
- •Liver cytolysis (AST / ALT > 5 N)
- •Insufficient kidney function, as defined by a serum creatinine of more than 260 µmol/L or creatinine clearance of 20 ml/min or less
- •Genetic parental anomalies
- •Demyelinating neurological disease
- •Linked to rifampicin and isoniazid (RIFINAH®):
- •Hypersensitivity to the active substances or to any of the excipients
- •Porphyria
- •Decreased blood-clotting from low vitamin K
- •Liver cytolysis (AST / ALT >5 N)
- •Combination with bictegravir, cobicistat, daclatasvir, dasabuvir, delamanid, grazoprevir / elbasvir, protease inhibitors boosted by ritonavir, isavuconazole, ledipasvir, lurasidone, midostaurine, ombitasvir / paritaprévir, praziquantel, rilpivirine, sofosbuvir, velpatasvir, voriconazole, voxilaprevir
- •Acute hepatitis, hepatic failure or chronic hepatic disease
- •Acute nephropathy
- •Linked to anti-pneumoccal vaccination:
- •Non-gestational diabetes mellitus of type I and II
- •Hypersensitivity to the active substances or to any of the excipients
- •Other exclusion criteria:
- •Absence of health insurance (include AME)
- •Subject under guardianship or curatorship
- •Subject deprived of their liberty by a judicial or administrative decision
- •Participation in another interventional study or being in the exclusion period at the end of a previous study.
- •Infectious disease
- •Antiphospholipid syndrome
- •Sickle cell disease
- •Diffuse adenomyosis
- •No contraindication to Freeze-thaw embryo transfer (FET) treatment
- •Linked to certolizumab:
结局指标
主要结局
Clinical pregnancy defined as the presence of cardiac activity on ultrasound scan at 5 weeks +/- 6 days of gestation (post-implantation)
Clinical pregnancy defined as the presence of cardiac activity on ultrasound scan at 5 weeks +/- 6 days of gestation (post-implantation)
次要结局
- Live-birth
- Miscarriage defined as spontaneous abortion or pregnancy stop before 12 weeks of gestation (post-implantation)
- All adverse events distinguishing serious adverse events. We will particularly evaluate:
- - multiple pregnancies
- - ectopic pregnancy
- - fetal abnormalities
- - small for gestational age
- - intrauterine growth restriction
- - preeclampsia
研究者
Pr Nathalie CHABERT-BUFFET
Scientific
Assistance Publique Hopitaux De Paris
研究点 (6)
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