Long Protocol and Growth Hormone in Poor Responders
- Registration Number
- NCT02338206
- Lead Sponsor
- Woman's Health University Hospital, Egypt
- Brief Summary
The long down regulation protocol is widely used in the in vitro fertilization cycles, now it will be assessed regarding its efficacy, in poor responder females undergoing in vitro fertilization cycles, alone and after the addition of growth hormone.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 240
Inclusion Criteria
- Poor responder females are those who posses two out of these three criteria:
- Female age ≥40 years
- Females who have at least one previous cancelled IVF cycle
- POR according to AFC ≤ 5 or low AMH value.
Exclusion Criteria
- Females over 45 years
- Females with FSH more than 20 IU/l
- Females with previous ovarian surgery
- Females suffering from causes of infertility other than poor ovarian response
- Females refusing to be enrolled in the study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Long + Growth hormone Growth hormone Patients in this group were given a long protocol of pituitary down-regulation with triptorelin (Decapeptyl; Ferring, Switzerland) starting on the day 21 of preceding cycle at a dose of 0.1 mg/day, subcutaneously along with Growth hormone (Norditropin, Novo nordisk) co-treatment daily in a dose of 2.5 mg S.C. till the day of hCG administration.. On the second day of menstruation, Human menopausal gonadotrophin HMG (75 IU, Merional, IBSA) was started, and this was associated with reduction of triptorelin dose to 0.05 mg/day. This reduced daily dose, in addition to HMG and growth hormone, were continued till the day of hCG administration.
- Primary Outcome Measures
Name Time Method Live birth rate 12 months Fresh, Frozen, Cumulative
- Secondary Outcome Measures
Name Time Method
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie growth hormone's adjuvant effect in poor responder IVF cycles?
How does GH adjuvant therapy compare to standard long down regulation protocols in IVF outcomes for poor responders?
Which biomarkers are associated with response prediction to GH in long protocol IVF for infertility?
What are the potential adverse events of GH use in combination with GnRH agonists during IVF cycles?
Are there alternative adjuvant therapies to growth hormone for poor responders in controlled ovarian stimulation?
Trial Locations
- Locations (1)
Kasr el aini hospital
🇪🇬Cairo, Egypt
Kasr el aini hospital🇪🇬Cairo, Egypt