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Trial registered on ANZCTR
Registration number
ACTRN12611000907943
Ethics application status
Approved
Date submitted
14/06/2011
Date registered
24/08/2011
Date last updated
6/06/2019
Date data sharing statement initially provided
6/06/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Administration of granulocyte colony-stimulating factor (G-CSF) to an unresponsive endometrium in an IVF cycle
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Scientific title
The effect of granulocyte colony-stimulating factor (G-CSF) on endometrial thickness in patients who fail to develop an adequate endometrial thickness as part of an IVF cycle
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Secondary ID [1]
262374
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Nil Known
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Universal Trial Number (UTN)
U1111-1122-1627
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
unresponsive endometrium
268080
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Condition category
Condition code
Reproductive Health and Childbirth
268227
268227
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0
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Fertility including in vitro fertilisation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Granulocyte colony-stimulating factor (G-CSF).
300micrograms in 1 ml saline administered through the cervix, into the uterine cavity as a single dose via an embryo transfer catheter 5 days prior to blastocyst replacement.
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Intervention code [1]
266767
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Treatment: Drugs
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Comparator / control treatment
The patient will act as their own internal control, as to be included their endometrium has not thickened despite optimal therapy and have not developed an endometrium of greater than 7.0mm in thickness.
They must have embarked on a natural cycle, hormone replacement stimulated cycle and a gonadotrophin hormone stimulated cycle (in any order) and have not developed an endometrial thickness of 7mm by any approach within the preceding year.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
268963
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improvement in endometrial thickness as assessed by transvaginal ultrasonography.
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Assessment method [1]
268963
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Timepoint [1]
268963
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5 days
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Primary outcome [2]
268964
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livebirth rate
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Assessment method [2]
268964
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Timepoint [2]
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9 months
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Secondary outcome [1]
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Adverse events; such as pelvic pain, vaginal bleeeding and allergic reactions as reported by the patient and healthcare professionals.
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Assessment method [1]
276703
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Timepoint [1]
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Within 24 hours of intervention
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Secondary outcome [2]
276704
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miscarriage
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Assessment method [2]
276704
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Timepoint [2]
276704
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20 weeks of pregnancy
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Eligibility
Key inclusion criteria
thin endometrium unresposive to oral and topical oestrogen therapy prior to embryo replacement
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Minimum age
No limit
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
women with a responsive endometrium as part of their IVF cycle
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All patients who have an unresponsive endometrium will be offered the intervention. As they will be unrepsonsive to treatment- they will be therefore act as their own historical control; pre and post intervention.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
non-randomised
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/10/2011
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Actual
30/07/2012
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Date of last participant enrolment
Anticipated
1/06/2020
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
12
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
267332
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Self funded/Unfunded
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Name [1]
267332
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Address [1]
267332
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Country [1]
267332
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Primary sponsor type
Commercial sector/Industry
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Name
Fertility Specialists of Western Australia
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Address
Bethesda Hospital
25 Queenslea Drive
Claremont
WA
6010
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Country
Australia
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Secondary sponsor category [1]
266397
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None
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Name [1]
266397
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Address [1]
266397
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Country [1]
266397
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
269240
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University of Western Australia
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Ethics committee address [1]
269240
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The University of Western Australia (M459) Crawley, Perth Western Australia 6009
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Ethics committee country [1]
269240
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Australia
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Date submitted for ethics approval [1]
269240
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15/09/2011
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Approval date [1]
269240
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01/07/2011
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Ethics approval number [1]
269240
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RA/4/1/5082
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Summary
Brief summary
There is some preliminary evidence that the endometrial administration of granulocyte colony-stimulating factor (G-CSF) several days prior to embryo replacement leads to a substantial and rapid improvement in endometrial thickness . The rationale for its use is that it is has successfully been used in the treatement of recurrent miscarriages. Granulocyte colony-stimulating factor (G-CSF) is a cytokine which stimulates neutrophilic granulocyte proliferation and differentiation. It is expressed and produced by the decidual cells, and its receptor, c-fms, is expressed by the trophoblastic cells. In addition, in an animal model, G-CSF showed a marked anti-abortion activity. G-CSF is safely used in the treatment of neutropenia during cancer chemotherapy, and no embryotoxic effects of this substance have been reported and its safety profile is reassuring. Since experimental findings showed a positive effect on the trophoblast and particularly thickening of the endometrium in previously very resistant patients we would like to prospectively observe the influence of G-CSF on endometrial development in patients with poor endometrial development. It has a very short half life and is administered to the endometrial cavity 5 days prior to embryo replacment so it is not present in the endometrial cavity when the embryo is placed in the uterus.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
32745
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Prof Roger Hart
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Address
32745
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Fertility Specialists of Western Australia
Bethesda Hospital
25 Queenslea Drive
Claremont WA6010
Western Australia
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Country
32745
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Australia
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Phone
32745
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+61 8 93406419
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Fax
32745
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Email
32745
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[email protected]
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Contact person for public queries
Name
15992
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Professor Roger HART
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Address
15992
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Medical Director Fertility Specialists of Western Australia
Bethesda Hospital
25 Queenslea Drive
Claremont
WA6010
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Country
15992
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Australia
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Phone
15992
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+61 8 93406419
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Fax
15992
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+61 8 93813031
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Email
15992
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[email protected]
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Contact person for scientific queries
Name
6920
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Professor Roger HART
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Address
6920
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Medical Director Fertility Specialists of Western Australia
Bethesda Hospital
25 Queenslea Drive
Claremont
WA6010
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Country
6920
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Australia
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Phone
6920
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+61 8 93406419
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Fax
6920
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+61 8 93813031
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Email
6920
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
patient confidentiality- patients signed up to the study before this criteria was required.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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