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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02491437
Registration number
NCT02491437
Ethics application status
Date submitted
16/06/2015
Date registered
8/07/2015
Date last updated
1/10/2019
Titles & IDs
Public title
A Study Comparing the Efficacy, Safety and Tolerability of Oral Dydrogesterone 30 mg Daily Versus Crinone 8% Intravaginal Progesterone Gel 90 mg Daily for Luteal Support in In-Vitro Fertilization (LOTUS II)
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Scientific title
A Randomized, Open-label, Two-arm, Multicenter Study Comparing the Efficacy, Safety and Tolerability of Oral Dydrogesterone 30 mg Daily Versus Crinone 8% Intravaginal Progesterone Gel 90 mg Daily for Luteal Support in In-Vitro Fertilization (LOTUS II)
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Secondary ID [1]
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2012-002993-29
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Secondary ID [2]
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M13-625
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Universal Trial Number (UTN)
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Trial acronym
LOTUS II
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Female Infertility
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Condition category
Condition code
Reproductive Health and Childbirth
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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
Treatment: Drugs - Dydrogesterone 30 mg
Experimental: Dydrogesterone tablets 3x10 mg - Dydrogesterone tablets 3x10 mg
Experimental: Crinone 8% intravaginal progesterone gel 90 mg - Crinone 8% intravaginal progesterone gel 90 mg
Treatment: Drugs: Dydrogesterone 30 mg
Oral Dydrogesterone 10 mg tablets tid
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Percentage of Participants With Presence of Fetal Heart Beats at 12 Week's Gestation Determined by Transvaginal Ultrasound
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Assessment method [1]
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Pregnancy rate defined as the presence of fetal heart beats at 12 weeks' gestation determined by transvaginal ultrasound.
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Timepoint [1]
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12 weeks´ gestation
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Secondary outcome [1]
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Positive Pregnancy Test Rate (Percentage of Participants With a Positive Biochemical Pregnancy Test on Day 14 After Embryo Transfer)
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Assessment method [1]
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Positive biochemical pregnancy test on Day 14 after embryo transfer
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Timepoint [1]
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Day 14 after embryo transfer
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Secondary outcome [2]
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Rate of Successful Completion of Pregnancy (Percentage of Participants With a Live Birth)
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Assessment method [2]
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Live birth rate (percentage of participants with a live birth)
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Timepoint [2]
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After delivery (about 9 months after IVF)
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Secondary outcome [3]
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Physical Examination Newborn (Number of Delivered Newborns That Are Male or Female)
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Assessment method [3]
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The gender (number of delivered newborns that are male or female)
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Timepoint [3]
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After delivery (about 9 months after IVF)
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Eligibility
Key inclusion criteria
* Signed informed consent;
* Premenopausal females, age > 18 years < 42 years
* Non-smokers. For females who were past smokers, they must have stopped tobacco usage for at least 3 months prior screening visit
* Early follicular phase (Day 2-4) Follicle stimulating hormone (FSH) less than or equal to 15 IU/L and estradiol (E2)within normal limits at screening
* luteinizing hormone (LH), prolactin (PRL), T (testosterone) and thyroid-stimulating hormone (TSH), within the normal limits for the clinical laboratory, or considered not clinically significant by the Investigator within 6 months prior or at screening
* Documented history of infertility (e.g., unable to conceive for at least one year or for 6 months for women = 38 years of age or bilateral tubal occlusion or absence)
* Normal transvaginal ultrasound at screening (or within 14 days prior of screening) without evidence of clinically significant abnormality consistent with finding adequate for Assisted Reproductive Technology (ART) with respect to uterus and adnexa (no hydrosalpinx or clinically relevant uterine fibroids)
* Subject is not pregnant , confirmed by negative pregnancy or by Investigator Judgement
* Clinically indicated protocol for induction of IVF with a fresh embryo
* Single or dual embryo transfer
* BMI = 18 and = 30 kg/m2
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Minimum age
19
Years
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Maximum age
41
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Evidence of cardiovascular, respiratory, urogenital, gastrointestinal/hepatic, hematologic/immunologic, HEENT (head, ears, eyes, nose, throat), dermatologic/connective tissue, musculoskeletal, metabolic/nutritional, endocrine, neurologic/psychiatric, allergy, recent major surgery (< 3 months), or other relevant diseases as revealed by history, physical examination and/or laboratory assessments which could limit participation in or completion of the study;
* Acute urogenital disease
* Known allergic reactions to progesterone products
* Known allergic reactions to peanuts and peanut oil
* Intake of àny experimental drug or any participation in any other clinical trial within 30 days prior to study start
* Mental disability or any other lack of fitness, in the Investigator's opinion, to preclude subjects to participate in or to complete the study
* Current or recent substance abuse, including alcohol and tobacco (Note: Patients who stopped tobacco usage at least 3 months prior to screening visit would be allowed)
* History of chemotherapy or radiotherapy
* Patients with more than 3 unsuccessful IVF attempts
* Contraindication for pregnancy
* Refusal or inability to comply with the requirements of the study protocol for any reason, including scheduled clinic visits and laboratory tests
* History of recurrent pregnancy loss defined as 3 or more spontaneous miscarriages Acute urogenital disease
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/05/2017
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Sample size
Target
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Accrual to date
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Final
1034
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Melbourne IVF - East Melbourne
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Recruitment hospital [2]
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IVF Australia - St George Private HospitalIVF Australia - St George Private Hospital - Kogarah
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Recruitment postcode(s) [1]
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3002 - East Melbourne
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Recruitment postcode(s) [2]
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2217 - Kogarah
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Recruitment outside Australia
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Belgium
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Brussels
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Belgium
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Gent
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Belgium
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Jette
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China
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Beijing
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China
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Changsha
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China
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Chengdu
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China
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Guangzhou
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China
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Hefei
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China
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Nanjing
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China
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Wuhan
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China
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Zhengzhou
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Germany
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Berlin
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Germany
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Bielefeld
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Germany
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Dortmund
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Germany
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Lübeck
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Hong Kong
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Hong Kong
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India
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Aurangabad
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India
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Bangalore
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India
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Delhi
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India
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Kolkata
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India
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Lucknow
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India
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Pune
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Russian Federation
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Ekaterinburg
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Russian Federation
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Moscow
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Russian Federation
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Saint-Petersburg
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Singapore
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Singapore
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Thailand
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Bangkok
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Thailand
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Chiang Mai
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Ukraine
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Chernivtsi
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Ukraine
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Kiev
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Abbott
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Address
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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PRA Health Sciences
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Commercial sector/industry
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Datamap
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this randomized, two-arm and open label study is to demonstrate that the treatment of a daily dose of 3x10mg dydrogesterone orally is as effective and safe as the daily dose Crinone 8% intravaginal progesterone gel 90 mg for the luteal support in women who are unable to conceive a child and are undergoing IVF. The treatment will start on the day of oocyte retrieval and continue until pregnancy is negative or until week 12 gestation. Patients will be followed during treatment until 30 days after delivery to record any safety and tolerability data of the patient and their newborn (s).
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Trial website
https://clinicaltrials.gov/study/NCT02491437
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Trial related presentations / publications
Griesinger G, Blockeel C, Sukhikh GT, Patki A, Dhorepatil B, Yang DZ, Chen ZJ, Kahler E, Pexman-Fieth C, Tournaye H. Oral dydrogesterone versus intravaginal micronized progesterone gel for luteal phase support in IVF: a randomized clinical trial. Hum Reprod. 2018 Dec 1;33(12):2212-2221. doi: 10.1093/humrep/dey306.
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Public notes
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Contacts
Principal investigator
Name
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Shreyansh Shah, MD
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Address
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Abbott
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/37/NCT02491437/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/37/NCT02491437/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT02491437
Download to PDF