Benefit of GnRH Agonist Before Frozen Embryo Transfer in Patients With Endometriosis and/or Adenomyosis

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexFemale
Age18-36
SponsorHopital Foch

About this trial

Women suffering from endometriosis and/or adenomyosis may also suffer from infertility. GnRH agonist injection could improve implantation and therefore increase the pregnancy rate in these patients. This study was designed to evaluate effects of the additional of GnRH agonist (single or 2 doses) to the routine oestrogens and progestins use as support before Frozen Embryon Transfer as compared to oestrogens and progestins only.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Women aged 18 to 36 years (women ≥18 years to <36 years) with endometriosis and / or adenomyosis

Having benefited from In vitro fertilisation /intracytoplasmic micro-injection with freeze all and for whom the frozen embryon transfer of a blastocyst is planned

A normal uterine cavity

An MRI showing endometriosis and / or adenomyosis during the inclusion visit

Disqualifiers

Patient aged <18 years and ≥ 36 years

BMI> 35

History of implantation failures (≥ 2)

Endometrial alterations: synechiae, polyps, myomas, hyperplasia, hematometra

Trial design

Design model

Parallel

Treatments tested in this trial

  • GnRH agonist

    Drug

    One or two intramuscular injections of Decapeptyl 3 mg

Treatment groups

180 Participants
are divided into 2 treatment groups
Group A: Frozen embryo transfer with Hormonal Replacement Therapy (HRT)No intervention 0 interventions
Group B: Frozen embryo transfer with HRT and GnRH agonistExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Clinical pregnancy rate in both groups at last visit ultrasound

Clinical pregnancy will be defined by any cardiac activity detected during the ultrasound performed at the last visit.

Time frame
3 months after frozen embryon transfer

Secondary outcomes

1

Successful implantation rate on the number of patients included

The implantation rate will be evaluated by the number of successful implantations out of the total number of attempts.

Time frame
3 months after frozen embryon transfer
2

Rates of miscarriages on the number of patients included

The miscarriage rate will be determined by the number of effective miscarriages over the number of successful implantations.

Time frame
3 months after frozen embryon transfer
3

Side effects related to treatment with Decapeptyl 3 mg

Collection of side effects related to treatment with Decapeptyl 3 mg

Time frame
15 months

Other outcomes

Sponsors and contacts

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