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CompletedNCT00947713Updated Jul 15, 2011

Comparison of Micro-dose Human Chorionic Gonadotropin (hCG) With Human Menopausal Gonadotropin (HMG) in Polycystic Ovary Syndrome

A Phase 1/2 interventional study of low dose human chorionic gonadotropin and Clomiphen citrate plus HMG in Endocrine System Diseases and Gonadal Disorders, sponsored by Royan Institute. Completed at 1 site in Iran, Islamic Republic of. Open to female participants aged 18 Years to 30 Years. Per ClinicalTrials.gov, last updated 2011-07-15.

Sponsored by Royan Institute · Phase 1/2, Interventional, and Prevention

Phase
Phase 1/2
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
18 Years to 30 Years
Sex
Female
01

Study summary

The purpose of this study is to compare the effectiveness of low dose human chorionic gonadotropin (HCG) in combination with clomiphen citrate to induce ovulation and its endocrine response in patients who had previously failed to ovulate on clomiphen citrate alone. The investigators will also compare the effectiveness and endocrine response of this approach with the regimen of adding HMG to clomiphen citrate.

Read the detailed description

Infertile women with PCOS, who have showed resistance to Clomiphen Citrate (150 mg- 5 days) in a previous IUI treatment cycle at Royan Institute (Infertility and Reproductive Medicine Research Centre) will enroll in this prospective randomized clinical trial study and will randomly be divided into three groups.

The study protocol will be assessed by an independent institutional review board and Royan ethics committee. All subjects will be given the written informed consent.

Control group (CC/hMG) will receive the 100 mg CC on days 3 to 7 of that cycle but will receive 150 mg human menopausal gonadotropin (HMG) during days of 7, 8, and 9. One of experimental Group (group B) will receive a 100 mg dose of CC but will receive a 200 IU Human chorionic gonadotropin (hCG; Choriomon; IBSA, Switzerland) intramuscular injection daily when the largest follicle is 12 mm or larger mean diameter. Other experimental group (Group C) will receive a 100 mg dose of CC but will receive a 200 IU Human chorionic gonadotropin (hCG; Choriomon; IBSA, Switzerland) intramuscular injection daily From day 9(without attention to follicle size). In both experimental groups HCG administration will be continued until the largest follicle is 18-20 mm.

Ultrasound measurements of follicle number and growth, ovulation, gestational sac, and serum hormonal levels will be recorded and compared between two groups.

02

Conditions studied

  • Endocrine System Diseases
  • Gonadal Disorders

Keywords

  • Human chorionic gonadotropin
  • Clomiphene citrate
  • chronic anovulation
  • Polycystic Ovary Syndrome
  • Follicolugenesis
03

In context

Polycystic Ovary Syndrome

944 studies on the registry are indexed under Polycystic Ovary Syndrome; 175 are open to participants now.

This study's enrollment of 10 is below the median of 70 across 685 interventional studies indexed under Polycystic Ovary Syndrome.

Browse Polycystic Ovary Syndrome studies →

Lead sponsor

Royan Institute is the lead sponsor of 92 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 30 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Women with PCOS diagnosed by the Rotterdam criteria
  • Previously documented dominant follicle or follicles (R12 mm mean diameter) on transvaginal Ultrasound follicular monitoring while receiving CC at the 150-mg dose in our clinic but have failed to ovulate;
  • Primary infertility
  • Documented normal uterine cavity and patent tubes by either hysterosalpingogram or laparoscopy and hysteroscopy;
  • Male partner had to have a normal semen analysis by World Health Organization criteria.

Exclusion criteria

Exclusion Criteria:

  • previous history of IVF or ICSI treatments.
  • History of hormonal treatment within recent three month (Except OCP, progesterone).
  • History of ovarian cutter or Ovarian drilling.
  • BMI higher than 30.
  • The presence of ovarian cyst (more than 30 mm) during third cycle ultrasound.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Low dose hCG group

    Drug: low dose human chorionic gonadotropin

  • Active comparator
    Clomiphen citrate plus HMG

    Drug: Clomiphen citrate plus HMG

Interventions

  • Druglow dose human chorionic gonadotropin

    patients will receive low dose human chorionic gonadotropin (HCG) in combination with clomiphen citrate

    Also known as: human chorionic gonadotropin

  • DrugClomiphen citrate plus HMG

    patients will receive Clomiphen Citrate plus HMG

06

What researchers measure

Primary outcomes

  1. Multiple pregnancy rates, OHSS rate

    Time frame: Within 20 months after recruiting

Secondary outcomes

  1. Pregnancy rate

    Time frame: Within 20 months after recruiting

  2. The total dose of ovarian stimulation drugs

    Time frame: Within 20 months after recruiting

  3. The number of embryos available for transfer

    Time frame: Within 20 months after recruiting

  4. The embryo implantation rate and The live birth rate

    Time frame: Within 20 months after recruiting

07

Study locations

1 site
  • Royan institute, Reproductive Medicine Research Centre, ACECR
    Tehran, Iran, Islamic Republic of
08

References and documents

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 15, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00947713
Lead sponsor
Royan Institute
First posted
Jul 28, 2009
Start date
Aug 2009
Primary completion
Aug 2010
Completion
Dec 2010
Last update
Jul 15, 2011

Study contacts

Mahnaz Ashrafi
principal investigator · Royan institute, Reproductive Medicine Research Centre, ACECR

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2010. You cannot join it, but the record below documents what was studied.

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