CClinicalTrials.gg
Status unknownNCT03188471Updated Jun 15, 2017

Preventive Application of GnRH Antagonist on Early OHSS

A Phase 4 interventional study of GnRH antagonist and aspirin in Ovarian Hyperstimulation Syndrome, GnRH Antagonist and Aspirin, sponsored by First Affiliated Hospital, Sun Yat-Sen University. Status unknown at 1 site in China. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2017-06-15.

Sponsored by First Affiliated Hospital, Sun Yat-Sen University · Phase 4, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Jun 2017), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
175
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

Ovarian hyperstimulation syndrome is an iatrogenic complication of controlled ovarian stimulation. Ovarian hyperstimulation syndrome prevention is a multistage process and more important than treatment.Preventive administration of GnRH antagonist for high risk OHSS patients from the day of oocyte retrieval is not investigated. Besides, the relevant mechanism is not clear yet. Here we designed a prospective randomized study to investigate whether GnRH anatagonist treatment after oocyte retrieval is more effective in preventing early ovarian hyperstimulation syndrome development than traditional aspirin preventive administration in women at high risk for OHSS.

Read the detailed description

Ovarian hyperstimulation syndrome is an iatrogenic complication of controlled ovarian stimulation. Early ovarian hyperstimulation syndrome (OHSS) occurs during luteal phase of controlled ovarian stimulation within 9 days after human chorionic gonadotropin trigger and reflects an acute consequence of this hormone on the ovaries.Ovarian hyperstimulation syndrome prevention is a multistage process and more important than treatment.Recently the administration of GnRH antagonists during the luteal phase of in vitro fertilization cycles offers another therapeutic modality for patients with severe early OHSS.However, preventive administration of GnRH antagonist for high risk OHSS patients from the day of oocyte retrieval is not investigated. Besides, the relevant mechanism is not clear yet. Here we designed a prospective randomized study to investigate whether GnRH anatagonist treatment after oocyte retrieval is more effective in preventing early ovarian hyperstimulation syndrome development than traditional aspirin preventive administration in women at high risk for OHSS.

02

Conditions studied

  • Ovarian Hyperstimulation Syndrome
  • GnRH Antagonist
  • Aspirin
  • Vascular Endothelial Growth Factor
  • Pigment Epithelium Derived Factor
03

In context

Ovarian Hyperstimulation Syndrome

64 studies on the registry are indexed under Ovarian Hyperstimulation Syndrome; 3 are open to participants now.

This study's planned enrollment of 175 is above the median of 100 across 48 interventional studies indexed under Ovarian Hyperstimulation Syndrome.

Browse Ovarian Hyperstimulation Syndrome studies →

Lead sponsor

First Affiliated Hospital, Sun Yat-Sen University is the lead sponsor of 155 studies on the registry; 51 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • number of oocyte retrieval more than 25;
  • estradiol level higher than 5000pg/mL on the day of human chorionic gonadotropin administration;
  • clinical or ultrasonography proven ovarian hyperstimulation syndrome on the day of oocyte retrieval.

Exclusion criteria

Exclusion Criteria:

  • contraindications to GnRH antagonist;
  • coasting or other preventive measures for managing ovarian hyperstimulation syndrome had been applied;
  • GnRH agonist for trigger.
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
175 participants (estimated)

Study arms

  • Experimental
    GnRH antagonist

    Vitamin C (1 tablet daily) as placebo of aspirin GnRH antagonist 0.25mg daily from the day of oocyte retrieval for seven days

    Drug: GnRH antagonist

  • Active comparator
    aspirin

    aspirin (100 mg daily, plus saline as placebo of GnRH antagonist ) for seven days.

    Drug: aspirin

Interventions

  • DrugGnRH antagonist

    GnRH antagonist 0.25mg daily from the day of oocyte retrieval for seven days for high risk of ovarian hyper stimulation syndrome patients

    Also known as: Vitamin C platelet

  • Drugaspirin

    aspirin (100 mg daily, plus saline as placebo of GnRH antagonist ) for seven days

    Also known as: saline as placebo of GnRH antagonist

06

What researchers measure

Primary outcomes

  1. Incidence and severity of early ovarian hyperstimulation syndrome

    Incidence and severity of early ovarian hyperstimulation syndrome according to its classification

    Time frame: up to 1 month

Secondary outcomes

  1. vascular endothelial growth factor level

    VEGF level

    Time frame: up to 1 month

  2. pigment epithelium derived factor level

    PEDF level

    Time frame: up to 1 month

  3. incidence of hydrothorax

    one criterion for evaluation of OHSS severity

    Time frame: up to 1 month

  4. incidence of liver dysfunction

    one criterion for evaluation of OHSS severity

    Time frame: up to 1 month

  5. incidence of renal dysfunction

    one criterion for evaluation of OHSS severity

    Time frame: up to 1 month

  6. incidence of electrolytic imbalance

    one criterion for evaluation of OHSS severity

    Time frame: up to 1 month

  7. incidence of hemoconcentration

    one criterion for evaluation of OHSS severity

    Time frame: up to 1 month

  8. incidence of elevated WBC

    one criterion for evaluation of OHSS severity

    Time frame: up to 1 month

07

Study locations

1 of 1 sites recruiting
  • The First Affiliated Hospital of Sun Yatsen University
    Guangzhou, Guangdong 510080, China
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 15, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03188471
Lead sponsor
First Affiliated Hospital, Sun Yat-Sen University
Responsible party
Zhou Canquan (Chief of the Center for Reproductive Medicine and Department of Gynecology & Obstetrics, First Affiliated Hospital, Sun Yat-Sen University) — Principal investigator
First posted
Jun 15, 2017
Start date
Jan 2017
Primary completion
Dec 2017 (estimated)
Completion
Mar 2018 (estimated)
Last update
Jun 15, 2017

Study contacts

Canquan Zhou
Contact
zhoucanquan@hotmail.com
+86 20 87755766 ext. 8362
Qingyun Mai
principal investigator · Center for Reproductive Medicine and Department of Gynecology & Obstetrics, First Affiliated Hospital, Sun Yat-sen University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jun 2017. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion