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CompletedNCT03289403Updated Dec 27, 2024

The Role of Immunomodulatory Treatment in Success of ICSI in Patients With Autoimmune Thyroiditis

A Phase 2 interventional study of Immunomodulatory and Thyroxine in Infertility and Autoimmune Thyroiditis, sponsored by Aljazeera Hospital. Completed at 1 site in Egypt. Open to female participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2024-12-27.

Sponsored by Aljazeera Hospital · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
194
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
Female
01

Study summary

The aim of the work is to determine whether the use of immunomodulatory drugs could improve the reproductive of outcome of infertile patients who have autoimmune thyroiditis with positive autoimmune antibodies undergoing IVF-ET.

02

Conditions studied

  • Infertility
  • Autoimmune Thyroiditis
03

In context

Infertility

2,085 studies on the registry are indexed under Infertility; 357 are open to participants now.

This study's enrollment of 194 is above the median of 135 across 1,412 interventional studies indexed under Infertility.

Browse Infertility studies →

Lead sponsor

Aljazeera Hospital is the lead sponsor of 64 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Infertility patients who have thyroiditis With positive autoimmune thyroiditis and TSH level above 2 IU.

Exclusion criteria

Exclusion Criteria:

  • All patients who have other diseases especially antiphospholipid syndrome, viral disease.

Patients who have any medical disorders ( eg. D.M. HTN .Epilepsy ....)

Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
194 participants (actual)

Study arms

  • Experimental
    Study group

    Patients will receive thyroxine , low dose aspirin , low dose selenium, Calcium and vitamin D and immunomodulatory drugs(prednisolone, hydroxychloroquine, azathioprin, IV immunoglobulins)

    Drug: Immunomodulatory

  • Active comparator
    Control group

    Patients will receive thyroxine , low dose aspirin , low dose selenium, Calcium and vitamin D.

    Drug: Thyroxine

Interventions

  • DrugImmunomodulatory

    Patients will receive thyroxine , low dose aspirin , low dose selenium, Calcium and vitamin D before ICSI cycle. Moreover, patients will receive a treatment course of immunomodulatory drugs for 3 -6 months before ICSI cycle: 1. Prednisnlone 40mg for 2 weeks to be lowered gradually till become 5mg after 6 weeks and to be continued 2. Hydroxychloroquine according to body weight, patients who develop hypersensitivity will be shifted to Azathioprin. 3. Immunoglobulins will be used in cases not responding to treatment.

  • Patients will receive thyroxine , low dose aspirin , low dose selenium, Calcium and vitamin D before ICSI cycle. Patients will not receive immunomodulatory drugs

06

What researchers measure

Primary outcomes

  1. The Number of Participants Who Achieved clinical Pregnancy

    Time frame: 6 weeks after embryo transfer

Secondary outcomes

  1. The Number of Participants Who Achieved Ongoing Pregnancy

    Time frame: 18 weeks after embryo transfer

07

Study locations

1 site
  • Aljazeera (Al Gazeera) hospital
    Giza, Egypt
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 Dec 27, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03289403
Lead sponsor
Aljazeera Hospital
Responsible party
Sponsor
First posted
Sep 21, 2017
Start date
Mar 7, 2018
Primary completion
Sep 15, 2023
Completion
Jan 20, 2024
Last update
Dec 27, 2024

Study contacts

Ahmed M Sayed, Prof.
study chair · Aljazeera (Al Gazeera) hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2024. You cannot join it, but the record below documents what was studied.

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