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Active, not recruitingNCT03421639Updated Mar 6, 2024

Aromatase Plus GnRH Analogue Versus GnRH Analog Alone in Adenomyosis

A Phase 4 interventional study of GnRH analog (11.25mg Leuprolide acetate) and Aromatase inhibitor and GnRH analog in Uterine Adenomyosis, Recurrent Implantation Failure and Menstrual Pain, sponsored by Centre for Endocrinology and Reproductive Medicine, Italy. Active, not recruiting at 3 sites in 3 countries. Open to female participants aged 30 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-03-06.

Sponsored by Centre for Endocrinology and Reproductive Medicine, Italy · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2024, 2 years 1 month ago, but the record still lists the study as active, not recruiting.
Phase
Phase 4
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
30 Years to 45 Years
Sex
Female
01

Study summary

With this study the investigators want to test which is the best medical treatment for symptomatic adenomyosis affecting women undergoing IVF and with previous implantation failure, between Aromatase inhibitor plus GnRH analog versus GnRH alone, in term pregnancy rate and uterine volume reduction.

Read the detailed description

Recently it has been shown that adenomyosis negatively affects the pregnancy rate in IVF cycles. The investigators used in the past for the treatment of other benign gynecological diseases such as endometriosis and uterine myomas a combined therapy with Aromatase inhibitor plus GnRH analog. With this study the investigators want evaluate which is the best way to treat adenomyosis in order to obtain a higher pregnancy rate in women with symptomatic adenomyosis undergoing IVF who failed a previous IVF attempt. For these reasons the investigators set this controlled trial between GnRH analog plus Aromatase Inhibitor (3.75 mg monthly of Leuprolide plus 1.0mg day of Anastrazole for 3 months) versus an active comparator as GnRH analog alone (3.75 mg monthly of Leuprolide for 3 months) after the treatment patients will undergo embryo transfer of a cryopreserved blastocyst in a previous IVF cycle, and will be followed up for uterine dimension reduction and pain symptom reduction.

02

Conditions studied

  • Uterine Adenomyosis
  • Recurrent Implantation Failure
  • Menstrual Pain

Keywords

  • Implantation failure
  • Adenomyosis
  • increased uterine size
  • IVF
  • egg donation cycle
03

In context

Adenomyosis

142 studies on the registry are indexed under Adenomyosis; 54 are open to participants now.

This study's planned enrollment of 300 is above the median of 100 across 78 interventional studies indexed under Adenomyosis.

Browse Adenomyosis studies →

Lead sponsor

Centre for Endocrinology and Reproductive Medicine, Italy is the lead sponsor of 9 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
30 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

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

  • women with healty conditions
  • Adenomyosis
  • increased uterine dimensions
  • recurrent implantation failure

Exclusion criteria

Exclusion Criteria:

  • presence of systemic diseases
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
300 participants (estimated)

Study arms

  • Active comparator
    GnRH analog alone

    control group treated with GnRH analog alone

    Drug: GnRH analog (11.25mg Leuprolide acetate)

  • Experimental
    Aromatase inhibitor plus GnRH analog

    experimental group treated with aromatase inhibitor plus GnRH analog

    Drug: Aromatase inhibitor and GnRH analog · Drug: Aromatase and GnRH analog (11.25mg Leuprolide acetate)

Interventions

This study also gives Anastrozole. No intervention listed here names it: that was found by reading the record.

06

What researchers measure

Primary outcomes

  1. pregnancy after embryo transfer

    after treatment patients undergo embryo transfer of a cryopreservad blastocyst

    Time frame: 12 months

Secondary outcomes

  1. uterine volume reduction

    differences in uterine volume pre and post treatment evaluated by ultrasound

    Time frame: 12 months

07

Study locations

3 sites
  • Spitali Amerikan
    Tirana, Albania
  • Nadezda Women's Health Hospital
    Sofia, Bulgaria
  • Cerm-Hungaria
    Rome, 00153, Italy
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Dec 2017 (actual). Primary completion is estimated for Sep 2024, 81 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 30, 2018
First posted
Feb 5, 2018
StartActual
Dec 1, 2017
Primary completionEst.
Sep 30, 2024
CompletionEst.
Sep 30, 2024
Last update
Mar 6, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03421639
Lead sponsor
Centre for Endocrinology and Reproductive Medicine, Italy
Responsible party
Sponsor
First posted
Feb 5, 2018
Start date
Dec 1, 2017
Primary completion
Sep 30, 2024 (estimated)
Completion
Sep 30, 2024 (estimated)
Last update
Mar 6, 2024

Study contacts

MARCO SBRACIA, MD
study chair · CERM-HUNGARIA

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 active, not recruiting, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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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.

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Studies of the drugs tested here: Gonadotropin-releasing Hormone Analog · Aromatase inhibitors · Anastrozole

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