ClinicalTrials.gg
CompletedNCT03455426Updated Feb 8, 2021

Intrauterine Insemination With Letrozole Versus in Natural Cycle

An interventional study of letrozole in Infertility and Intrauterine Insemination, sponsored by Peking University Third Hospital. Completed at 1 site in China. Open to female participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2021-02-08.

Sponsored by Peking University Third Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
20 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 31 studies testing letrozole in Infertility — 2 open to participants now, 3 under way, 2 of them phase 3. Letrozole · Infertility.

Enrollment
19th of 31
100 · median 131
Started
2018
with 2 others
No phase
10 of 31
1 open now
Registered
24th of 31
by date
Lead sponsor
2 of 31
Peking University Third Hospital

Among the 31 studies testing letrozole in Infertility, this one is the 19th largest by enrollment, is one of 3 that started in 2018, is one of 10 with no phase, and was the 24th registered.

Infertility

2,087 studies on the registry are indexed under Infertility; 355 are open to participants now.

Browse Infertility studies →

Open to participants now

2 of the 31 studies testing letrozole in Infertility are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

About letrozole

Letrozole: first FDA approval 1997 (FEMARA). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 233 Infertility studies recruiting now, 43 (18%) set no upper age limit and 184 (79%) stop at 75 or younger; 27 take children under 18; 76 take healthy volunteers.

This study: 20 Years and older · female · no healthy volunteers.

The full table on the hub →

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02

Study summary

Rationale: Intrauterine insemination (IUI) is the treatment of first choice for couples with unexplained and mild male factor infertility in many countries, but it is controversial whether ovarian stimulation improves fertility outcomes. In recent retrospectively collected data, investigators found that in couples with unexplained and mild male factor infertility undergoing IUI, ovarian stimulation with letrozole increased live birth rate as compared to natural cycle IUI without substantially increasing the multiple pregnancy rate. Investigators therefore perform a randomized clinical trial (RCT) on the subject in the Centre of Reproductive Medicine, Peking University Third Hospital, Beijing, China.

Objective: To test the hypothesis that in couples with unexplained or mild male factor infertility scheduled for an IUI program ovarian stimulation with letrozole increases the live birth rate as compared to natural cycle treatment.

Study design Randomized clinical trial.

Study population Women diagnosed with unexplained or mild male factor infertility scheduled for treatment with IUI.

Intervention Women will be randomized for ovarian stimulation with letrozole or to natural cycle IUI. In the group allocated to ovarian stimulation, women will receive oral tablets letrozole 5 mg daily from cycle day 3-5 for 5 days. Investigators will treat the couples for 3 cycles, with a time horizon of 4 months.

Main study parameters/endpoints Primary outcome is ongoing pregnancy leading to live birth. Secondary endpoints are clinical pregnancy, multiple pregnancy, miscarriage rates, pregnancy complications and patients' costs.

Nature and extent of the burden and risks associated with participation, benefit and group relatedness The strategies compared are already broadly applied in current practice. No additional risks are expected. There is no benefit for participants, but the results may benefit future subfertile couples.

03

Conditions studied

  • Infertility
  • Intrauterine Insemination

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04

Who can participate

Ages eligible
20 Years and older
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

  • Being diagnosed with unexplained or mild male subfertility
  • At least one sided tubal patency, established according to local protocol
  • Normal or mild impairment of semen quality defined as a TMSC of 3 million or more based on at least one semen analysis

Exclusion criteria

Exclusion Criteria:

  • Woman with double sided tubal pathology
  • Women with irregular cycles, PCOS or other endocrine disorders
  • Impaired semen quality: pre-wash TMSC \<3 million.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (actual)

Study arms

  • Experimental
    letrozole group

    letrozole 5mg/day starting from day 3 of menstrual cycle for 5 days

    Drug: letrozole

  • No intervention
    natural cycle group

Interventions

  • Women will be randomizedfor ovarian stimulation with letrozole or to natural cycle IUI.

06

What researchers measure

Primary outcomes

  1. ongoing pregnancy

    Primary outcome is ongoing pregnancy leading to live birth

    Time frame: 3 months

07

Study locations

1 site
  • Peking University third Hospital
    Beijing, Beijing 100191, China
08

References and documents

Publications

  • Franik S, Le QK, Kremer JA, Kiesel L, Farquhar C. Aromatase inhibitors (letrozole) for ovulation induction in infertile women with polycystic ovary syndrome. Cochrane Database Syst Rev. 2022 Sep 27;9(9):CD010287. doi: 10.1002/14651858.CD010287.pub4. PubMed 36165742 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Jun 2019, 15 months.

Of 386 non-industry interventional studies with no phase under Infertility, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 46. This study's 15 months is below that.

Counting every sponsor, half of 417 studies reached it within 24 months; a quarter within 10 and three quarters within 43.

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

Registered
Feb 25, 2018
First posted
Mar 6, 2018
StartActual
Mar 15, 2018
Primary completionActual
Jun 30, 2019
CompletionActual
Dec 31, 2019
Last update
Feb 8, 2021
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 Feb 8, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03455426
Responsible party
Jie Qiao (Professor, Peking University Third Hospital) — Principal investigator
First posted
Mar 6, 2018
Start date
Mar 15, 2018
Primary completion
Jun 30, 2019
Completion
Dec 31, 2019
Last update
Feb 8, 2021

Study contacts

Shuo Huang, PhD
principal investigator · Peking University Third Hospital

Oversight

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 Jul 2019. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Letrozole

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