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Status unknownNCT03681197Updated Mar 21, 2019

Metformin Use and Clinical Pregnancy Rate in Women With Unexplained Infertility

An Early Phase 1 interventional study of Metformin and Placebo in Infertility, sponsored by Elham Raafat. Status unknown at 1 site in Egypt. Open to female participants aged 20 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-03-21.

Sponsored by Elham Raafat · Early Phase 1, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Early Phase 1
Study type
Interventional
Enrollment
170
Allocation
Randomized
Ages
20 Years to 35 Years
Sex
Female
01

Study summary

The aim of this study is to asses the effect of metformin on clinical pregnancy rate in women with unexplained infertility (randomized controlled trial).

This study will be conducted in infertility clinic,Ain Shams university maternity hospital,170 women with unexplained infertility will be enrolled in this study.

Statistical analysis of the data will be performed .

Read the detailed description

Metformin is usually used with induction regimen in patients with PCOS as it improves ovulation rate by direct effect on ovarian tissue,Metformin will be used in combination with clomiphene citrate in women with unexplained infertility with previous failed cycle to asses its efficacy on clinical pregnancy rate.

Study will be conducted in infertility clinic,Ain Shams university maternity hospital.Study population comprises women with unexplained infertility aged 20-35 years with total sample size of 170 who willbe randomized into two groups with 85 women in each group.

Group A:is case group who will receive metformin plus clomiphene citrate. Group B:is control group who will receive clomiphene citrate plus placebo. Metformin will be started at time of booking and will be continued till pregnancy is confirmed in a dose of 850 mg twice daily in form of tablet.

Vaginal ultrasound is done for all in day 2 to exclude presence of ovarian cyst and to identify normal appearance of ovaries,then folliculometry on day 9 followed by serial folliculometry every other day till reaching dominant follicle 18 mm or more where HCG intramuscular injection will be given in a dose of 10000 iu .

serum pregnancy test will be done after 16 days. Transvaginal ulterasound will be done on day 35.

02

Conditions studied

  • Infertility

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Keywords

  • metformin,unexplained infertility
03

In context

Infertility

2,540 studies on the registry are indexed under Infertility; 405 are open to participants now.

This study's planned enrollment of 170 is above the median of 120 across 1,722 interventional studies indexed under Infertility.

Browse Infertility studies →

Lead sponsor

This is the only study on the registry with Elham Raafat as lead sponsor.

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

04

Who can participate

Ages eligible
20 Years to 35 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

  • Age 20-35 years old.
  • BMI 20-\<30
  • FSH 12 IU/L or less
  • Normal transvaginal ulterasound(normal uterus and ovaries with no congenital anomalies).
  • Patent fallopian tubes assesd by hysterosalpingogram or laparoscopy.
  • Normal semen analysis.
  • Infertile women with history of previous failed induction cycle.

Exclusion criteria

Exclusion Criteria:

  • Women younger than 20 or elder than 35 years old.
  • Women with BMI equal to or more than 30.
  • Uncorrected congenital or acquired uterine anomaly.
  • Other causes of infertility rather than unexplained infertility.
  • Patient with Diabetes Mellitus.
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Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
170 participants (estimated)

Study arms

  • Active comparator
    Metformin Group

    Will receive metformin plus clomiphene citrate

    Drug: Metformin · Drug: Clomiphene Citrate

  • Placebo comparator
    Placebo

    Will receive placebo plus clomiphene citrate.

    Drug: Placebo · Drug: Clomiphene Citrate

Interventions

  • Metformin 850 mg tablet will be started twice daily immediately at booking time and continued with induction by clomiphene citrate, it will be stopped once pregnancy is confirmed.

    Also known as: glucophage

  • DrugPlacebo

    In placebo group,placebo will be strted twice daily at booking time and continued with induction by clomiphene citrate, it will be stopped once pregnancy is confirmed.

  • 50 mg of clomiphene citrate will be given starting day 2 of menstrual cycle for 5 days

    Also known as: Clomid

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What researchers measure

Primary outcomes

  1. Clinical pregnancy rate

    Diagnosis of pregnancy by transvaginal ulterasound

    Time frame: one cycle for each woman (28 days in average)

07

Study locations

1 of 1 sites recruiting
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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 Mar 21, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03681197
Lead sponsor
Elham Raafat
Responsible party
Elham Raafat (resident of obstetric and gynecology, Ain Shams University) — Sponsor-investigator
First posted
Sep 21, 2018
Start date
Jun 15, 2018
Primary completion
Apr 2019 (estimated)
Completion
May 2019 (estimated)
Last update
Mar 21, 2019

Study contacts

Elham R Mohamed
Contact
Elhamraafat@outlook.com
0021156230921
Sarah S Moawad, Lecturer
study director · Ain Shams Maternity Hospital
Ahmed M Bahaa Eldin, Professor
study director · Ain Shams Maternity Hospital
Hisham M Fathy, Professor
study director · Ain Shams Maternity Hospital

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

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Studies of the drug tested here: Metformin

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