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CompletedNCT04447625Updated Jun 25, 2020

Intrauterine Antibiotic Infusion in Treating Chronic Endometritis and Restoring Reproductive Dynamics

A Phase 2 interventional study of Oral antibiotic administration and Intrauterine antibiotic infusion in Chronic Endometritis, sponsored by Genesis Athens Clinic. Completed at 1 site in Greece. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2020-06-25.

Sponsored by Genesis Athens Clinic · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

Chronic Endometritis (CE) is related to infertility and entails a challenging management. This study investigates the treatment of off-label intrauterine antibiotic infusion (IAI) combined with oral antibiotic administration (OAA), and it assesses respective performance against the gold standard treatment of OAA. Data sourced herein reports on treatment efficiency and fertility restoration for both patients aiming to conceive naturally or via In Vitro fertilization (IVF).

02

Conditions studied

  • Chronic Endometritis

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Keywords

  • CE treatment
  • infertility
  • oral antibiotic administration
  • intrauterine antibiotic infusion
03

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Positive diagnosis of CE
  • Recurrent Pregnancy Loss (RPL) or Recurrent Implantation Failure (RIF)
  • No previous live birth
  • FSH and LH levels -evaluated on day 2 of the menstrual cycle- \<12 IU/ml
  • AMH levels >1.1ng/ml
  • Progesterone levels -evaluated on day 21 of the menstrual cycle- > 2 and \<25 ng/ml
  • 18.5\<BMI\<29.9
  • 18\<Patients' age\<40

Exclusion criteria

Exclusion Criteria:

  • Diagnosed endometriosis or other related Pelvic Inflammatory Disorder (PID)
  • Current or previous cancer diagnosis
  • Auto-immune, genetic or reproductive disorders
  • Reproductive history of pregnancy loss due to genetic abnormalities
  • Male factor infertility diagnosis
04

Study design

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

Study arms

  • Active comparator
    CE patients receiving OAA

    Patients diagnosed with CE receiving the gold standard treatment of oral antibiotic administration (OAA)

    Drug: Oral antibiotic administration

  • Experimental
    CE patients receiving OAA and IAI

    Patients diagnosed with CE receiving a combination of the gold standard treatment of oral antibiotic administration (OAA) and intrauterine antibiotic infusion (IAI)

    Drug: Oral antibiotic administration · Drug: Intrauterine antibiotic infusion

Interventions

  • DrugOral antibiotic administration

    per os antibiotic administration as the standard line of strategy for treating CE of doxycycline at a dosage of 100mg twice a day for 14 days and metronidazole of 500mg twice a day for 14 days

  • DrugIntrauterine antibiotic infusion

    intrauterine infusion of 3ml of ciprofloxacin at a concentration of 200 mg/100 ml

05

What researchers measure

Primary outcomes

  1. Treatment efficiency rate

    Negative results in all three diagnostic evaluations of CE namely hysteroscopic investigation, endometrial biopsy, along with histological analysis and microbiological culture indicating successful treatment of CE

    Time frame: Treatment efficiency rate was assessed immediately after treatment completion

  2. Side-effects rate

    Number of reports of minimal, mild, and moderate side-effects per treated patients

    Time frame: Side-effects were monitored from treatment initiation until completion of treatment. Treatment duration: 14 days for Arm 1 and 30 days for Arm 2

Secondary outcomes

  1. Clinical pregnancy rate

    Clinical pregnancy rate was defined by the presence of a fetal heartbeat at 6-7 weeks following last menstrual period (LMP)

    Time frame: Clinical pregnancy rate was assessed 6-7 weeks following last menstrual period for patients that achieved a pregnancy. A time frame of 6 months was allowed for patients to achieve a pregnancy post treatment.

  2. Live birth rate

    Number of live births per clinical pregnancy

    Time frame: A time frame of 40-41 weeks was allowed to assess live birth rate following patients' last menstrual period.

06

Study locations

1 site
  • Human Reproduction LTD
    Athens, Holargos 15562, Greece
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT04447625
Lead sponsor
Genesis Athens Clinic
Responsible party
Sponsor
First posted
Jun 25, 2020
Start date
Mar 1, 2017
Primary completion
Feb 28, 2019
Completion
Jan 3, 2020
Last update
Jun 25, 2020

Oversight

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

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