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CompletedNCT04855383Updated Jan 5, 2024

Intramuscular Injection of Human Chorionic Gonadotropin in Frozen Embryo Transfer Cycles

An interventional study of The effect of intramuscular injection of triple doses of human chorionic gonadotropin in frozen embryo transfer cycles in Embryo Implantation, sponsored by Royan Institute. Completed at 1 site in Iran, Islamic Republic of. Open to female participants aged 20 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-05.

Sponsored by Royan Institute · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Jul 2020, registered Apr 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
20 Years to 40 Years
Sex
Female
01

Study summary

This study is a randomized controlled clinical trial to compare the pregnancy outcomes of infertile women with frozen embryo transfer. The study population in frozen embryo transfer cycles receive three doses of human chorionic gonadotropin (HCG) to recognize the effectiveness of HCG on pregnancy outcomes in Reproductive Biomedicine Research Center, Royan institute, Tehran Iran.

Read the detailed description

During implantation, the biochemical crosstalk between the endometrium and embryo has a very important role. The endometrium secrets cytokines and growth factors that modulate embryonic differentiation and early development. One of the important molecular messages between the embryo and endometrium is human chorionic gonadotropin (HCG). HCG is expressed by the blastocyst before the implantation, while increasingly produced after implantation by the syncytiotrophoblast. In order to study the direct effect of HCG on the endometrium at implantation, this randomized, controlled clinical trial evaluated whether HCG supplementation would be beneficial for pregnancy outcomes of cryopreserved-thawed embryo transfer with estrogen/ progesterone replacement cycles at Royan Institute.

Block randomization method is designed by epidemiologist using STATA software version 13 and the number of blocks considered is 6. The random allocation list for patients is solely available to the epidemiologist. In order to hide the random allocation process, a total of 200 envelopes are prepared, and only the methodologist has been aware of table of random numbers. When the doctor declared the patient's eligibility, the methodologist provided the doctor with the envelope. The group will be selected and based on the type of group mentioned in the envelope.

02

Conditions studied

  • Embryo Implantation

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Keywords

  • Human chorionic gonadotropin
  • frozen embryo transfer
  • infertility
  • assisted reproduction technology
  • estrogen/ progesterone replacement cycles
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 200 is above the median of 135 across 1,412 interventional studies indexed under Infertility.

Browse Infertility studies →

Lead sponsor

Royan Institute is the lead sponsor of 94 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 40 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

  • Infertile women candidates for frozen embryo transfer
  • Age 20-40 years
  • under than 30 Kg/m2
  • Having at least three good quality embryos

Exclusion criteria

Exclusion Criteria:

  • Women with hematologic and disorders
  • Couples with chromosomal and genetic abnormalities
  • Women with uterine anomalies
  • Women with uterine and ovaries surgical history
  • Women with endometriosis and adenomyosis
  • Women with hydrosalpinx
  • Women with uterine fibroids
  • Women with history of recurrent abortion or recurrent implantation failure
  • Severe male factor infertility (azoospermia)
  • Embryo donation cycle
  • Endometrial thickness less than 8 millimeter on the day of embryo transfer
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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

05

Study design

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

Study arms

  • Experimental
    The group of frozen embryo transfer with intramuscular injection of human chorionic gonadotropin.

    In this group, endometrial preparation for embryo transfer will be through the standard protocol using a gonadotropin-releasing hormone agonist. Patients receive 5,000 IU of human chorionic gonadotropin by intramuscular injection, 72 hours before embryo transfer, on the day of embryo transfer, and 72 hours after embryo transfer.

    Drug: The effect of intramuscular injection of triple doses of human chorionic gonadotropin in frozen embryo transfer cycles

  • No intervention
    The group of frozen embryo transfer without intramuscular injection of human chorionic gonadotropin.

    In this group, endometrial preparation for embryo transfer will be through the standard protocol using a gonadotropin-releasing hormone agonist. Embryo transfer will be done without human chorionic gonadotropin intramuscular injection.

Interventions

  • DrugThe effect of intramuscular injection of triple doses of human chorionic gonadotropin in frozen embryo transfer cycles

    Patients receive 5,000 IU of human chorionic gonadotropin by intramuscular injection, 72 hours before embryo transfer, on the day of embryo transfer, and 72 hours after embryo transfer.

    Also known as: The effect of intramuscular injection of triple doses of human chorionic gonadotropin on embryo implantation

06

What researchers measure

Primary outcomes

  1. Rate of Implantation

    Implantation rate is the percentage of embryos which successfully undergo implantation compared to the number of embryos transferred in a given period.

    Time frame: 6 weeks after embryo transfer

07

Study locations

1 site
  • Royan Institute
    Tehran, 16635-148, Iran, Islamic Republic of
08

References and documents

Individual participant data

Plan to share: Yes — After the publication of the article Available to the public. Scientific use by citing the source. Request via e-mail

Supporting information: Clinical study report

Time frame: After the publication of the article

Access criteria: Available to the public. Scientific use by citing the source.

No publications or documents are linked to this record.

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 Jul 2020 to primary completion in Aug 2022, 25 months.

Of 385 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 25 months is close to that.

Counting every sponsor, half of 416 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
Apr 18, 2021
First posted
Apr 22, 2021
StartActual
Jul 1, 2020
Primary completionActual
Aug 22, 2022
CompletionActual
Jun 20, 2023
Last update
Jan 5, 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 Jan 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04855383
Lead sponsor
Royan Institute
Responsible party
Sponsor
First posted
Apr 22, 2021
Start date
Jul 1, 2020
Primary completion
Aug 22, 2022
Completion
Jun 20, 2023
Last update
Jan 5, 2024

Study contacts

Mehri Mashayekhi, M.D.
study director · Department of Endocrinology and Female Infertility, ACECR, Tehran, Iran.
Azar Yahyaei, M.Sc.
principal investigator · Department of Endocrinology and Female Infertility, ACECR, Tehran, Iran.

Oversight

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

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

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