ClinicalTrials.gg
RecruitingNCT07226310HEATUpdated Jul 30, 2026

The Hysterosalpingogram (HSG) Experience And Tubal Spasm (HEAT) Study

An Early Phase 1 interventional study of Warmed HSG in Infertility, sponsored by University of Oklahoma. Recruiting at 1 site in United States. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-07-30.

Sponsored by University of Oklahoma · Early Phase 1, Interventional, and Prevention

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Phase
Early Phase 1
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 395 studies in Infertility with a site in United States — 63 open to participants now, 85 under way, 7 of them phase 3. Infertility · United States.

Planned enrollment
63rd of 274
240 · median 89
Started
2026
with 16 others
Phase 1
14 of 395
3 open now
Primary completion
2026-12
later than 25 of 83 live
Registered
381st of 395
by date

Among the 395 studies in Infertility with a site in United States, this one is the 63rd largest by planned enrollment of the 274 interventional ones that give a count, is one of 17 that started in 2026, is one of 14 in phase 1, reaches primary completion later than 25 of the 83 other live ones, and was the 381st registered.

Infertility

2,088 studies on the registry are indexed under Infertility; 356 are open to participants now.

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Open to participants now

63 of the 395 studies in Infertility with a site in United States are open now. Recruiting first, the newest first:

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All 63 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 234 Infertility studies recruiting now, 43 (18%) set no upper age limit and 185 (79%) stop at 75 or younger; 27 take children under 18; 76 take healthy volunteers.

This study: 18 Years to 45 Years · female · no healthy volunteers.

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02

Study summary

The hysterosalpingogram (HSG) is the gold standard of assessing fallopian tube patency and involves the placement of a transcervical catheter to allow for instillation of radio-opaque dye into the uterine cavity and fallopian tubes which are then imaged with abdominal x-ray. A common side effect of the instillation of dye is the uterine cramping, which is both uncomfortable for the patient as well as can cause iatrogenic proximal occlusion of the fallopian tubes. Proximal tubal obstruction is often not representative of true tubal obstruction but is rather an artifact of the test. Prior studies measuring the perceived pain and cramping during HSG have been conducted which have shown reduced pain scores and decreased uterine cramping when warmed contrast dye is used. The researchers propose that the use of warmed contrast media during HSG will be correlated with decreased pain scores and fewer cases of proximal tubal occlusion in women with otherwise normal uterine anatomy.

Read the detailed description

Research materials will include obtaining patient past medical history at time of the patient screening and recruitment, via utilization of Epic to search for demographic factors including age, height, weight, BMI, race/ethnicity, duration of infertility, past medical history, and gynecologic/obstetric history.

Post-procedure images from the HSG/report of the HSG findings will be saved in Epic as per usual standard clinical practice. HSG findings will be transcribed with prior demographics/history into a PHI-safe RedCap. No biospecimens will be collected under this protocol.

Patients undergoing fertility treatment that are recommended to undergo HSG as part of their evaluation will be referred to a dedicated research nurse (RN) for eligibility screening and informed consent.

Once found to be meeting inclusion criteria, the patient will be consented and scheduled for HSG as appropriate for their menstrual cycle and clinical care. Typically, patients are scheduled during cycle day 5-10 of their menstrual cycle for best study image quality.

Once scheduled, the patient will be randomized to warmed (body temperature) vs cold (room temperature) HSG. The principal investigator will create a computer-generated randomization table (1:1) using block randomization with randomly varying block size of 4 and 6 without stratification.

Study team members will have electronic access to the table of randomization within the secure REDCap randomization module and will assign each patient to a single-blinded treatment group once informed consent is obtained.

HSG will be performed in accordance with clinic policy by a physician or physician assistant trained in the procedure and interpretation of study results. Patients will be asked to complete a pre- and post-procedure questionnaire.

All data will be collected by the research team and entered into RedCap. A single study visit lasting approximately 1 hour will be conducted. The patient will be assigned a unique study ID number, and the randomization module in REDCap will be used to assign the participant to either the experimental (warm) or control (cold) group.

The patient will be blinded to the treatment allocation, but the research team will be unblinded to allow for correct choice and use of warm versus cold contrast media. As research team members will touch the HSG contrast media and be able to discern if it is cold or warm, it is impossible to maintain blinding of the research team.

The control group (cold contrast) is the current standard of care and is included in this study as a control to allow for comparison with the experimental (warm contrast) group. All patients will obtain an HSG via the same standardized technique at OURM.

Patients may withdraw from the study at any time without repercussions and will be allowed to undergo HSG with standard of care practices at OURM at their discretion. Withdrawal of participation in the study will not change the course of a patient's fertility evaluation or treatment. If the study were to end prematurely, all patients will maintain scheduled appointments for HSG with standard practice methods (cold contrast dye) to be used as per clinic protocol.

All participant recruitment and data collection activities including consenting, interventions, chart reviews, and data analysis will occur at OU Reproductive Medicine clinic (OURM) and via Epic clinical chart review as needed to obtain study data. Data analysis will be conducted in the OUHSC Department of Biostatistics and Epidemiology using data exported from the HIPAA compliant REDCap database and stored on a secure server.

Patients and their fertility provider will all be informed of their HSG results after completion of the procedure as per clinic protocol as part of their fertility evaluation. Patients will be informed of their HSG results after completion of a post-procedure pain questionnaire.

03

Conditions studied

  • Infertility

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04

Who can participate

Ages eligible
18 Years to 45 Years
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

1. Women ages 18-45 undergoing tubal assessment via HSG.

Exclusion criteria

Exclusion Criteria:

  1. History of fibroids
  2. History of pelvic inflammatory disease (PID or STD including gonorrhea, chlamydia, or trichomonas)
  3. History of surgically diagnosed endometriosis or suspected endometriosis on ultrasound (indicated by visualization of likely endometrioma)
  4. History of ectopic pregnancy or 3 or more biochemical pregnancies/pregnancy of unknown location
  5. History of tubal or ovarian surgery
  6. History of known Mullerian anomaly
  7. History of pelvic surgery including appendectomy
  8. Allergy to iodine-based contrast media
  9. History of prior abnormal fallopian tubes on HSG
  10. History of ultrasound with hydrosalpinx (unilateral or bilateral)
05

Study design

Phase
Early Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
240 participants (estimated)

Study arms

  • No intervention
    Cold HSG

    HSG contrast will be standard, room-temperature

  • Active comparator
    Warm HSG

    HSG constrast will be warmed.

    Drug: Warmed HSG

Interventions

  • DrugWarmed HSG

    The intervention is warming the HSG constrast.

06

What researchers measure

Primary outcomes

  1. Post-HSG Pain Questionnaire

    To compare the patient experience for patients undergoing HSG when warm versus cold contrast media is utilized, patients will complete a post-HSG Questionnaire to indicate their level of pain.

    Time frame: Measured 1 hour after HSG procedure

Secondary outcomes

  1. Rate of unilateral and bilateral proximal fallopian tube occlusion

    The event proportions of unilateral and bilateral proximal fallopian tube occlusion at the time of HSG procedure will be compared between warms versus cold contrast media groups using chi-square tests or Fisher's exact tests as appropriate.

    Time frame: Measured at the time of HSG procedure

07

Study locations

1 of 1 sites recruiting
  • University of Oklahoma Health Center
    Oklahoma City, Oklahoma 73104, United States
    Recruiting
    • Christy Zornes, MHR · Contactchristy-zornes@ou.edu · 405-271-8001
    • LaTasha Craig, MD · Principal investigator
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 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

Start is estimated for Sep 2026; primary completion for Dec 2026, 3 months later.

Of 27 phase 1 interventional studies under Infertility, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 38. This study's planned 3 months is below that.

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

Registered
Nov 3, 2025
First posted
Nov 10, 2025
StartEst.
Sep 2026
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
Jul 30, 2026
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 Jul 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07226310
Responsible party
Sponsor
First posted
Nov 10, 2025
Start date
Sep 2026 (estimated)
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Jul 30, 2026

Study contacts

Christy Zornes, MHR
Contact
christy-zornes@ou.edu
(405) 271-8001 ext. 48137
LaTasha Craig, MD
principal investigator · University of Oklahoma Health Center

Oversight

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

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