ClinicalTrials.gg
RecruitingNCT07508657LIFTUpdated Sep 9, 2026

Progesterone Supplementation After Letrozole-stimulated Insemination

A Phase 4 interventional study of Progesterone in Infertility, sponsored by Kirstine Kirkegaard. Recruiting at 4 sites in Denmark. Open to female participants aged 18 Years to 37 Years. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Kirstine Kirkegaard · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
690
Allocation
Randomized
Ages
18 Years to 37 Years
Sex
Female
01

Study summary

This trial aims to investigate whether luteal phase support improves the chance of pregnancy in women undergoing intrauterine insemination (IUI) following ovarian stimulation with letrozole.

In this randomized clinical trial, 690 women undergoing letrozole-stimulated IUI at four public fertility clinics in Denmark will be randomly allocated to one of two groups:

  • Vaginal progesterone from the day after insemination (Cyclogest 400 mg twice daily)
  • No luteal phase support, reflecting current clinical practice

All participants will undergo a standard letrozole-stimulated IUI treatment, including ultrasound monitoring, ovulation triggering, and insemination. Blood samples will be collected on the day of insemination and 7-9 days after insemination to measure hormone levels.

The results of this trial will provide further insight into the role of progesterone support in letrozole-stimulated IUI cycles.

02

Conditions studied

  • Infertility

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Keywords

  • Luteal phase support
  • Intrauterine insemination
  • Letrozole
  • Vaginal progesterone
  • Randomized clinical trial
  • Ovulation induction
03

In context

Infertility

2,085 studies on the registry are indexed under Infertility; 357 are open to participants now.

This study's planned enrollment of 690 is above the median of 135 across 1,412 interventional studies indexed under Infertility.

Browse Infertility studies →

Lead sponsor

This is the only study on the registry with Kirstine Kirkegaard as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 37 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

  • Age 18-37 years
  • Scheduled for IUI with homologous or donor sperm
  • Undergoing mild ovarian stimulation with letrozole
  • Ability to provide written

Exclusion criteria

Exclusion Criteria:

  • Age > 37 years
  • Anovulation due to hypogonadotropic hypogonadism
  • Known to progesterone or hard fat listed as an in the Summary of Product Characteristics (SmPC) for Cyclogest.
  • Known or suspected progesterone-sensitive malignant tumours
  • Porphyria
  • Known missed abortion or ectopic pregnancy
  • Active arterial or venous thromboembolism, severe thrombophlebitis, or a history of these conditions
  • Severe hepatic dysfunction or liver disease
  • Inability to speak or understand Danish sufficiently to comprehend oral and written study information
Terms in these criteria, in plain language(3)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
690 participants (estimated)

Study arms

  • Experimental
    Intervention

    Vaginal progesterone luteal phase support. Progesterone is administered as Cyclogest 400 mg twice daily form the day after insemination. Treatment is continued until gestational age 10 weeks in the event of clinical pregnancy, or until pregnancy is ruled out in women who do not achieve a clinical pregnancy.

    Drug: Progesterone

  • No intervention
    Comparison

    No luteal phase support will be administered after insemination, reflecting current standard treatment.

Interventions

  • Vaginal progesterone (Cyclogest) 400 mg administered twice daily starting the day after insemination. Treatment is continued until gestational age 10 weeks in the event of clinical pregnancy or until clinical pregnancy is ruled out.

    Also known as: Cyclogest

06

What researchers measure

Primary outcomes

  1. Clinical Pregnancy Rate

    Defined as an ultrasonographically visible foetal heartbeat at 7-9 weeks of gestation

    Time frame: Gestational age 7-9 weeks

Secondary outcomes

  1. Live Birth Rate

    Defined as the birth of one or more living infants after a pregnancy of GA ≥ 22 weeks

    Time frame: At the time of delivery

  2. Biochemical Pregnancy Rate

    Defined as a positive serum or urine β-hCG test 14-17 days after intrauterine insemination

    Time frame: 14-17 days after intrauterine insemination

  3. Early Pregnancy Loss

    Defined as intrauterine pregnancy loss before 10 weeks of gestational age

    Time frame: Up to 10 weeks of gestation

  4. Fetal miscarriage

    Defined as pregnancy loss ≥ 10 weeks size with a fetus (≥ 33 mm) on ultrasound

    Time frame: From 10 weeks of gestation to delivery

  5. Obstetric outcomes

    Obstetric complications including hypertensive disorders of pregnancy, gestational diabetes, postpartum hemorrhage and cesarean section

    Time frame: At time of delivery

  6. Perinatal outcomes

    Preterm birth, birth weight, congenital malformations, and perinatal mortality (defined as foetal or neonatal death from GA 22+0 to 7 days after birth).

    Time frame: At time of delivery

  7. Hormone levels

    Serum hormone levels measured on the day of insemination, in the mid-luteal phase and on the day of ovulation trigger (optional), including progesterone, estradiol, LH and FSH.

    Time frame: Time of insemination and mid-luteal phase (approximately 7-9 days after insemination).

07

Study locations

1 of 4 sites recruiting
  • Copenhagen University Hospital - Rigshospitalet. Department of Gynecology, Fertility and Obstetrics
    Copenhagen, 2100, Denmark
    Not yet recruiting
    • Kristine Løssl, Clinical Associate Professor · Contactfertilitet.rigshospitalet@regionh.dk · +4535451077
    • Kristine Løssl, Clinical Associate Professor · Principal investigator
  • The Fertility Clinic, Herlev Hospital
    Herlev, 2730, Denmark
    Not yet recruiting
  • University Clinic for Fertility, Horsens Regional Hospital, Central Denmark Region
    Horsens, 8700, Denmark
    Recruiting
    • Kirstine Kirkegaard, Clinical Associate Professor · Contactfertilitet@horsens.rm.dk · +4578426562
    • Kirstine Kirkegaard, Clinical Associate Professor · Principal investigator
  • The Fertility Clinic, Hvidovre Hospital
    Hvidovre, 2650, Denmark
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be made avaliable.

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

Started Aug 2026 (actual). Primary completion is estimated for Jun 2029, 34 months after the start.

Of 73 non-industry phase 4 interventional studies under Infertility, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 82. This study's planned 34 months is close to that.

Counting every sponsor, half of 80 studies reached it within 33 months; a quarter within 19 and three quarters within 82.

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

Registered
Mar 27, 2026
First posted
Apr 2, 2026
StartActual
Aug 28, 2026
Primary completionEst.
Jun 2029
CompletionEst.
Jan 2030
Last update
Sep 9, 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 Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07508657
Lead sponsor
Kirstine Kirkegaard
Responsible party
Kirstine Kirkegaard (Clinical Associate Professor, MD, PhD, University of Aarhus) — Sponsor-investigator
First posted
Apr 2, 2026
Start date
Aug 28, 2026
Primary completion
Jun 2029 (estimated)
Completion
Jan 2030 (estimated)
Last update
Sep 9, 2026

Study contacts

Kirstine Kirkegaard, Clinical Associate Professor
Contact
fertilitet@horsens.rm.dk
+4578426562
Kirstine Kirkegaard, Clinical Associate Professor
principal investigator · University Clinic for Fertility, Horsens Regional Hospital, Central Denmark Region

Oversight

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

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Studies of the drug tested here: Progesterone

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