Metformin Use and Clinical Pregnancy Rate in Women With Unexplained Infertility

Elham Raafat

Status and phase: Unknown; Early Phase 1

Conditions: Infertility

Treatments: Drug: Metformin; Drug: Clomiphene Citrate; Drug: Placebo

Study type: Interventional

Funder types: Other

Identifiers

NCT03681197

1982

Details and patient eligibility

About

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 .

Full 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.

Enrollment: 170 estimated patients

Sex: Female

Ages: 20 to 35 years old

Volunteers: Accepts Healthy Volunteers

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

• 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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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170 participants in 2 patient groups, including a placebo group

Metformin Group

Active Comparator group

Description:

Will receive metformin plus clomiphene citrate

Treatment:

Drug: Clomiphene Citrate

Drug: Metformin

Placebo

Placebo Comparator group

Description:

Will receive placebo plus clomiphene citrate.

Treatment:

Drug: Placebo

Drug: Clomiphene Citrate