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Trial · NCT04537078

Progestin Primed Double Stimulation Protocol Versus Flexible GnRH Antagonist Protocol in Poor Responders

NCT04537078, Phase 3, Completed, El Shatby University Hospital for Obstetrics and Gynecology; results first posted 2022-02-17

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Progestin Primed Double Stimulation Protocol Versus Flexible GnRH Antagonist Protocol in Poor Responders. Trials, record NCT04537078. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04537078

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Progestin Primed Double Stimulation Protocol Versus Flexible GnRH Antagonist Protocol in Poor Responders
NCT number
NCT04537078
Status
Completed
Phases
Phase 3
Enrollment
90 participants, actual
Lead sponsor
El Shatby University Hospital for Obstetrics and Gynecology
Conditions
Infertility, Female
Interventions
Duphaston, Gonadotropin, Cetrotide Injectable Product, Decapeptyl, Chorionic Gonadotropin, Combined Oral Contraceptive, Cyclo-Progynova, progesterone
First posted
2020-09-03
Last updated
2022-02-17
Results first posted
2022-02-17

Source ClinicalTrials.gov

Registered outcomes14

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
Primarythe Number of M2 Oocytes Retrieved1-2 hours after oocyte retrievalit is the number of M2 oocytes retrieved that were being assessed after denudation
Primarythe Fertilization Rate16 to 20 hours after microinjection of the oocytes with the spermspercentage transformation of micro injected oocytes into two pronuclei. it is done 16 to 20 hours after microinjection of the oocytes by the sperms
Primarythe Resultant Embryos Numberthe embryos number counted day 3 or 4or 5 after fertilizationit is the resultant embryos number counted day 3 or 4 or 5 after fertilization
Primarythe Implantation Rateat the 6 th week of pregnancy
it is calculated as the number of intrauterine gestational sacs observed by transvaginal ultrasonography divided by the number of transferred embryos at the 6 th week of pregnancy and then multiplied by 100
Primarythe Clinical Pregnancy Rate.at the 6 th weeks of pregnancypercentage of cases in which observation of a gestational sac with fetal heart beat by transvaginal ultrasound at 6 weeks of pregnancy
Secondarythe Difference in the Ongoing Pregnancy Rate in Both Protocols.At the 20 th week of gestationAssessing the difference in the ongoing pregnancy rate when the pregnancy had completed ≥20 weeks of gestation
Secondarythe Difference Between the Follicular Phase and the Luteal Phase of the Progestin Primed Double Stimulation Protocol Regarding the Total Days of Controlled Ovarian HyperstimulationFrom the first day of ovarian stimulation till the last day of ovarian stimulation in each phase ,the follicular and the luteal, of stimulation
the total number of days of the controlled ovarian hyperstimulation in both follicular and luteal phase of the progestin primed double stimulation protocol are studied so as to asses the difference between the two phases, the follicular phase and the luteal phase of the progestin primed double stimulation protocol
Secondary
the Difference Between the Follicular Phase and the Luteal Phase of the Progestin Primed Double Stimulation Protocol Regarding the Total Dosage of Gonadotropins Used in the Controlled Ovarian Hyperstimulation
From the first day of ovarian stimulation till the last day of ovarian stimulation in each phase ,the follicular and the luteal, of stimulation
Assessing the difference between the follicular phase and the luteal phase of the progestin primed double stimulation protocol regarding the total dosage of gonadotropins used in the controlled ovarian hyperstimulation so as to the difference between the two phases
Secondarythe Difference Between the Follicular Phase and the Luteal Phase of the Progestin Primed Double Stimulation Protocol Regarding the Number of M2 Oocytes Retrieved1-2 hours after oocyte retrieval
it is the number of M2 oocytes retrieved that were being assessed after denudation so as to the difference between the results between the two phases, the follicular phase and the luteal phase of the progestin primed double stimulation protocol
Secondarythe Difference Between the Follicular Phase and the Luteal Phase of the Progestin Primed Double Stimulation Protocol Regarding the Fertilization Rate.16 to 20 hours after microinjection of the oocytes with the sperms
percentage of transformation of micro injected oocytes into two pronuclei at 16 -20 hours after microinjection of the oocytes by the sperms so as to the difference between the results between the two phases, the follicular phase and the luteal phase of the progestin primed double stimulation protocol

Outcomes14

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYthe Number of M2 Oocytes Retrieved1-2 hours after oocyte retrievaloocytesMEDIAN
PRIMARYthe Fertilization Rate16 to 20 hours after microinjection of the oocytes with the spermspercentage of transformationMEDIAN
PRIMARYthe Resultant Embryos Numberthe embryos number counted day 3 or 4or 5 after fertilizationnumber of embryosMEDIAN
PRIMARYthe Implantation Rateat the 6 th week of pregnancypercentageMEDIAN
PRIMARYthe Clinical Pregnancy Rate.at the 6 th weeks of pregnancypercentage of participantsNUMBER
SECONDARYthe Difference in the Ongoing Pregnancy Rate in Both Protocols.At the 20 th week of gestationpercentage of participantsNUMBER
SECONDARYthe Difference Between the Follicular Phase and the Luteal Phase of the Progestin Primed Double Stimulation Protocol Regarding the Total Days of Controlled Ovarian HyperstimulationFrom the first day of ovarian stimulation till the last day of ovarian stimulation in each phase ,the follicular and the luteal, of stimulationthe progestin primed dual stimulation group are subdivided into the follicular phase stimulation and the luteal phase stimulation so as to study the difference between both phasesnumber of daysMEDIAN
SECONDARY
the Difference Between the Follicular Phase and the Luteal Phase of the Progestin Primed Double Stimulation Protocol Regarding the Total Dosage of Gonadotropins Used in the Controlled Ovarian Hyperstimulation
From the first day of ovarian stimulation till the last day of ovarian stimulation in each phase ,the follicular and the luteal, of stimulationthe progestin primed dual stimulation group are subdivided into the follicular phase stimulation and the luteal phase stimulation so as to study the difference between both phasesIUMEDIAN
SECONDARYthe Difference Between the Follicular Phase and the Luteal Phase of the Progestin Primed Double Stimulation Protocol Regarding the Number of M2 Oocytes Retrieved1-2 hours after oocyte retrievalthe progestin primed dual stimulation group are subdivided into the follicular phase stimulation and the luteal phase stimulation so as to study the difference between both phasesnumber of oocytesMEDIAN
SECONDARYthe Difference Between the Follicular Phase and the Luteal Phase of the Progestin Primed Double Stimulation Protocol Regarding the Fertilization Rate.16 to 20 hours after microinjection of the oocytes with the spermsthe progestin primed dual stimulation group are subdivided into the follicular phase stimulation and the luteal phase stimulation so as to study the difference between both phasespercentageMEDIAN

Results by group28

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
the Number of M2 Oocytes Retrievedthe Progestin Primed Double Stimulation Group6Inter-Quartile Range 3 to 7oocytes
the Number of M2 Oocytes Retrievedthe Flexible GnRh Antagonist Group4.5Inter-Quartile Range 3 to 8oocytes
the Fertilization Ratethe Progestin Primed Double Stimulation Group71.43Inter-Quartile Range 66.67 to 100percentage of transformation
the Fertilization Ratethe Flexible GnRh Antagonist Group80.91Inter-Quartile Range 66.67 to 100percentage of transformation
the Resultant Embryos Numberthe Progestin Primed Double Stimulation Group4Inter-Quartile Range 3 to 5number of embryos
the Resultant Embryos Numberthe Flexible GnRh Antagonist Group3Inter-Quartile Range 2 to 6number of embryos
the Implantation Ratethe Progestin Primed Double Stimulation Group50Inter-Quartile Range 50 to 100percentage
the Implantation Ratethe Flexible GnRh Antagonist Group50Inter-Quartile Range 33.33 to 50percentage
the Clinical Pregnancy Rate.the Progestin Primed Double Stimulation Group7percentage of participants
the Clinical Pregnancy Rate.the Flexible GnRh Antagonist Group8percentage of participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDthe Progestin Primed Double Stimulation Group45
Overall StudySTARTEDthe Flexible GnRh Antagonist45
Overall StudyCOMPLETEDthe Progestin Primed Double Stimulation Group41
Overall StudyCOMPLETEDthe Flexible GnRh Antagonist42
Overall StudyNOT COMPLETEDthe Progestin Primed Double Stimulation Group4
Overall StudyNOT COMPLETEDthe Flexible GnRh Antagonist3

Adverse events6

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
othernausea and abdominal distentionGastrointestinal disordersthe Progestin Primed Double Stimulation Group54115
othernausea and abdominal distentionGastrointestinal disordersthe Flexible GnRh Antagonist54212
otherpelvic painReproductive system and breast disordersthe Progestin Primed Double Stimulation Group34110
otherpelvic painReproductive system and breast disordersthe Flexible GnRh Antagonist3428
otherheadacheNervous system disordersthe Progestin Primed Double Stimulation Group44110
otherheadacheNervous system disordersthe Flexible GnRh Antagonist2425

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitythe Progestin Primed Double Stimulation Group041
Total, all-cause mortalitythe Flexible GnRh Antagonist042
Total, other adverse eventsthe Progestin Primed Double Stimulation Group1241
Total, other adverse eventsthe Flexible GnRh Antagonist1042
Total, serious adverse eventsthe Progestin Primed Double Stimulation Group041
Total, serious adverse eventsthe Flexible GnRh Antagonist042

Papers15

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
6403567BACKGROUNDPubMed
21505041BACKGROUNDPubMed
21558332BACKGROUNDPubMed
22068695BACKGROUNDPubMed
23271957BACKGROUNDPubMed
23571519BACKGROUNDPubMed
25311972BACKGROUNDPubMed
25362088BACKGROUNDPubMed
25444501BACKGROUNDPubMed
25956370BACKGROUNDPubMed

1 to 10 of 15

See all 15 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
the Progestin Primed Double Stimulation Group vs the Flexible GnRh Antagonist: deaths from any causeTrial comparisons
the Progestin Primed Double Stimulation Group vs the Flexible GnRh Antagonist: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04537078

GET https://conductscience.org/api/trials/v1/NCT04537078/results?page=2