ISRCTN ISRCTN35859078
DOI https://doi.org/10.1186/ISRCTN35859078
Protocol serial number 0102
Sponsor Guy's and St Thomas' NHS Foundation Trust (UK)
Funder Guy's and St Thomas' NHS Foundation Trust (UK) - Assisted Conception Unit
Submission date
05/02/2009
Registration date
06/02/2009
Last edited
05/05/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Tarek El-Toukhy
Scientific

Assisted Conception Unit
11th Floor, Tower Wing
Guy's Hospital
Great Maze Pond
London
SE1 9RT
United Kingdom

Phone +44 (0)20 7188 0497
Email tarek.el-toukhy@gstt.nhs.uk

Study information

Primary study designInterventional
Study designRandomised single-blind controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleA multicentre randomised controlled study of the effects of outpatient hysteroscopy on the outcome of the subsequent in-vitro fertilisation (IVF) cycle after recurrent IVF failure
Study acronymTrophy in IVF
Study objectivesA recent systematic review suggested the outcome of in-vitro fertilisation (IVF) treatment could be improved in patients who have experienced recurrent IVF failure if an outpatient hysteroscopy (OH) is performed prior to starting the new treatment cycle. The review recommended performing a randomised trial to settle this research question. Therefore, this trial proposes to test the hypothesis that performing an OH prior to starting an IVF cycle improves the live birth rate of the subsequent IVF cycle in women who have experienced 2 - 4 previous failed IVF cycles.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedRecurrent in-vitro fertilisation (IVF) failure
InterventionThe trial participants are randomised to one of two regimens:
1. Out-patient hysteroscopy in the follicular phase (days 5 - 14) of the menstrual cycle where the IVF cycle is due to start, followed by standard IVF treatment (according to local standard IVF protocol with or without the use of intracytoplasmic sperm injection
2. Standard IVF treatment (as above) without a prior out-patient hysteroscopy
Intervention typeProcedure/Surgery
Primary outcome measure(s)

Live birth event per cycle started, measured after 9 months of embryo transfer.

Key secondary outcome measure(s)

1. Embryo implantation rate
2. Pregnancy rate per IVF cycle started
3. Clinical pregnancy rate per IVF cycle started
4. Miscarriage rate per pregnancy achieved
Measured 2 and 4 weeks after embryo transfer.

Completion date30/06/2012

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target sample size at registration756
Key inclusion criteria1. Women undergoing an IVF (with or without intracytoplasmic sperm injection) treatment cycle who have had between 2 - 4 failed previous fresh IVF attempts ending in an embryo transfer
2. Aged 36 years or less
3. Willing and able to give informed consent

Women who have had a previous hysteroscopy will be included.
Key exclusion criteria1. Women who had less than 2 or more than 4 failed fresh IVF attempts ending in an embryo transfer
2. Women aged more than 36 years (i.e. women aged 37 years or more)
3. Presence of submucous or intramural uterine fibroids distorting the uterine cavity or untreated tubal hydrosalpinges
Date of first enrolment01/07/2009
Date of final enrolment30/06/2012

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Guy's Hospital
London
SE1 9RT
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 25/06/2016 Yes No
Protocol article protocol 03/12/2009 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

05/05/2016: Publication reference added.