Prevention of multiple pregnancies in couples with unexplained or mild male subfertility

ISRCTN ISRCTN52843371
DOI https://doi.org/10.1186/ISRCTN52843371
Protocol serial number N/A
Sponsor Academic Medical Centre (AMC) (The Netherlands)
Funder The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands)
Submission date
02/05/2007
Registration date
02/05/2007
Last edited
15/01/2015
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 M.H. Mochtar
Scientific

Academic Medical Centre
Centre for Reproductive Medicine
Amsterdam
1100 DE
Netherlands

Email M.H.Mochtar@amc.uva.nl

Study information

Primary study designInterventional
Study designRandomised, active controlled, parallel group, multicentre trial
Secondary study designRandomised controlled trial
Scientific titlePrevention of multiple pregnancies in couples with unexplained or mild male subfertility
Study acronymINeS-study
Study objectivesMultiple pregnancies can be prevented without loss of pregnancy rates by treating couples with manipulated natural cycle In Vitro Fertilisation (IVF) or with IVF-eSET (Single Embryo Transfer) plus cryo-cycles instead of standard treatment with intra-uterine insemination and controlled ovarian hyperstimulation.
Ethics approval(s)Ethics approval received from the local medical ethics committee
Health condition(s) or problem(s) studiedMultiple pregnancies
InterventionThe comparisons are:
1. Six cycles of intra-uterine insemination with controlled ovarian hyperstimulation
2. Six cycles of manipulated natural cycle IVF
3. Three cycles with IVF-eSET plus cryo-cycles

Performed within a time frame of 10 months
Intervention typeOther
Primary outcome measure(s)

Birth of a healthy child.

Key secondary outcome measure(s)

1. Multiple pregnancy, defined as registered heartbeat of at least two foetuses at 12 weeks of gestation
2. Clinical pregnancy, defined as any registered embryonic heartbeat at sonography
3. Neonatal mortality
4. Pregnancy complications:
a. preterm birth less than 37 weeks
b. birth weight less than 2.500 grams
c. Pregnancy Induced Hypertension (PIH)
d. (pre)-eclampsia, HELLP (Haemolysis, Elevated Liver enzymes, Low blood levels of Platelets)
5. Costs

Completion date12/12/2010

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit38 Years
SexFemale
Target sample size at registration600
Key inclusion criteriaCouples are eligible if the following apply:
1. Females aged between 18 and 38 years
2. Failure to conceive within at least 12 months of unprotected intercourse
3. The couple has poor fertility prospects as calculated by the validated model of Hunault. A poor fertility prospect is defined as a chance of spontaneous pregnancy below 30% within 12 months
Key exclusion criteriaCouples must not be entered if any of the following apply:
1. Polycystic ovary syndrome or any other anovulation
2. Post-wash total motile sperm count below 3 million
3. Double-sided tubal pathology
4. Endocrinopathological disease like:
a. Cushing syndrome
b. adrenal hyperplasia
c. hyperprolactinaemia
d. acromegaly
e. imminent ovarian failure
f. premature ovarian failure
g. hypothalamic amenorrhoea
h. hypothyroidy
i. diabetes mellitus type one
5. Negative post-coitus test
6. If not willing or able to sign the consent form
Date of first enrolment01/07/2007
Date of final enrolment12/12/2010

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Academic Medical Centre
Amsterdam
1100 DE
Netherlands

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 09/01/2015 Yes No