Ignite Creation Date:
2024-05-06 @ 1:29 PM
Last Modification Date:
2024-10-26 @ 1:15 PM
Study NCT ID:
NCT04039204
Status:
COMPLETED
Last Update Posted:
2024-06-11
First Post:
2019-07-25
Brief Title:
Elagolix for Fertility Enhancement Clinical Trial
Sponsor:
Wake Forest University Health Sciences
Organization:
Wake Forest University Health Sciences
Study Overview
Official Title:
Elagolix for Fertility Enhancement Clinical Trial EFFECT
Status:
COMPLETED
Status Verified Date:
2023-12
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
EFFECT
Brief Summary:
Studies suggest that undiagnosed endometriosis results in poor reproductive outcomes in the setting of In Vitro Fertilization and Embryo Transfer IVF-ET Biomarkers that predict endometriosis including B-cell lymphoma BCL6 and Sirtuin 1 SIRT1 are associated with reduced pregnancy rates following IVF-ET Treatment with gonadotropin releasing hormone GnRHr receptor agonists leuprolide acetate depot has been shown to improve pregnancy rates following embryo transfer ET In this randomized controlled trial a new generation GnRHr antagonist elagolix will be compared to oral contraceptives OCPs for suppression of suspected endometriosis prior to ET Both groups will receive two months of treatment prior to frozen embryo transfer of a single euploid embryo Outcomes will include pregnancy rate miscarriage rate and ongoing and live birth rate following treatment Patients experiencing unanticipated problems or who experience adverse events such that they do not tolerate the treatment they are assigned will be allowed to discontinue treatment and be provided the opportunity to use the other treatment if they so choose The outcomes of such cycles would be collected separately and included as observational data only and not included in the randomized data analysis Alternatively they can simply drop out of the study and resume medical therapy as appropriate or pursue frozen embryo transfer as previously planned
Detailed Description:
Although meta-analyses have not demonstrated an effect of endometriosis on IVF outcomes most women with endometriosis undergoing IVF have not been diagnosed or treated for their disease Recent evidence suggests that biomarkers for endometriosis predict IVF failure and miscarriage Further suppression of endometriosis prior to IVF has been shown to dramatically improve pregnancy rates in unexplained infertility with suspected endometriosis Elagolix Orilissa is a new generation FDA approved orally active GnRHr antagonist that is rapidly reversible for the treatment of endometriosis and pelvic pain There have been no studies on the efficacy of elagolix for the treatment of endometriosis-associated infertility Given the recent study in Fertility and Sterility demonstrating IVF outcome prediction using BCL6 as a biomarker for the presence of endometriosis and subsequent preliminary data showing benefit using surgery and GnRH agonist therapy there is adequate rationale to examine the use of the orally active non-peptide compound elagolix for estrogen suppression prior to frozen embryo transfer in women who test positive for BCL6 and an associated protein SIRT1 In this multi-central randomized controlled trial RCT the EFFECT Trial the investigators plan to recruit 100 subjects with prior unexplained IVF failure with positive endometrial BCL6SIRT1 expression To qualify all subjects will need to have a preimplantation genetic testing PGT-A tested euploid embryo and intentions to undergo frozen embryo transfer Subjects will be randomized to receive elagolix 200 mg BID or OCPs for 2 months prior to standardized FET Primary study outcomes will be pregnancy outcome
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
True
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None