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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ISRCTN
Last refreshed on: 24 July 2017
Main ID:  ISRCTN42536405
Date of registration: 19/07/2011
Prospective Registration: No
Primary sponsor: Samir Abbas Center (Saudi Arabia)
Public title: Can a dopamine agonist prevent severe ovarian hyperstimulation syndrome (OHSS) in women undergoing intracytoplasmic sperm injection (ICSI) treatment cycles?
Scientific title: Cabergoline and OHSS - a randomized controlled study
Date of first enrolment: 01/07/2007
Target sample size: 200
Recruitment status: Completed
URL:  http://isrctn.com/ISRCTN42536405
Study type:  Interventional
Study design:  Single-center non-blinded randomized controlled study (Prevention)  
Phase:  Not Applicable
Countries of recruitment
Saudi Arabia
Contacts
Name:    
Address: 
Telephone:
Email:
Affiliation: 
Name: Amany    Shaltout
Address:  Dr Samir Abbas Medical Center PO Box 12190 21473 Jeddah Saudi Arabia
Telephone: +966 (0)50 767 5438
Email: amanyshaltout@hotmail.com
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: 1. 200 infertile couples undergoing ICSI and at risk of developing OHSS have been included between January 2007 and July 2009
2. The risk to develop OHSS has been defined as follows:
2.1. Dopamine E2 level on day of hCG > 3500 pg/ml
2.2. With = 20 follicles > 12 mm

Exclusion criteria: Patients with dopamine E2 =5000 pg/ml

Age minimum:
Age maximum:
Gender: Female
Health Condition(s) or Problem(s) studied
Ovarian hyperstimulation syndrome (OHSS)
Pregnancy and Childbirth
Ovarian hyperstimulation syndrome (OHSS)
Intervention(s)
1. Long mid luteal GnRH agonist protocol, 0.1 mg triptorelin SC. (Decapeptyl; Ferring; Germany) has been used for pituitary down regulation in both groups
2. Once pituitary down regulation has been confirmed, controlled ovarian hyperstimulation (COH) was started using fixed dose of HMG, 150- 225 IU (Menogon 75 IU,IM injections, Ferring, Germany), for 5 days, then the dose was adjusted according to response
3. When 3 leading follicles reached 18 mm, final oocyte maturation was triggered with a single dose of 5000 IU of hCG
4. On day of hCG administration, couples were randomized using computer generated list with closed opaque envelops into two groups, cabergoline group (Group I; n=100), received 0.25 mg daily for 8 days and non-cabergolone group (Group II; n=100), did not receive cabergoline
5. Transvaginal guided oocyte retrieval was performed 34 - 36 hours later
6. Both groups have been administrated 500 ml of hydroxyethyl starch (HES) over 30 minutes as a routine strategy in our center on the day of ovum pickup
7. Ultrasound guided transfer (ET) of 2-3 embryos was performed 72 hours later
8. Luteal phase was supported with 400 mg progesterone vaginal pessaries, twice daily up to the day of pregnancy test (Cyclogest; Cox Pharmaceuticals, Whiddon Valley, UK)
9. Haemoconcentration, presence of ascitis, measuring the perpendicular diameter of free fluid in Douglas Pouch, and the ovarian volume have been reported in both groups on day of ET
Primary Outcome(s)
Incidence, onset and severity of OHSS
Secondary Outcome(s)
1. Oocyte recovery rate
2. Number of mature oocytes
3. Fertilization rate
4. Clinical pregnancy rate (defined as presence of fetal heart pulsation 2 weeks after a positive ß-HCG test)
Secondary ID(s)
SAC 05-12011
Source(s) of Monetary Support
Investigator initiated and funded
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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