Status:

RECRUITING

LE + CC vs. LE for Ovulation Induction

Lead Sponsor:

Mỹ Đức Hospital

Conditions:

Letrozole

Clomiphene Citrate

Eligibility:

FEMALE

18-40 years

Phase:

NA

Brief Summary

This randomized controlled trial (RCT) aims to evaluate whether, in infertile women with WHO II/IV ovulatory disorders, a combination of letrozole (LE) and clomiphene citrate (CC) compared to LE alone...

Detailed Description

Letrozole (LE) has been suggested as a first-line treatment for ovulation induction in PCOS. Clomiphene citrate (CC) is another widely used drug to induce ovulation in women with PCOS. Due to the diff...

Eligibility Criteria

Inclusion

  • Women 18-40 years of age
  • Having WHO II/IV ovulatory disorders (length of cycle \< 21 or \> 35 days or having \< 8 cycles per year)
  • Progressive motility (PR) ≥ 32%, sperm concentration ≥ 5 million/ml, total progressive motility sperm count \> 5 million (World Health Organization, 2021)
  • Written informed consent.
  • Not participating in other studies.

Exclusion

  • Untreated thyroid disease; Thyroid disease is suspected if patients have one of these (Bednarczuk et al., 2021); TSH ≥4 mIU/L or TSH ≥2.5mIU/L and TPOAb (+) or TSH \<0.1mIU/L
  • Untreated hyper-prolactinemia; Hyperprolactinemia is suspected if patients have prolactinemia concentration \>50 ng/mL (The sample is collected after an overnight fast, at least 2 hours after waking up, ensuring that venipuncture does not cause excessive stress.)
  • Allergy or having contraindications to LE or CC;
  • Unilateral or Bilateral fallopian tube blockage (HSG, HyFoSy or surgery confirmation)
  • Untreated endometrial abnormalities include endometrial hyperplasia, intrauterine adhesions, endometrial polyp, or chronic endometritis.
  • Uterine abnormalities include leiomyomas L0, L1, or L2; severe adenomyosis; congenital uterine abnormalities, include didelphus, arcuate, unicornuate, bicornuate, septate.

Key Trial Info

Start Date :

April 28 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 30 2027

Estimated Enrollment :

600 Patients enrolled

Trial Details

Trial ID

NCT06934785

Start Date

April 28 2025

End Date

June 30 2027

Last Update

September 11 2025

Active Locations (1)

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1

My Duc Hospital

Ho Chi Minh City, Ho Chi Minh City, Vietnam, 70000