Infertility, Female Clinical Trial
Official title:
Effects of Pentoxifylline and Vitamin E on Pregnancy Rate in Infertile Women Treated by ICSI: A Randomized Clinical Trial
Our findings will provide preliminary clinical evidence to suggest the new experimental treatment approaches, toward female factor infertility treatment with pentoxyfylline.
This randomized clinical trial will be conducted on 140 infertile patients. The study is
approved by the Ethical Committee of Benha obstetrics and Gynecology Department and will be
initiated after achieving written consents of the participants. The study will include
infertile patients under 39 years of age without a previous history of ICSI cycle. Exclusion
criteria will be hypothalamic amenorrhea, drug reactions or complications, endometriosis and
fibroids. Patients will be randomly divided into two equal groups. Computer generated random
number table will be used for randomization. Group assignments will be placed in sealed
opaque sequentially numbered envelopes. For each participant a questionnaire will be filled
by the researchers. The questionnaire contained questions about age, duration of infertility,
the type and cause of infertility. Data will be collected from questionnaires, clinical,
laboratory notes and ultrasound reports. Endometrial thickness will be measured on the day of
the HCG prescription in both groups by one of the two attending physicians. Chemical
pregnancy will be detected by serum beta-hCG analysis 14 days after embryo transfer and
transvaginal ultrasound scan will be scheduled 2 weeks later to confirm the diagnosis of
clinical pregnancy. The intervention group will receive pentoxifylline (Trental S.R.) 400
mg/BD plus vit E (PHARCO) 400 mg/BD 2 cycles before starting ICSI cycle and the medication
will be continued until the beta-hCG becomes positive or the cycle is cancelled. The
comparison group will not receive the above drugs. The main outcome measure will be clinical
pregnancy rate.
Sample size calculation Sample size was calculated using PASS® version 11 program, setting
the type-1 error (α) at 0.05 and the power (1-β) at 0.8. Results from a previous study
(Ashraf alesyan, 2009) showed that the incidence of pregnancy rate among ttt group was 57.1%
while for control group it was 39.2%, with an effect size of 12%. Calculation according to
these values produced a minimal sample size of 131 cases in each group.
Results
Results will be statistically analyzed.
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