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NCT Number: NCT06244745

Effects of Letrozole During the Luteal Phase After Controlled Ovarian Stimulation in Oocyte Donors.

The objective of this trial is to determine whether the use of letrozole during the luteal phase in oocyte donors diminishes the ovarian volume, as well as to evaluate its effect on the duration of the luteal phase, taking into account hormonal and biochemical markers.

Two groups will be established with random allocation of patients and 1:1 proportionality, as follows:

* Control group: No specific treatment. * Study group: Oral administration of letrozole 5 mg (each capsule is 2.5 mg) once a day for 5 days starting on the night of the follicular puncture.

Recruiting

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Key information

Age range

18 year–34 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 3

Primary location

IVI-Madrid

Madrid, 28023, Spain

Location status: Recruiting

Location contact

Juan A Garcia-Velasco, MD, PhD

CONTACT

[email protected]

3491 1802900

Juan A Garcia-Velasco, MD, PhD

PRINCIPAL_INVESTIGATOR

About this study

Letrozole is a widely used drug in the context of hormone-dependent malignant tumors due to its antiestrogenic effect. Its mechanism of action allows its application to the field of Assisted Reproductive Medicine, mainly as an inductor of ovulation, by means of a blockage in the negative feedback signalization of the hypothalamus-pituitary-gonadal axis. In the last years, it has also been tested with the goals of preventing ovarian hyperstimulation syndrome (OHSS) or analyzing its effects on several endocrinological and biochemical markers such as LH, progesterone or VEGF. However, the results are inconsistent on every account. Data regarding the effect on ovarian size and the duration of the luteal phase following the administration of letrozole after the oocyte pick-up can be useful to evaluate the benefit of this drug in patients with a tendency towards hyperresponse, in which both the discomfort after the stimulation and the risk of ovarian torsion are increased.

The objective of this trial is to determine whether the use of letrozole during the luteal phase in oocyte donors diminishes the ovarian volume, as well as to evaluate its effect on the duration of the luteal phase, taking into account hormonal and biochemical markers

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Hyper-responsiveness to stimulation, defined as the presence of ≥18 follicles of size ≥11 mm (22-24) on the day of the last ultrasound visit prior to ovarian puncture.

Exclusion criteria

  • Participation in another clinical study, prior to inclusion in the present study, that could affect the objectives of this study.
  • Known allergy to letrozole.
  • Known lactose intolerance.

Treatment and study plan

Administration of letrozole

Drug

Oral administration of letrozole 5 mg (each capsule is 2.5 mg) once a day for 5 days starting on the night of the follicular puncture.

Other names: Oral administration of letrozole

Primary outcomes

  1. To determine ovarian volume in millilitres in oocyte donors according to whether or not they receive the treatment during the luteal phase after ovarian stimulation.

    Time frame: On the day of ovarian puncture, 5 days post-puncture and 10 days post-puncture.

    Difference (in millilitres) in the mean volume of the two ovaries, calculated for each ovary according to the formula for the volume of an ellipsoid

Secondary outcomes

  1. To determine the levels of VEGF, VEGF/sFlt-1 ratio, LH, FSH, oestradiol, progesterone and testosterone in the plasma of oocyte donors depending on whether or not they receive the study treatment during the luteal phase.

    Time frame: On the day of ovarian puncture, 5 days post-puncture and 10 days post-puncture.

    To determine the difference of plasma values of VEGF, sFlt-1, oestradiol, progesterone, FSH, LH and testosterone. Ratio VEGF/sFlt-1. Continuous numerical variables.

  2. To determine the duration of the luteal phase in oocyte donors depending on whether or not they receive the treatment under study during the luteal phase after ovarian stimulation.

    Time frame: On the day of ovarian puncture and 10 days post-puncture.

    To determine the difference of duration of the luteal phase, inferred by the number of days from follicular puncture to the start of the next menstrual cycle. onset of the next menstrual cycle. Discrete numerical variable.

Study contacts

Contact information is provided by the study sponsor or research team.

Juan Antonio Garcia Velasco, PhD

CONTACT

[email protected]

+34 91 180 29 00

Sergio Caballero, PhD

CONTACT

[email protected]

+34 91 180 29 00

Sponsors and collaborators

Lead sponsor

IVI Madrid

Other

Registry information

Official study title

Clinical and Endocrinological Effects of Letrozole During the Luteal Phase After Controlled Ovarian Stimulation in Oocyte Donors: a Low Interventional, Randomized, Controlled Trial

Acronym: LETRODON

Important dates

Study start
2023
Primary completion
2025
Study completion
2025
First posted
Feb 6, 2024
Registry last updated
May 21, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.