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NCT Number: NCT07508657

Progesterone Supplementation After Letrozole-stimulated Insemination

This trial aims to investigate whether luteal phase support improves the chance of pregnancy in women undergoing intrauterine insemination (IUI) following ovarian stimulation with letrozole.

In this randomized clinical trial, 690 women undergoing letrozole-stimulated IUI at four public fertility clinics in Denmark will be randomly allocated to one of two groups:

* Vaginal progesterone from the day after insemination (Cyclogest 400 mg twice daily) * No luteal phase support, reflecting current clinical practice

All participants will undergo a standard letrozole-stimulated IUI treatment, including ultrasound monitoring, ovulation triggering, and insemination. Blood samples will be collected on the day of insemination and 7-9 days after insemination to measure hormone levels.

The results of this trial will provide further insight into the role of progesterone support in letrozole-stimulated IUI cycles.

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Key information

Age range

18 year–37 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 4

Primary location

Copenhagen University Hospital - Rigshospitalet. Department of Gynecology, Fertility and Obstetrics, Copenhagen, Denmark

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age 18-37 years
  • Scheduled for IUI with homologous or donor sperm
  • Undergoing mild ovarian stimulation with letrozole
  • Ability to provide written informed consent

Exclusion criteria

  • Age > 37 years
  • Anovulation due to hypogonadotropic hypogonadism
  • Known hypersensitivity to progesterone or hard fat listed as an excipient in the Summary of Product Characteristics (SmPC) for Cyclogest.
  • Known or suspected progesterone-sensitive malignant tumours
  • Porphyria
  • Known missed abortion or ectopic pregnancy
  • Active arterial or venous thromboembolism, severe thrombophlebitis, or a history of these conditions
  • Severe hepatic dysfunction or liver disease
  • Inability to speak or understand Danish sufficiently to comprehend oral and written study information

Treatment and study plan

Progesterone

Drug

Vaginal progesterone (Cyclogest) 400 mg administered twice daily starting the day after insemination. Treatment is continued until gestational age 10 weeks in the event of clinical pregnancy or until clinical pregnancy is ruled out.

Other names: Cyclogest

Primary outcomes

  1. Clinical Pregnancy Rate

    Time frame: Gestational age 7-9 weeks

    Defined as an ultrasonographically visible foetal heartbeat at 7-9 weeks of gestation

Secondary outcomes

  1. Live Birth Rate

    Time frame: At the time of delivery

    Defined as the birth of one or more living infants after a pregnancy of GA ≥ 22 weeks

  2. Biochemical Pregnancy Rate

    Time frame: 14-17 days after intrauterine insemination

    Defined as a positive serum or urine β-hCG test 14-17 days after intrauterine insemination

  3. Early Pregnancy Loss

    Time frame: Up to 10 weeks of gestation

    Defined as intrauterine pregnancy loss before 10 weeks of gestational age

  4. Fetal miscarriage

    Time frame: From 10 weeks of gestation to delivery

    Defined as pregnancy loss ≥ 10 weeks size with a fetus (≥ 33 mm) on ultrasound

  5. Obstetric outcomes

    Time frame: At time of delivery

    Obstetric complications including hypertensive disorders of pregnancy, gestational diabetes, postpartum hemorrhage and cesarean section

  6. Perinatal outcomes

    Time frame: At time of delivery

    Preterm birth, birth weight, congenital malformations, and perinatal mortality (defined as foetal or neonatal death from GA 22+0 to 7 days after birth).

  7. Hormone levels

    Time frame: Time of insemination and mid-luteal phase (approximately 7-9 days after insemination).

    Serum hormone levels measured on the day of insemination, in the mid-luteal phase and on the day of ovulation trigger (optional), including progesterone, estradiol, LH and FSH.

Study contacts

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

Kirstine Kirkegaard, Clinical Associate Professor

CONTACT

[email protected]

+4578426562

Sponsors and collaborators

Lead sponsor

Kirstine Kirkegaard

Other

Registry information

Official study title

Luteal Phase Support Following Letrozole Treatment in Women Undergoing Intrauterine Insemination: a Multicenter Randomized Trial

Acronym: LIFT

Important dates

Study start
2026
Primary completion
2029
Study completion
2030
First posted
Apr 2, 2026
Registry last updated
Apr 2, 2026

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.

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