A study concerning the influence of tubal flushing with oil on pregnancy and live birth in women with fertility problems

2023-508896-35-00 Protocol HYFOIL Therapeutic use (Phase IV) Ongoing, recruitment ended

Start 12 Jul 2024 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 14 sites · Protocol HYFOIL

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruitment ended
Participants planned 736
Countries 1
Sites 14

Infertile women with at least one patent tube at Hysterosalpingo-foam sonography

To determine if the additional tubal flushing with oil-based contrast after undergoing Hyfosy significantly improves the occurrence rate of live birth, counting from the first day of the last menstrual cycle in which the patient conceives within 6 months after Hyfosy compared to no additional flushing after undergoing …

Key facts

Sponsor
Antwerp University Hospital
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Phenomena and Processes [G] - Reproductive and Urinary Physiological Phenomena [G08]
Trial duration
12 Jul 2024 → ongoing
Decision date (initial)
2024-07-12
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2023-508896-35-00
EudraCT number
2020-002135-30
ClinicalTrials.gov
NCT04379973

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To determine if the additional tubal flushing with oil-based contrast after undergoing Hyfosy significantly improves the occurrence rate of live birth, counting from the first day of the last menstrual cycle in which the patient conceives within 6 months after Hyfosy compared to no additional flushing after undergoing Hyfosy.

Conditions and MedDRA coding

Infertile women with at least one patent tube at Hysterosalpingo-foam sonography

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Intervention with IMP versus control during Hyfosy
Intervention with IMP (Lipiodol Ultra Fluide) versus control during HyFoSy (Hydrosalpingo-Foam-Sonografie)
Randomised Controlled None Intervention: Administreation of Lipiodol Ultra Fluide
Control: No administration of Lipiodol Ultra Fluide

Regulatory references

Scientific advice from competent authorities
Federal Agency For Medicines And Health Products, Commissie Voor Medische Ethiek Zna
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Infertile women undergoing Hyfosy as part of the fertility workup. Women will be eligible if they (1) are ≥ 18 years and < 40 years
  2. (2) have infertility defined as: lack of conception despite 12 months of unprotected intercourse OR; if they are taking part in a donor sperm insemination programme: three cycles of donor insemination without pregnancy OR; in case of treated ovulation disorder: three ovulatory ovulation induction cycles without pregnancy
  3. (3) have tubal patency of at least one Fallopian tube on Hyfosy

Exclusion criteria 10

  1. known iodine allergy
  2. allergy to poppy seed oil
  3. ovulation disorders defined as less than eight menstrual cycles per year who did not have three ovulatory cycles after ovulation induction
  4. contra-indication to have tubal patency testing according to the site’s indication
  5. active thyroid disorders
  6. untreated subclinical hypothyroidism (TSH>2.5mIU/L) in case of auto-immune thyroid disease
  7. uterine surgery in the past two months before Hyfosy
  8. a male partner (if applicable) with a post-wash Total Motile Sperm Count (TMC) < 1x106 and/or TMC < 3x106 in the native sperm analysis [TMC is defined as volume X concentration X (A* (progressive) + B* (non progressive) motility in %) divided by 100] OR with a history suspect of severe male factor infertility if no sperm sample is available at time of randomisation (*A+B when A,B,C is used (WHO 2010) A+B+C when A,B,C, D is used (WHO 2021))
  9. an indication for IVF defined as patients who are advised to go to IVF immediately because of bilateral tubal block, severe male factor infertility, unsolved anovulatory problems, endometriosis with residual functional problems”
  10. no Belgian national number (RRN/INS)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. the occurrence of live birth, counting from the first day of the last menstrual cycle in which the patient conceives within 6 months after Hyfosy.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Lipiodol Ultra-Fluide, 480 mg I/ml, solution injectable

PRD347943 · Product

Active substance
Ethyl Esters of Iodised Fatty Acids From Poppyseed Oil
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAUTERINE USE
Max daily dose
4800 mg milligram(s)
Max total dose
4800 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V08AD01 — ETHYL ESTERS OF IODISED FATTY ACIDS
Marketing authorisation
BE017613
MA holder
GUERBET
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Antwerp University Hospital

Sponsor organisation
Antwerp University Hospital
Address
Drie Eikenstraat 655
City
Edegem
Postcode
2650
Country
Belgium

Scientific contact point

Organisation
Antwerp University Hospital
Contact name
Diane De Neubourg

Public contact point

Organisation
Antwerp University Hospital
Contact name
Diane De Neubourg

Locations

1 EU/EEA country · 14 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 736 14
Rest of world 0

Investigational sites

Belgium

14 sites · Ongoing, recruitment ended
Centre Hospitalier Regional De La Citadelle
Center for Reproductive Medicine, Bld Du Douzieme-De-Ligne 1, 4000, Liege
Ziekenhuis Oost Limburg
Center for Reproductive Medicine, Synaps Park 1, 3600, Genk
CHC MontLegia
Center for Reproductive Medicine, Boulev. De Patience Et Beajonc 2, 4000, Liege
Universitair Ziekenhuis Gent
Center for Reproductive Medicine, Corneel Heymanslaan 10, 9000, Gent
UZ Brussel
Center for Reproductive Medicine, Laarbeeklaan 101, 1090, Jette
Imelda
Center for Reproductive Medicine, Imeldalaan 9, 2820, Bonheiden
Hopital Erasme
Center for Reproductive Medicine, Lennikse Baan 808, 1070, Anderlecht
AZ Turnhout
Center for Reproductive Medicine, Steenweg Op Merksplas 44, 2300, Turnhout
Algemeen Ziekenhuis Klina
Center for Reproductive Medicine, Augustijnslei 100, 2930, Brasschaat
Cliniques Universitaires Saint-Luc
Center for Reproductive Medicine, Hippokrateslaan 10, Batiment 54, Sint-Lambrechts-Woluwe
Antwerp University Hospital
Center for Reproductive Medicine, Drie Eikenstraat 655, 2650, Edegem
GasthuisZusters Antwerpen
Center for Reproductive Medicine, Oosterveldlaan 24, 2610, Antwerp
Katholieke Universiteit te Leuven
Center for Reproductive Medicine, Herestraat 49, 3000, Leuven
AZ Sint-Lucas & Volkskliniek
Center for Reproductive Medicine, Groenebriel 1, 9000, Gent

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2024-07-12 2024-07-12 2025-10-29

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 28 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-508896-35-00 4.0
Protocol (for publication) D1_Protocol_2023-508896-35-00_TC 4.0
Recruitment arrangements (for publication) K1_Recruitment arrangements NTF 1
Subject information and informed consent form (for publication) L1_SIS and ICF additional DU 1
Subject information and informed consent form (for publication) L1_SIS and ICF additional ENG 1
Subject information and informed consent form (for publication) L1_SIS and ICF additional FR 1
Subject information and informed consent form (for publication) L1_SIS and ICF additional NL 1
Subject information and informed consent form (for publication) L1_SIS and ICF initial DU 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF initial ENG 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF initial FR 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF initial NL 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF Prescreening DU 1
Subject information and informed consent form (for publication) L1_SIS and ICF Prescreening ENG 1
Subject information and informed consent form (for publication) L1_SIS and ICF Prescreening FR 1
Subject information and informed consent form (for publication) L1_SIS and ICF Prescreening NL 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Initial_DU_2023-508896-35-00_TC 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Initial_ENG_2023-508896-35-00_TC 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Initial_FR_2023-508896-35-00_TC 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Initial_NL_2023-508896-35-00_TC 3.0
Subject information and informed consent form (for publication) L2_Other Subject Infomration Material Patient brochure_DUI 1
Subject information and informed consent form (for publication) L2_Other Subject Infomration Material Patient brochure_ENG 1
Subject information and informed consent form (for publication) L2_Other Subject Infomration Material Patient brochure_FR 1
Subject information and informed consent form (for publication) L2_Other Subject Infomration Material Patient brochure_NL 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Lipiodol Ultra Fluide 1
Synopsis of the protocol (for publication) D1_ Protocol Synopsis NL 2023-508896-35-00 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis DU 2023-508896-35-00 1.0
Synopsis of the protocol (for publication) D1_Protocol Synopsis ENG 2023-508896-35-00 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis FR 2023-508896-35-00 1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-19 Belgium Acceptable with conditions
2024-07-08
2024-07-12
2 SUBSTANTIAL MODIFICATION SM-2 2024-10-04 Belgium Acceptable
2024-12-05
2024-12-13