Oil- based versus water-based contrast media for hysterosalpingography (HSG) in infertile women with unevaluated indications: a randomized controlled trial

2024-512571-12-00 Protocol NL66079.029.18 Therapeutic use (Phase IV) Ongoing, recruiting

Start 29 Nov 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 9 sites · Protocol NL66079.029.18

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 936
Countries 1
Sites 9

Infertility

Conception leading to live birth, with a positive pregnancy test preceding the pregnancy within 6 months after randomization.

Key facts

Sponsor
Amsterdam UMC Stichting
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
29 Nov 2024 → ongoing
Decision date (initial)
2024-11-29
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
GUERBET · ZonMW

External identifiers

EU CT number
2024-512571-12-00
EudraCT number
2018-004192-12

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis, Safety, Therapy

Conception leading to live birth, with a positive pregnancy test preceding the pregnancy within 6 months after randomization.

Secondary objectives 17

  1. Biochemical pregnancy
  2. Clinical pregnancy
  3. Ongoing pregnancy
  4. Miscarriage
  5. Ectopic pregnancy
  6. Multiple pregnancy
  7. Time to Event (pregnancy)
  8. Complications following HSG (infection, intravastion)
  9. Pregnancy outcomes (f.e. birth weight)
  10. Pregnancy complications
  11. Stillbirth
  12. Thyroid function of the woman (before and 1 month after HSG)
  13. Neonatal outcomes
  14. Additional fertility treatments (Intra-uterine insemination, IVF, IVF/ICSI)
  15. Costs within 6 months after randomization
  16. Thyroid function of neonate (determined by heelprick)
  17. Anxiety level prior to HSG

Conditions and MedDRA coding

Infertility

VersionLevelCodeTermSystem organ class
20.1 LLT 10016398 Female infertility 10038604

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Treatment Phase
HSG water vs HSG (Oil)
Randomised Controlled None Group 1: HSG water
Group 2: HSG Oil

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Ovulation disorders (ovulation disorders will be defined as less than 8 menstrual cycles per year)
  2. High risk for tubal pathology (high risk for tubal pathology will be defined as a positive chlamydia infection, a pelvic inflammatory disease, known endometriosis, abdominal surgery (including tubectomy for ectopic pregnancy and appendectomy) and/or peritonitis in the medical history)
  3. Above 38 years of age

Exclusion criteria 4

  1. Iodine allergy
  2. Male subfertility defined as a post-wash total motile sperm count < 1 x10^6 spermatozoa/ml
  3. Not willing or able to sign the consent form
  4. Endocrine disorders as diabetes, hyperthyroidism or hyperprolactinemia (except for well managed hypothyroidism with TSH between 0.3 and 2.5mIU/l)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary outcome is conception leading to live birth, with a positive pregnancy test preceding the pregnancy within 6 months after randomization.

Secondary endpoints 16

  1. Biochemical pregnancy
  2. Clinical pregnancy
  3. Ongoing pregnancy
  4. Miscarriage
  5. Ectopic pregnancy
  6. Multiple pregnancy
  7. Time to pregnancy
  8. Complications following HSG (infection, intravastion)
  9. Pregnancy outcomes (f.e. birth weight)
  10. Pregnancy complications
  11. Stillbirth
  12. Thyroid function of the woman (before and 1 month after HSG)
  13. Neonatal outcomes
  14. Additional fertility treatments (Intra-uterine insemination, IVF, IVF/ICSI)
  15. Costs within 6 months after randomization
  16. Thyroid function of neonate (determined by heelprick)

Investigational products

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

Test 2

VISIPAQUE 320 mg I/ml, oplossing voor injectie

PRD315617 · Product

Active substance
Iodixanol
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAUTERINE USE
Max daily dose
50 ml millilitre(s)
Max total dose
50 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V08AB09 — IODIXANOL
Marketing authorisation
RVG 17665
MA holder
GE HEALTHCARE B.V.
MA country
Netherlands
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Lipiodol Ultra Fluide, 480 mg I/ml, oplossing voor injectie.

PRD6749839 · 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
15 ml millilitre(s)
Max total dose
15 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V08AD01 — ETHYL ESTERS OF IODISED FATTY ACIDS
Marketing authorisation
RVG 02806
MA holder
GUERBET
MA country
Netherlands
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Amsterdam UMC Stichting

Sponsor organisation
Amsterdam UMC Stichting
Address
De Boelelaan 1117
City
Amsterdam
Postcode
1081 HV
Country
Netherlands

Scientific contact point

Organisation
Amsterdam UMC Stichting
Contact name
Prof. dr. V. Mijatovic

Public contact point

Organisation
Amsterdam UMC Stichting
Contact name
Prof. dr. V. Mijatovic

Locations

1 EU/EEA country · 9 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruiting 499 9
Rest of world
China, United Kingdom
437

Investigational sites

Netherlands

9 sites · Ongoing, recruiting
Amsterdam UMC Stichting
Verloskunde & Gynaecologie, De Boelelaan 1117, 1081 HV, Amsterdam
Ziekenhuis Amstelland
gynaecologie, Laan Van De Helende Meesters 8, 1186 AM, Amstelveen
Elkerliek Ziekenhuis
Gynaecologie, Wesselmanlaan 25, 5707 HA, Helmond
Universitair Medisch Centrum Groningen
Gynaecologie, Hanzeplein 1, 9713 GZ, Groningen
Reinier de Graaf Groep
gynaecologie, Reinier De Graafweg 5, 2625 AD, Delft
Zaans Medisch Centrum Stichting
Gynaecologie, Koningin Julianaplein 58, 1502 DV, Zaandam
Catharina Ziekenhuis Stichting
Gynaecologie, Michelangelolaan 2, 5623 EJ, Eindhoven
Gelre Hospitals
Gynaecologie, Albert Schweitzerlaan 31, 7334 DZ, Apeldoorn
Rijnstate Ziekenhuis Stichting
Gynaecologie, Wagnerlaan 55, 6815 AD, Arnhem

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2024-11-29 2024-11-29

Results and documents

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

Documents 5 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-512571-12-00 1.10
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) SIS and ICF adults 1.8
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Lipiodol Ultra Fluide 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC VISIPAQUE 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-15 Netherlands Acceptable
2024-11-29
2024-11-29