The LUMO study is a multicenter, randomized controlled trial that evaluates the effectivity of luteal phase support in MOH/IUI treatment.
Participating sites consist of academic and non-academic hospitals and fertility clinics in The Netherlands. There are two treatment arms (MOH/IUI treatment with LPS vs MOH/IUI treatment with placebo) with a non-blinded superiority design. Participants are randomly distributed across both treatment arms for the entire study-period (six months, non-crossover). Eligibility criteria are: 1) couples starting IUI with Mild Ovarian HyperStimulation (MOH), with the intend to receive this treatment for at least six months. 2) Indication for MOH/IUI treatment is in accordance with current (dutch) NVOG guidelines; Diagnosis of unexplained (primary or secondary) infertility with Hunault \<30% (or \>30%, after an expectant management period of at least 6 additional months). Total mobile sperm count (VCM) \>10 million. 3) Females aged \>18 years with regular menstrual cycle. (Mild) Ovarian stimulating treatment and insemination are according to regular treatment protocol. Females assigned to the treatment group start LPS, applying 3dd200mg Utrogestan in vaginal capsules, on the day of IUI. Treatment is continued until the onset of menstruation, a negative pregnancy test, miscarriage or confirmed vital intra-uterine pregnancy at 7 weeks gestation. Main outcome is pregnancy within 6 months of treatment, leading to Live birth. Secondary outcomes are; Clinical pregnancy rate. Miscarriage rate. Multiple pregnancy rate. Pregnancy complications. Perinatal outcomes. Side effects and compliance to therapy. Added Medication Costs. Budget impact. The analyses will include a cost-effectiveness analysis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
1,008
3dd200mg
3dd1 vaginal capsule
UMC Utrecht
Utrecht, Netherlands
RECRUITINGLive Birth
Pregnancy leading to Live birth within six months.
Time frame: 6 months
Clinical pregnancy rate
Number and rate of patients that achieve a clinical pregnancy within six months
Time frame: <6 months
Miscarriage rate
Number and rate of patients that experience miscarriage (gestation \<16weeks) within six months
Time frame: <6 months
Multiple pregnancy rate
Number of pregnancies with 2 or more fetuses
Time frame: <6 months
Pregnancy complications
Pregnancies complicated by preterm labor (\<37 weeks), loss of pregnancy (\>16weeks), gestational diabetes, preeclampsia, HELLP syndrome or pregnancy induced hypertension.
Time frame: 1 year
Perinatal outcomes
Stillbirth/Livebirth/Perinatal death, Gestational age at delivery, birthweight
Time frame: <6 weeks
Side effects
Nausea, stomach ache, vaginal discharge, other (self reported) side effects
Time frame: <1 year
Compliance to therapy
Use of medication as prescribed
Time frame: 6 months
Added medication costs
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Increae in total therapy costs due to the addition of Utrogestan (the treatment).
Time frame: 1 year
Budget impact
Economic assessment that estimated financial consequences of adopting a new intervention
Time frame: 1 year