RCT of Ovarian Function Following Intraovarian Injection of PRP

  • STATUS
    Recruiting
  • participants needed
    90
  • sponsor
    Center for Human Reproduction
Updated on 19 February 2024

Summary

Consenting women with evidence of poor ovarian reserve will be randomly assigned to treatment with either Platelet Rich Plasma (PRP) or Platelet Poor Plasma (PPP).

Description

As women age oocytes are gradually depleted with a consequent progressive loss of ovarian function and fertility. When a woman's follicle cohort falls below a critical level, she enters a transitional time of diminished ovarian reserve known as ovarian aging. Recently the use of autologous platelet-rich plasma (A-PRP) has been proposed as an additional strategy for improving ovarian function. A-PRP is prepared from autologous blood using an FDA approved device. The rationale for the use of PRP is that it contains growth factors which stimulate cellular anabolism, inflammatory modulators that create an anti-inflammatory effect and fibrinogen which acts as a scaffold for regenerating tissue. We hypothesize that the growth factors present in PRP may have a beneficial effect promoting growth and recruitment of antral follicles. We will recruit a prospective cohort of 90 patients with evidence of Premature Ovarian Aging/DOR. Women invited to participate in this RCT will have FSH above 12 and AMH below 1.0 ng/mL respectively and will have had fewer than 6 oocytes retrieved in a previous ovulation attempt. Consenting participants in this trial will be randomized in a doubly blind fashion to two groups. One will receive Platelet Rich Plasma (PRP) and the other will receive Platelet Poor Plasma (PPP). Women assigned to PPP will be offerred PRP in a future cycle if they so desire.

Details
Condition Diminished Ovarian Reserve, Diminished Ovarian Reserve Due to Advanced Maternal Age
Age 21-44 years
Treatment PRP - Platelet Rich Plasma, PPP - Platelet Poor Plasma
Clinical Study IdentifierNCT04278313
SponsorCenter for Human Reproduction
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

fewer than 6 oocytes in response to past ovulation induction
desire to establish a pregnancy using IVF
Age 44 years and under
FSH > 12
AMH < 1.0
No Aspirin or Motrin for one week before treatment

Exclusion Criteria

Age > 45 years
Marked thrombocytopenia
Blood diseases
Hypofibrinogenemia
Hemodynamic instability
Anticoagulant or antiaggregant treatment
Oncological diseases (specially, skeletal system and blood)
Sepsis
Acute and chronic infectious diseases
Autoimmune diseases, for example, lupus erythematosus, etc
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