E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Cumulative live-birth rate. |
Tasa acumulativa de nacidos vivos. |
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E.1.1.1 | Medical condition in easily understood language |
Live-birth rate. |
Tasa o porcentaje de bebés nacidos vivos |
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E.1.1.2 | Therapeutic area | Diseases [C] - Female diseases of the urinary and reproductive systems and pregancy complications [C13] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the impact of exercise and Mediterranean diet vs LDA vs no intervention 6 months previous to ICF, on cumulative live-birth rate. |
Evaluar el impacto del ejercicio físico y dieta mediterránea vs LDA vs no intervención 6 meses previo a la ICF en la tasa acumulativa de nacidos vivos. |
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E.2.2 | Secondary objectives of the trial |
-To evaluate basal CV risk parameters in women awaiting IVF procedures. -To evaluate CV risk parameters in women awaiting IVF procedures 6 months after pre-conception interventions. -To evaluate placental function biomarkers in the 1st and 3rd trimester of all study groups. -To evaluate maternal cardiac function parameters upon inclusion, previous to IVF, at 1st and 3rd trimester of pregnancy and compare between study groups. -To evaluate foetal cardiac function parameters at 3rd trimester of pregnancy and compare between study groups. -To describe the incidence of adverse perinatal outcomes, both maternal and foetal, in the study groups. |
-Evaluar los parámetros basales de riesgo cardiovascular en mujeres esperando procedimientos IVF. - Evaluar los parámetros basales de riesgo cardiovascular en mujeres esperando procedimientos IVF 6 meses después de intervenciones pre-conceptivas. -Evaluar biomarcadores de función placentaria en el primer y tercer trimestre en todos los grupos de estudio. -Evaluar los parámetros de función cardíaca materna des de la inclusión, previo a la IVF, al primer trimestre y tercer trimestre de embarazo y comparar entre grupos de estudio. -Describir la incidencia de resultados perinatales adversos (tanto maternos como fetales) en todos los grupos de estudio. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients with primary infertility justifying IVF treatment, who wish to become pregnant, aged between 18 and ˂38 years, candidates for single embryo transfer in day 5, who give written consent when invited to participate in the study protocol. |
Pacientes con infertilidad primaria que justifique el tratamiento IVF, las cuales busquen quedarse embarazadas y tengan entre 18 y ˂38 años. Candidatas para transferencia de un solo embrión en día 5 y que den su consentimiento informado para participar en el protocolo de estudio. |
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E.4 | Principal exclusion criteria |
Low ovarian reserve (defined as anti-Mullerian hormone ˂1 ng/mL), pregnancy at the moment of inclusion, presence of comorbidities that contraindicate IVF, pregnancy or childbirth, known allergies to any of the interventions to be applied, previous unsuccessful IVF cycles, probability of loss to follow-up, probability of delivery occurring in another hospital or centre. |
Reserva ovárica baja (definida cómo hormona anti Mulleriana a niveles inferiores a 1ng/mL), embarazo al momento de inclusión, presencia de comorbilidades que contraindiquen la IVF, embarazo o haber dado a luz, alergias conocidas a alguno de los procedimientos que se aplicarán, ciclos previos IVF fallidos, probabilidad de pérdida de seguimiento y probabilidad de que el parto ocurra en otro hospital o centro. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Cumulative live-birth rate: defined as the number of deliveries that result in a live born neonate, expressed per 100 embryo transfers. |
Tasa acumulativa de nacidos vivos: definida como el número de partos que resultan en un neonato vivo, expresado por 100 transferencias embrionarias. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
When delivery occurs. |
Cuando el parto ocurra. |
|
E.5.2 | Secondary end point(s) |
Adverse perinatal outcome: defined as the presence of either of the following: miscarriage, stillbirth, low birth weight, preterm birth, preeclampsia, congenital malformations and/or admission to neonatal ICU. • High risk of PE (preeclampsia) according to first trimester screening: a logistic regression-based predictive model for early and late onset PE will be used, according to a validated algorithm including maternal characteristics, levels of pregnancy-associated plasma protein-A (PAPP-A) and free β-Human chorionic gonadotropin (β-hCG) at 8-12 weeks, and blood pressure and uterine artery Doppler at 11.0-13.6 weeks. Details of this screening method have previously been described and are available for clinical use. • Preeclampsia: categorized according to the guidelines of the Royal College of Obstetricians and Gynaecologists. Briefly, hypertension will be defined as the repeated measurement of systolic blood pressure of ≥140 mm Hg (Korotkoff I) and diastolic blood pressure of ≥90 mm Hg (Korotkoff V). Proteinuria will be defined as the excretion of 300 mg protein or greater per day in the 24-hour urine collection or a repeated dipstick of ≥1+. Pregnancy-induced hypertension (PIH) will be defined as the new onset of hypertension after 20 weeks of gestation, and preeclampsia (PE) will be defined when additional proteinuria was diagnosed according to International Society for the Study of Hypertension in Pregnancy. • Incidence of adverse events and serious adverse events summarized by treatment groups. |
Resultado perinatal adverso: se define como la presencia de alguno de los siguientes: aborto, nacimiento del bebé fallecido, bajo peso al nacer, parto prematuro, preeclampsia, malformaciones congénitas y/o ingreso en la UCI neonatal. • Alto riesgo de PE (preeclampsia) según un screening en el primer trimestre; un modelo predictivo de logística basada en regresión para PE de comienzo temprano y tardío se empleará, acordemente con un algoritmo validado que incluya características maternas, niveles de proteínas plasmáticas A asociadas a embarazo (PAPP-A) y gonadotropina coriónica β humana (β-hCG) libre a las 8-12 semanas además de presión sanguínea y de arteria uterina Doppler a las 11.0-13.6 semanas. Los detalles de este método de screening han sido previamente descritos y están disponibles actualmente para uso clínico. • Preeclampsia: categorizada acordemente a las guías del Real Colegio de Obstetras y Ginecólogos. Brevemente, se define la hipertensión como la medición repetida de presión sanguínea sistólica de ≥140 mm Hg (Korotkoff I) y de presión sanguínea diastólica de ≥90 mm Hg (Korotkoff V). La proteinuria se define como la excreción de 300mg de proteína o superior por día en la colección de orina durante 24 horas o repetidamente en una varilla graduada de ≥1+. La hipertensión inducida por el embarazo (PIH) se define como un nuevo inicio de hipertensión tras 20 semanas de gestación, y la preeclampsia (PE) se define cuando se diagnostica proteinuria de forma adicional según la Sociedad Internacional para el Estudio de la Hipertensión en el embarazo. • Incidencia de eventos adversos y eventos adversos graves agrupados por grupos de tratamiento. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
• It will be registered when the adverse outcome happens, if it may. • First pregnancy trimester. • It will be registered when the adverse outcome happens, if it may. • It will be registered when the adverse outcome happens, if it may. |
Se registra cuando el resultado adverso ocurre, en caso de que ocurriera. • Primer trimestre de embarazo. • Se registra cuando el resultado adverso ocurre, en caso de que ocurriera. • Se registra cuando el resultado adverso ocurre, en caso de que ocurriera. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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LVLS |
Última visita del último paciente |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |