<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20230803059016N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-08-21</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>Investigating the effect of intrauterine injection of human chorionic gonadotropin (hCG) on pregnancy outcomes in the transfer of fresh embryos in cycles related to assisted reproductive technology (ART)</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effect of intrauterine injection of human chorionic gonadotropin (hCG) on pregnancy outcomes in the transfer of fresh embryos in cycles related to assisted reproductive technology (ART)</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-08-27</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>158</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/71801</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, 158 patients will be randomly divided into two intervention groups (79 patients, HCG injection) and a placebo group (79 patients, standard treatment) by assigning three-digit codes by Random Allocation Software (RAS). Allocation concealment is used for concealment. This is done using opaque sealed envelopes in a random sequence (numbered, sealed, opaque envelopes). In this method, each of the generated random sequences will be recorded on a card and the cards will be placed in the envelopes in order. In order to maintain a random sequence, the outer surface of the envelopes will be numbered in the same order. Finally, the lids of the envelopes are glued and put in the box. At the time of registration of the participants, based on the order of arrival of the eligible participants, the envelopes will be opened and the assigned group of that participant will be determined, Blinding description: The blinding of this study will be single-blind and the patients will not be informed about the placement of individuals in the study groups.</study_design>
      <phase>3</phase>
      <hc_freetext>Pregnancy.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: After the completion of puncture, on the day of transfer of a fresh embryo with A-B cleavage stage, injection of 500 units of hCG (volume 0.1 cc, manufactured by Aburihan company) into the uterus with a cook transfer catheter, daily reception of one progesterone suppository every 12 hours (manufactured by Aburihan company) for 2 weeks, daily injection of one progesterone ampoule for 2 weeks (manufactured by Aburihan company), checking serum beta-hCG level two weeks after the initial injection of hCG to evaluate the positive or negative pregnancy, vaginal ultrasound and observation of the patient's gestational sac 2 weeks after the positive pregnancy test (4 weeks after the initial hCG injection). Intervention 2: Control group: After the completion of puncture, on the day of transfer of a fresh embryo with A-B cleavage stage, injection of 500 units of hCG (volume 0.1 cc, manufactured by Aburihan company) into the uterus with a cook transfer catheter, daily reception of one progesterone suppository every 12 hours (manufactured by Aburihan company) for 2 weeks, daily injection of one progesterone ampoule for 2 weeks (manufactured by Aburihan company), checking serum beta-hCG level two weeks after the initial injection of hCG to evaluate the positive or negative pregnancy, vaginal ultrasound and observation of the patient's gestational sac 2 weeks after the positive pregnancy test (4 weeks after the initial the peripheral solution).</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is The person's information will be confidential and the results will be as collective statistics.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Behareh Ghahroudizadeh Abianeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shariati hospital, in front of the Faculty of Economics, North Kargar St., Jalal Al-Ahmed Street, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1411713135</zip>
        <telephone>+98 21 8490 1000</telephone>
        <email>drghahroudi@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Sedigheh Hosseinimousa</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shariati hospital, in front of the Faculty of Economics, North Kargar St., Jalal Al-Ahmed Street, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1411713135</zip>
        <telephone>+98 21 8490 1000</telephone>
        <email>sedighehoseinimosa@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age 20 to 39 years old
Embryos with A and B quality and fresh embryo transfer</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>39 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Transfer of frozen embryo
Male infertility
History of myomectomy
Presence of hydrosalpinx
Presence of fibroids with pressure effect on endometrium and endometriosis.
Age more than 40 years</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>Pregnancy </hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>O00-O08</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: After the completion of puncture, on the day of transfer of a fresh embryo with A-B cleavage stage, injection of 500 units of hCG (volume 0.1 cc, manufactured by Aburihan company) into the uterus with a cook transfer catheter, daily reception of one progesterone suppository every 12 hours (manufactured by Aburihan company) for 2 weeks, daily injection of one progesterone ampoule for 2 weeks (manufactured by Aburihan company), checking serum beta-hCG level two weeks after the initial injection of hCG to evaluate the positive or negative pregnancy, vaginal ultrasound and observation of the patient's gestational sac 2 weeks after the positive pregnancy test (4 weeks after the initial hCG injection).</i_keyword>
      <i_keyword>Control group: After the completion of puncture, on the day of transfer of a fresh embryo with A-B cleavage stage, injection of 500 units of hCG (volume 0.1 cc, manufactured by Aburihan company) into the uterus with a cook transfer catheter, daily reception of one progesterone suppository every 12 hours (manufactured by Aburihan company) for 2 weeks, daily injection of one progesterone ampoule for 2 weeks (manufactured by Aburihan company), checking serum beta-hCG level two weeks after the initial injection of hCG to evaluate the positive or negative pregnancy, vaginal ultrasound and observation of the patient's gestational sac 2 weeks after the positive pregnancy test (4 weeks after the initial the peripheral solution).</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Embryo implantation rate. Timepoint: Before and after the intervention. Method of measurement: Vaginal ultrasound.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Clinical pregnancy rate. Timepoint: Before and after the intervention. Method of measurement: Vaginal ultrasound.</sec_outcome>
      <sec_outcome>Abortion rate MR. Timepoint: Before and after the intervention. Method of measurement: Vaginal ultrasound.</sec_outcome>
      <sec_outcome>Ongoing pregnancy rate (OPR ). Timepoint: Before and after the intervention. Method of measurement: Vaginal ultrasound.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Tehran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-06-26</approval_date>
        <contact_name>Ethics committee of Tehran University of Medical Sciences</contact_name>
        <contact_address>6th floor of Research and Technology Deputy, Central Organization of the University, corner of Quds St, Keshavarz Blvd., Tehran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
