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Use of GnRHa During Chemotherapy for Fertility Protection
Sponsor: Kenny Rodriguez-Wallberg
Summary
Many cytotoxic drugs may harm the fertility of young women treated for cancer. The aim of the study is to investigate if the Gonadotropin-Releasing Hormone agonist (GnRHa) during cancer treatment can preserve the fertility of young female cancer subjects. Approximately 300 women with newly diagnosed breast cancer and up to 200 women with newly diagnosed lymphoma, acute leukemias or sarcomas will be recruited before start of cancer treatment. The patients will be randomised in between treatment with triptorelin (experimental) or placebo (control) intramuscularly a 1:1 ratio during chemotherapy. The injections may be given once monthly or once three months depending on type of chemotherapy given. Randomisation and study drug is blinded, neither investigator, research nurse nor patient will know if it is active drug or placebo. The only person who knows is the nurse preparing the injection. Patients will be followed up to 5 years after end of treatment with physical examinations, vital signs, biochemical markers, bone mineral density exams, ultrasound for antral follicle counts and ovarian doppler flow, concomitant medications, adverse events and quality of life questionnaires.
Official title: A Phase 3 Randomised Double-Blinded Placebo-Controlled Study of Use of GnRHa During Chemotherapy for Fertility Protection of Young Women and Teenagers With Cancer
Key Details
Gender
FEMALE
Age Range
14 Years - 42 Years
Study Type
INTERVENTIONAL
Enrollment
500
Start Date
2023-03-31
Completion Date
2032-01-31
Last Updated
2023-10-27
Healthy Volunteers
No
Interventions
Triptorelin Embonate
11.25 mg will be given for subjects having at least 3 months gonadotoxic treatment, one injection of 11.25 mg will compensate for 3 months' effect of the study drug. 3.75 mg will be given for subjects during one-month of gonadotoxic treatment, one injection of 3.75 mg will compensate for 1 month' effect of the study drug.
Sodium Chloride solution 0.9%
One injection compensating for 3 months' effect OR one injection compensating for 1 month' effect to maintain the study blind.
Locations (17)
Center for Pediatric Cancer, Queen Silvia Hospital for Children and Youth
Gothenburg, Sweden
Center for Pediatric Oncology, Akademiska Hospital
Gothenburg, Sweden
Department of Oncology, Sahlgrenska University Hospital
Gothenburg, Sweden
Department of Hematology, Skåne University Hospital
Lund, Sweden
Department of Oncology, Skåne University Hospital
Lund, Sweden
Department of Pediatric Oncology, Skåne University Hospital
Lund, Sweden
Department of Oncology, Örebro University Hospital
Örebro, Sweden
Karolinska Univeristy Hospital, Breast Centre
Stockholm, Sweden
Department of Hematology and coagulation, Sahlgrenska University Hospital
Stockholm, Sweden
Department of Hematology, Capio ST. Göran Hospital
Stockholm, Sweden
Department of Internal Medicine, Södersjukhuset
Stockholm, Sweden
Department of Oncology, Capio ST. Göran Hospital
Stockholm, Sweden
Department of Oncology, Södersjukhuset
Stockholm, Sweden
Division of Hematology, Department of Medicine Huddinge, Karolinska Institutet
Stockholm, Sweden
Karolinska University Hospital, Hematology
Stockholm, Sweden
Karolinska University Hospital, High Specialised Pediatric Medicine
Stockholm, Sweden
Department of Oncology, Norrlands University Hospital
Umeå, Sweden