RecruitingPhase 3NCT05328258

Use of GnRHa During Chemotherapy for Fertility Protection

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


Sponsor

Kenny Rodriguez-Wallberg

Enrollment

500 participants

Start Date

Mar 31, 2023

Study Type

INTERVENTIONAL

Conditions

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.


Eligibility

Sex: FEMALEMin Age: 14 YearsMax Age: 42 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether a hormone-suppressing injection (GnRHa, also known as a "chemical menopause" injection) given during chemotherapy can protect the ovaries and preserve fertility in young women with cancer. **You may be eligible if...** - You have breast cancer, leukemia, lymphoma, or sarcoma confirmed by biopsy - You have started your periods (confirmed menarche) - You are about to start cancer-specific chemotherapy - Your overall health is acceptable for the treatment **You may NOT be eligible if...** - You already have premature ovarian failure - You have had or are planning to have both ovaries removed - You are pregnant or breastfeeding - You have another active cancer diagnosed in the last 5 years - You have a known allergy to triptorelin (the hormone injection used) - You have osteoporosis Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGTriptorelin 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.

DRUGSodium 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

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NCT05328258


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