Could a fibroid drug help women with adenomyosis finally achieve a live birth?
NCT ID NCT07698561
First seen Jul 13, 2026 · Last updated Jul 14, 2026 · Updated 1 time
Summary
This study tests whether taking linzagolix (Yselty) for 3 to 6 months before an embryo transfer can improve live birth rates in women with adenomyosis who have experienced repeated implantation failure. Adenomyosis can make the womb lining less receptive to embryos, even when the embryos are high-quality. The trial will follow 35 women across three fertility clinics in Spain, measuring pregnancy and live birth outcomes, as well as changes in the womb's structure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- linzagolix (Yselty)
- What this could lead to
- If successful, this could offer a new pre-treatment option to improve pregnancy and live birth rates in women with adenomyosis who have repeatedly failed embryo transfers.
- What could go wrong
- This is a small, early-phase study with only 35 participants, so results may not apply broadly. Linzagolix is used off-label here, and its benefits for adenomyosis prior to embryo transfer are not yet proven.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 35 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Women aged 18 to 50 years with confirmed adenomyosis (transvaginal ultrasound or MRI) and recurrent implantation failure, defined as 2 or more failed embryo transfers with high-quality blastocysts (grade BB or above in oocyte donation cycles, or PGT-A confirmed euploid blastocysts in autologous cycles), attending Vida Fertility Institute centres in Madrid, Alicante and San Sebastian, Spain.
- Ages
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18 to 50 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 to 50 years * Confirmed adenomyosis by transvaginal ultrasound or MRI * Recurrent implantation failure defined as 2 or more failed embryo transfers with high-quality blastocysts: oocyte donation recipients (blastocyst grade BB or above, Gardner classification) OR autologous IVF cycles with PGT-A confirmed euploid blastocysts * Normal uterine cavity with no submucosal distortion * At least 1 suitable embryo available for transfer (blastocyst grade BB or above, or PGT-A euploid) * Signed written informed consent including explicit acknowledgement of off-label use of linzagolix Exclusion Criteria: * Untreated hydrosalpinx * Untreated stage III-IV endometriosis * Major uterine anomaly (uterine septum, bicornuate uterus) * Known contraindication to linzagolix including known hepatopathy * Prior treatment with linzagolix * GnRH analogue treatment within 6 months prior to enrolment * BMI greater than 35 kg/m2 * Prior failed transfers exclusively with embryos below the quality threshold (below BB grade, non-euploid)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
3 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Vida Fertility Alicante
Alicante, Alicante, 03008, Spain
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Vida Fertility Donostia
San Sebastián, Gipuzkoa, 20018, Spain
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Vida Fertility Institute Madrid
Madrid, Madrid, 28043, Spain
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- Sound waves vs. uterine pain: can HIFU calm adenomyosis?
- Can sex boost the odds of IVF success?
- A simple twist during embryo transfer could boost IVF success
- Can a water barrier make microwave ablation safer for the womb?