Three ways to trigger ovulation: which yields more mature eggs in Low-Reserve IVF?
NCT ID NCT07816562
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
Researchers compare three ovulation trigger approaches in women with low ovarian reserve undergoing fresh IVF cycles. Participants receive either human chorionic gonadotropin (hCG) alone, follitropin delta plus hCG, or a dual trigger using a GnRH agonist plus hCG. The trial measures how many mature eggs are retrieved and tracks pregnancy outcomes after fresh embryo transfer. The goal is to find out whether adding follitropin delta at trigger time increases mature egg yield without hurting implantation.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ovulation trigger medications: human chorionic gonadotropin (hCG), follitropin delta, and triptorelin
- What this could lead to
- If one trigger approach works better, it could help women with low ovarian reserve retrieve more mature eggs during IVF and improve their chances of pregnancy.
- What could go wrong
- This is a single Phase 3 trial with 126 participants, so results may not apply to all women with low ovarian reserve. Adding follitropin delta could fail to increase mature eggs or might affect implantation, and pregnancy outcomes remain uncertain.
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.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 126 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Jan 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 42 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: * Signed informed consent. * Women aged between 18 and 42 years. * Primary infertility. * Women with low ovarian response classified within one of the groups defined by the POSEIDON criteria. Exclusion Criteria: * More than two previous failed ovarian stimulation cycles. * Female age \>42 years. * Body mass index (BMI) \>35 kg/m². * Criteria of extremely low ovarian reserve according to the Spanish National Health System exclusion criteria (AMH \<0.3 ng/mL and/or antral follicle count \<5). * Male partner age \>55 years. * Severe male factor infertility (total motile sperm count \<1 million). * Previous voluntary sterilization (vasectomy or bilateral tubal ligation). * Previous healthy child shared by the couple. * Presence of medical conditions contraindicating pregnancy. * Risk of ovarian hyperstimulation syndrome (OHSS). If more than 15 follicles are expected on the day of trigger, the patient will be excluded from the study.
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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
1 site. 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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Hospital Clínico Universitario de Valencia
RECRUITINGValencia, 46010, Spain
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