UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061498
Receipt number R000070246
Scientific Title The effect of letrozole co-administration with follitropin delta on unexpected poor ovarian response and embryological/reproductive outcomes in high-AMH patients: a retrospective cohort study
Date of disclosure of the study information 2026/05/08
Last modified on 2026/05/08 18:29:23

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Basic information

Public title

The effect of letrozole co-administration with follitropin delta on unexpected poor ovarian response and embryological/reproductive outcomes in high-AMH patients: a retrospective cohort study

Acronym

DeltAI 2 dtudy

Scientific Title

The effect of letrozole co-administration with follitropin delta on unexpected poor ovarian response and embryological/reproductive outcomes in high-AMH patients: a retrospective cohort study

Scientific Title:Acronym

DeltAI 2 dtudy

Region

Japan


Condition

Condition

infertility

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Does letrozole co-administration with follitropin delta reduce poor ovarian response and improve embryological outcomes in high-AMH patients, and is basal FSH an independent predictor of poor ovarian response in this population?

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

the rate of poor response

Key secondary outcomes

pregnancy outcomes


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

25 years-old <=

Age-upper limit

45 years-old >=

Gender

Female

Key inclusion criteria

All patients who underwent follitropin delta GnRH antagonist stimulation cycles between November 2021 and April 2026

Key exclusion criteria

(i) oocyte retrieval was not performed due to complete ovulation prior to retrieval; (ii) transvaginal oocyte retrieval was not possible due to uterine fibroids causing inaccessibility of the ovary; or (iii) excessive oocyte retrieval with ovarian hyperstimulation requiring cycle cancellation. Patients with antiphospholipid syndrome or systemic lupus erythematosus were retained in the stimulation and embryological analyses but excluded from pregnancy outcome analyses

Target sample size

600


Research contact person

Name of lead principal investigator

1st name Hiromasa
Middle name
Last name Kuroda

Organization

Haruki Ladies clinic

Division name

Gynecology

Zip code

542-0081

Address

6F Quartz Shinsaibashi 3-12-14 Minamisenba, Chuo-ku, Osaka-shi Osaka 542-0081 Japan

TEL

0662818801

Email

kuroda@haruki-cl.com


Public contact

Name of contact person

1st name Hiromasa
Middle name
Last name Kuroda

Organization

Haruki Ladies Clinic

Division name

Gynecology

Zip code

542-0081

Address

6F Quartz Shinsaibashi 3-12-14 Minamisenba, Chuo-ku, Osaka-shi Osaka 542-0081 Japan

TEL

0662818801

Homepage URL


Email

kuroda@haruki-cl.com


Sponsor or person

Institute

Haruki Ladies Clinic

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB of Haruki Ladies Clinic

Address

6F Quartz Shinsaibashi 3-12-14 Minamisenba, Chuo-ku, Osaka-shi Osaka 542-0081 Japan

Tel

0662818801

Email

kuroda@haruki-cl.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 05 Month 08 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

1059

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2025 Year 05 Month 08 Day

Date of IRB

2025 Year 05 Month 08 Day

Anticipated trial start date

2025 Year 05 Month 08 Day

Last follow-up date

2025 Year 05 Month 08 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This single-centre retrospective cohort study included follitropin delta gonadotrophin-releasing hormone (GnRH) antagonist cycles (excluding preimplantation genetic testing cycles) from 1,035 patients with AMH >3.5 ng/mL performed between November 2021 and April 2026. Letrozole was introduced sequentially over the study period; FD-alone cycles were concentrated in the early phase, letrozole 2.5 mg/day in the middle phase, and letrozole 5.0 mg/day in the later phase.


Management information

Registered date

2026 Year 05 Month 08 Day

Last modified on

2026 Year 05 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070246