Clinical trial Recruiting at 4 sites Phase 3 Interventional Ages 14 to 42 Women only

Using GnRHa to protect fertility during chemotherapy for young women

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

Run by Karolinska University Hospital · NCT05328258 · Data updated 2026-11-12

This study is testing if a hormone treatment can help young women keep their ability to have children while they undergo chemotherapy for cancer.

More Breast Cancer Female trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages14 Years to 42 Years
SexWomen only
Enrollment500 (estimated)
SponsorKarolinska University Hospital
Academic / other
Drugs / interventionschemotherapy, radiation
Locations17 sites (Gothenburg and 16 other locations)
StatusRecruiting
StartedMarch 31, 2023
Main results expectedJanuary 1, 2028
Study endsJanuary 31, 2032
Registry record updatedOctober 27, 2023
Trial IDNCT05328258 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include young women diagnosed with breast cancer, acute leukemias, lymphomas, or sarcomas who are about to begin chemotherapy.

Probably not a fit

Patients with premature ovarian failure, those who have undergone oophorectomy, or those with other uncontrolled medical conditions may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the use of Gonadotropin-Releasing Hormone agonist (GnRHa) to preserve fertility in young women undergoing chemotherapy for various cancers, including breast cancer and acute leukemias. Approximately 500 women will be recruited and randomly assigned to receive either the experimental drug triptorelin or a placebo during their chemotherapy treatment. The study employs a double-blind design, ensuring that neither the participants nor the investigators know which treatment is being administered. Participants will be monitored for up to five years post-treatment to assess the long-term effects on fertility.

Why it matters

Potential benefit: If successful, this approach could significantly enhance fertility preservation options for young women diagnosed with cancer.

How similar studies have gone: Previous studies have shown promising results in fertility preservation using GnRHa during chemotherapy, indicating a potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Signed informed consent
* Breast cancer or acute leukemias, lymphomas (Hodgkin and non-Hodgkin) or sarcomas (osteo, soft tissue and Ewing) confirmed by histology and assigned for diseace-specific chemotheraphy
* Confirmed menarche
* ECOG performance status 0-1
* Adequate bone marrow, renal, hepatic and cardiac functions and absence of other uncontrolled medical or psychiatric disorders

Exclusion Criteria:

* Demonstrated premature ovarian failure at time of randomization according to clinical or biochemical data
* Previous or planned bilateral oophorectomy
* Pregnancy or breastfeeding at time of start of chemotherapy
* Other malignancy diagnosed within the last five years
* Uncontrolled hypertension, heart, liver, kidney related or other uncontrolled medical or psychiatric disorders including previous or current diagnosis of anorexia
* Known osteoporosis
* Known low platelet count with increased bleeding risk or refractory thrombocytopenia in subjects with acute leukemias
* Known or suspected allergy against triptorelin
* Direct radiation of the gonads previous or planned (TBI allowed)
* Mental inability, reluctance or language difficulties that result in difficulty understanding the meaning of study participation

Where it's running

  • Karolinska Univeristy Hospital, Breast Centre
    Stockholm, Sweden
    Recruiting
  • Division of Hematology, Department of Medicine Huddinge, Karolinska Institutet
    Stockholm, Sweden
    Recruiting
  • Karolinska University Hospital, Hematology
    Stockholm, Sweden
    Recruiting
  • Karolinska University Hospital, High Specialised Pediatric Medicine
    Stockholm, Sweden
    Recruiting
  • Center for Pediatric Cancer, Queen Silvia Hospital for Children and Youth
    Gothenburg, Sweden
    Not yet recruiting
  • Center for Pediatric Oncology, Akademiska Hospital
    Gothenburg, Sweden
    Not yet recruiting
Show 11 more locations
  • Department of Oncology, Sahlgrenska University Hospital
    Gothenburg, Sweden
    Not yet recruiting
  • Department of Hematology, Skåne University Hospital
    Lund, Sweden
    Not yet recruiting
  • Department of Oncology, Skåne University Hospital
    Lund, Sweden
    Not yet recruiting
  • Department of Pediatric Oncology, Skåne University Hospital
    Lund, Sweden
    Not yet recruiting
  • Department of Oncology, Örebro University Hospital
    Örebro, Sweden
    Active not recruiting
  • Department of Hematology and coagulation, Sahlgrenska University Hospital
    Stockholm, Sweden
    Not yet recruiting
  • Department of Hematology, Capio ST. Göran Hospital
    Stockholm, Sweden
    Not yet recruiting
  • Department of Internal Medicine, Södersjukhuset
    Stockholm, Sweden
    Not yet recruiting
  • Department of Oncology, Capio ST. Göran Hospital
    Stockholm, Sweden
    Not yet recruiting
  • Department of Oncology, Södersjukhuset
    Stockholm, Sweden
    Not yet recruiting
  • Department of Oncology, Norrlands University Hospital
    Umeå, Sweden
    Not yet recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.