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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 14 Years to 42 Years |
| Sex | Women only |
| Enrollment | 500 (estimated) |
| Sponsor | Karolinska University Hospital Academic / other |
| Drugs / interventions | chemotherapy, radiation |
| Locations | 17 sites (Gothenburg and 16 other locations) |
| Status | Recruiting |
| Started | March 31, 2023 |
| Main results expected | January 1, 2028 |
| Study ends | January 31, 2032 |
| Registry record updated | October 27, 2023 |
| Trial ID | NCT05328258 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
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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
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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
- Study coordinator: Kenny Rodriguez Wallberg, MD, PhD
- Email: kenny.rodriguez-wallberg@ki.se
- Phone: +46 858580000
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.