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Phase 2 N=60 Randomized Single-blind Prevention

Assessment and Prevention of Pain During Ovarian Stimulation in Patients With Endometriosis

Endometriosis · Ovarian Hyperstimulation

Enrolled (actual)
60
Serious AEs
1.7%
Results posted
Jan 2026
Primary outcome: Primary: Average Delta in Endometriosis Pain Score Pre and Post Stimulation With and Without Use Of Letrozole — -2.5; -2.7 Change in score on a scale

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Placebo oral tablet (Drug); Letrozole (Drug)
Age
Adult · 18+ yrs
Sex
Female
Sponsor
University of California, San Francisco
Primary completion
Oct 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Average Delta in Endometriosis Pain Score Pre and Post Stimulation With and Without Use Of Letrozole
-2.5; -2.7
SECONDARY
Average Delta in Endometriosis Pain Score Pre and Post Stimulation of Patients Receiving Placebo Compared to No Endometriosis
-2.7; -0.6
SECONDARY
Comparative Trends in Endometriosis Pain Score Pre and Post Stimulation of Patients With Endometriosis Receiving Either Placebo or Letrozole and Patients Without Endometriosis
-0.7; -1.0; -0.6
SECONDARY
Does Letrozole Impact Egg Quantity in Endometriosis Patients
0.84; 0.88; 0.73
SECONDARY
Follicular Fluid
SECONDARY
Pregnancy Outcomes
SECONDARY
Egg Maturity
SECONDARY
Embryo Grade
2.9; 2.9; 3.3

Summary

Randomized double blinded placebo-controlled trial to evaluate the impact of ovarian hyperstimulation on endometriosis-related symptoms and to evaluate the impact of letrozole use during ovarian hyperstimulation with respect to endometriosis-related symptoms, embryo/egg quality and quantity, and pregnancy rates.

Eligibility Criteria

Inclusion Criteria

  • Age 18-42 years
  • Planning to undergo controlled ovarian hyperstimulation
  • Prior diagnosis of endometriosis by one of the following: (1) surgical diagnosis (2) endometrioma on pelvic ultrasound
  • Planning to freeze all retrieved oocytes/embryos prior to transfer

Exclusion Criteria

  • Hypersensitivity to letrozole
  • Any significant concurrent disease, illness, or psychiatric disorder that would compromise patient safety or compliance, interfere with consent, study participation, follow-up, or interpretation of study results
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04002141). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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