Improvement of Cell Selection in Reproductive Techniques
A New Method to Improve the Selection of Zygotes in the Context of Assisted Reproductive Medicine. A Randomized Controlled Blinded Monocenter Study
1 other identifier
interventional
220
1 country
1
Brief Summary
It is the aim of this trial to use a new computerized cell selection method, in addition to the current and world-wide used scoring system of fertilized oocytes implemented by Scott, to determine whether this leads to an increase in pregnancy rates in women undergoing assisted reproductive techniques.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2015
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 5, 2015
CompletedFirst Posted
Study publicly available on registry
November 20, 2015
CompletedStudy Start
First participant enrolled
December 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2018
CompletedMarch 22, 2017
March 1, 2017
2.2 years
November 5, 2015
March 20, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical pregnancy
Clinical pregnancy is defined as a pregnancy diagnosed by ultrasonographic visualization of one or more gestational sacs or definitive clinical signs of pregnancy. It includes ectopic pregnancy.
min. 4 weeks after embryo transfer
Secondary Outcomes (2)
Ongoing clinical pregnancy
min. 9 weeks after embryo transfer
Life Birth
through study completion, an average of 40 weeks after last menstrual period
Study Arms (2)
Z-Score and computer algorithm
EXPERIMENTALZ-Score
ACTIVE COMPARATORInterventions
In addition to the routine Z-score for zygote selection, if needed, the photographs of the zygotes already taken for quality and safety reasons are analysed using the new computer algorithm. Within a few minutes it generates a score, determining the quality of the cells. The two best cells upon Z-score result and new computer algorithm result are selected for first transfer.
After fertilisation pronuclei and nucleoli can be seen inside the cells by microscope. Routinely, the alignment of nucleoli can be used generating a score, the Z-score 1-4, established by Scott. Two zygotes getting the best Z-score are selected for cell culture and the cells that develop to embryo stage are used for first transfer.
Eligibility Criteria
You may qualify if:
- Woman with age 18 years or older
- Man with age 18 years or older
- Couples who could gain fertilized cells after In vitro fertilization (IVF) or Intracytoplasmic sperm injection (ICSI) after hormonal stimulation due to sterility treatments
- Couples presenting negative blood samples of human immunodeficiency virus (HIV) and Hepatitis B/C
- Signed routine contracts between hospital and patient wanting assisted reproductive technology (ART)
- Signed informed study consent
- Expectation of life more than 18 years
- No medical contraindication to become pregnant (female)
- Routine criteria for assisted reproductive techniques
You may not qualify if:
- Poor health status acc. to Investigator's judgement
- Expectation of life below 18 years
- Risk of ovarian hyperstimulation syndrome
- Avital cells (cells that do not further develop or die)
- Treatment due to fertility preservation, e.g. in case of cancer
- Problems after stimulation and follicle puncture
- Endometrial pathologies like polyps, submucous fibroids, etc.
- Any preceding stimulation cycle with endometrial thickness below 6mm
- Less than 4 fertilized oocytes
- Patient (and partner) wishes single embryo Transfer
- Failure to become pregnant with new zygote selection method
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Jürgen Weisslead
Study Sites (1)
Neue Frauenklinik
Lucerne, 6000 Luzern 16, Switzerland
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Jürgen Weiss, Professor
Luzerner Kantonsspital, Neue Frauenklinik
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Prof. Dr. med.
Study Record Dates
First Submitted
November 5, 2015
First Posted
November 20, 2015
Study Start
December 1, 2015
Primary Completion
March 1, 2018
Study Completion
November 1, 2018
Last Updated
March 22, 2017
Record last verified: 2017-03