Study Comparing Outcomes Between Conventional IVF and a "Freeze-all"-Strategy in Assisted Reproductive Technology
A Multicentre Randomized Controlled Trial of a "Freeze All and Transfer Later" Versus a Conventional "Fresh Embryo Transfer" Strategy for Assisted Reproductive Technology (ART) in Women With a Regular Menstrual Cycle
1 other identifier
interventional
424
1 country
2
Brief Summary
The purpose of this study is to compare conventional fresh embryo transfer with a "freeze all and transfer later strategy" in assisted reproductive technology in terms of ongoing pregnancy rates, live birth rates as well as perinatal outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2016
Longer than P75 for not_applicable
2 active sites
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
April 18, 2016
CompletedFirst Posted
Study publicly available on registry
April 21, 2016
CompletedStudy Start
First participant enrolled
May 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2019
CompletedApril 2, 2019
April 1, 2019
2.7 years
April 18, 2016
April 1, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Ongoing pregnancy rates
Outcome measured per transfer of the first blastocyst, per oocyte pick-up, per start of ovarian stimulation and per randomized patient.
Two years
Secondary Outcomes (16)
Live birth rates
Two years
Cumulative live birth rates
Two years
Number of cycles with no embryo transfer
Two years
Time-to-pregnancy
Two years
Time-to-delivery
Three years
- +11 more secondary outcomes
Study Arms (2)
Freeze all
EXPERIMENTALTransfer of a frozen, thawed blastocyst in a subsequent natural menstrual cycle
Fresh embryo transfer
NO INTERVENTIONStandard procedure
Interventions
Freezing of all blastocyst stage embryos with thawing and transfer in a subsequent natural cycle
Eligibility Criteria
You may qualify if:
- AMH (Anti-Müllerian hormone) \> 6.28 pmol/L (Roche Elecsys assay)
- Female age 18 years to less than 40 years
- , 2 or 3 IVF/ICSI cycle with oocyte aspiration
- Regular menstrual cycle between 24 and 35 days
- BMI between 18 and 35
- Two ovaries
- Can and will sign informed consent
You may not qualify if:
- Endometriosis stage III to IV
- Ovarian cysts with diameter \> 30 mm at day of start of stimulation
- Submucosal fibroids
- Women with severe co-morbidity (IDDM, NIDDM, gastrointestinal, cardiovascular, pulmonary, liver or kidney disease)
- Dysregulation of thyroid disease
- Not danish or English speaking women
- Contraindications or allergies to use of Gonadotrophins or GnRH antagonists
- TESA (testicular sperm aspiration)
- OD (oocyte donation)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Anja Bisgaard Pinborglead
- Rigshospitalet, Denmarkcollaborator
- Herlev Hospitalcollaborator
- Holbaek Sygehuscollaborator
- Skane University Hospitalcollaborator
- Sahlgrenska University Hospitalcollaborator
- Regional Hospital Skivecollaborator
- Dexeus University Hospital Barcelonacollaborator
Study Sites (2)
Rigshospitalet
Copenhagen, Denmark
University Hospital Hvidovre
Hvidovre, Denmark
Related Publications (5)
Pilegaard SP, Schmidt L, Stormlund S, Koert E, Bogstad JW, Praetorius L, Nielsen HS, la Cour Freiesleben N, Sopa N, Klajnbard A, Humaidan P, Bergh C, Englund ALM, Lossl K, Pinborg A. Psychosocial wellbeing shortly after allocation to a freeze-all strategy compared with a fresh transfer strategy in women and men: a sub-study of a randomized controlled trial. Hum Reprod. 2023 Nov 2;38(11):2175-2186. doi: 10.1093/humrep/dead188.
PMID: 37742131DERIVEDAlexopoulou E, Stormlund S, Lossl K, Praetorius L, Sopa N, Bogstad JW, Mikkelsen AL, Forman J, la Cour Freiesleben N, Vikkelso Jeppesen J, Bergh C, Al Humaidan PSH, Grondahl ML, Zedeler A, Pinborg AB. Embryo Morphokinetics and Blastocyst Development After GnRH Agonist versus hCG Triggering in Normo-ovulatory Women: a Secondary Analysis of a Multicenter Randomized Controlled Trial. Reprod Sci. 2021 Oct;28(10):2972-2981. doi: 10.1007/s43032-021-00564-9. Epub 2021 Apr 13.
PMID: 33847977DERIVEDZaat T, Zagers M, Mol F, Goddijn M, van Wely M, Mastenbroek S. Fresh versus frozen embryo transfers in assisted reproduction. Cochrane Database Syst Rev. 2021 Feb 4;2(2):CD011184. doi: 10.1002/14651858.CD011184.pub3.
PMID: 33539543DERIVEDStormlund S, Sopa N, Zedeler A, Bogstad J, Praetorius L, Nielsen HS, Kitlinski ML, Skouby SO, Mikkelsen AL, Spangmose AL, Jeppesen JV, Khatibi A, la Cour Freiesleben N, Ziebe S, Polyzos NP, Bergh C, Humaidan P, Andersen AN, Lossl K, Pinborg A. Freeze-all versus fresh blastocyst transfer strategy during in vitro fertilisation in women with regular menstrual cycles: multicentre randomised controlled trial. BMJ. 2020 Aug 5;370:m2519. doi: 10.1136/bmj.m2519.
PMID: 32759285DERIVEDStormlund S, Lossl K, Zedeler A, Bogstad J, Praetorius L, Nielsen HS, Bungum M, Skouby SO, Mikkelsen AL, Andersen AN, Bergh C, Humaidan P, Pinborg A. Comparison of a 'freeze-all' strategy including GnRH agonist trigger versus a 'fresh transfer' strategy including hCG trigger in assisted reproductive technology (ART): a study protocol for a randomised controlled trial. BMJ Open. 2017 Jul 31;7(7):e016106. doi: 10.1136/bmjopen-2017-016106.
PMID: 28760794DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Anja Bisgaard Pinborg, MD, DMSc
Fertility Clinic, Obstetrical and Gynecological department, Hvidovre Hospital
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
- Professor, MD, DMSc
Study Record Dates
First Submitted
April 18, 2016
First Posted
April 21, 2016
Study Start
May 1, 2016
Primary Completion
January 1, 2019
Study Completion
September 1, 2019
Last Updated
April 2, 2019
Record last verified: 2019-04
Data Sharing
- IPD Sharing
- Will not share