Comparison of Vitrification Effect Before or After In Vitro Maturation
Characterization of a Method of Fertility Preservation for Patients Diagnosed for a Cancer
1 other identifier
observational
100
1 country
1
Brief Summary
Human oocyte cryopreservation is routinely used for fertility preservation of women who will be exposed to gonadotoxic effect of cancer treatment. After ovarian stimulation, matured oocytes are vitrified. However, this strategy cannot always be used, particularly for hormone-sensitive cancer or when ovarian stimulation is not possible. An approach including immature oocytes and in vitro maturation (IVM) could be considered in these cases. While some qualitative analysis of oocytes vitrified before or after IVM suggest that vitrification should be performed after IVM, little is known about vitrification effects on actin and tubulin cytoskeleton and kinetic of maturation of human ovocytes. To answer to this question, Investigator performed quantitive analyses comparing matured oocytes from three different groups: vitrified before IVM or after IVM and non-vitrified oocytes. Non-vitrified matured oocytes were used as a control. Different parameters have been analysed during maturation and in matured oocytes.
Trial Health
Trial Health Score
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participants targeted
Target at P50-P75 for all trials
Started Jan 2017
Typical duration for all trials
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
Study Start
First participant enrolled
January 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2018
CompletedFirst Submitted
Initial submission to the registry
January 24, 2018
CompletedFirst Posted
Study publicly available on registry
January 31, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2019
CompletedFebruary 1, 2018
January 1, 2018
1 year
January 24, 2018
January 31, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Analysis of maturation kinetic of oocytes vitrified at Prophase-I stage compared to fresh oocytes
After oocytes retrieval, immature oocytes will be vitrified (Rapid Vit Ovocyte®, Vitrolife) in a closed system (Rapid-I®, Vitrolife) and thawed for in vitro maturation few days after. The meiotic process will be analyzed by time lapse technology (Primovision®, Vitrolife). This will permit to score the time of maturation from resumption to polar body extrusion of ovocytes.
at day 1
Secondary Outcomes (4)
Analysis of actin and tubulin cytoskeleton at Metaphase-II stage
at day 1
Analysis of chromosome segregation during the first meiotic division.
at day 1
Analysis of cortical granules distribution in Metaphase-II stage oocytes.
at day 1
Analysis of maternal factor stabilities.
at day 1
Study Arms (3)
Immature oocytes vitrified before In Vitro Maturation
Immature oocytes were vitrified using closed system vitrification. After warming, they were cultured during 36 hours in IVM medium and fixed for cellular analysis
Immature oocytes cultured in vitro before vitrification
Immature oocytes were cultured in vitro in IVM medium during 36 hours. After IVM, they were vitrified. After warming, they were fixed for cellular analysis.
Fresh oocytes
Immature oocytes were cultured in vitro in IVM medium during 36 hours and subsequently, fixed for cellular analysis.
Interventions
Immature oocytes were collected from patients (≤37 years old, without endometriosis, Polycystic syndrome or other ovulatory desease) who underwent to ICSI. In addition, immature oocytes collected from patient diagnosed with cancer will be included in this study. Oocytes were matured in vitro with IVM medium and vitrified in closed system (Vitrolife). Kinetic of maturation were analyzed by Primovision (Vitrolife) and actin, and spindle organization were studied by microscopy, immunostaining techniques and quantitive analysis.
Eligibility Criteria
female
You may qualify if:
- \- ICSI treatment
- Immature oocytes
- \< 37 years old
You may not qualify if:
- \- Polyckistic Ovarian Syndrome
- Endometriosis
- Ovulatory disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Hospital, Clermont-Ferrandlead
- Origio A/Scollaborator
Study Sites (1)
CHU Clermont-Ferrand
Clermont-Ferrand, 63003, France
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 24, 2018
First Posted
January 31, 2018
Study Start
January 1, 2017
Primary Completion
January 1, 2018
Study Completion
December 31, 2019
Last Updated
February 1, 2018
Record last verified: 2018-01