Outcome of Using Sperm Bound to the Zona Pellucida of Immature Oocytes for Intracytoplasmic Sperm Injection (ICSI)
The Natural Sperm Selection in Intracytoplasmic Sperm Injection (ICSI)
The Natural Sperm Selection in Intracytoplasmic Sperm Injection (ICSI)
Sponsor study identifier
interventional
24
1 country
1
Study Start
March 5, 2021
Actual (reported)Primary Completion
September 10, 2022
Actual (reported)Study Completion
October 15, 2022
Actual (reported)In vivo, the zona pellucida (ZP) of the oocyte can bind to normally functional sperm. The ZP-sperm interaction is one of the final steps of natural selection during their journey in the female reproductive tract. In the current study, we evaluated the ability of the ZP of immature oocytes to harvest the fittest sperm. We compared the embryological outcomes of intracytoplasmic sperm injection (ICSI) using conventionally selected sperm (control group) and ZP-bound sperm (intervention group). Our results showed no statistically significant superiority for the ZP binding technique over the conventional sperm selection with respect to the rates of fertilization and cleavage. However; the rates of blastocyst formation and high-quality blastocysts were significantly improved in the intervention group compare to the control group. These findings imply that the proposed technique can serve as a cost-effective and natural sperm selection method that has the potential to enhance the embryological and clinical outcomes of intracytoplasmic sperm injection (ICSI).
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
October 15, 2022
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
March 5, 2021
Actual (reported)September 10, 2022
Actual (reported)October 15, 2022
Actual (reported)December 11, 2022
Actual (reported)February 13, 2023
Actual (reported)fertilization rate
percentage of transformation of micro injected oocytes into two pronuclei
17-18 hours post ICSI
cleavage rate
percentage of cleavage of fertilized oocytes into 2-4 cell embryos
44 ± 1 h post ICSI
high-quality cleaved embryos rate
percentage of total number of high-quality day-3 embryos by total number of cleaved embryos
68 ± 1 h post ICSI
blastocyst formation rate
percentage of total number of embryos transformed into blastocysts by total number of cleaved embryos
107.9-112.9 hours after ICSI
Oocytes of the control group were injected with conventionally selected spermatozoa based on sperm morphology and motility after being processed density gradient centrifugation
ZP-bound sperm were selected from the surface of the immature oocytes through the use of a microneedle (Sunlight Medical, Jacksonville, FL, USA) and transferred in a 10 % polyvinylpyrrolidone (PVP) solution (SAGE, USA), immobilized, and then used to inject sibling MII oocytes
The ZP is selective with regard to binding and can bind to normally functioning sperm, especially those with a normal acrosomal region
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Al-Azhar University
Cairo, 11651, Egypt
Nehal A Abu Elnaga, PhD
Al-Azhar University
24 participants (actual enrollment reported by the registry).
First Submitted
December 11, 2022
First Posted
February 13, 2023
Study Start
March 5, 2021
Actual (reported)high-quality blastocyst rate
percentage of total number of high-quality expanded blastocysts on day 5 and/or 6 by total number of blastocysts
107.9-112.9 hours after ICSI
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Primary Completion
September 10, 2022
Actual (reported)Study Completion
October 15, 2022
Actual (reported)Last Updated
February 13, 2023
Record last verified: 2023-02
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Source: ClinicalTrials.gov.
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