NCT06098495

Brief Summary

The present research project aims to study the DNAm mechanisms underlying the reduction of fertility due to the progressive depletion of oocyte quality. Specifically, our project aims to build an epigenetic clock for MGCs by using outcomes that are certainly related to female fertility. The validation of such findings will be carried out on peripheral blood in order to guarantee its non-invasiveness and allow for any clinical transferability. In order to identify a blood epigenetic signature able to predict female infertility, we planned to explore the problem from different points of view by conducting several studies in different settings.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,456

participants targeted

Target at P75+ for all trials

Timeline
6mo left

Started Oct 2023

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress85%
Oct 2023Oct 2026

Study Start

First participant enrolled

October 16, 2023

Completed
2 days until next milestone

First Submitted

Initial submission to the registry

October 18, 2023

Completed
6 days until next milestone

First Posted

Study publicly available on registry

October 24, 2023

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 16, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 16, 2026

Last Updated

October 24, 2023

Status Verified

October 1, 2023

Enrollment Period

3 years

First QC Date

October 18, 2023

Last Update Submit

October 18, 2023

Conditions

Outcome Measures

Primary Outcomes (5)

  • differences of DNA methylation in granulosa cells of patients undergoing ART

    The epigenetic profile of DNA extracted from granulosa cells of patients undergoing ART (COHORT1) will be examined to identify position and region's differences of DNA methylation in pregnant women (fertile women) and in who does not get pregnant (infertile women)

    3 years

  • differences of DNA methylationin the peripheral venous blood of patients undergoing ART

    search for this methylation difference found in the granulosa cell sample, also in the peripheral venous blood of these same patients

    3 years

  • differences of DNA methylationin the peripheral venous blood of women attempting to conceive naturally

    The specific epigenetic modification will be searched in the peripheral venous blood of women attempting to conceive naturally (COHORT2)

    3 years

  • differences of DNA methylationin the peripheral venous blood of new patients undergoing ART

    The specific epigenetic modification will be searched in the peripheral venous blood of two new cohorts of patients referred to PMA centres.

    3 years

  • impact of exogenous pro-inflammatory factors

    on all the above cohorts will be investigated, via online questionnaire

    3 years

Study Arms (4)

infertile women (unexplained, tubal, mild male factor)

women belonging to couples selected for homologous IVF due to an unexplained, tubal or mild male factor

fertile women

women without any infertility history who are attempting to conceive naturally

Genetic: search for epigenetic profile of infertility

infertile women (ovarian factor)

women selected for homologous IVF for different reason og chohort 1

Genetic: search for epigenetic profile of infertility

recurrent pregnancy loss

women affected by idiopathic recurrent pregnancy loss

Genetic: search for epigenetic profile of infertility

Interventions

examine the epigenetic profile of DNA extracted from MGCs and blood sample

fertile womeninfertile women (ovarian factor)recurrent pregnancy loss

Eligibility Criteria

Age18 Years - 43 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility Detailsfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Infertile woman undergoing ART, women affected by recurrent pregnancy loss, women attempting to conceive naturally

You may qualify if:

  • \< age \<43, Infertile woman undergoing ART, recurrent pregnancy loss

You may not qualify if:

  • age \< 18 or \> 44, previous ovarian surgery, severe male factor infertility

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Università Vita Salute San Raffaele

Milan, Italy

RECRUITING

Biospecimen

Retention: SAMPLES WITH DNA

Blood sample, Oocyte granulosa cells

MeSH Terms

Conditions

Infertility, Female

Condition Hierarchy (Ancestors)

Genital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesInfertility

Central Study Contacts

Valeria Stella Vanni

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Doctor

Study Record Dates

First Submitted

October 18, 2023

First Posted

October 24, 2023

Study Start

October 16, 2023

Primary Completion (Estimated)

October 16, 2026

Study Completion (Estimated)

October 16, 2026

Last Updated

October 24, 2023

Record last verified: 2023-10

Data Sharing

IPD Sharing
Will not share

publication of the results at the end of the trial

Locations