Effect of Antioxydant-enriched Media on Blastocyst Euploidy Rates.
GX
Antioxidants-enriched Single-step vs Global Total Single-step Embryo Culture Media: Effect on Blastocyst Euploidy Rates.
1 other identifier
interventional
500
1 country
1
Brief Summary
One of the most sensible factors in IVF culture conditions is the susceptibility of gametes and embryos to an induced increase in reactive oxidative species (ROS) caused by the artificial environment. This study aims to evaluate the impact of using antioxidant-supplemented media during culture to evaluate embryo ploidy rates in a prospective randomized trial using sibling oocytes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2024
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
Study Start
First participant enrolled
February 1, 2024
CompletedFirst Submitted
Initial submission to the registry
February 8, 2024
CompletedFirst Posted
Study publicly available on registry
February 15, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2025
CompletedFebruary 21, 2025
February 1, 2025
1.9 years
February 8, 2024
February 20, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Blastocyst ploidy is determined after a biopsy of trophectoderm cells, taken from the blastocyst on day 5, 6 or 7 from development. The following outcomes are possible: • Normal • Abnormal • No result/Inconclusive • Low or high Mosaic
Ploidy rate is calculated by dividing the number of normal embryos by the number of blastocysts biopsied in the group.
1 year
Secondary Outcomes (1)
Cycle ploidy rate: the number of euploid embryos in the group Blastocyst quality at the time of biopsy based on modified Gardner's criteria. Usable blastocyst rate per group and per day of biopsy (day 5, 6, 7)
1 year
Study Arms (2)
Group 1: antioxidants-enriched culture medium (Gx)
ACTIVE COMPARATORBlastocyst exposed to antioxidants-enriched culture medium (Gx) in continuous culture conditions, without refreshment on day 3. A refreshment of the media will be done on D5 in both groups.
Group 2: Global total one step media (GT)
ACTIVE COMPARATORBlastocyst exposed to Global total one step media (GT) in continuous culture conditions, without refreshment on day 3. A refreshment of the media will be done on D5 in both groups.
Interventions
Blastocyst will be in continuous culture conditions (parallel antioxidants-enriched culture medium (Gx) and Global total one step media (GT) without refreshment on day 3. A refreshment of the media will be done on D5 in both groups.
Eligibility Criteria
You may qualify if:
- Patients undergoing assisted reproductive technology cycles when ICSI is indicated.
- Patients when Iin vitto fertilization (IVF) is also performed will be included as far as there are enough oocytes for ICSI randomization. However, IVF oocytes will not be used for the study.
- Maternal age 18-43 years old.
- PGT-A cycles with only trophectoderm biopsies on day 5/6/7.
- Patients with more than 6 COCs expected for ICSI.
- Body mass index \<35.
- Fresh and frozen ejaculated sperm.
You may not qualify if:
- PGT-M cycles
- Fresh and frozen testicular sperm.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
ART Fertility Clinics LLC
Abu Dhabi, Abu Dhabi Emirate, 60202, United Arab Emirates
Related Publications (23)
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PMID: 26812244BACKGROUNDvon Mengden L, Klamt F, Smitz J. Redox Biology of Human Cumulus Cells: Basic Concepts, Impact on Oocyte Quality, and Potential Clinical Use. Antioxid Redox Signal. 2020 Mar 10;32(8):522-535. doi: 10.1089/ars.2019.7984.
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PMID: 34601605BACKGROUNDHalliwell B, Aruoma OI. DNA damage by oxygen-derived species. Its mechanism and measurement in mammalian systems. FEBS Lett. 1991 Apr 9;281(1-2):9-19. doi: 10.1016/0014-5793(91)80347-6.
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PMID: 7959167BACKGROUNDAitken RJ. Impact of oxidative stress on male and female germ cells: implications for fertility. Reproduction. 2020 Apr;159(4):R189-R201. doi: 10.1530/REP-19-0452.
PMID: 31846434BACKGROUNDRuder EH, Hartman TJ, Goldman MB. Impact of oxidative stress on female fertility. Curr Opin Obstet Gynecol. 2009 Jun;21(3):219-22. doi: 10.1097/gco.0b013e32832924ba.
PMID: 19469044BACKGROUNDAgarwal A, Said TM. Role of sperm chromatin abnormalities and DNA damage in male infertility. Hum Reprod Update. 2003 Jul-Aug;9(4):331-45. doi: 10.1093/humupd/dmg027.
PMID: 12926527BACKGROUNDLian HY, Gao Y, Jiao GZ, Sun MJ, Wu XF, Wang TY, Li H, Tan JH. Antioxidant supplementation overcomes the deleterious effects of maternal restraint stress-induced oxidative stress on mouse oocytes. Reproduction. 2013 Oct 21;146(6):559-68. doi: 10.1530/REP-13-0268. Print 2013 Dec.
PMID: 24043846BACKGROUNDKiani-Esfahani A, Bahrami S, Tavalaee M, Deemeh MR, Mahjour AA, Nasr-Esfahani MH. Cytosolic and mitochondrial ROS: which one is associated with poor chromatin remodeling? Syst Biol Reprod Med. 2013 Dec;59(6):352-9. doi: 10.3109/19396368.2013.829536. Epub 2013 Aug 22.
PMID: 23968144BACKGROUNDLu J, Wang Z, Cao J, Chen Y, Dong Y. A novel and compact review on the role of oxidative stress in female reproduction. Reprod Biol Endocrinol. 2018 Aug 20;16(1):80. doi: 10.1186/s12958-018-0391-5.
PMID: 30126412BACKGROUNDAgarwal A, Rana M, Qiu E, AlBunni H, Bui AD, Henkel R. Role of oxidative stress, infection and inflammation in male infertility. Andrologia. 2018 Dec;50(11):e13126. doi: 10.1111/and.13126.
PMID: 30569652BACKGROUNDGuerin P, El Mouatassim S, Menezo Y. Oxidative stress and protection against reactive oxygen species in the pre-implantation embryo and its surroundings. Hum Reprod Update. 2001 Mar-Apr;7(2):175-89. doi: 10.1093/humupd/7.2.175.
PMID: 11284661BACKGROUNDHardy MLM, Day ML, Morris MB. Redox Regulation and Oxidative Stress in Mammalian Oocytes and Embryos Developed In Vivo and In Vitro. Int J Environ Res Public Health. 2021 Oct 29;18(21):11374. doi: 10.3390/ijerph182111374.
PMID: 34769890BACKGROUNDCarbone MC, Tatone C, Delle Monache S, Marci R, Caserta D, Colonna R, Amicarelli F. Antioxidant enzymatic defences in human follicular fluid: characterization and age-dependent changes. Mol Hum Reprod. 2003 Nov;9(11):639-43. doi: 10.1093/molehr/gag090.
PMID: 14561807BACKGROUNDMauchart P, Vass RA, Nagy B, Sulyok E, Bodis J, Kovacs K. Oxidative Stress in Assisted Reproductive Techniques, with a Focus on an Underestimated Risk Factor. Curr Issues Mol Biol. 2023 Feb 3;45(2):1272-1286. doi: 10.3390/cimb45020083.
PMID: 36826028BACKGROUNDPigeolet E, Corbisier P, Houbion A, Lambert D, Michiels C, Raes M, Zachary MD, Remacle J. Glutathione peroxidase, superoxide dismutase, and catalase inactivation by peroxides and oxygen derived free radicals. Mech Ageing Dev. 1990 Feb 15;51(3):283-97. doi: 10.1016/0047-6374(90)90078-t.
PMID: 2308398BACKGROUNDVan Montfoort APA, Arts EGJM, Wijnandts L, Sluijmer A, Pelinck MJ, Land JA, Van Echten-Arends J. Reduced oxygen concentration during human IVF culture improves embryo utilization and cumulative pregnancy rates per cycle. Hum Reprod Open. 2020 Jan 22;2020(1):hoz036. doi: 10.1093/hropen/hoz036. eCollection 2020.
PMID: 31989044BACKGROUNDTruong T, Gardner DK. Antioxidants improve IVF outcome and subsequent embryo development in the mouse. Hum Reprod. 2017 Dec 1;32(12):2404-2413. doi: 10.1093/humrep/dex330.
PMID: 29136144BACKGROUNDBedaiwy M, Agarwal A, Said TM, Goldberg JM, Sharma RK, Worley S, Falcone T. Role of total antioxidant capacity in the differential growth of human embryos in vitro. Fertil Steril. 2006 Aug;86(2):304-9. doi: 10.1016/j.fertnstert.2006.01.025. Epub 2006 Jun 12.
PMID: 16769062BACKGROUNDGardner DK, Kuramoto T, Tanaka M, Mitzumoto S, Montag M, Yoshida A. Prospective randomized multicentre comparison on sibling oocytes comparing G-Series media system with antioxidants versus standard G-Series media system. Reprod Biomed Online. 2020 May;40(5):637-644. doi: 10.1016/j.rbmo.2020.01.026. Epub 2020 Feb 5.
PMID: 32299733BACKGROUNDLan KC, Lin YC, Chang YC, Lin HJ, Tsai YR, Kang HY. Limited relationships between reactive oxygen species levels in culture media and zygote and embryo development. J Assist Reprod Genet. 2019 Feb;36(2):325-334. doi: 10.1007/s10815-018-1363-6. Epub 2018 Nov 10.
PMID: 30415468BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Barbara Lawrenz
ART Fertility Clinics LLC
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 8, 2024
First Posted
February 15, 2024
Study Start
February 1, 2024
Primary Completion
December 31, 2025
Study Completion
December 31, 2025
Last Updated
February 21, 2025
Record last verified: 2025-02