AI-TOP Study Artificial Intelligence for Trigger Optimization.
AI-TOP
An Artificial Intelligence Based Approach for Selecting the Optimal Day for Triggering.
1 other identifier
interventional
644
1 country
5
Brief Summary
To evaluate, in a randomized controlled trial, whether AI-guided monitoring and ovulation triggering leads to clinical outcomes comparable to those achieved through physician-led decision-making in patients undergoing ovarian stimulation for IVF.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2026
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 24, 2026
CompletedFirst Posted
Study publicly available on registry
April 7, 2026
CompletedStudy Start
First participant enrolled
April 8, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 1, 2027
April 22, 2026
April 1, 2026
12 months
March 24, 2026
April 21, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
MII oocytes
Number of MII oocytes retrieved at oocyte pickup.
Day of pickup approx. 34-36 hours after ovulation trigger.
Secondary Outcomes (7)
Distribution of retrieval procedures during the week.
Assessed at the end of the stimulation cycle, once the retrieval schedule is completed. approx. 34-36 hours after ovulation trigger.
Number of COCs
Measured on the day of oocyte retrieval. approx. 34-36 hours after ovulation trigger.
Length of stimulation (days)
From the first day of stimulation until the day the ovulation trigger is administered. Up to 8-15 days
FORT (pre-ovulatory follicles on trigger day/AFC)
AFC is measured at baseline (cycle day 2-3); pre-ovulatory follicles are counted on trigger day. Up to 8-15 days
FOI (N COCs/AFC)
AFC measured at baseline; COCs counted on the day of retrieval approx. 34-36 hours after ovulation trigger.
- +2 more secondary outcomes
Study Arms (2)
AI Algorithm
EXPERIMENTALTrigger decisions trigger will be made by the physician assisted by AI guidance.
Routine clinical management
ACTIVE COMPARATORFollowing routine clinical management with ovulation trigger decisions made by the physician alone,
Interventions
The AI algorithm used in this study is STIMAI®. STIMAI® is an artificial intelligence-based software that assists clinicians by providing data-driven insights to optimize the fertility treatment process and support conception. The software is designed as a clinical decision support tool and does not replace the physician's judgment; final clinical decisions will remain under the responsibility of the treating physician The physician will consult the AI application, which predicts the number of MII oocytes for different trigger days. If the algorithm recommends triggering today or tomorrow, the physician will choose which option to follow.
As soon as 2-3 follicles of 17 mm are detected, the physician will determine the timing of ovulation triggering based on clinical judgment.
Eligibility Criteria
You may qualify if:
- Undergoing COS for IVF with autologous oocytes, oocyte donation and elective fertility preservation with all monitoring USS (ultrasound scan) conducted at our centers.
You may not qualify if:
- Medically indicated fertility preservation
- Inability to attend clinic visits for monitoring.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Fundacion Dexeuslead
Study Sites (5)
Dexeus Mujer Sabadell
Sabadell, Barcelona, Spain
Dexeus Mujer Sant Cugat
Sant Cugat del Vallès, Barcelona, 08195, Spain
Dexeus Mujer Reus
Reus, Tarragona, 43202, Spain
Hospital Universitario Quiron Dexeus
Barcelona, 08028, Spain
Dexeus Mujer Tarragona
Tarragona, 43206, Spain
Related Publications (8)
Babayev E. Man versus machine in in vitro fertilization-can artificial intelligence replace physicians? Fertil Steril. 2020 Nov;114(5):963. doi: 10.1016/j.fertnstert.2020.07.042. Epub 2020 Aug 17. No abstract available.
PMID: 32819677BACKGROUNDBlockeel C, Engels S, De Vos M, Haentjens P, Polyzos NP, Stoop D, Camus M, Devroey P. Oestradiol valerate pretreatment in GnRH-antagonist cycles: a randomized controlled trial. Reprod Biomed Online. 2012 Mar;24(3):272-80. doi: 10.1016/j.rbmo.2011.11.012. Epub 2011 Nov 30.
PMID: 22296973BACKGROUNDCanon C, Leibner L, Fanton M, Chang Z, Suraj V, Lee JA, Loewke K, Hoffman D. Optimizing oocyte yield utilizing a machine learning model for dose and trigger decisions, a multi-center, prospective study. Sci Rep. 2024 Aug 20;14(1):18721. doi: 10.1038/s41598-024-69165-1.
PMID: 39164339BACKGROUNDChow DJX, Wijesinghe P, Dholakia K, Dunning KR. Does artificial intelligence have a role in the IVF clinic? Reprod Fertil. 2021 Aug 23;2(3):C29-C34. doi: 10.1530/RAF-21-0043. eCollection 2021 Jul.
PMID: 35118395BACKGROUNDDimitriadis I, Zaninovic N, Badiola AC, Bormann CL. Artificial intelligence in the embryology laboratory: a review. Reprod Biomed Online. 2022 Mar;44(3):435-448. doi: 10.1016/j.rbmo.2021.11.003. Epub 2021 Nov 12.
PMID: 35027326BACKGROUNDFerrand T, Boulant J, He C, Chambost J, Jacques C, Pena CA, Hickman C, Reignier A, Freour T. Predicting the number of oocytes retrieved from controlled ovarian hyperstimulation with machine learning. Hum Reprod. 2023 Oct 3;38(10):1918-1926. doi: 10.1093/humrep/dead163.
PMID: 37581894BACKGROUNDHariton E, Chi EA, Chi G, Morris JR, Braatz J, Rajpurkar P, Rosen M. A machine learning algorithm can optimize the day of trigger to improve in vitro fertilization outcomes. Fertil Steril. 2021 Nov;116(5):1227-1235. doi: 10.1016/j.fertnstert.2021.06.018. Epub 2021 Jul 10.
PMID: 34256948BACKGROUNDLetterie G, MacDonald A, Shi Z. An artificial intelligence platform to optimize workflow during ovarian stimulation and IVF: process improvement and outcome-based predictions. Reprod Biomed Online. 2022 Feb;44(2):254-260. doi: 10.1016/j.rbmo.2021.10.006. Epub 2021 Oct 20.
PMID: 34865998BACKGROUND
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
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
March 24, 2026
First Posted
April 7, 2026
Study Start
April 8, 2026
Primary Completion (Estimated)
April 1, 2027
Study Completion (Estimated)
September 1, 2027
Last Updated
April 22, 2026
Record last verified: 2026-04