Blastocyst AI Assisted Morphokinetics in ART
AIM
An Observational Study of Artificial Intelligence-Assisted Blastocyst Morphokinetic Analysis Using Short-Duration Video and Its Association With Pregnancy Outcomes
1 other identifier
observational
1,000
1 country
1
Brief Summary
The goal of this observational study is to learn if embryo characteristics obtained via the recording of real-time embryo activity via 30-seconds video capture (e.g.: Embryo Morphokinetics) can correlate with known embryo outcome in patients receiving In-Vitro Fertilization Treatment (IVF). Current Embryo morphology is performed with direct observation of embryo characteristics under the microscope. The observer will follow embryo grading standards based on embryo symmetry, development stage and growth pattern based on day of culture, presence of defined embryo characteristics with definition of viability to transfer into the uterus, cryopreserve for future use or discard. Today, the final embryo outcome can be correlated with the subjective embryo grading performed by the embryologist to evaluate how precise is the viability assessment of embryo characteristics and potential. This observational study attempts to create enough data to evaluate if real-time embryo morphokinetics can correlate with known outcomes. Patients participating in this study will not obtain any benefit from the recording of their embryos. They'll continue with their treatment according to the medical provider decision. Embryos will be selected using standard of care practice including: Transfer into the uterus. Cryopreservation. Biopsy for pre-implantation genetic testing and cryopreservation. Discard. The data obtained from this study will be analyzed to generate hypothesis and potentially design a prospective study where this tool can be used to aid in the embryo grading and selection process in comparison with standard of care. The study includes patients undergoing Assisted Reproductive Technologies (ART) including IVF, Intracytoplasmic Sperm Injection (ICSI), Frozen-Thawed Embryo Transfer including or not Embryos previously analyzed genetically. This includes embryos already defined as viable (genetically normal) or embryos to be discarded (genetically abnormal). What is Embryo Morphokinetics? Embryos are in constant movement with cellular activity invisible to the naked eye. Capturing a real-time video can convert that cellular movement and activity into pixels. Those pixels can be followed, and certain patterns can be observed and created. With the use of Artificial Intelligence (AI) those patterns can be identified, labelled, and analyzed to potentially be correlated with embryo outcome. It has been demonstrated, in the animal field, that embryos with certain morphokinetics patterns do not implant inside the uterus therefore not achieving a pregnancy. Also, embryos with high activity may be associated with genetic abnormality. In this study the following comparisons will be performed. Embryo Morphokinetics at the Blastocyst stage including: Blastocyst morphokinetics before cryopreservation and after thawing. Blastocyst morphokinetics before and after trophectoderm biopsy. Blastocyst morphokinetics in euploid embryos before transfer. Blastocyst morphokinetics in aneuploid embryos before discard.
- Primary hypothesis: Blastocyst morphokinetics correlate with Pregnancy outcome
- Secondary hypothesis: Blastocyst morphokinetics correlates with embryo recovery after thawing and after biopsy.
- Tertiary hypothesis: Blastocyst morphokinetics correlates with know genetic diagnosis (euploid or aneuploid)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2026
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
March 5, 2026
CompletedFirst Submitted
Initial submission to the registry
May 2, 2026
CompletedFirst Posted
Study publicly available on registry
May 28, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 30, 2029
May 28, 2026
May 1, 2026
2.8 years
May 2, 2026
May 20, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Ongoing Clinical Pregnancy
Evaluate the association between the AI assisted blastocyst Morphokinetic extracted from a 30 seconds blastocyst video recording and ongoing clinical pregnancy.
From enrollment and embryo morphokinetic evaluation to ongoing clinical pregnancy evaluated at 12 weeks of pregnancy in pregnant patients.
Study Arms (1)
Patients undergoing Assisted Reproductive Technologies (ART)
Patients meeting inclusion exclusion criteria undergoing ART. This includes In-Vitro Fertilization with embryo transfer, Frozen-Thawed embryo transfer with and without pre-implantation genetic testing. Single blastocyst to be transferred will be video recorded using conventional inverted microscope, camera and recording software during 30 seconds before embryo transfer, before and after blastocyst biopsy and after blastocyst thawing.
Eligibility Criteria
The study will enroll patients undergoing ART who generate at least one blastocyst on day 5, 6, or 7 of in-vitro culture. All participants will receive clinical management according to the treating physician's judgment and the established clinical and laboratory protocols of the IVF center. Participation in this observational study will not modify medical treatment, laboratory procedures, or clinical decision-making, and no additional interventions affecting patient care will be introduced. Eligibility for study participation requires a thirty-second real-time video recording. Blastocysts recorded may originate from conventional IVF or ICSI cycles, frozen-thawed embryo transfers, or embryos undergoing biopsy for PGT-A. Each recorded embryo will be appropriately coded to document developmental stage, embryo status (fresh or frozen-thawed), and genetic testing classification when available, including chromosomal designation and reported sex determination where applicable.
You may qualify if:
- Signed Inform Consent
- Ages between 18 and 45 years
- Patients using own or donated eggs
- Patients undergoing assisted reproduction procedures (ICSI with Embryo Transfer, Frozen Embryo Transfers with or without PGT-A receiving a single embryo transfer.
- Patients with at least one embryo at the blastocyst stage on day 5, day 6 or day 7 of embryo development.
- Patients using a surrogate carrier for the embryo transfer procedure.
- Patients with Abnormal Embryos after PGT-A to be discarded.
- Patients with Euploid Embryos after PGT-A to be discarded
You may not qualify if:
- Absence of viable embryos at the blastocyst stage.
- Any uterine abnormalities that could affect embryo implantation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Women's Specialty & Fertility Center
Clovis, California, 93611, United States
Related Publications (26)
Salih M, Austin C, Warty RR, Tiktin C, Rolnik DL, Momeni M, Rezatofighi H, Reddy S, Smith V, Vollenhoven B, Horta F. Embryo selection through artificial intelligence versus embryologists: a systematic review. Hum Reprod Open. 2023 Aug 15;2023(3):hoad031. doi: 10.1093/hropen/hoad031. eCollection 2023.
PMID: 37588797BACKGROUNDCurchoe CL, Bormann CL. Artificial intelligence and machine learning for human reproduction and embryology presented at ASRM and ESHRE 2018. J Assist Reprod Genet. 2019 Apr;36(4):591-600. doi: 10.1007/s10815-019-01408-x. Epub 2019 Jan 28.
PMID: 30690654BACKGROUNDSimopoulou M, Sfakianoudis K, Maziotis E, Antoniou N, Rapani A, Anifandis G, Bakas P, Bolaris S, Pantou A, Pantos K, Koutsilieris M. Are computational applications the "crystal ball" in the IVF laboratory? The evolution from mathematics to artificial intelligence. J Assist Reprod Genet. 2018 Sep;35(9):1545-1557. doi: 10.1007/s10815-018-1266-6. Epub 2018 Jul 27.
PMID: 30054845BACKGROUNDVerMilyea M, Hall JMM, Diakiw SM, Johnston A, Nguyen T, Perugini D, Miller A, Picou A, Murphy AP, Perugini M. Development of an artificial intelligence-based assessment model for prediction of embryo viability using static images captured by optical light microscopy during IVF. Hum Reprod. 2020 Apr 28;35(4):770-784. doi: 10.1093/humrep/deaa013.
PMID: 32240301BACKGROUNDHarper J, Jackson E, Sermon K, Aitken RJ, Harbottle S, Mocanu E, Hardarson T, Mathur R, Viville S, Vail A, Lundin K. Adjuncts in the IVF laboratory: where is the evidence for 'add-on' interventions? Hum Reprod. 2017 Mar 1;32(3):485-491. doi: 10.1093/humrep/dex004.
PMID: 28158511BACKGROUNDScott RT Jr, Upham KM, Forman EJ, Hong KH, Scott KL, Taylor D, Tao X, Treff NR. Blastocyst biopsy with comprehensive chromosome screening and fresh embryo transfer significantly increases in vitro fertilization implantation and delivery rates: a randomized controlled trial. Fertil Steril. 2013 Sep;100(3):697-703. doi: 10.1016/j.fertnstert.2013.04.035. Epub 2013 Jun 1.
PMID: 23731996BACKGROUNDCapalbo A, Rienzi L, Cimadomo D, Maggiulli R, Elliott T, Wright G, Nagy ZP, Ubaldi FM. Correlation between standard blastocyst morphology, euploidy and implantation: an observational study in two centers involving 956 screened blastocysts. Hum Reprod. 2014 Jun;29(6):1173-81. doi: 10.1093/humrep/deu033. Epub 2014 Feb 26.
PMID: 24578475BACKGROUNDSwain JE. Optimizing the culture environment in the IVF laboratory: impact of pH and buffer capacity on gamete and embryo quality. Reprod Biomed Online. 2010 Jul;21(1):6-16. doi: 10.1016/j.rbmo.2010.03.012. Epub 2010 Mar 21.
PMID: 20570214BACKGROUNDLane M, Gardner DK. Embryo culture medium: which is the best? Best Pract Res Clin Obstet Gynaecol. 2007 Feb;21(1):83-100. doi: 10.1016/j.bpobgyn.2006.09.009. Epub 2006 Nov 7.
PMID: 17090393BACKGROUNDWorld Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013 Nov 27;310(20):2191-4. doi: 10.1001/jama.2013.281053. No abstract available.
PMID: 24141714BACKGROUNDKragh MF, Karstoft H. Embryo selection with artificial intelligence: how to evaluate and compare methods? J Assist Reprod Genet. 2021 Jul;38(7):1675-1689. doi: 10.1007/s10815-021-02254-6. Epub 2021 Jun 26.
PMID: 34173914BACKGROUNDTran D, Cooke S, Illingworth PJ, Gardner DK. Deep learning as a predictive tool for fetal heart pregnancy following time-lapse incubation and blastocyst transfer. Hum Reprod. 2019 Jun 4;34(6):1011-1018. doi: 10.1093/humrep/dez064.
PMID: 31111884BACKGROUNDKhosravi P, Kazemi E, Zhan Q, Malmsten JE, Toschi M, Zisimopoulos P, Sigaras A, Lavery S, Cooper LAD, Hickman C, Meseguer M, Rosenwaks Z, Elemento O, Zaninovic N, Hajirasouliha I. Deep learning enables robust assessment and selection of human blastocysts after in vitro fertilization. NPJ Digit Med. 2019 Apr 4;2:21. doi: 10.1038/s41746-019-0096-y. eCollection 2019.
PMID: 31304368BACKGROUNDMeseguer M, Herrero J, Tejera A, Hilligsoe KM, Ramsing NB, Remohi J. The use of morphokinetics as a predictor of embryo implantation. Hum Reprod. 2011 Oct;26(10):2658-71. doi: 10.1093/humrep/der256. Epub 2011 Aug 9.
PMID: 21828117BACKGROUNDVajta G, Kuwayama M. Improving cryopreservation systems. Theriogenology. 2006 Jan 7;65(1):236-44. doi: 10.1016/j.theriogenology.2005.09.026. Epub 2005 Nov 9.
PMID: 16289262BACKGROUNDLonergan P, Fair T. Maturation of Oocytes in Vitro. Annu Rev Anim Biosci. 2016;4:255-68. doi: 10.1146/annurev-animal-022114-110822. Epub 2015 Nov 9.
PMID: 26566159BACKGROUNDWong CC, Loewke KE, Bossert NL, Behr B, De Jonge CJ, Baer TM, Reijo Pera RA. Non-invasive imaging of human embryos before embryonic genome activation predicts development to the blastocyst stage. Nat Biotechnol. 2010 Oct;28(10):1115-21. doi: 10.1038/nbt.1686. Epub 2010 Oct 3.
PMID: 20890283BACKGROUNDMeseguer M, Rubio I, Cruz M, Basile N, Marcos J, Requena A. Embryo incubation and selection in a time-lapse monitoring system improves pregnancy outcome compared with a standard incubator: a retrospective cohort study. Fertil Steril. 2012 Dec;98(6):1481-9.e10. doi: 10.1016/j.fertnstert.2012.08.016. Epub 2012 Sep 10.
PMID: 22975113BACKGROUNDArmstrong S, Bhide P, Jordan V, Pacey A, Farquhar C. Time-lapse systems for embryo incubation and assessment in assisted reproduction. Cochrane Database Syst Rev. 2018 May 25;5(5):CD011320. doi: 10.1002/14651858.CD011320.pub3.
PMID: 29800485BACKGROUNDGameiro S, Boivin J, Dancet E, de Klerk C, Emery M, Lewis-Jones C, Thorn P, Van den Broeck U, Venetis C, Verhaak CM, Wischmann T, Vermeulen N. ESHRE guideline: routine psychosocial care in infertility and medically assisted reproduction-a guide for fertility staff. Hum Reprod. 2015 Nov;30(11):2476-85. doi: 10.1093/humrep/dev177. Epub 2015 Sep 7.
PMID: 26345684BACKGROUNDZegers-Hochschild F, Adamson GD, Dyer S, Racowsky C, de Mouzon J, Sokol R, Rienzi L, Sunde A, Schmidt L, Cooke ID, Simpson JL, van der Poel S. The International Glossary on Infertility and Fertility Care, 2017. Fertil Steril. 2017 Sep;108(3):393-406. doi: 10.1016/j.fertnstert.2017.06.005. Epub 2017 Jul 29.
PMID: 28760517BACKGROUNDCox CM, Thoma ME, Tchangalova N, Mburu G, Bornstein MJ, Johnson CL, Kiarie J. Infertility prevalence and the methods of estimation from 1990 to 2021: a systematic review and meta-analysis. Hum Reprod Open. 2022 Nov 12;2022(4):hoac051. doi: 10.1093/hropen/hoac051. eCollection 2022.
PMID: 36483694BACKGROUNDPaulson RJ. Is preimplantation genetic testing for aneuploidy (PGT-A) getting better? How can we know and how do we counsel our patients? F S Rep. 2023 Nov 8;4(4):329-330. doi: 10.1016/j.xfre.2023.11.002. eCollection 2023 Dec. No abstract available.
PMID: 38204956BACKGROUNDCairo Consensus Group 2023, Alpha Scientists In Reproductive Medicine. Cairo Consensus on Accreditation as the Basis for Future-Proofing the ART Laboratory. Reprod Biomed Online. 2025 Jan;50(1):104106. doi: 10.1016/j.rbmo.2024.104106. Epub 2024 May 13.
PMID: 39242260BACKGROUNDGardner DK, Lane M, Stevens J, Schlenker T, Schoolcraft WB. Blastocyst score affects implantation and pregnancy outcome: towards a single blastocyst transfer. Fertil Steril. 2000 Jun;73(6):1155-8. doi: 10.1016/s0015-0282(00)00518-5.
PMID: 10856474BACKGROUNDGardner DK, Schoolcraft WB. In vitro culture of human blastocysts. In: Toward Reproductive Certainty: Fertility and Genetics Beyond 1999. Parthenon Publishing; 1999.
BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Target Duration
- 6 Months
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 2, 2026
First Posted
May 28, 2026
Study Start
March 5, 2026
Primary Completion (Estimated)
December 31, 2028
Study Completion (Estimated)
March 30, 2029
Last Updated
May 28, 2026
Record last verified: 2026-05
Data Sharing
- IPD Sharing
- Will not share
This study doesn't require to share IPD due to the nature of its design based on embryo morphokinetics.