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Abortion, Habitual clinical trials

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NCT ID: NCT05216068 Recruiting - Clinical trials for Recurrent Miscarriage

Investigation and Diagnosis of the Chromosome Variation in Donated/Abandoned Blastocyst

Start date: December 1, 2021
Phase: N/A
Study type: Interventional

Blastocysts derived from patients seeking infertility treatment were generated by in vitro fertilization and embryo culture as previously described, and were evaluated using the Gardner system. As part of the embryo selection process, cells of TE biopsy were collected, and blastocysts were vitrified. The clinical TE biopsies were subjected to whole genome amplification (WGA) with SurePlex reagents (Illumina) followed by NGS-based PGT-A using Illumina's VeriSeq kit (Illumina) on a MiSeq system (Illumina) according to the manufacturer's protocol.

NCT ID: NCT05205044 Completed - Clinical trials for Recurrent Pregnancy Loss

Evaluation of Apelin-13 and Apelin-36 in Women With Recurrent Pregnancy Loss

Start date: January 23, 2022
Phase:
Study type: Observational

Lower Apelin levels are associated with hypertensive disorders with pregnancy, yet no studies investigated its levels in recurrent pregnancy loss

NCT ID: NCT05190796 Completed - Abortion, Recurrent Clinical Trials

Platelet Indices and Recurrent Pregnancy Loss

Start date: September 1, 2020
Phase:
Study type: Observational [Patient Registry]

The aim of this study was to evaluate relationship between platelet indices, red blood cell indices and recurrent pregnancy loss.

NCT ID: NCT05186207 Recruiting - Clinical trials for Recurrent Pregnancy Loss

Establishment of Special Disease Cohort for RPLand Study of Impact Mechanism of Early Embryo Development

Start date: January 12, 2022
Phase:
Study type: Observational

Recurrent pregnancy loss (RPL) is a refractory disease with diverse etiologies, complex pathogenesis and limited therapeutic options. Current tests and treatments lack uniform specifications. This study is a prospective clinical cohort study which intends to screen out meaningful examination items and reliable and effective treatment. The study content includes (1) tracking the re-pregnancy information of patients with initial inevitable abortion, comparing the clinical data and examination test results between patients with single abortion and RPL, and (2) comprehensively and systematically screening the patients with initial inevitable abortion, taking those without obvious abnormalities and those with a re-pregnancy into the control group and taking those with a re-pregnancy after abnormal findings were treated into the study group, recording the pregnancy and perinatal conditions of the two groups, comparing the pregnancy outcomes of the two groups, and analyzing the risk factors for RPL. The results of this study will establish a model of maternal and newborn risk assessment for first trimester medication use and provide strong evidence-based evidence to clarify the diagnosis and treatment processes of RPL.

NCT ID: NCT05169541 Recruiting - Infertility Clinical Trials

Association Between Plasma Level of Mannose Binding Lectin and Human Reproduction

Start date: February 2, 2022
Phase:
Study type: Observational

A low plasma level of mannose binding lectin (p-MBL) is associated with unexplained recurrent pregnancy loss (RPL), but it is not investigated if it is associated with unexplained reproductive failure in general, including recurrent implantation failure (RIF) after assisted reproductive technology (ART) (including IVF, ICSI and FET), recurrent pregnancy loss (RPL) after spontaneous conception, and RPL after ART.

NCT ID: NCT05167812 Not yet recruiting - Clinical trials for Recurrent Pregnancy Loss

On Pregnancy After Losses - OPAL Study

OPAL
Start date: February 1, 2022
Phase:
Study type: Observational [Patient Registry]

Rationale: Recurrent pregnancy loss (RPL) is defined as the loss of two or more conceptions before the fetus reaches viability. It affects 1-3% of all fertile couples and despite extensive diagnostic work-up, in only around 30% an underlying cause is identified. Several factors may increase the risk for miscarriage, but the chance of a normal, successful pregnancy is still high. So, in supporting couples with RPL, an important part of the clinical management of these couples is to provide couples with accurate prognoses for their next pregnancy. The main limitation in current prediction models is the lack of a sufficiently large cohort, adjustment for relevant risk factors such that prognoses are individualized, and separating between the cumulative live birth rate and the chance that the next conception will lead to a live birth. In this project therefore we aim to make an individualized prognosis regarding the future chance of live birth and the chance of a healthy child. This could then lead to improved wellbeing and the ability of making future reproductive choices. Objectives: Primary objective: to predict the chance of a live birth within three years after intake in couples with unexplained RPL Secondary objectives: - to predict the chance of an ongoing pregnancy (>12 weeks) in the next pregnancy in couples with unexplained RPL. - to predict the chance of a complicated pregnancy in couples with unexplained RPL - to predict the chance dynamically of a live birth given the outcome of a pregnancy after intake - to predict the chance of above outcomes in couples with a known cause for RPL Study design: A multicenter retrospective and prospective cohort study. Study population: Couples with females aged ≤42 years in both prospective and retrospective inclusion. Retrospective inclusion: Couples with RPL who visited the RPL outpatient clinic in participating centers from 2006 until the start of this study. Prospective inclusion: new couples with RPL who will visit the clinic from 2021 onwards. Main study parameters/endpoints: - Pregnancy outcomes since intake - Time to pregnancy since intake - Time between pregnancies since intake - Pregnancy complications since intake - All outcomes will be obtained up to a maximum of five years after intake - Patient characteristics: cause for RPL, female age, male age, previous live birth, duration of RPL (since diagnosis) Nature and extent of the burden and risks associated with participation, benefit and group relatedness: Participating in this study does not yield any risks. There could be a burden in case of retrospectively collecting data. Participating does not yield direct benefits for the subjects, however it may lead to future improvements of care for couples with RPL.

NCT ID: NCT05034250 Recruiting - Infertility Clinical Trials

Iron Status in Female Infertility and Recurrent Miscarriage

Start date: October 1, 2021
Phase:
Study type: Observational

Multiple studies suggest a link between the iron status and the development of the endometrium. Therefore, a sufficient iron supply seems to relevant for female fertility and reproduction. To gain further insight on the effects of iron status on female fertility, a prospective study on infertile women und women with recurrent miscarriage will be conducted. In these, the iron status will be evaluated in detail. In addition, a control group of healthy women without infertility will be enrolled.

NCT ID: NCT04960982 Completed - Clinical trials for Polycystic Ovary Syndrome

Changes in Pregnancy in Egyptian Women With History of Recurrent Miscarriage

Start date: March 1, 2018
Phase:
Study type: Observational [Patient Registry]

Introduction: Elevated levels of androgen and insulin-resistant have been implicated in recurrent miscarriage in women with PCOS. Published data are scarce on androgen level and cervical length of women with and without PCOS and a history of miscarriage. Aim: The aim of this study was to investigate the levels of testosterone (TT), Sex Hormone Binding Globulin (SHBG), Dehyroepiandrostenedione (DHEA) and cervical length in Egyptian women with and without history PCOS and history of RM during pregnancy . Method: Pregnant women with (n=38) and without (n=40) PCOS and history of recurrent miscarriages were recruited from the Obstetrics Department, Alagoza Hospital, Cairo, Egypt. Healthy pregnant women without PCOS and history of RM (n=40, HC) were also recruited. TT, SHBG,DHEA and Sex Hormone Binding Globulin (SHBG) level and cervical length were assessed at first, second and the third trimester or at the start of miscarriage

NCT ID: NCT04718233 Completed - Clinical trials for Recurrent Pregnancy Loss

Effect of Sildenafil Citrate on Mid Luteal Phase Uterine Artery Blood Flow in Patients With Recurrent Pregnancy Loss

Start date: September 5, 2018
Phase: Phase 2
Study type: Interventional

Patients with recurrent pregnancy loss are known to have decreased uterine artery blood flow. Nitric oxide plays a major role in increasing uterine blood flow during the luteal phase. This study is done to evaluate the effects of sildenafil on blood flow indices in the patients with recurrent pregnancy loss due to impaired uterine artery blood flow.

NCT ID: NCT04709796 Recruiting - IVF Clinical Trials

The Use of High Concentration Hyaluronic Acid (HA) Transfer Medium in Repeated Implantation Failure (RIF) Patients

RIFLE
Start date: March 3, 2021
Phase: N/A
Study type: Interventional

This is a pilot study with the aim to investigate the beneficial effect of bicarbonate buffered medium containing hyaluronan and recombinant human albumin (EmbryoGlue®, Vitrolife) in patients with documented repeated implantation failure on live birth per randomized subject as primary endpoint.