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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT00902720
Other study ID # U54RR024347
Secondary ID U54RR024347IRB00
Status Recruiting
Phase Phase 4
First received
Last updated
Start date May 2009
Est. completion date March 2025

Study information

Verified date June 2023
Source Oregon Health and Science University
Contact David M Lee, MD
Phone 503-418-3700
Email leedavi@ohsu.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to offer an alternative method to women who wish to preserve the possibility of fertility, as well as to learn more about the ability of human eggs to survive and function after long term storage in frozen ovaries (ovarian tissue cryopreservation). The study will seek to preserve ovarian tissue and reproductive potential for patients whose medical or surgical treatment may harm ovaries or remove ovarian tissue.


Description:

Women who have not yet undergone this procedure, and who present to the Fertility Consultants desiring fertility preservation, will be offered participation in the study. Subjects will undergo an initial visit which will include a blood draw, ultrasound, and any additional tests or exams that are medically indicated for the subject's diagnosis in preparation for surgery. Subjects will then undergo an oophorectomy surgery (removal of one or both ovaries). Following removal, subject's ovarian tissue will be cryopreserved (frozen) and stored for possible future use. We also plan to collect subjects medical history information to enter into a research database. Subjects will be followed until they decide to use their tissue for fertility purposes. We will also retrospectively enroll women who have already undergone this procedure by contacting them by mail and offering participation in our ovarian tissue cryopreservation database.


Recruitment information / eligibility

Status Recruiting
Enrollment 25
Est. completion date March 2025
Est. primary completion date March 2025
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Female
Age group 18 Years to 41 Years
Eligibility Inclusion Criteria: - Woman between the age of 18-41 years who will undergo surgery, chemotherapy, drug treatment and/or radiation for the treatment or prevention of a medical condition or malignancy expected to result in permanent and complete loss of subsequent ovarian function or have a medical condition or malignancy that requires removal of all or part of one or both ovaries. - Patients may have newly diagnosed or recurrent disease. Those who were not enrolled at the time of initial diagnosis are eligible if they have not received therapy that is viewed as likely to result in complete and permanent loss of ovarian function. - For patients undergoing elective removal of an ovary for fertility preservation only, have two ovaries. - Patients who already have stored cryopreserved ovarian tissue in a frozen state prior to undergoing cancer treatments (surgery, chemotherapy or radiation) will be eligible for enrollment with informed consent. - Signed an approved informed consent and authorization permitting the release of personal health information. The patient and/or the patient's legally authorized guardian must acknowledge in writing that consent for specimen collection has been obtained, in accordance with institutional policies approved by the U.S. Department of Health and Human Services. Exclusion Criteria: - Women with psychological, psychiatric, or other conditions which prevent giving fully informed consent. - Women whose underlying medical condition significantly increases their risk of complications from anesthesia and surgery.

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Tissue sample storage
The tissue sample is frozen and held at -140 degrees at the in vitro fertilization lab at the Center for Health and Healing at OHSU.

Locations

Country Name City State
United States Oregon Health and Sciences Universtiy Portland Oregon

Sponsors (1)

Lead Sponsor Collaborator
Oregon Health and Science University

Country where clinical trial is conducted

United States, 

References & Publications (78)

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Imhof M, Bergmeister H, Lipovac M, Rudas M, Hofstetter G, Huber J. Orthotopic microvascular reanastomosis of whole cryopreserved ovine ovaries resulting in pregnancy and live birth. Fertil Steril. 2006 Apr;85 Suppl 1:1208-15. doi: 10.1016/j.fertnstert.2005.11.030. — View Citation

Kim SS, Hwang IT, Lee HC. Heterotopic autotransplantation of cryobanked human ovarian tissue as a strategy to restore ovarian function. Fertil Steril. 2004 Oct;82(4):930-2. doi: 10.1016/j.fertnstert.2004.02.137. — View Citation

Kim SS, Kang HG, Kim NH, Lee HC, Lee HH. Assessment of the integrity of human oocytes retrieved from cryopreserved ovarian tissue after xenotransplantation. Hum Reprod. 2005 Sep;20(9):2502-8. doi: 10.1093/humrep/dei099. Epub 2005 Jun 9. — View Citation

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Koyama H, Wada T, Nishizawa Y, Iwanaga T, Aoki Y. Cyclophosphamide-induced ovarian failure and its therapeutic significance in patients with breast cancer. Cancer. 1977 Apr;39(4):1403-9. doi: 10.1002/1097-0142(197704)39:43.0.co;2-8. — View Citation

Kreeger PK, Deck JW, Woodruff TK, Shea LD. The in vitro regulation of ovarian follicle development using alginate-extracellular matrix gels. Biomaterials. 2006 Feb;27(5):714-23. doi: 10.1016/j.biomaterials.2005.06.016. Epub 2005 Aug 1. — View Citation

Kreeger PK, Fernandes NN, Woodruff TK, Shea LD. Regulation of mouse follicle development by follicle-stimulating hormone in a three-dimensional in vitro culture system is dependent on follicle stage and dose. Biol Reprod. 2005 Nov;73(5):942-50. doi: 10.1095/biolreprod.105.042390. Epub 2005 Jun 29. — View Citation

Kwon JS, Case AM. Preserving reproductive function in women with cancer. Sexuality,Reproduction & Menopause 2004;2(2):222-229. (A Publication of the American Society for Reproductive Medicine) http://www.srmjournal.org/home

Lee DM, Yeoman RR, Battaglia DE, Stouffer RL, Zelinski-Wooten MB, Fanton JW, Wolf DP. Live birth after ovarian tissue transplant. Nature. 2004 Mar 11;428(6979):137-8. doi: 10.1038/428137a. — View Citation

Lee DM, Yeoman RR, Yu T, et al. Sphingosine-1-phosphate inhibits apoptosis in rhesus monkey ovarian tissue in vitro and may improve reproductive function in xenografts. 2005 Joint American Society for Reproductive Medicine/Canadian Fertility & Andrology Society Meeting, Oct. 15-19, Montreal, Quebec, CANADA. Fertil Steril 2005;84(Suppl 1):S2

Lee K, Lee S, SJ Y, et al. Resumption of the human primordial follicle growth in xenografts after vitrification of the ovarian tissues. Fertil Steril 2000;74(3 Suppl 1):S214

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* Note: There are 78 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Primary This study will provide a pool of research ovarian tissue to use to develop and test methods to expand the range of fertility preservation options available to female cancer patients. May 2009 - January 2010
Secondary Optimize techniques for freezing and thawing of ovarian tissue for use in transplant or in vitro follicle maturation (IFM). May 2009 - January 2010
Secondary Investigate factors affecting successful maturation of immature follicles obtained from ovarian tissue including the use of 3-dimensional biogel scaffolds, growth factors, hormones and other culture conditions. May 2009 - January 2010
Secondary Determine the efficacy of ovarian cryopreservation techniques. May 2009 - January 2010
Secondary Provide long term follow up on patients who have ovarian tissue frozen for their own use. May 2009 - January 2010
Secondary A substantial portion of the patient's tissue will be cryopreserved and reserved for her own use. May 2009 - January 2010
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