What Embryoselection for What Chance of Success ? EmbryoSelect Study

Infertility Clinical Trial

— EmbryoSelect  

Official title:

A Randomized Double-blind Trial Evaluating the Live Birth Rate After Transfer of Embryos Cultured in Time Lapse Incubator Compared With Conventional Incubator: Embryoselect

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04484181
• Other study ID #: CHUBX 2019/50
• Status: Recruiting
• Phase: N/A
• Start date: October 1, 2020
• Est. completion date: September 15, 2027

Study information

• Verified date: December 2023
• Source: University Hospital, Bordeaux
• Contact: Lucie Chansel-Debordeaux, PharmD
• Phone: +335 56 79 56 81
• Email: lucie.chansel-debordeaux[@]chu-bordeaux.fr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of the research is to evaluate the results of the first in vitro fertilization (IVF) attempt according to the type of embryo culture. From the fertilization to the day 2 transfer, embryos are cultured in standard incubator or in a time lapse technology (TLT). TLT offers an uninterrupted culture environment with a morphokinetic evaluation, whereas culture in standard incubator involves discontinuous morphological embryo evaluation. The principal objective is to compare the live birth rate after the fresh embryo transfer, in a cohort of women less than 39 years-old.

Description:

Embryo evaluation and selection is fundamental in clinical IVF in order to obtain a live birth in a shorter delay as possible, but minimizing the risk of multiple pregnancies. TLT was introduced few years ago in clinical practice and allows the continuous follow up of the embryo development. In IVF centers, embryos are preferentially cultured in TL system with undisturbed environmental conditions. This provides information about the development of the embryos in time intervals of 15min and adds kinetic criteria for embryo evaluation and selection. In conventional incubator, the follow up of embryo development consists in 3 static time point observations. Many reviews and observational studies have discussed the value of time-lapse monitoring but it is as yet unclear, however, whether the TLT improves the results of IVF. It has been suggested that the clinical benefits of applying new technologies should be verified and documented by randomized controlled trials. Moreover, the cumulative live birth rate and the delay for conception were rarely reported. The study aims to evaluate the results of the first IVF attempts comparing classical embryo culture in standard incubator and embryo culture and follow up in TLT. The hypothesis is that the undisturbed culture and the selection based on continuous time-lapse images improve the results of the single embryo fresh transfer and increase the cumulative live birth rate. Patients will be randomized the day of the puncture for the type of culture: standard incubation or TLT. The results of the fresh and successive vitrified-warmed embryo transfer will be prospectively collect and patients will be followed until live birth. The attempt will be considered ended after a live birth, if all the frozen embryos are transferred, after 24 months follow up or after surrender.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 500
• Est. completion date: September 15, 2027
• Est. primary completion date: September 15, 2027
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 39 Years

Eligibility

Inclusion Criteria:

• first IVF/ICSI attempt with fresh transfer,

• women =18 years-old and <39 years-old,

• signed informed consent

Exclusion Criteria:

• attempts with donor,

• comprehension problem,

• frozen gametes,

• BMI>35 kg/m2,

• history of 3 or more miscarriages,

• uterine pathology,

• serodiscordant patients

Related Conditions & MeSH terms

• Infertility

Intervention

Other:
• Embryo culture in time lapse technology (TLT)
In the TLT group, the selection for transfer was based on morphological and kinetic criteria (with the use of an algorithm). Embryos will be cultured and selected for fresh transfer.
• Embryo culture in conventional incubator
For the standard incubation group, the selection for transfer will be based on morphological criteria. Embryos will be cultured and selected for fresh transfer.

Locations

Country	Name	City	State
France	clinique Belharra	Bayonne
France	CHU Bordeaux	Bordeaux

Sponsors (2)

Lead Sponsor	Collaborator
University Hospital, Bordeaux	Programme Hospitalier de Recherche Clinique Inter-Régionale (PHRC-I)

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Live birth rate	Live birth rate per punction after the first single embryo fresh transfer. The live birth will be collected 9 months after the first positive pregnancy test	Month 9
Secondary	Cumulative live birth rate	Cumulative live birth rate of the attempt (fresh transfer and vitrified-warmed embryo transfers until live birth or use of all vitrified embryos)	Month 9
Secondary	Clinical pregnancy rate	Clinical pregnancy rate (cardiac activity at 6 weeks of amenorrhea) per punction and cumulated	Week 6
Secondary	Ongoing pregnancy rate	Ongoing pregnancy rate (at more than 24 weeks of amenorrhea) per punction and cumulated	Week 24
Secondary	Delay to obtain a live birth	Delay to obtain a live birth (= number of transfers to obtain a live birth)	Month 9