IVF Clinical Trial
Official title:
Embryo Selection by Metabolomic Profiling of Embryo Culture Medium With Mass Spectroscopy as an Adjunct to Morphology: a Randomized Controlled Trial
Identification of the embryo with the highest potential to implant and establish an ongoing
pregnancy is a primary aim in human assisted reproduction. This task is undertaken every day
by embryologists worldwide during the treatment of couples that wish to conceive by IVF. The
optimal scenario is the transfer of a single embryo which gives rise to a singleton
pregnancy. The current limitations in determination of embryos that have the highest
implantation potential probably contribute to the low rates of pregnancy during IVF
treatments. Hence, since the beginning of IVF, how to improve embryo selection has been a
'hot research topic.' Morphology has been a very obvious parameter to assess embryos as it
provides a chance to evaluate them from the oocyte stage all the way to the blastocysts
stage. Hence, in the first era of IVF, there were number of studies that evaluated this
parameter and associated morphology with IVF success rates. On the other hand, it has been
previously stated that the slight increase in pregnancy rates during IVF treatment is mostly
likely a result of better practices in laboratory than morphological evaluation. Due to the
limitations of morphological evaluation, several researchers have investigated adjunctive
non-invasive approaches for the assessment of the embryo, such as the metabolomic profiling.
Recently mass spectroscopic (MS) approaches have been utilized in limited settings. Samples
needed minimal preparation; analytical analysis was rapid and large amounts of data was
available. Hence, MS might be a promising approach for metabolomic profiling of embryo
culture media.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Basic Science
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