Polycystic Ovarian Syndrome (PCOS)IVMNCT01843569
In Vitro Maturation (IVM) of Human Oocytes
A study testing In Vitro maturation in people with Polycystic Ovarian Syndrome (PCOS) and Patients Sensitive to Exogenous Gonadotropins, run by Northwell Health at 1 site in United States.
Trial summary
We hypothesize that the combination of natural cycle IVF or low dose gonadotropin injection combined with In Vitro Maturation (IVM) (Natural IVF/IVM) is a viable option for a selected population of infertility patients who cannot tolerate exogenous gonadotropins or are at risk of ovarian hyperstimulation syndrome. Read more about this study
- Who is it for?
- Ages 25 to 42 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Polycystic Ovarian Syndrome (PCOS), Patients Sensitive to Exogenous Gonadotropins, Ovarian Hyper Stimulation Syndrome (OHSS)
- What is being tested?
- In Vitro maturation
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- 1 siteUnited States
- Study dates
- Jan 2015to Dec 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 25 to 42 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Each subject must be female.
- Each subject must have an indication for COH and IVF or ICSI.
- Each subject must be willing and able to provide written informed consent for the trial.
- Each subject must be ≤42 years of age at the time of signing informed consent.
- Each subject must have a normal cervical smear result (no atypical or abnormal cells, or in case of atypical squamous or glandular cells, no signs of malignancy; corresponding to Papanicolaou [PAP] I or II) obtained within 12 months prior to signing informed consent must be available.
Who cannot join
- Subject with premature ovarian failure.
- Subject with endocrine abnormalities such as hyperprolactinaemia or thyroid dysfunction.
- Subject with malformation or absence of uterus.
- Subject tested positive for Human Immunodeficiency Virus (HIV) or Hepatitis B (by local laboratory; results obtained within 1 year prior to signing ICF are considered valid).
- Subject with contraindication or allergy/hypersensitivity to hCG, estrogen and progesterone.
Trial locations and contacts
1 site in 1 country.
United States1 site
The Center for Human Reproduction
Manhasset, New York, 11030
About this study
We hypothesize that the combination of natural cycle IVF or low dose gonadotropin injection combined with In Vitro Maturation (IVM) (Natural IVF/IVM) is a viable option for a selected population of infertility patients who cannot tolerate exogenous gonadotropins or are at risk of ovarian hyperstimulation syndrome.
Read the detailed description
Natural IVF/IVM may be an attractive treatment alternative to conventional controlled ovarian hyperstimulation (COH)/IVF treatment for infertile women in particular for a select group.
Natural IVF/IVM offers several advantages over conventional COH protocols for IVF including:
- Elimination of the need for gonadotropin ovarian stimulation
- Elimination of risk of developing OHSS
- Simplification of treatment, eliminating the need for frequent blood tests and ultrasound monitoring
- Reduced cost of treatment
- Avoiding potential side effects of gonadotropins, including weight gain, bloating, breast tenderness, nausea, mood swings
- Eliminates concerns about the potential risk of malignancy that may be associated with multiple cycles of ovarian stimulation in a predisposed population.
This pilot study will be conducted to assess the clinical efficacy of natural IVF/IVM
- Conditions
- Polycystic Ovarian Syndrome (PCOS), Patients Sensitive to Exogenous Gonadotropins, Ovarian Hyper Stimulation Syndrome (OHSS)
- Being tested
- In Vitro maturation
- Keywords
- In Vitro Maturation, IVM, Natural cycle IVF, PCOS
- Medical subject headings
- Polycystic Ovary Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
In Vitro maturationBiological
| Study group | Role | What they receive |
|---|---|---|
| IVM | Experimental | All patients registered in this study will undergo natural cycle IVF with In Vitro maturation (IVM) performed on all immature retrieved oocytes. Receives: Biological: In Vitro maturation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pregnancy
Establishment of a successful pregnancy
Measured: 1 month
Implantation
fetal hearts per embryo replaced
Measured: 1 month
live birth rates
Measured: 9 months
Secondary outcomes (10)
Multiple pregnancy and miscarriage rates
Measured: 9 months
Neonatal outcomes
Measured: 9 months
Endocrine parameters (FSH, LH, estradiol [E2], progesterone [P], anti-Mullerian hormone [AMH])
Measured: 2 weeks
Number and size distribution of follicles (≥11 mm, ≥15 mm, and ≥17 mm) as documented by ultrasonography during treatment
Measured: 2 weeks
Number and quality of oocytes retrieved
Measured: 1 day
Oocyte maturation rate
Measured: 1 week
Number of fertilized oocytes
Measured: 2 days
Fertilization rate
Measured: 1 day
Number and quality of embryos generated
Measured: 1 week
Endometrial thickness
Measured: 2 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Apr 2013 (estimated)
- Study startJan 2015
- Primary completionDec 2019 (estimated)
- Study completionDec 2020 (estimated)
Why it stopped: Institutional approval of study has expired.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Polycystic Ovarian Syndrome (PCOS)Studies of the same condition, open and under way.
- More trials run by Northwell HealthThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Northwell Health
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Avner Hershlag, MD, Principal investigator, NSLIJ
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01843569
- Sponsor's protocol ID
- 12-364A
- Acronym
- IVM
- Status last verified
- Nov 2020
- First submitted
- 26 Apr 2013
- Last updated
- 16 Nov 2020
- Results posted
- No
- Data monitoring committee
- No
Publications
Practice Committee of the American Society for Reproductive Medicine (ASRM). Committee opinion: In Vitro Maturation. Fertil & Steril. Ready for member review 2/21/12. Not yet in print.
Le Du A, Kadoch IJ, Bourcigaux N, Doumerc S, Bourrier MC, Chevalier N, Fanchin R, Chian RC, Tachdjian G, Frydman R, Frydman N. In vitro oocyte maturation for the treatment of infertility associated with polycystic ovarian syndrome: the French experience. Hum Reprod. 2005 Feb;20(2):420-4. doi: 10.1093/humrep/deh603. Epub 2004 Nov 4.
PubMed 15528263Chian RC, Buckett WM, Tan SL. In-vitro maturation of human oocytes. Reprod Biomed Online. 2004 Feb;8(2):148-66. doi: 10.1016/s1472-6483(10)60511-1.
PubMed 14989791Jurema MW, Nogueira D. In vitro maturation of human oocytes for assisted reproduction. Fertil Steril. 2006 Nov;86(5):1277-91. doi: 10.1016/j.fertnstert.2006.02.126. Epub 2006 Sep 25.
PubMed 16996508Buckett WM, Chian RC, Holzer H, Dean N, Usher R, Tan SL. Obstetric outcomes and congenital abnormalities after in vitro maturation, in vitro fertilization, and intracytoplasmic sperm injection. Obstet Gynecol. 2007 Oct;110(4):885-91. doi: 10.1097/01.AOG.0000284627.38540.80.
PubMed 17906024
Study at a glance
From the registry record, last updated by the sponsor on 16 Nov 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- In Vitro Maturation (IVM) of Human Oocytes
- ClinicalTrials.gov ID
- NCT01843569
- Acronym / sponsor ID
- IVM / 12-364A
- Conditions
- Polycystic Ovarian Syndrome (PCOS), Patients Sensitive to Exogenous Gonadotropins, Ovarian Hyper Stimulation Syndrome (OHSS)
- Keywords
- In Vitro Maturation, IVM, Natural cycle IVF, PCOS
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Institutional approval of study has expired.
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Northwell HealthUniversity, hospital or other
- Study start
- Jan 2015
- Primary completion
- Dec 2019 (estimated)
- Study completion
- Dec 2020 (estimated)
- First posted
- 30 Apr 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
We hypothesize that the combination of natural cycle IVF or low dose gonadotropin injection combined with In Vitro Maturation (IVM) (Natural IVF/IVM) is a viable option for a selected population of infertility patients who cannot tolerate exogenous gonadotropins or are at risk of ovarian hyperstimulation syndrome.
Detailed description
Natural IVF/IVM may be an attractive treatment alternative to conventional controlled ovarian hyperstimulation (COH)/IVF treatment for infertile women in particular for a select group.
Natural IVF/IVM offers several advantages over conventional COH protocols for IVF including:
- Elimination of the need for gonadotropin ovarian stimulation
- Elimination of risk of developing OHSS
- Simplification of treatment, eliminating the need for frequent blood tests and ultrasound monitoring
- Reduced cost of treatment
- Avoiding potential side effects of gonadotropins, including weight gain, bloating, breast tenderness, nausea, mood swings
- Eliminates concerns about the potential risk of malignancy that may be associated with multiple cycles of ovarian stimulation in a predisposed population.
This pilot study will be conducted to assess the clinical efficacy of natural IVF/IVM
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| IVM | Experimental | Biological: In Vitro maturationAll patients registered in this study will undergo natural cycle IVF with In Vitro maturation (IVM) performed on all immature retrieved oocytes. |
Who may qualify
- Ages
- 25 to 42 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Each subject must be female.
- Each subject must have an indication for COH and IVF or ICSI.
- Each subject must be willing and able to provide written informed consent for the trial.
- Each subject must be ≤42 years of age at the time of signing informed consent.
- Each subject must have a normal cervical smear result (no atypical or abnormal cells, or in case of atypical squamous or glandular cells, no signs of malignancy; corresponding to Papanicolaou [PAP] I or II) obtained within 12 months prior to signing informed consent must be available.
Key exclusion criteria (5 listed)
- Subject with premature ovarian failure.
- Subject with endocrine abnormalities such as hyperprolactinaemia or thyroid dysfunction.
- Subject with malformation or absence of uterus.
- Subject tested positive for Human Immunodeficiency Virus (HIV) or Hepatitis B (by local laboratory; results obtained within 1 year prior to signing ICF are considered valid).
- Subject with contraindication or allergy/hypersensitivity to hCG, estrogen and progesterone.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| In Vitro maturation | Biological | IVM |
Primary outcome
Pregnancy
Time frame: 1 month
Establishment of a successful pregnancy
Implantation
Time frame: 1 month
fetal hearts per embryo replaced
live birth rates
Time frame: 9 months
10 secondary outcomes
Multiple pregnancy and miscarriage rates
Time frame: 9 months
Neonatal outcomes
Time frame: 9 months
Endocrine parameters (FSH, LH, estradiol [E2], progesterone [P], anti-Mullerian hormone [AMH])
Time frame: 2 weeks
Number and size distribution of follicles (≥11 mm, ≥15 mm, and ≥17 mm) as documented by ultrasonography during treatment
Time frame: 2 weeks
Number and quality of oocytes retrieved
Time frame: 1 day
Oocyte maturation rate
Time frame: 1 week
Number of fertilized oocytes
Time frame: 2 days
Fertilization rate
Time frame: 1 day
Number and quality of embryos generated
Time frame: 1 week
Endometrial thickness
Time frame: 2 weeks
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Nov 2020.
- BackgroundPractice Committee of the American Society for Reproductive Medicine (ASRM). Committee opinion: In Vitro Maturation. Fertil & Steril. Ready for member review 2/21/12. Not yet in print.
- Background: PubMed 15528263Le Du A, Kadoch IJ, Bourcigaux N, Doumerc S, Bourrier MC, Chevalier N, Fanchin R, Chian RC, Tachdjian G, Frydman R, Frydman N. In vitro oocyte maturation for the treatment of infertility associated with polycystic ovarian syndrome: the French experience. Hum Reprod. 2005 Feb;20(2):420-4. doi: 10.1093/humrep/deh603. Epub 2004 Nov 4.
- Background: PubMed 14989791Chian RC, Buckett WM, Tan SL. In-vitro maturation of human oocytes. Reprod Biomed Online. 2004 Feb;8(2):148-66. doi: 10.1016/s1472-6483(10)60511-1.
- Background: PubMed 16996508Jurema MW, Nogueira D. In vitro maturation of human oocytes for assisted reproduction. Fertil Steril. 2006 Nov;86(5):1277-91. doi: 10.1016/j.fertnstert.2006.02.126. Epub 2006 Sep 25.
- Background: PubMed 17906024Buckett WM, Chian RC, Holzer H, Dean N, Usher R, Tan SL. Obstetric outcomes and congenital abnormalities after in vitro maturation, in vitro fertilization, and intracytoplasmic sperm injection. Obstet Gynecol. 2007 Oct;110(4):885-91. doi: 10.1097/01.AOG.0000284627.38540.80.
Related trials for Polycystic Ovarian Syndrome (PCOS)
Recruiting
Efficacy of Ovarian Drilling Via vNOTES Laparoscopy in Patients With PCOS
PCOS (Polycystic Ovary Syndrome)
RecruitingPhase 1
Efficacy of Injectable Vitamin D Supplementation in Females With Polycystic Ovary Syndrome
Anovulatory Infertility
RecruitingObservational study
The Value of LC-MS/MS Detection of Androgen Profiles in the Diagnosis of PCOS: A Prospective, Multicenter Real-world Study
Polycystic Ovary Syndrome (PCOS)
Recruiting
The Effects of the Mediterranean Diet and Synbiotics in Polycystic Ovary Syndrome
PCOS (Polycystic Ovary Syndrome)
Recruiting
Brown Adipose Tissue Modulation in Polycystic Ovary Syndrome Using Infrared Thermography
Polycystic Ovary Syndrome (PCOS)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Avner Hershlag, MD principal investigator
NSLIJ
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing In Vitro maturation in people with Polycystic Ovarian Syndrome (PCOS) and Patients Sensitive to Exogenous Gonadotropins, run by Northwell Health at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 16 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pregnancy (time frame: 1 month). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01843569, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Nov 2020.