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Infertility, FemaleNCT05919186

Effects of Antioxidant Supplementation of Culture Media on IVF Embryos

A study testing EmbryORP®, O2 tension 20% and O2 tension 5% in people with Infertility, Female and Infertility, Male, run by Liliana Berenice Ramírez Domínguez at 1 site in Mexico.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this clinical trial is to investigate the impact of repeated antioxidant supplementation on blastocyst utilization and expansion rates in embryos under different oxygen concentrations. Read more about this study

Who is it for?
Ages 18 to 37 years, women only
Conditions the study is for
Infertility, Female, Infertility, Male
What is being tested?
EmbryORP®, O2 tension 20% and O2 tension 5%
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
293 participants
Where
1 siteMexico
Study dates
12 Oct 2021to 10 May 2022
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 18 to 37 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Infertile women with from 18 to 37 years old at the moment of oocyte collection, tubal factor, polycystic ovary syndrome, uterine factor, or unexplained infertility.
  • More than 2 oocytes by conventional in vitro fertilization (cIVF) and intracytoplasmic sperm injection (ICSI).

Who cannot join

  • Infertile woman in assisted reproduction treatment with less than 2 oocytes collected.
  • Infertile woman in assisted reproduction treatment with less than 2 oocytes fertilized by conventional in vitro fertilization (cIVF) and intracytoplasmic sperm injection (ICSI)

Trial locations and contacts

1 site in 1 country.

Mexico1 site
  • CITMER

    Mexico City, 11520

Other trials in Mexico

About this study

Official title: Impact of Repeated Antioxidant Supplementation of Embryo Culture Media on Blastocyst Utilization and Expansion Rate Under Two Different O2 Concentrations

The goal of this clinical trial is to investigate the impact of repeated antioxidant supplementation on blastocyst utilization and expansion rates in embryos under different oxygen concentrations. The study aims to answer the following main questions:

  • Does adding antioxidants every 12 hours to embryo culture media improve usable and expanded blastocyst utilization rates on days 5 and 6?
  • How are the O2 concentrations related to the effect of different methods of antioxidants supplementation on blastocysts utilization and expansion rates?
Read more

Participants in this study are infertile couples undergoing in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) cycles.

  • Zygotes will be incubated at either 5% or 20% oxygen tension until the blastocyst stage.
  • Sibling zygotes will be divided into four groups: Group 1A and 1B: Antioxidants every 12 hours at either 5% or 20% O2 tension, respectively. Group 2A and 2B: Antioxidants only once at the beginning of embryo culture at either 5% or 20% O2 tension, respectively.

Researchers will compare the four groups to determine if the repeated antioxidant supplementation of the culture media leads to improved blastocyst utilization and expansion rates compared to the baseline group.

Read the detailed description

This study is focused on the role of antioxidants (AOXs) in mitigating reactive oxygen species and oxidative stress, which have been associated with failure in in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). The research aimed to evaluate the effect of two different methods of antioxidants supplementation at two O2 tensions on blastocyst utilization and expansion rates. To achieve this, 3603 zygotes from infertile couples undergoing IVF or ICSI were included in the study. The zygotes were divided into two groups: Group 1A and 1B: Antioxidants every 12 hours at either 5% or 20% O2 tension, respectively. Group 2A and 2B: Antioxidants only once at the beginning of embryo culture at either 5% or 20% O2 tension, respectively.

.

Being tested
EmbryORP®, O2 tension 20%, O2 tension 5%
Keywords
Blastocyst Rate, IVF, Embryo Culture, Antioxidants
Medical subject headings
Infertility, Female, Infertility, Male

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EmbryORP®Drug

    Also called EmbryORP

    EmbryORP® is a novel antioxidant (Cystein 32.9 mM, Glutation 32.6 mM, Ascorbic Acid 22.7 mM)

  • O2 tension 20%Device

    After fertilization check, zygotes were placed in the incubator at 37°C, 8% CO2, and 95%

  • O2 tension 5%Device

    After fertilization check, zygotes were placed in the incubator at 37°C, 8% CO2 and 95%

Study groups in NCT05919186
Study groupRoleWhat they receive
EmrbyORP continued at high O2ExperimentalAntioxidants supplementation Every 12 hours (3.5 μL)
Receives: Drug: EmbryORP®; Device: O2 tension 20%
EmrbyORP at baseline with high O2ExperimentalAntioxidants supplementation At baseline only (6.5 μL)
Receives: Drug: EmbryORP®; Device: O2 tension 20%
EmrbyORP continued at low 02ExperimentalAntioxidants supplementation Every 12 hours (3.5 μL)
Receives: Drug: EmbryORP®; Device: O2 tension 5%
EmrbyORP at baseline with low o2ExperimentalAntioxidants supplementation At baseline only (6.5 μL)
Receives: Drug: EmbryORP®; Device: O2 tension 5%

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rate of usable blastocysts on day 5

    Usable blastocysts were defined as vitrified, transferred, and/or biopsied blastocysts at day 5

    Measured: 5 days

  2. Rate of expanded blastocysts on day 5

    Expanded blastocysts were defined as usable blastocysts with a 4 to 6 expansion grade at day 5

    Measured: 5 days

  3. Rate of sable blastocysts on day 6

    Usable blastocysts were defined as vitrified, transferred, and/or biopsied blastocysts at day 6

    Measured: 6 days

  4. Rate of expanded blastocysts on day 6

    Expanded blastocysts were defined as usable blastocysts with a 4 to 6 expansion grade at day 6

    Measured: 6 days

  5. Rate of acumulative usable blastocysts

    Usable blastocysts were defined as vitrified, transferred, and/or biopsied blastocysts at days 5 and 6

    Measured: 5 - 6 days

  6. Rate of acumulative expanded blastocysts.

    Expanded blastocysts were defined as usable blastocysts with a 4 to 6 expansion grade at days 5 and 6

    Measured: 5 - 6 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jun 2023
  2. Study start12 Oct 2021
  3. Primary completion12 Apr 2022
  4. Study completion10 May 2022

Resources

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
The data registry utilized internal and external measures to ensure accuracy. SOPs were developed for registry operations and data analysis. Data were recorded in clinical records and clinic-specific databases. Regular backups and monthly audits were conducted to safeguard data and verify accuracy. External audits occurred every 6 months. Access controls protected privacy. Appropriate statistical techniques and sample size assessment were used for data analysis. A study on embryo development analyzed 3603 zygotes, assessing blastocyst outcomes and detailing procedures for ovarian stimulation, retrieval, sperm preparation, and assisted reproduction techniques. These measures ensured accurate and reliable results.
Masking
Single blind
Who is masked
Participant
Enrolment
293 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05919186
Sponsor's protocol ID
CI-20-102
Status last verified
Jun 2023
First submitted
12 May 2023
Last updated
26 Jun 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Khalied Kaskar, C. Optimizing embryo culture conditions and spent culture media analysis as predictors of em-bryo quality and pregnancy; PhD Thesis, University of the West Cape, Cape Town, South Africa, February 2021.

  • Swain JE. Optimizing the culture environment in the IVF laboratory: impact of pH and buffer capacity on gamete and embryo quality. Reprod Biomed Online. 2010 Jul;21(1):6-16. doi: 10.1016/j.rbmo.2010.03.012. Epub 2010 Mar 21.

    PubMed 20570214
  • Lane M, Lyons EA, Bavister BD. Cryopreservation reduces the ability of hamster 2-cell embryos to regulate intracellular pH. Hum Reprod. 2000 Feb;15(2):389-94. doi: 10.1093/humrep/15.2.389.

    PubMed 10655311
  • Nastri CO, Nobrega BN, Teixeira DM, Amorim J, Diniz LMM, Barbosa MWP, Giorgi VSI, Pileggi VN, Martins WP. Low versus atmospheric oxygen tension for embryo culture in assisted reproduction: a systematic review and meta-analysis. Fertil Steril. 2016 Jul;106(1):95-104.e17. doi: 10.1016/j.fertnstert.2016.02.037. Epub 2016 Mar 21.

    PubMed 27012651
  • Edwards LJ, Williams DA, Gardner DK. Intracellular pH of the preimplantation mouse embryo: effects of extracellular pH and weak acids. Mol Reprod Dev. 1998 Aug;50(4):434-42. doi: 10.1002/(SICI)1098-2795(199808)50:43.0.CO;2-J.

    PubMed 9669527
  • Hong KH, Lee H, Forman EJ, Upham KM, Scott RT Jr. Examining the temperature of embryo culture in in vitro fertilization: a randomized controlled trial comparing traditional core temperature (37 degrees C) to a more physiologic, cooler temperature (36 degrees C). Fertil Steril. 2014 Sep;102(3):767-73. doi: 10.1016/j.fertnstert.2014.06.009. Epub 2014 Jul 17.

    PubMed 25044079
  • Chui, A.; Kalionis, B.; Brennecke, S.; Murthi, P. 201 Homeobox Gene DLX3 Regulates Forskolin Induced Tropho-blast Differentiation. Reprod Fertil Dev 2008, 20(9), 1-1

  • Agarwal A, Gupta S, Sharma RK. Role of oxidative stress in female reproduction. Reprod Biol Endocrinol. 2005 Jul 14;3:28. doi: 10.1186/1477-7827-3-28.

    PubMed 16018814
  • Carocho M, Ferreira IC. A review on antioxidants, prooxidants and related controversy: natural and synthetic compounds, screening and analysis methodologies and future perspectives. Food Chem Toxicol. 2013 Jan;51:15-25. doi: 10.1016/j.fct.2012.09.021. Epub 2012 Sep 24.

    PubMed 23017782
  • Guerin P, El Mouatassim S, Menezo Y. Oxidative stress and protection against reactive oxygen species in the pre-implantation embryo and its surroundings. Hum Reprod Update. 2001 Mar-Apr;7(2):175-89. doi: 10.1093/humupd/7.2.175.

    PubMed 11284661
  • Budani MC, Tiboni GM. Effects of Supplementation with Natural Antioxidants on Oocytes and Preimplantation Embryos. Antioxidants (Basel). 2020 Jul 12;9(7):612. doi: 10.3390/antiox9070612.

    PubMed 32664650
  • Coria-Gomez CR, Torres-Rodriguez P, Villar-Munoz LG, Jimenez-Medina I, Agarwal A, Henkel R, Maldonado-Rosas I, L Trevino C. Comparative study of fertility parameters in vitrified human spermatozoa in the presence or absence of EmbryORP(R) : A novel antioxidant. Andrologia. 2021 May;53(4):e13886. doi: 10.1111/and.13886. Epub 2021 Feb 7.

    PubMed 33550605
  • David Gardner; William Schoolcraft. In Vitro Culture of Human Blastocysts. In Towards Reproductive Certainity: Fertility and Genetics Beyond 1999: The Plenary Proceedings of the 11th World Congress on In Vitro Fertilization & Hu-man Reproductive Genetics; Jansen, R., Mortimer, D., Eds.; Parthenon Publishing Group: London, 1999; Vol. 1, pp. 378-388.

  • Sallam, N.; Hegab, M.; Mohamed, F.; El-Kaffash, D. Effect of Oxidative Stress in Semen, Follicular Fluid and Em-bryo Culture Medium on the Outcome of Assisted Reproduction. Al-Azhar Internat Med J 2021, 2(7), 59-65, doi:10.21608/aimj.2021.79536.1495

  • Truong T, Gardner DK. Antioxidants improve IVF outcome and subsequent embryo development in the mouse. Hum Reprod. 2017 Dec 1;32(12):2404-2413. doi: 10.1093/humrep/dex330.

    PubMed 29136144

Questions about this trial

What is this clinical trial studying?

A study testing EmbryORP®, O2 tension 20% and O2 tension 5% in people with Infertility, Female and Infertility, Male, run by Liliana Berenice Ramírez Domínguez at 1 site in Mexico.

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 2 inclusion and 2 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: finished, as of the sponsor's last update on 26 Jun 2023. 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 Mexico. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Rate of usable blastocysts on day 5 (time frame: 5 days). The study lists 6 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 NCT05919186, which also lists 21 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 26 Jun 2023.

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