Identification of Viable Human Embryos Using Three Different Methods
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Purpose
Infertility affects an increasing number of couples. For many, the choice of treatment is in vitro fertilization (IVF) . Currently, there are no markers fully predictive of developmental competence of IVF embryos. Present embryo selection is based on morphology assessment, which produces implantation rates in the range of 20%-30 %. The overall purpose of the present study is to investigate methods for selection of the best embryo. We aim to examine the relationship between pregnancy outcome and the transcriptional profile of selected genes, cleavage kinetics (time-lapse), and metabolic profile. We hypothesise that the quality of the embryo is reflected by the transcription of selected genes, the cleavage kinetics, and the metabolic profile. If so, these parameters can predict the success or failure of a pregnancy. Furthermore, the interrelationship - if any - between these parameters will be evaluated.
A secondary aim is to evaluate the effect of blastomere biopsy using time-lapse and metabolic analysis
| Condition |
|---|
|
Infertility |
| Study Type: | Observational |
| Official Title: | Examination of Gene Expression, Time-lapse and Near-infrared Spectroscopy (NIR) to Identify Differences in Embryo Viability |
- implantation/clinical pregnancy confirmed with pregnancy test and ultrasound [ Time Frame: 8 weeks after embryo transfer ] [ Designated as safety issue: No ]measurement of urine-hCG and vaginal ultrasound scan to evaluate pregnant/not pregnant
- gene expression quantified with Q-PCR [ Time Frame: within 6 months after biopsy and embryo transfer ] [ Designated as safety issue: No ]RT-Q-PCR analysis of selected genes
- Metabolic profile using NIR analysis [ Time Frame: within 6 months after collection ] [ Designated as safety issue: No ]Near Infrared Spectroscopy (NIR) of the spent culture media. The spectral profile is used to calculate a viability index
- cleavage kinetics [ Time Frame: before embryo transfer, during culturing ] [ Designated as safety issue: No ]imaging of the developing embryos during culturing. Data analysis concerning morphological parametres within 6 months after embryo transfer
Biospecimen Retention: Samples With DNA
biopsies from human embryos
| Estimated Enrollment: | 100 |
| Study Start Date: | June 2010 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | October 2012 (Final data collection date for primary outcome measure) |
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 37 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Women undergoing ART treament with single embryo transfer at the Fertility clinic, Aarhus University hospital Skejby, due to infertility,
Inclusion Criteria:
- age < 38 years
- > 8 retrieved oocytes in present cycle or > 6 fertilized.
Exclusion Criteria:
- endometriosis
Contacts and Locations| Contact: Kirstine Kirkegaard, MD | kirstine.kirkegaard@ki.au |
| Denmark | |
| The Fertility Clinic, Aarhus University Hospital, Skejby | Recruiting |
| Aarhus, Denmark, 8200 | |
| Contact: Kirstine Kirkegaard, MD +89426396 kirstine.kirkegaard@ki.au.dk | |
| Fertility Clinic, Aarhus University Hospital Skejby | Not yet recruiting |
| Aarhus N, Denmark, 8200 | |
| Contact: kirstine kirkegaard, MD kirstine.kirkegaard@ki.au.dk | |
| Principal Investigator: jakob Ingerslev, MD, DMsc | |
| Study Director: | Jakob Ingerslev, MD, DMsc | Fertility Clinic, Aarhus University Hospital, Skejby |
| Principal Investigator: | kirstine Kirkegaard, MD | Fertility Clinic, Aarhus University Hospital, Skejby |
| Principal Investigator: | Johnny Hindkjær, DM.Sc. | Fertility Clinic, Aarhus University Hospital, Skejby |
| Principal Investigator: | Birte Degn, DmSc. PhD | Fertility Clinic, Aarhus University Hospital, Skejby |
| Principal Investigator: | Karin Lykke-Hartmann, DmSc, PhD | Aarhus University, Department of Medical Biochemistry |
| Principal Investigator: | Steen Koelvraa, MD, DMSc | Department of Clinical Genetics, Vejle Hospital |
More Information
No publications provided
| Responsible Party: | University of Aarhus |
| ClinicalTrials.gov Identifier: | NCT01139268 History of Changes |
| Other Study ID Numbers: | M-20090241 |
| Study First Received: | June 7, 2010 |
| Last Updated: | March 20, 2012 |
| Health Authority: | Denmark: The Regional Committee on Biomedical Research Ethics |
Keywords provided by University of Aarhus:
|
embryo viability |
Additional relevant MeSH terms:
|
Infertility Genital Diseases, Male Genital Diseases, Female |
ClinicalTrials.gov processed this record on June 17, 2013