Automation of the In Vitro Fertilization Laboratory
Automation of the In Vitro Fertilization Laboratory: A Validation Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Stephanie Kuku, MD
- Phone Number: 1-833-737-2448
- Email: Stephanie@conceivable.life
Study Contact Backup
- Name: Giuseppe Silvestri
- Email: Giuseppe@conceivable.life
Study Locations
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-
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Mexico City, Mexico
- Recruiting
- Reina Madre
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Contact:
- Miguel A Estrada
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Mexico City
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Mexico City, Mexico City, Mexico, 11000
- Recruiting
- New Hope Fertility Centre, Mexico City
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Contact:
- Zaira Chávez, MD
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Informed consent signed by the patients before treatment.
- Medical indication to perform assisted reproductive technology.
- Body mass index between 20 and 29 kg/m2 (female participants only).
For women with indication of utilizing autologous eggs:
- Anti-Müllerian Hormone (AMH) value of at least 1.5 ng/mL.
- 18 - 39 years of age.
For women utilizing donor eggs (egg donor age 18-28 years):
- 18 - 45 years of age.
Exclusion Criteria:
- Patients diagnosed with recurrent pregnancy loss.
- Inaccessible ovaries for puncture.
- History of total or partial fertilization failure in a previous fertility treatment.
- History of repeated implantation failure defined as three previous unsuccessful embryo transfers.
- Uterine factors (e.g. fibroids, uterine surgeries, Müllerian malformations) at the discretion of the medical team and based on its impact on success and/or risk to the patient or the pregnancy may compromise treatment prognosis).
- Untreated hydrosalpinx
- Severe endometriosis III, IV, presence of endometriomas and/or history of endometrioma resection.
- Polycystic ovarian syndrome.
Patients with any of the following severe male factor infertility:
- Sperm concentrations less than 5 million per mL
- Progressive motility less than 5%
- Others (e.g, globozoospermia and seminal infections) at the discretion of the medical team and based on its impact on success.
- Surgically retrieved sperm (TESE, MESA, PESA)
- Pre-existing conditions compromising reproductive (e.g., thrombophilia, chronic degenerative and autoimmune diseases, uncontrolled hormonal disorders).
- Any other case of abnormalities that could compromise success rates according to the criteria of clinical personnel in charge.
- Inability to adhere to the medical protocols and/or schedules for personal reasons.
- Intercurrent medical disorder
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: AURA assisted ART treatment
The laboratory element of the patient's ART treatment will be automated through the use of the AURA device.
This includes sperm preparation and egg retrieval from follicular fluid. 1 out of every 4 eggs will be randomly removed from the AURA system and treated by standard care.
The remaining eggs will be maintained in the AURA system and further processed automatically for egg denudation, fertilization, embryo culture, embryo cryopreservation.
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The AURA device consists of five subsystems, which will operate in logical sequence to deliver comprehensive automation of the laboratory element of an ART cycle.
The AURA treatment begins after ovarian stimulation, on the day of egg collection.
A sperm sample is provided on the same day of egg collection.
Sperm samples will be prepared by the C:SPERM subsystem.
Follicular fluid obtained at egg collection will be processed by the C:EGG subsystem.
3 out of every 4 cumulus-oocyte complexes (COCs) recovered will be denuded by the C:EGG subsystem.
These denuded eggs will be fertilized by the C:ICSI subsystem, incubated in the C:CULTURE subsystem and all resulting suitable embryos will be vitrified by the C:VIT subsystem.
Thawed embryos may be used in conventional frozen embryo transfers.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Autonomy
Time Frame: 9 months
|
proportion of tasks successfully completed by the AURA system without requiring human intervention.
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9 months
|
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Procedural timings
Time Frame: 9 months
|
time employed by the AURA system to complete each of its automated tasks.
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9 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Sperm motility post preparation
Time Frame: 9 months
|
proportion of sperm cells displaying motility (progressive) following sperm preparation.
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9 months
|
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Denudation survival rate
Time Frame: 9 months
|
proportion of oocytes that do not lyse or degenerate at the end of automated egg discovery and denudation.
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9 months
|
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ICSI damage rate
Time Frame: 9 months
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Proportion of oocytes that lyse or degenerate within 24 hours after ICSI.
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9 months
|
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Normal fertilization rate
Time Frame: 9 months
|
proportion of oocytes with two pronuclei (and two polar bodies if assessable) 16 hrs after ICSI.
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9 months
|
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Blastocyst development rate
Time Frame: 9 months
|
proportion of embryos with expanded/expanding blastocoele and discernible inner cell mass (ICM) and trophectoderm (TE) observed on day 5 of development (where ICSI is performed on Day 0) as a function of normally fertilized oocytes.
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9 months
|
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Usable blastocyst development rate
Time Frame: 9 months
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proportion of blastocysts of sufficient quality for transfer or cryopreservation observed within 6 days of fertilization as a function of mature (MII) eggs injected with sperm during ICSI.
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9 months
|
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Blastocyst cryosurvival rate
Time Frame: 9 months
|
proportion of cryopreserved blastocysts that present re-expansion within 2 hours of warming.
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9 months
|
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Implantation rate
Time Frame: 9 months
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number of gestational sacs detected by ultrasound scan performed at gestation weeks 5-8 per total number of embryos transferred.
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9 months
|
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Clinical pregnancy rate
Time Frame: 9 months
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number of patients with fetal heartbeats detected by ultrasound scan performed at gestation weeks 5-8 per total number of patients with an embryo transfer.
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9 months
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Jacques Cohen, PhD, Conceivable Life Sciences
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PRC-IN-017
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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