The Influence of the Vaginal Microbiome on Clinical Pregnancy in Patients Undergoing a Euploid Embryo Transfer: a Prospective Blinded Multicentre Cohort Study

October 14, 2024 updated by: Fundación IVI

Microorganisms such as bacteria live naturally on and in the bodies and are of great importance for our health. In the female body, almost 10% of all microorganisms live in the reproductive organs and especially in the vagina. Healthy bacteria in the vagina can defend against harmful bacteria and infections. However, it occasionally happens that the balance between healthy and harmful bacteria is disturbed, and it is believed that this could potentially harm pregnancy. However, there is not much evidence to prove a connection between an imbalance in bacteria and having an unsuccessful pregnancy.

For this reason, the goal of our study is to determine if women with certain vaginal bacteria are more likely to experience pregnancy failures. If the investigators find this to be true, patients undergoing fertility treatment might be recommended regular tests in the future. If an imbalance in bacteria is found, doctors could provide treatment to restore a healthy vaginal environment, potentially improving the chances of a successful pregnancy.

Study Overview

Status

Recruiting

Conditions

Study Type

Observational

Enrollment (Estimated)

1573

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Barcelona, Spain, 08015
        • Recruiting
        • Ginefiv Barcelona
        • Contact:
        • Contact:
          • Mauricio Gómez
      • Barcelona, Spain, 08029
        • Recruiting
        • IVI Barcelona
        • Contact:
        • Contact:
          • Gemma Castillón
      • Bilbao, Spain, 48940
        • Recruiting
        • IVI Bilbao
        • Contact:
        • Contact:
          • Estefania Abanto
      • Madrid, Spain, 28023
        • Recruiting
        • IVI Madrid
        • Contact:
        • Contact:
          • Maria José Garcia
      • Madrid, Spain, 28043
        • Recruiting
        • Ginefiv Madrid
        • Contact:
        • Contact:
          • Loreto López
      • Málaga, Spain, 29006
        • Recruiting
        • IVI Málaga
        • Contact:
        • Contact:
          • Marta Garcia
      • Sevilla, Spain, 41010
        • Recruiting
        • Ginemed Sevilla
        • Contact:
        • Contact:
          • Pamela Valdivieso
      • Valencia, Spain, 46015
        • Recruiting
        • IVI Valencia
        • Contact:
        • Contact:
          • Elena Labarta
      • Vigo, Spain, 36203
        • Recruiting
        • IVI Vigo
        • Contact:
        • Contact:
          • Iria Fernández
      • Zaragoza, Spain, 50018
        • Recruiting
        • IVI Zaragoza
        • Contact:
        • Contact:
          • Ana Chueca

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Eligible study participants are female ART patients scheduled for a frozen euploid embryo transfer

Description

Inclusion Criteria:

  • ART patients undergoing the transfer of a euploid embryo

Exclusion Criteria:

  • Patients with a body mass index (BMI) ≥35

    • Patients with uncorrected uterine malformations
    • Patients with a unicornuate uterus
    • Patients with a bicornuate uterus
    • Patients with any type of submucosal myoma
    • Patients with an intramural myoma if ≥4 cm
    • Patients with severe adenomyosis (>50% of the uterine corpus affected as defined by the MUSA criteria [19])
    • Patients undergoing transfer of an embryo with a morphology score <4BC (according to the Gardner & Schoolcraft scoring system [18])
    • Patients undergoing transfer of a day-7 embryo
    • Patients who took antibiotics in the month prior to the embryo transfer (excluding antibiotics given following oocyte retrieval)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Group-1
normal microbiome
Group-2
dysbiotic microbiome

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
microbial DNA extraction using molecular techniques such as qPCR
Time Frame: day of embryo transfer (between days 18 and 21 of the menstrual cycle)
microbial composition. Detection (i.e., presence or absence) of the targeted bacteria and their quantification (i.e., the relative amount of each bacterial species present in the sample).
day of embryo transfer (between days 18 and 21 of the menstrual cycle)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Study Director: Antonio Capalbo, JUNO GENETICS

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

July 17, 2024

Primary Completion (Estimated)

September 30, 2025

Study Completion (Estimated)

December 31, 2025

Study Registration Dates

First Submitted

October 10, 2024

First Submitted That Met QC Criteria

October 14, 2024

First Posted (Actual)

October 15, 2024

Study Record Updates

Last Update Posted (Actual)

October 15, 2024

Last Update Submitted That Met QC Criteria

October 14, 2024

Last Verified

October 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • 2403-JUN-096-KS

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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