Aspire In Vitro Maturation Study (AIM)
Pilot Study Assessing the Feasibility of CAPA-IVM in Participants With Good Ovarian Reserve
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Texas
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Houston, Texas, United States, 77030
- Aspire Fertility Houston
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Signed Informed Consent Form to participate in this study voluntarily.
- Age 18-37 years at the time of starting the CAPA-IVM cycle.
- Body mass index (BMI) ≤38 kg/m2.
- Serum AMH levels greater than or equal to 3.5 ng/mL.
- Have an indication for IVM/IVF cycle.
- Have not received more than two previous treatments of IVM/IVF.
- Willing and able to comply with trial procedures, including oocyte pick-up from small follicles and to follow a CAPA-IVM cycle.
- Agree to culture all embryos to blastocyst stage, vitrify suitable blastocysts, and submit suitable blastocysts for PGT-A according to clinic protocol before determining transfer eligibility.
- Agree that only euploid CAPA-IVM-derived blastocysts will be eligible for transfer and that a single euploid blastocyst will be transferred per programmed FET cycle, unless a protocol-defined exception is prospectively justified by the investigator.
Exclusion Criteria:
- Prior ovarian surgery.
- Known uterine abnormalities (adenomyosis, leiomyoma (≥5 cm), bicornuate uterus, intrauterine adhesion) that would compromise successful pregnancy or live birth.
- Had received ovarian stimulation within the last 3 months for ovulation induction or IVF
- Had evidence of a very low oocyte maturation rate (oocyte maturation rate < 50% in any previous IVF or IVM cycle).
- For male partners: severe oligoasthenoteratozoospermia, requirement for retrograde ejaculation procedures or surgical sperm retrievals. Donor sperm is permitted.
- Known chromosomal abnormalities in participant or partner.
- Have herself or partner with acute urinary tract infection or sexually transmitted diseases.
- Have herself or partner a severe mental disorder, such as schizophrenia, bipolar affective disorder, or intellectual disability caused by mental disorders.
- Have a history of recurrent pregnancy loss defined as two or more clinical pregnancies without live birth.
- Known tumors of the ovary, breast, uterus, adrenal gland, pituitary or hypothalamus that would preclude to conduct a CAPA-IVM cycle without ovarian stimulation or participation in this study.
- Any known clinically significant systemic disease (heart, liver, kidney or other organs) that would prevent or compromise pregnancy or participation in this study.
- Pregnancy or contraindication to pregnancy.
- Undiagnosed vaginal bleeding.
- Known drug or alcohol abuse or dependency for the participant or partner for the last 12 months.
- Current or past (3 months) smoking habit of 10 or more cigarettes per day.
- Had a recent exposure to teratogenic radiation, drugs or toxins which could still be active during the study period.
- Currently participating in another clinical trial or receiving an investigational medicinal product.
- Previous participation in this study.
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 |
|---|---|
|
Experimental: CAPA-IVM
Patients will undergo egg retrieval prior to in vitro maturation with CAPA-IVM system and subsequent frozen embryo transfer.
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CAPA-IVM is a two-step IVM process to mature oocytes in the laboratory after egg retrieval.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Metaphase II rate
Time Frame: Assessed approximately 40 hours after egg retrieval
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The metaphase II (MII) rate is defined as the number of oocytes that reach MII stage of development divided by the number of cumulus-oocyte-complexes (COCs) placed into CAPA-IVM culture.
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Assessed approximately 40 hours after egg retrieval
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of MII oocytes
Time Frame: Assessed approximately 40 hours post egg retrieval
|
The number of oocytes that reach the metaphase II (MII) stage of development after CAPA-IVM culture
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Assessed approximately 40 hours post egg retrieval
|
|
Fertilization rate
Time Frame: Assessed 16-18 hours post fertilization
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The fertilization rate is defined as the number of embryos that have 2 pro-nuclei post fertilization by intracytoplasmic sperm injection (ICSI)
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Assessed 16-18 hours post fertilization
|
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Number of blastocysts
Time Frame: Assessed 5-7 days post fertilization
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The number of embryos that make it to the blastocyst stage of development post fertilization
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Assessed 5-7 days post fertilization
|
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Number of blastocysts vitrified
Time Frame: Assessed 5-7 days post fertilization
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The number of embryos that are cryopreserved by vitrification post fertilization
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Assessed 5-7 days post fertilization
|
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Number of blastocysts submitted for PGT-A
Time Frame: Assessed 5-7 days post fertilization
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The number of embryos that are biopsied and samples sent for PGT-A testing
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Assessed 5-7 days post fertilization
|
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Number of euploid blastocysts
Time Frame: Assessed 2-4 weeks post embryo biopsy
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Number of embryos that had a euploid result from PGT-A testing
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Assessed 2-4 weeks post embryo biopsy
|
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Positive beta-hCG rate
Time Frame: Assessed 9-11 days post embryo transfer
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The number of patients with a serum QHCG level greater than 5 after embryo transfer divided by the total number of embryo transfers
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Assessed 9-11 days post embryo transfer
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Ongoing pregnancy rate
Time Frame: Assessed approximately 10 weeks post embryo transfer
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The number of patients who have an ongoing intrauterine pregnancy at the last study visit
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Assessed approximately 10 weeks post embryo transfer
|
|
Live birth rate
Time Frame: Assessed approximately 40 weeks post embryo transfer
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Number of patients who had a live birth after embryo transfer
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Assessed approximately 40 weeks post embryo transfer
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
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
- IRI-ASP-2026-02
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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