- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03996837
Platelet Rich Plasma and Recurrent Implantation Failure
January 2, 2024 updated by: Royan Institute
Evaluation of the Application Platelet Rich Plasma in the Treatment of Patients With Recurrent Implantation Failure in IVF-ICSI & Freeze Embryo Transfer Cycles in Royan Institute; a Randomized Controlled Trial
This study is a randomized controlled clinical trial to compare the pregnancy outcomes of infertile women with recurrent implantation failure.
The study population consisted of infertile women with a history of recurrent implantation failure who had failed to achieve a clinical pregnancy which at least four good quality embryos transfers and are now candidate for IVF-ICSI or freeze embryo transfer cycles with and without intra uterine infusion of platelet rich plasma in Reproductive Biomedicine Research Center, Royan institute, Tehran Iran.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Platelet Rich Plasma (PRP) is a blood product with a high platelet and a normal plasma fibrinogen level.
Given the effective factors of RPR in repairing damaged tissues, its application in the field of regenerative medicine has widely been interested over the last three decades.
According to the literature, PRP is an effective and safe treatment in the fields of orthopaedics, dermatology, ophthalmology, and repair of neurological, vascular, and connective tissue damage, but its application in the field of infertility is limited to a few pilot studies in which the effects of PRP on endometrium and recurrent implantation failure (RIF) were investigated.
Given the importance of endometrial compliance and according to molecular studies, which indicate that endometrial growth factors in women with a history of RIF are lower than normal fertile women, PRP, along with other existing strategies, can be used to improve endometrial compliance in patients with a history of RIF.
The present randomized, controlled clinical trial is proposed to determine the efficacy of PRP in the treatment of patients with RIF in the cycles of IVF-ICSI and frozen embryo transfer at Royan Institute.
Study Type
Interventional
Enrollment (Actual)
80
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Tehran, Iran, Islamic Republic of, 16635-148
- Royan Institute
-
-
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
20 years to 40 years (Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Infertile women with a history of recurrent implantation failure who had failed to achieve a clinical pregnancy which at least four good quality embryos transfers
- 20<Age<40
- 19<BMI<29
- Non endocrine, hematologic and autoimmune disorders
- Non chromosomal and genetic abnormalities
- Non uterine anomalies, surgical history, endometriosis, adenomyosis, hydro salpinx, uterine fibroids, Polycystic ovary syndrome
- Having at least three good quality embryos
Exclusion Criteria:
- Cervicitis
- Recent fever condition
- Use of corticosteroids (in up to 2 weeks before the procedure) or non-steroid anti-inflammatories (in up to 48 hours before procedure)
- Anemia, thrombocytopenia, platelet dysfunction syndrome, hypofibrinogenemia
- Septicemia, active infections with Pseudomonas, Klebsiella or Enterococcus
- History of cancer
- Patient's tendency for withdrawal
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
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Fresh embryo transfer with intra uterine infusion of PRP
In IVF-ICSI cycles, ovulation will be stimulated through the standard protocol using a gonadotropin-releasing hormone agonist for all patients.
48 hours after the oocyte retrieval and ensuring that at least 3 good quality embryos are formed, patients will be randomized into two groups of with and without PRP intrauterine injection.
For all patients, 2 embryos in the blastocyst stage with excellent or good quality will be transferred.
One milliliter PRP will be injected into the patients' uterine cavity using an embryo transfer catheter (Labotect Gmbh, Labor-Technik-Gottingen Kampweg 12, 37124 Rosdorf, Germany) 48 hours before embryo transfer.
In order to eliminate the effects of catheter insertion, the same catheter will be applied to the patients in the control group 48 hours before the embryo transfer without any injections.
|
Platelet Rich Plasma (PRP) is a blood product with a high platelet and a normal plasma fibrinogen level.
Given the effective factors of RPR in repairing damaged tissues, its application in the field of regenerative medicine has widely been interested over the last three decades.
According to the literature, PRP is an effective and safe treatment in the fields of orthopaedics, dermatology, ophthalmology, and repair of neurological, vascular, and connective tissue damage, but its application in the field of infertility is limited to a few pilot studies in which the effects of PRP on endometrium and recurrent implantation failure (RIF) were investigated.
|
No Intervention: Fresh embryo transfer without intra uterine infusion of PRP
In IVF-ICSI cycles, ovulation will be stimulated through the standard protocol using a gonadotropin-releasing hormone agonist for all patients.
48 hours after the oocyte retrieval and ensuring that at least 3 good quality embryos are formed, patients will be randomized into two groups of with and without PRP intrauterine injection.
For all patients, 2 embryos in the blastocyst stage with excellent or good quality will be transferred.
One milliliter PRP will be injected into the patients' uterine cavity using an embryo transfer catheter (Labotect Gmbh, Labor-Technik-Gottingen Kampweg 12, 37124 Rosdorf, Germany) 48 hours before embryo transfer.
In order to eliminate the effects of catheter insertion, the same catheter will be applied to the patients in the control group 48 hours before the embryo transfer without any injections.
|
|
Experimental: Freeze embryo transfer with intra uterine infusion of PRP
In frozen embryos transfer cycles, the endometrium of all patients will be prepared through the standard protocol using a gonadotropin-releasing hormone agonist.
Following this process, 2 embryos in the blastocyst stage with good or excellent quality will be transferred.
It is worth mentioning that in 48 hours prior to the embryo transfer; 1 mL of PRP will be injected into the uterine cavity using an embryo transfer catheter.
In order to eliminate the effects of catheter insertion, the same catheter will be applied to the patients in the control group 48 hours before the embryo transfer without any injections.
|
Platelet Rich Plasma (PRP) is a blood product with a high platelet and a normal plasma fibrinogen level.
Given the effective factors of RPR in repairing damaged tissues, its application in the field of regenerative medicine has widely been interested over the last three decades.
According to the literature, PRP is an effective and safe treatment in the fields of orthopaedics, dermatology, ophthalmology, and repair of neurological, vascular, and connective tissue damage, but its application in the field of infertility is limited to a few pilot studies in which the effects of PRP on endometrium and recurrent implantation failure (RIF) were investigated.
|
No Intervention: Freeze embryo transfer without intra uterine infusion of PRP
In frozen embryos transfer cycles, the endometrium of all patients will be prepared through the standard protocol using a gonadotropin-releasing hormone agonist.
Following this process, 2 embryos in the blastocyst stage with good or excellent quality will be transferred.
It is worth mentioning that in 48 hours prior to the embryo transfer; 1 mL of PRP will be injected into the uterine cavity using an embryo transfer catheter.
In order to eliminate the effects of catheter insertion, the same catheter will be applied to the patients in the control group 48 hours before the embryo transfer without any injections.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Implantation rate
Time Frame: 4-6 weeks after embryo transfer
|
The number of gestational sacs observed, divided by the number of embryos transferred
|
4-6 weeks after embryo transfer
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Ongoing pregnancy rate
Time Frame: 12 weeks after embryo transfer
|
Continued pregnancy at > gestational week 12 or more per initiated cycle
|
12 weeks after embryo transfer
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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)
August 16, 2017
Primary Completion (Actual)
November 17, 2021
Study Completion (Actual)
May 21, 2022
Study Registration Dates
First Submitted
May 26, 2019
First Submitted That Met QC Criteria
June 22, 2019
First Posted (Actual)
June 25, 2019
Study Record Updates
Last Update Posted (Estimated)
January 3, 2024
Last Update Submitted That Met QC Criteria
January 2, 2024
Last Verified
January 1, 2024
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- PRP-RIF
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Recurrent Implantation Failure
-
Mehdi YousefiCompletedRecurrent Implantation FailureIran, Islamic Republic of
-
Kasr El Aini HospitalUnknownRecurrent Implantation Failure
-
Dr. Kamal RagehCompleted
-
SCARM Institute, Tabriz, IranCompleted
-
Tabriz University of Medical SciencesCompletedRecurrent Implantation FailureIran, Islamic Republic of
-
Shanghai First Maternity and Infant HospitalUnknownRecurrent Implantation FailureChina
-
Al Baraka Fertility HospitalRecruiting
-
Assistance Publique - Hôpitaux de ParisRecruitingRecurrent Unexplained Implantation FailureFrance
-
TopLab Company for ART Laboratories Consultation...CompletedRecurrent Implantation Failure (RIF)
-
ShangHai Ji Ai Genetics & IVF InstituteRecruitingAcupuncture | Recurrent Implantation FailureChina
Clinical Trials on Intra uterine infusion of platelet rich plasma
-
Ain Shams UniversityCompleted
-
Genesis Athens ClinicNational and Kapodistrian University of AthensRecruitingInfertility, Female | Perimenopausal Disorder | Menstrual Cycle AbnormalGreece
-
Hospices Civils de LyonCompleted
-
Reproductive Medicine Associates of New JerseyCompletedInfertility, Female | Ovarian FailureUnited States, Turkey
-
University of California, San FranciscoTerminatedInfertility | Asherman's SyndromeUnited States
-
Assistance Publique Hopitaux De MarseilleNot yet recruiting
-
Reproductive Medicine Associates of New JerseyRecruitingInfertility of Uterine OriginUnited States
-
Stanford UniversityPartnership for Clean CompetitionCompletedRheumatic Diseases | TendinopathyUnited States
-
VivaTech International, Inc.RecruitingOsteoarthritisUnited States