- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07288866
Effect of Vitrification and Warming Media on Pregnancy Rates in the Context of Oocyte Donation
Effect of the Use of Oocyte-specific or Universal Vitrification and Warming Media on Pregnancy Rates in the Context of Oocyte Donation
Vitrification has become the gold standard for oocyte and embryo cryopreservation. Several commercial kits are available on the market, some are designed for specific developmental stages (e.g. oocytes, zygotes, cleavage-stage embryos or blastocysts) and others are suitable for several stages, therefore termed "universal". Oocytes, cleavage-stage embryos and blastocysts display different levels of resistance to cryopreservation, due to stage-specific properties. While the composition and the exposition protocol of stage specific media are optimized for specific developmental stages, "universal" media display a single composition, therefore exposition protocols should be adapted to each specific developmental stage to ensure optimal survival rates.
The main objective of this study is to determine whether the shift from "oocyte specific" vitrification and warming media to "universal" media has an impact oocyte survival, embryological and clinical outcomes.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
A retrospective, monocentric study comparing the clinical and embryological outcomes of 111 oocyte recipient cycles with ICSI from March 2016 to July 2020. Baseline characteristics (donor age and BMI, ovarian stimulation protocol, number of collected oocytes) of the 81 related donations were also analysed.
Two generations of vitrification and warming media were used during this period:
- "Oocyte-specific": RapidVit™ Oocyte and RapidWarm™ Oocyte, Vitrolife
- "Universal": RapidVit™ Omni and RapidWarm™ Omni, Vitrolife Patients were divided in 3 groups according to the combination of the vitrification medium and the warming medium : "specific/specific" (S/S), "specific/universal" (S/U) and "universal/universal" (U/U)..
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
Auvergne
-
Clermont-Ferrand, Auvergne, France, 63003
- Chu Clermont-Ferrand
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Recipient couples undergoing an oocyte donation ICSI cycle from March 2016 to July 2020 for whom the allocated oocytes were vitrified in our center between July 2015 and January 2020
Exclusion Criteria:
- Recipient couples undergoing an oocyte donation ICSI cycle from March 2016 to July 2020 for whom the allocated oocytes were vitrified prior to July 2015 or after January 2020.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
S/S - Vitrified and warmed with Oocyte-specific medium
41 oocyte recipient ICSI cycles for which the initial oocyte vitrification procedure was performed with "oocyte- specific" medium RapidVit™ Oocyte (Vitrolife) and the warming procedure was performed with "oocyte-specific" medium RapidWarm™ Oocyte (Vitrolife)
|
Different combinations of the vitrification and warming media were used for oocyte vitrification procedure in the context of oocyte donation
|
|
S/U - Vitrified with Oocyte-specific medium, Warmed with universal medium
39 oocyte recipient ICSI cycles for which the initial oocyte vitrification procedure was performed with "oocyte- specific" medium RapidVit™ Oocyte (Vitrolife) and the warming procedure was performed with "universal" medium RapidWarm™ Omni (Vitrolife)
|
Different combinations of the vitrification and warming media were used for oocyte vitrification procedure in the context of oocyte donation
|
|
U/U - Vitrified and warmed with universal medium
31 oocyte recipient ICSI cycles for which the initial oocyte vitrification procedure was performed with "universal" medium RapidVit™ Oocyte (Vitrolife) and the warming procedure was performed with "universal" medium RapidWarm™ Omni (Vitrolife)
|
Different combinations of the vitrification and warming media were used for oocyte vitrification procedure in the context of oocyte donation
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Impact of vitrification and warming media on clinical pregnancy rate per fresh embryo transfer
Time Frame: UltraSound at 1 month after embryo transfer
|
number of clinical pregnancies (one or more gestational sacs visualized in ultrasonography) expressed per 100 embryo transfers
|
UltraSound at 1 month after embryo transfer
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Impact of vitrification and warming media on oocyte survival rate
Time Frame: two hours after warming procedure
|
the number of injected oocytes divided by the number of warmed oocytes, expressed as a percentage (%)
|
two hours after warming procedure
|
|
Impact of vitrification and warming media on fertilization rate
Time Frame: 16-18 hours
|
number of 2PN zygotes divided by the number of injected oocytes, expressed as a percentage (%)
|
16-18 hours
|
|
Impact of vitrification and warming media on day-2 embryo percentage
Time Frame: 43-45 hours
|
number of cleavage-stage embryos obtained divided by the number of 2PN zygotes, expressed as a percentage (%)
|
43-45 hours
|
|
Impact of vitrification and warming media on blastulation rate
Time Frame: 114-118 hours
|
number of blastocysts obtained divided by the number of embryos subjected to extended culture, expressed as a percentage (%)
|
114-118 hours
|
|
Impact of vitrification and warming media on implantation rate
Time Frame: 114-118 hours
|
number of gestational sacs with a cardiac activity visualized in ultrasonography divided by the number of embryo transferred, expressed as a percentage (%)
|
114-118 hours
|
|
Impact of vitrification and warming media on live birth rate per embryo transfer
Time Frame: 42 weeks
|
number live births expressed per 100 embryo transfers
|
42 weeks
|
|
Impact of vitrification and warming media on miscarriage rate per embryo transfer
Time Frame: up to 42 weeks
|
number miscarriages expressed per 100 embryo transfers
|
up to 42 weeks
|
|
Impact of vitrification and warming media on top-quality embryo percentage
Time Frame: 43-45 hours
|
Number of top-quality cleavage-stage embryos obtained divided by the total number of cleavage stage embryos, expressed as a percentage (%).
|
43-45 hours
|
|
Impact of vitrification and warming media on good quality blastocyst rate
Time Frame: 114-118 hours
|
number of good quality blastocysts (ICM and trophoectoderm grade A or B obtained divided by the total number of blastocysts obtained, expressed as a percentage (%)
|
114-118 hours
|
Collaborators and Investigators
Investigators
- Principal Investigator: Florence Brugnon, University Hospital, Clermont-Ferrand
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2025_BRUGNON
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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