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Supplémentation en ubiquinone et en ubiquinol

29 octobre 2026 mis à jour par: Trio Fertility

Un essai contrôlé randomisé comparant la supplémentation en ubiquinone par rapport à l'ubiquinol chez les femmes de plus de 37 ans subissant une fécondation in vitro.

The objective of this study is to determine if ubiquinol will result in improved reproductive outcomes in older women at a reduced oral dose compared to current standard treatment with ubiquinone.

Aperçu de l'étude

Description détaillée

As more women choose to delay child rearing, it has become increasingly important to understand why fertility declines with increasing maternal age. One of the factors suggested to play a role in reproductive aging is mitochondrial aging. Mitochondria are considered to be the batteries of the eggs and are responsible for generating energy necessary for egg and subsequent embryo development.

The egg maturation process involves a combination of many changes - all of which require energy that is provided by the mitochondria. Coenzyme Q10 (CoQ10) plays an important role as fuel in this process.

The investigators have shown that CoQ10 is needed for proper energy production by mitochondria and its addition to the diet could act as a potential treatment for egg aging.

It has been shown that in an aged mouse model, administration of CoQ10 (ubiquinone) results in improved mitochondrial energy production, more healthy embryos and more live-born pups. In clinical studies, the investigators also showed potential beneficial effects to increase the number of normal embryos from human eggs in older patients. So far, only one small study measured CoQ10 concentrations in the fluid that surrounds the eggs inside the ovaries (follicular fluid) and found significantly higher CoQ10 in the follicular fluid of normal mature eggs vs abnormal eggs. In addition, higher CoQ10 concentrations were also associated with better quality embryos. This study supports the hypothesis that CoQ10 supplementation may improve egg and embryo quality.

So far, all the research studies of CoQ10 in reproductive aging have administered a form of CoQ10 called ubiquinone. Another form of CoQ10 (ubiquinol), appears to be absorbed by the body better than ubiquinone and may have other beneficial effects in the ovary besides just increasing energy production.

Type d'étude

Interventionnel

Inscription (Estimé)

90

Phase

  • Phase 2

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

    • Ontario
      • Toronto, Ontario, Canada, M5G 2K4
        • Recrutement
        • Trio Fertility
        • Contact:
        • Contact:
        • Chercheur principal:
          • Robert. F. Casper, Dr.

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

37 ans à 43 ans (Adulte)

Accepte les volontaires sains

Oui

Sexes éligibles pour l'étude

Femelle

La description

Inclusion Criteria:

  1. Women age >37 and <43 years undergoing their first in vitro fertilization (IVF) cycle
  2. Day 3 follicle-stimulating hormone (FSH) <12 IU/L with serum estradiol <250 pmol/L and normal thyroid-stimulating hormone (TSH) and Prolactin
  3. Partner with semen analysis suitable for IVF or ICSI
  4. Anti-müllerian hormone (AMH) > 3 pmol/L
  5. Be willing and able to provide written informed consent for the study.
  6. Be an otherwise healthy female and considered eligible by the investigator to be treated with a daily dose of 225 IU Recombinant human FSH (recFSH) and 75 IU Human menopausal gonadotrophins (hMG).
  7. Documented history of infertility for at least 12 months before randomization (not applicable in case of tubal infertility or severe male factor infertility, or when the use of donor sperm is indicated)
  8. Have a body mass index (BMI) ≥17.5 and ≤38 kg/m2
  9. Have available ejaculatory sperm (use of donated and/or cryopreserved sperm is allowed)
  10. Have a normal uterine cavity (no evidence of uterine polyp or submucosal fibroid) as assessed by either saline-infused sonohysterography or by hysteroscopy within 12 months of randomization
  11. Have results of clinical laboratory tests (hematology, serum chemistry, and urinalysis) within normal limits or clinically acceptable to the investigator
  12. Has a pelvic ultrasound showing no cyst ≥15 mm

Exclusion Criteria:

  1. Has been diagnosed with or treated for any endocrine abnormality within 3 years prior Note: Participants with a history of clinical or subclinical hypothyroidism may be eligible if thyroid stimulating hormone levels at screening are within normal limits and the participant has been on a stable dose of thyroid replacement medication (or on no replacement therapy) for at least 8 weeks.
  2. Has a prolactin level above the upper limit of normal for the central laboratory
  3. Has FSH >12.0 IU/L
  4. Has a history of a full or partial resection of an ovary, including a history of ovarian cystectomy, or of any ovarian tumors limiting access to the ovary during ovum pick-up, e.g., endometriomas or teratomas measuring >10 mm
  5. Has unilateral or bilateral hydrosalpinx that communicates with the endometrial cavity on screening ultrasound or hysterosalpingography.
  6. Has intramural fibroids ≥3 cm or submucosal fibroids of any size
  7. Has Asherman's syndrome (untreated) or endometrial polyps that have not been resected
  8. Has any congenital uterine abnormality which is associated with a decreased chance of pregnancy
  9. Inadequate visualization of 1 or both ovaries
  10. One or both ovaries not accessible for oocyte retrieval
  11. Has a history of recurrent pregnancy losses (i.e., >3 pregnancy losses)
  12. Has a history or current evidence of human immunodeficiency virus (HIV) Note: Results obtained within 1 year prior to signing the informed consent form are considered valid.
  13. Has tumors of the ovary, breast, uterus, pituitary, or hypothalamus
  14. Has a history of epilepsy, thrombophilia, diabetes, untreated or inadequately treated subclinical hypothyroidism, clinically significant cardiovascular, gastrointestinal, hepatic, renal, pulmonary, or auto-immune disease requiring treatment within the last 3 years
  15. Is a current smoker who smokes ≥5 cigarettes per day
  16. Is assessed by the Investigator as unlikely or unable to adhere to dose and/or visit schedules

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Double

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: coQ10 A

Eligible subjects will be receiving ubiquinone 200 mg prior to their in vitro fertilization (IVF) cycle.

By mouth three times daily for three months

Expérimental: coQ10B

Eligible subjects will be receiving ubiquinol 100 mg prior to their IVF cycle.

By mouth three times daily for three months

Aucune intervention: Control

Subjects are not receiving coQ10 supplementation.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Fertilized oocyte percentage
Délai: Through study completion, an average of 1 year.

The primary outcome measure will be percentage of fertilized oocytes reaching the blastocyst stage (day 5 or 6 in culture)

Through study completion, an average of 1 year.

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
coQ10 level
Délai: through study completion, an average of 1 year

CoQ10 levels in plasma and follicular fluid

through study completion, an average of 1 year
Protein structural change
Délai: through study completion, an average of 1 year

Rate of structural changes occurring in proteins of the follicular fluid and granulosa (GC) or cumulus (CC) cells representing oxidative stress

through study completion, an average of 1 year
MII oocyte percentage
Délai: through study completion, an average of 1 year

Percentage of MII oocytes per total oocytes retrieved, normal 2PN fertilization rate

through study completion, an average of 1 year
Reproductive outcome
Délai: through study completion, an average of 1 year

Number of day 3 embryos and ongoing pregnancy rate

through study completion, an average of 1 year

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

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Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

23 janvier 2025

Achèvement primaire (Estimé)

1 septembre 2027

Achèvement de l'étude (Estimé)

1 septembre 2027

Dates d'inscription aux études

Première soumission

8 août 2024

Première soumission répondant aux critères de contrôle qualité

12 août 2024

Première publication (Réel)

15 août 2024

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

3 novembre 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

29 octobre 2026

Dernière vérification

1 octobre 2026

Plus d'information

Termes liés à cette étude

Autres numéros d'identification d'étude

  • K001

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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