Comparison of Human Embryo Development Using Sequential and Single Media With Time-lapse Imaging

NCT ID: NCT01939626

Last Updated: 2021-01-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

128 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2014-02-28

Brief Summary

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The purpose of this study is to compare human embryo in vitro development in sequential and single-step culture medium using time-lapse imaging.

Detailed Description

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Objective: To study whether a culture medium that allows undisturbed culture supports human embryo development to the blastocyst stage equivalently to a well-established sequential media.

Design: Randomized, double-blinded sibling trial. Setting: Independent in vitro fertilization (IVF) clinics. Patient(s): One hundred twenty-eight patients, with 1,356 zygotes randomized into two study arms.

Intervention(s): Embryos from each patient were randomly allocated into two study arms to compare embryo development on a time-lapse system using a single-step medium or sequential media.

Conditions

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Infertility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study was a two-arm, prospective, randomized, controlled clinical trial performed at four independent IVF clinics. Ovarian stimulation and oocyte collection and fertilization were performed as per each clinic's practice. If \>6 oocytes from the patient were fertilized, the resulting zygotes underwent stratified randomization into the two different media.

Allocation was performed in a 1:1 ratio according to a computer-generated randomization list for each couple, which was provided in sealed and numbered envelopes to each clinic.

Zygotes randomized into G-1/G-2 underwent a media change from G-1 to G-2 on day 3 and subsequent culture until days 5-6. The zygotes randomized to G-TL were cultured continuously without any media change until days 5-6.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
To minimize the possible bias for the primary outcome, the embryologist performing the morphologic evaluation on day 3 and 5-6 was blinded to the treatments. The physician, the embryologist, and the couple were also blinded to the culture group from which the embryo had been selected for transfer.

Study Groups

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Single-step medium

embryos will be cultured in a single-step medium for 5 days with no change

Group Type EXPERIMENTAL

Single-step medium

Intervention Type DEVICE

This medium will allow in vitro culture of human embryos for 5/6 days

Control

Embryos cultured in two Culture media for 5 Days.

Group Type OTHER

Standard culture medium

Intervention Type DEVICE

This culture system needs media change on day 3 of culture.

Interventions

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Single-step medium

This medium will allow in vitro culture of human embryos for 5/6 days

Intervention Type DEVICE

Standard culture medium

This culture system needs media change on day 3 of culture.

Intervention Type DEVICE

Other Intervention Names

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Single step culture medium

Eligibility Criteria

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Inclusion Criteria

* 6 or more normal embryos following egg retrieval and fertilization.
* Female patients aged 21-40 years or 21-55 years who are using an egg donor.
* Patients using fresh or frozen ejaculated sperm

Exclusion Criteria

* Previous history of cancer
* Day 3 embryo transfer
Minimum Eligible Age

21 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Vitrolife

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Thorir Hardarson, PhD

Role: PRINCIPAL_INVESTIGATOR

Fertilitetscentrum AB

Locations

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Pacific Fertility Center

San Francisco, California, United States

Site Status

Frisco IVF

Frisco, Texas, United States

Site Status

Fertilitetscentrum

Gothenburg, , Sweden

Site Status

Skanes University Hospital

Malmo, , Sweden

Site Status

Countries

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United States Sweden

References

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Hardarson T, Bungum M, Conaghan J, Meintjes M, Chantilis SJ, Molnar L, Gunnarsson K, Wikland M. Noninferiority, randomized, controlled trial comparing embryo development using media developed for sequential or undisturbed culture in a time-lapse setup. Fertil Steril. 2015 Dec;104(6):1452-9.e1-4. doi: 10.1016/j.fertnstert.2015.08.037. Epub 2015 Sep 25.

Reference Type DERIVED
PMID: 26409153 (View on PubMed)

Other Identifiers

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TL-SCM-2013

Identifier Type: -

Identifier Source: org_study_id

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