Human Clinical Trial of Uterine Transplantation in the United Kingdom

NCT ID: NCT02388802

Last Updated: 2016-11-08

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-31

Study Completion Date

2020-01-31

Brief Summary

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Ten patients will undergo uterine transplantation.

Detailed Description

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Ten patients that will be appropriately selected using a variety of physical and psychological assessments. The selected patients will undergo egg retrieval and subsequent freezing of embryos to enable IVF treatment following transplantation. Following uterine transplantation, using deceased donor allografts, the patients will be closely monitored for 12 months clinically, radiologically and immunologically until embryo transfer. Following successful embryo transfer the patients will continue to be monitored antenatally until they are delivered by Caesarean section.

Conditions

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Infertility

Keywords

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Infertility Transplant IVF Hysterectomy Absolute uterine infertility

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Uterine transplant

10 patients will be appropriately selected to undergo oocyte retrieval and freezing. Subsequently deceased donor allograft excision will take place prior to uterine transplantation. Immunosuppressive agents will be used to optimise graft success until successful In-vitro fertilisation and subsequent delivery by Caesarean Section

Group Type EXPERIMENTAL

Oocyte retrieval and freezing

Intervention Type PROCEDURE

10 Patients will undergo oocyte retrieval and freezing

Deceased Donor Allograft Excision

Intervention Type PROCEDURE

Appropriately matched uterine transplant allografts will be excised from deceased donors

Uterine Transplantation

Intervention Type PROCEDURE

Following egg freezing the patients will undergo uterine transplant from deceased donors

Immunosuppressive Agents

Intervention Type DRUG

Patients will be appropriately immunosuppressed, whilst being closely monitored clinically, radiologically and immunologically.

In-vitro fertilisation

Intervention Type PROCEDURE

12 months after successful transplantation,the patients will undergo IVF

Caesarean Section

Intervention Type PROCEDURE

Following successful conception and antenatal period, the babies will be born by Caesarean Section

Interventions

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Oocyte retrieval and freezing

10 Patients will undergo oocyte retrieval and freezing

Intervention Type PROCEDURE

Deceased Donor Allograft Excision

Appropriately matched uterine transplant allografts will be excised from deceased donors

Intervention Type PROCEDURE

Uterine Transplantation

Following egg freezing the patients will undergo uterine transplant from deceased donors

Intervention Type PROCEDURE

Immunosuppressive Agents

Patients will be appropriately immunosuppressed, whilst being closely monitored clinically, radiologically and immunologically.

Intervention Type DRUG

In-vitro fertilisation

12 months after successful transplantation,the patients will undergo IVF

Intervention Type PROCEDURE

Caesarean Section

Following successful conception and antenatal period, the babies will be born by Caesarean Section

Intervention Type PROCEDURE

Other Intervention Names

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Cadaveric Donor Allograft Excision Womb Transplant Immunosuppressives IVF

Eligibility Criteria

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Inclusion Criteria

* Female
* Between 18-36 years of age
* Absolute Uterine factor infertility

Exclusion Criteria

* Poor ovarian reserve - Unsuccessful oocyte retrieval
* No intercurrent significant medical or psychiatric co-morbidities
* Previous oncology patients \<5 years in remission
* Outside of age range
* Normal BMI
Minimum Eligible Age

18 Years

Maximum Eligible Age

36 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Imperial College London

OTHER

Sponsor Role collaborator

Womb Transplant UK

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Richard Smith, FRCOG, MD

Role: PRINCIPAL_INVESTIGATOR

Imperial NHS Healthcare Trust

Central Contacts

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Benjamin P Jones, MBChB BSc

Role: CONTACT

Phone: +447740358900

Email: [email protected]

Srdjan Saso, MRCS PhD BSc

Role: CONTACT

Phone: +447890795182

Email: [email protected]

References

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Jones BP, Vali S, Kasaven LS, Mantrali I, Saso S, Bracewell-Milnes T, Nicopoullos J, Thum MY, Diaz-Garcia C, Quiroga I, Yazbek J, Smith JR. INvestigational Study Into Transplantation of the Uterus (INSITU): a cross-sectional survey among women with uterine factor infertility in the UK assessing background, motivations and suitability. BMJ Open. 2023 Dec 9;13(12):e073517. doi: 10.1136/bmjopen-2023-073517.

Reference Type DERIVED
PMID: 38070921 (View on PubMed)

Other Identifiers

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1

Identifier Type: -

Identifier Source: org_study_id