Effect of Timing of Oocyte Denudation Before ICSI in an Oocyte Donation Model

NCT ID: NCT03121924

Last Updated: 2020-12-01

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

375 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-01

Study Completion Date

2019-08-01

Brief Summary

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Analyze the effect of preincubation time of oocyte on the results of ICSI in a oocyte donation model.

Detailed Description

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There is an intense communication inside the follicular structure. Bidirectional information between the oocyte and the granulosa cells is needed for a normal follicular development and oocyte competence.

There are conflicting results on the effect of pre-incubation time in ICSI.

It is not clear the proper time to denudate the oocyte from the somatic cells prior to ICSI, and some authors describe a negative impact of the premature cummulus removal on the ICSI results.

The aim of this study is to investigate wheter a preincubation time between oocyte retireval and injection has any effect on the ICSI ( intracytoplasmatic sperm injection) results .

Conditions

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Fertility

Keywords

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oocyte denudation preincubation icsi oocyte donation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Immediately oocyte denudation

After the retrieval , sybling oocytes were assigned to one o more recipient and then ,the oocytes were randomized in two arms .

The first arm is the immediately denudation and immediately ICSI of the oocytes, and in the second arm the oocyte are denuded and injected after 4 hours from the pick up .

Group Type EXPERIMENTAL

timing for oocyte denudation and Intracytoplasmatic Sperm injection

Intervention Type PROCEDURE

Donated oocytes were randomly allocated to two groups concerning the time of cumulus corona removal.

The first group: After oocyte retrieval, cumulus cells were immediately removed and then ICSI was performed; in the second group, the oocyte-cumulus complexes were incubated for 4 hours. Afterwards, the granulosa cells were removedand ICSI was immediately performed.

Delayed oocyte denudation

After the retrieval , sybling oocytes were assigned to one o more recipient and then ,the oocytes were randomized in two arms .

In this arm, the oocyte are denuded and injected after 4 hours from the pick up .

Group Type EXPERIMENTAL

timing for oocyte denudation and Intracytoplasmatic Sperm injection

Intervention Type PROCEDURE

Donated oocytes were randomly allocated to two groups concerning the time of cumulus corona removal.

The first group: After oocyte retrieval, cumulus cells were immediately removed and then ICSI was performed; in the second group, the oocyte-cumulus complexes were incubated for 4 hours. Afterwards, the granulosa cells were removedand ICSI was immediately performed.

Interventions

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timing for oocyte denudation and Intracytoplasmatic Sperm injection

Donated oocytes were randomly allocated to two groups concerning the time of cumulus corona removal.

The first group: After oocyte retrieval, cumulus cells were immediately removed and then ICSI was performed; in the second group, the oocyte-cumulus complexes were incubated for 4 hours. Afterwards, the granulosa cells were removedand ICSI was immediately performed.

Intervention Type PROCEDURE

Other Intervention Names

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cumulus corona removed granulosa cells removed

Eligibility Criteria

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Inclusion Criteria

* Oocytes retrieved from healthy donors, younger than 32 years old , with proven maternity(preference), who meet the admission criteria of ovodonation program:
* The oocytes included will be the product of antagonist stimulation protocol and with Gnrh agonists trigger. (see annex)
* Healthy women under 50 years of age , who meet the criteria as receptors into the ovodonation program.
* Oocytes retrieved after 36.5 h + -1 h of administration of triptorelin acetate.
* Only mature oocytes, in stage MII, will be included and injected.
* Use of fresh or thawed semen for the ICSI.

Exclusion Criteria

* Cases of severe male factor such as azoospermia or severe oligo-astheno-teratospermia( alone or combinated)
* Sperm samples from surgical procedures (biopsy / testicular or epididymal puncture)
* Donors with a polycystic ovarian profile, according to The Androgen Excess and PCOS Society (AES), 2006.
* Thawed donated oocytes
* Oocytes from patients who have previously donated within a period of less than three months.
* Donors whith poor response (oocyte retrieved less than \< 4 oocytes).
* Suspicion or signs of Endometriosis in donor patient.
Minimum Eligible Age

18 Years

Maximum Eligible Age

32 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Hospital Italiano de Buenos Aires

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Romina I Pesce, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Italiano de Buenos Aires

Locations

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Hospital Italiano de Buenos Aires

Ciudad de Buenos Aires, Buenos Aires, Argentina

Site Status

Countries

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Argentina

References

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Harrison KL, Wilson LM, Breen TM, Pope AK, Cummins JM, Hennessey JF. Fertilization of human oocytes in relation to varying delay before insemination. Fertil Steril. 1988 Aug;50(2):294-7. doi: 10.1016/s0015-0282(16)60076-6.

Reference Type BACKGROUND
PMID: 3294045 (View on PubMed)

Jacobs M, Stolwijk AM, Wetzels AM. The effect of insemination/injection time on the results of IVF and ICSI. Hum Reprod. 2001 Aug;16(8):1708-13. doi: 10.1093/humrep/16.8.1708.

Reference Type BACKGROUND
PMID: 11473969 (View on PubMed)

Rienzi L, Ubaldi F, Anniballo R, Cerulo G, Greco E. Preincubation of human oocytes may improve fertilization and embryo quality after intracytoplasmic sperm injection. Hum Reprod. 1998 Apr;13(4):1014-9. doi: 10.1093/humrep/13.4.1014.

Reference Type RESULT
PMID: 9619563 (View on PubMed)

Van de Velde H, De Vos A, Joris H, Nagy ZP, Van Steirteghem AC. Effect of timing of oocyte denudation and micro-injection on survival, fertilization and embryo quality after intracytoplasmic sperm injection. Hum Reprod. 1998 Nov;13(11):3160-4. doi: 10.1093/humrep/13.11.3160.

Reference Type RESULT
PMID: 9853875 (View on PubMed)

Yanagida K, Yazawa H, Katayose H, Suzuki K, Hoshi K, Sato A. Influence of oocyte preincubation time on fertilization after intracytoplasmic sperm injection. Hum Reprod. 1998 Aug;13(8):2223-6. doi: 10.1093/humrep/13.8.2223.

Reference Type RESULT
PMID: 9756300 (View on PubMed)

Ho JY, Chen MJ, Yi YC, Guu HF, Ho ES. The effect of preincubation period of oocytes on nuclear maturity, fertilization rate, embryo quality, and pregnancy outcome in IVF and ICSI. J Assist Reprod Genet. 2003 Sep;20(9):358-64. doi: 10.1023/a:1025476910771.

Reference Type RESULT
PMID: 14531646 (View on PubMed)

Hassan HA. Cumulus cell contribution to cytoplasmic maturation and oocyte developmental competence in vitro. J Assist Reprod Genet. 2001 Oct;18(10):539-43. doi: 10.1023/a:1011901923261.

Reference Type RESULT
PMID: 11699125 (View on PubMed)

Other Identifiers

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2500

Identifier Type: -

Identifier Source: org_study_id