Fresh Vs Frozen Surgical Sperm in IVF

NCT ID: NCT03361982

Last Updated: 2022-01-28

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

TERMINATED

Clinical Phase

NA

Total Enrollment

9 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-25

Study Completion Date

2021-12-31

Brief Summary

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The primary objective of this study is to determine if the use of frozen surgical testicular sperm specimens for ICSI lead to different IVF outcomes when compared with the use of fresh surgical testicular sperm for ICSI.

Detailed Description

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The study seeks to isolate the effect of slow freezing and thawing of surgical sperm specimens on fertilization and embryo blastulation rates by utilizing a randomized controlled split cohort protocol including men with obstructive azoospermia undergoing surgical sperm retrieval and good-prognosis female patients.

Conditions

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Infertility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Fresh surgical testicular sperm

Fresh, surgically obtained testicular sperm

Group Type NO_INTERVENTION

No interventions assigned to this group

Frozen surgical testicular sperm

Surgically obtained testicular sperm that will undergo slow freezing and thawing

Group Type EXPERIMENTAL

Slow Freezing and Thawing

Intervention Type OTHER

half of the surgically obtained testicular sperm will be frozen for 30 minutes and subsequently thawed prior to performing ICSI

Interventions

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Slow Freezing and Thawing

half of the surgically obtained testicular sperm will be frozen for 30 minutes and subsequently thawed prior to performing ICSI

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Females age \< 42 with an indication for IVF
* Females with lowest AMH level 1.2 ng/mL or higher
* Females with FSH \< 13 mIU/mL
* Sperm obtained via Surgical retrieval (any type) for IVF only
* Use of comprehensive chromosome screening (CCS) to screen embryos for aneuploidy
* BMI \< 35
* Baseline antral follicle count of \> 8
* Single embryo transfers only

Exclusion Criteria

* Anything that would place the individual at increased risk or preclude the individual's full compliance with or completion of the study.
* Contraindication to IVF
* Clinical indication for preimplantation genetic diagnosis (PGD) (i.e., screening for single gene disorder, chromosomal translocation, or any other disorders requiring detailed embryo genetic analysis)
* Fewer than 4 mature oocytes retrieved (will not randomize)
* Male partner with non-obstructive azoospermia
* Male partner with any Karyotype other than 46,XY
* Male partner with history of spinal cord injury
* Male partner with Kallman's syndrome
* History of chronic oligomenorrhea
* History of hydrosalpinges or adnexal mass
* History of endometrial insufficiency (max endometrial thickness \< 7mm)
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Reproductive Medicine Associates of New Jersey

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ashley Tiegs, MD

Role: PRINCIPAL_INVESTIGATOR

Reproductive Medicine Associates of New Jersey

Locations

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Reproductive Medicine Associates of New Jersey

Basking Ridge, New Jersey, United States

Site Status

Countries

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United States

References

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Levine LA, Dimitriou RJ, Fakouri B. Testicular and epididymal percutaneous sperm aspiration in men with either obstructive or nonobstructive azoospermia. Urology. 2003 Aug;62(2):328-32. doi: 10.1016/s0090-4295(03)00374-1.

Reference Type BACKGROUND
PMID: 12893345 (View on PubMed)

Cui X, Ding P, Gao G, Zhang Y. Comparison of the Clinical Outcomes of Intracytoplasmic Sperm Injection Between Spermatozoa Retrieved From Testicular Biopsy and From Ejaculate in Cryptozoospermia Patients. Urology. 2017 Apr;102:106-110. doi: 10.1016/j.urology.2016.08.071. Epub 2016 Nov 25.

Reference Type BACKGROUND
PMID: 27894976 (View on PubMed)

Ben-Ami I, Raziel A, Strassburger D, Komarovsky D, Ron-El R, Friedler S. Intracytoplasmic sperm injection outcome of ejaculated versus extracted testicular spermatozoa in cryptozoospermic men. Fertil Steril. 2013 Jun;99(7):1867-71. doi: 10.1016/j.fertnstert.2013.02.025. Epub 2013 Mar 13.

Reference Type BACKGROUND
PMID: 23490166 (View on PubMed)

Pabuccu EG, Caglar GS, Tangal S, Haliloglu AH, Pabuccu R. Testicular versus ejaculated spermatozoa in ICSI cycles of normozoospermic men with high sperm DNA fragmentation and previous ART failures. Andrologia. 2017 Mar;49(2). doi: 10.1111/and.12609. Epub 2016 Apr 25.

Reference Type BACKGROUND
PMID: 27108915 (View on PubMed)

Ohlander S, Hotaling J, Kirshenbaum E, Niederberger C, Eisenberg ML. Impact of fresh versus cryopreserved testicular sperm upon intracytoplasmic sperm injection pregnancy outcomes in men with azoospermia due to spermatogenic dysfunction: a meta-analysis. Fertil Steril. 2014 Feb;101(2):344-9. doi: 10.1016/j.fertnstert.2013.10.012. Epub 2013 Dec 9.

Reference Type BACKGROUND
PMID: 24345355 (View on PubMed)

Forman EJ, Li X, Ferry KM, Scott K, Treff NR, Scott RT Jr. Oocyte vitrification does not increase the risk of embryonic aneuploidy or diminish the implantation potential of blastocysts created after intracytoplasmic sperm injection: a novel, paired randomized controlled trial using DNA fingerprinting. Fertil Steril. 2012 Sep;98(3):644-9. doi: 10.1016/j.fertnstert.2012.04.028. Epub 2012 May 17.

Reference Type BACKGROUND
PMID: 22608316 (View on PubMed)

Other Identifiers

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RMA-2017-06

Identifier Type: -

Identifier Source: org_study_id

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