Sperm DNA Fragmentation Effects on Blastocyst Morphology Grading, Pregnancy Rate and Implantation Rate

NCT ID: NCT04144621

Last Updated: 2019-11-01

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

Total Enrollment

189 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-01-01

Study Completion Date

2019-04-01

Brief Summary

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Retrospective cohort study for 189 couples assigned to normal and abnormal Sperm DNA fragmentation (SDF) groups.To determine the effect of SDF on blastocyst's trophectoderm (TE), Inner cell mass (ICM) morphology grading, and implantation rate. Semen in both groups was processed by density gradient (DG).

Detailed Description

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Purpose: to determine if sperm DNA fragmentation (SDF) has a correlation with Blastocyst's trophectoderm (TE) and Inner cell mass (ICM) grading, or with the implantation rate?

Method: Retrospective cohort study for 189 couples, assigned to normal SDF group (121 cases), and abnormal SDF group (68 cases). Semen in both groups was processed by double layer density gradient (DG).

Statistical analysis done using SPSS version 22.

Conditions

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Blastocyst Implantation Rate

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Normal SDF

Couples with male partners having SDF lower than 20% using TUNEL assay

ICSI

Intervention Type PROCEDURE

Intracytoplasmic sperm injection of female partner oocytes with ejaculated sperm selected by density gradient centrifugation

Abnormal SDF

Couples with male partners having SDF greater than 20% using TUNEL assay

ICSI

Intervention Type PROCEDURE

Intracytoplasmic sperm injection of female partner oocytes with ejaculated sperm selected by density gradient centrifugation

Interventions

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ICSI

Intracytoplasmic sperm injection of female partner oocytes with ejaculated sperm selected by density gradient centrifugation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* All cases in this study have to reach the blastocyst stage.
* Female age ≤37 years old.
* Male sperm count ≥ 5 million.

Exclusion Criteria

* Usage of sperm selection techniques.
* Testicular aspiration or testicular biopsies.
* Oocyte or sperm donation.
Maximum Eligible Age

37 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ganin Fertility Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Manar Hozyen, MSc

Role: PRINCIPAL_INVESTIGATOR

Ganin Fertility Center

Eman Hassanen, BSc

Role: PRINCIPAL_INVESTIGATOR

Ganin Fertility Center

Hosam Zaki, MSc, FRCOG

Role: STUDY_CHAIR

Ganin Fertility Center

Hanaa El Khedr

Role: PRINCIPAL_INVESTIGATOR

Ganin Fertility Center

Yasmine Azzouz, BSc

Role: PRINCIPAL_INVESTIGATOR

Ganin Fertility Center

Locations

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Ganin Fertility Center

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Wdowiak A, Bojar I. Relationship between pregnancy, embryo development, and sperm deoxyribonucleic acid fragmentation dynamics. Saudi J Biol Sci. 2016 Sep;23(5):598-606. doi: 10.1016/j.sjbs.2015.08.001. Epub 2015 Aug 10.

Reference Type BACKGROUND
PMID: 27579009 (View on PubMed)

Gat I, Tang K, Quach K, Kuznyetsov V, Antes R, Filice M, Zohni K, Librach C. Sperm DNA fragmentation index does not correlate with blastocyst aneuploidy or morphological grading. PLoS One. 2017 Jun 7;12(6):e0179002. doi: 10.1371/journal.pone.0179002. eCollection 2017.

Reference Type BACKGROUND
PMID: 28591199 (View on PubMed)

Alvarez Sedo C, Bilinski M, Lorenzi D, Uriondo H, Noblia F, Longobucco V, Lagar EV, Nodar F. Effect of sperm DNA fragmentation on embryo development: clinical and biological aspects. JBRA Assist Reprod. 2017 Dec 1;21(4):343-350. doi: 10.5935/1518-0557.20170061.

Reference Type BACKGROUND
PMID: 29116706 (View on PubMed)

Other Identifiers

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MH0001

Identifier Type: -

Identifier Source: org_study_id

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