Trial Outcomes & Findings for Comparing Two Types of Endometrial Activation Prior to Embryo Transfer (NCT NCT04363879)

NCT ID: NCT04363879

Last Updated: 2022-10-20

Results Overview

Number (count) of births per number of subjects undergoing embryo transfer

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

195 participants

Primary outcome timeframe

Collected up to 1 year after the last embryo transfer

Results posted on

2022-10-20

Participant Flow

Participant milestones

Participant milestones
Measure
Endometrial Scratch With Pipelle Curette
For patients in the Pipelle curette group, physicians inserted the Pipelle curette into the uterus and removed an adequate endometrial sample using vigorous motion. Endometrial scratch with Pipelle curette: For patients in the Pipelle curette group, physicians inserted the Pipelle curette into the uterus and removed an adequate endometrial sample using vigorous motion.
Endometrial Scratch With Shepard Catheter
For patients in the Shepard catheter group, physicians performed a four-quadrant scratch technique by inserting the Shepard insemination catheter into the uterus at 12:00. The catheter was then turned one-quarter turn and withdrawn. This was repeated two more times so that four endometrial quadrants were touched by the catheter at 12:00, 3:00, 6:00, and 9:00. Endometrial scratch with Shepard catheter: For patients in the Shepard catheter group, physicians performed a four-quadrant scratch technique by inserting the Shepard insemination catheter into the uterus at 12:00. The catheter was then turned one-quarter turn and withdrawn. This was repeated two more times so that four endometrial quadrants were touched by the catheter at 12:00, 3:00, 6:00, and 9:00.
Overall Study
STARTED
78
92
Overall Study
COMPLETED
78
92
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Endometrial Scratch With Pipelle Curette
n=78 Participants
For patients in the Pipelle curette group, physicians inserted the Pipelle curette into the uterus and removed an adequate endometrial sample using vigorous motion. Endometrial scratch with Pipelle curette: For patients in the Pipelle curette group, physicians inserted the Pipelle curette into the uterus and removed an adequate endometrial sample using vigorous motion.
Endometrial Scratch With Shepard Catheter
n=92 Participants
For patients in the Shepard catheter group, physicians performed a four-quadrant scratch technique by inserting the Shepard insemination catheter into the uterus at 12:00. The catheter was then turned one-quarter turn and withdrawn. This was repeated two more times so that four endometrial quadrants were touched by the catheter at 12:00, 3:00, 6:00, and 9:00. Endometrial scratch with Shepard catheter: For patients in the Shepard catheter group, physicians performed a four-quadrant scratch technique by inserting the Shepard insemination catheter into the uterus at 12:00. The catheter was then turned one-quarter turn and withdrawn. This was repeated two more times so that four endometrial quadrants were touched by the catheter at 12:00, 3:00, 6:00, and 9:00.
Total
n=170 Participants
Total of all reporting groups
Age, Continuous
33.8 Years
STANDARD_DEVIATION 4.6 • n=78 Participants
34.2 Years
STANDARD_DEVIATION 3.9 • n=92 Participants
34.0 Years
STANDARD_DEVIATION 4.2 • n=170 Participants
Sex: Female, Male
Female
78 Participants
n=78 Participants
92 Participants
n=92 Participants
170 Participants
n=170 Participants
Sex: Female, Male
Male
0 Participants
n=78 Participants
0 Participants
n=92 Participants
0 Participants
n=170 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=78 Participants
0 Participants
n=92 Participants
0 Participants
n=170 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=78 Participants
75 Participants
n=92 Participants
91 Participants
n=170 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
62 Participants
n=78 Participants
17 Participants
n=92 Participants
79 Participants
n=170 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
78 participants
n=78 Participants
92 participants
n=92 Participants
170 participants
n=170 Participants

PRIMARY outcome

Timeframe: Collected up to 1 year after the last embryo transfer

Number (count) of births per number of subjects undergoing embryo transfer

Outcome measures

Outcome measures
Measure
Endometrial Scratch With Pipelle Curette
n=78 Participants
For patients in the Pipelle curette group, physicians inserted the Pipelle curette into the uterus and removed an adequate endometrial sample using vigorous motion. Endometrial scratch with Pipelle curette: For patients in the Pipelle curette group, physicians inserted the Pipelle curette into the uterus and removed an adequate endometrial sample using vigorous motion.
Endometrial Scratch With Shepard Catheter
n=92 Participants
For patients in the Shepard catheter group, physicians performed a four-quadrant scratch technique by inserting the Shepard insemination catheter into the uterus at 12:00. The catheter was then turned one-quarter turn and withdrawn. This was repeated two more times so that four endometrial quadrants were touched by the catheter at 12:00, 3:00, 6:00, and 9:00. Endometrial scratch with Shepard catheter: For patients in the Shepard catheter group, physicians performed a four-quadrant scratch technique by inserting the Shepard insemination catheter into the uterus at 12:00. The catheter was then turned one-quarter turn and withdrawn. This was repeated two more times so that four endometrial quadrants were touched by the catheter at 12:00, 3:00, 6:00, and 9:00.
Number of Participants With Live Births Per Transfers Performed
37 Participants
43 Participants

SECONDARY outcome

Timeframe: Immediately following endometrial scratch

Pain assessed by Visual analog scale (Numeric rating scale, units from 1-10 with 1 being no pain and 10 being maximum pain)

Outcome measures

Outcome measures
Measure
Endometrial Scratch With Pipelle Curette
n=78 Participants
For patients in the Pipelle curette group, physicians inserted the Pipelle curette into the uterus and removed an adequate endometrial sample using vigorous motion. Endometrial scratch with Pipelle curette: For patients in the Pipelle curette group, physicians inserted the Pipelle curette into the uterus and removed an adequate endometrial sample using vigorous motion.
Endometrial Scratch With Shepard Catheter
n=92 Participants
For patients in the Shepard catheter group, physicians performed a four-quadrant scratch technique by inserting the Shepard insemination catheter into the uterus at 12:00. The catheter was then turned one-quarter turn and withdrawn. This was repeated two more times so that four endometrial quadrants were touched by the catheter at 12:00, 3:00, 6:00, and 9:00. Endometrial scratch with Shepard catheter: For patients in the Shepard catheter group, physicians performed a four-quadrant scratch technique by inserting the Shepard insemination catheter into the uterus at 12:00. The catheter was then turned one-quarter turn and withdrawn. This was repeated two more times so that four endometrial quadrants were touched by the catheter at 12:00, 3:00, 6:00, and 9:00.
Pain Quantifcation After Endometrial Scratch
3.9 score on a scale
Standard Deviation 2.2
3.0 score on a scale
Standard Deviation 2.4

SECONDARY outcome

Timeframe: Collected up to 1 year after the last embryo transfer

Outcome measures

Outcome measures
Measure
Endometrial Scratch With Pipelle Curette
n=78 Participants
For patients in the Pipelle curette group, physicians inserted the Pipelle curette into the uterus and removed an adequate endometrial sample using vigorous motion. Endometrial scratch with Pipelle curette: For patients in the Pipelle curette group, physicians inserted the Pipelle curette into the uterus and removed an adequate endometrial sample using vigorous motion.
Endometrial Scratch With Shepard Catheter
n=92 Participants
For patients in the Shepard catheter group, physicians performed a four-quadrant scratch technique by inserting the Shepard insemination catheter into the uterus at 12:00. The catheter was then turned one-quarter turn and withdrawn. This was repeated two more times so that four endometrial quadrants were touched by the catheter at 12:00, 3:00, 6:00, and 9:00. Endometrial scratch with Shepard catheter: For patients in the Shepard catheter group, physicians performed a four-quadrant scratch technique by inserting the Shepard insemination catheter into the uterus at 12:00. The catheter was then turned one-quarter turn and withdrawn. This was repeated two more times so that four endometrial quadrants were touched by the catheter at 12:00, 3:00, 6:00, and 9:00.
Number (Count) of Positive Pregnancy Tests Per Number of Subjects Undergoing Embryo Transfer
56 positive pregnancy tests
62 positive pregnancy tests

SECONDARY outcome

Timeframe: Collected up to 1 year after the last embryo transfer

Outcome measures

Outcome measures
Measure
Endometrial Scratch With Pipelle Curette
n=78 Participants
For patients in the Pipelle curette group, physicians inserted the Pipelle curette into the uterus and removed an adequate endometrial sample using vigorous motion. Endometrial scratch with Pipelle curette: For patients in the Pipelle curette group, physicians inserted the Pipelle curette into the uterus and removed an adequate endometrial sample using vigorous motion.
Endometrial Scratch With Shepard Catheter
n=92 Participants
For patients in the Shepard catheter group, physicians performed a four-quadrant scratch technique by inserting the Shepard insemination catheter into the uterus at 12:00. The catheter was then turned one-quarter turn and withdrawn. This was repeated two more times so that four endometrial quadrants were touched by the catheter at 12:00, 3:00, 6:00, and 9:00. Endometrial scratch with Shepard catheter: For patients in the Shepard catheter group, physicians performed a four-quadrant scratch technique by inserting the Shepard insemination catheter into the uterus at 12:00. The catheter was then turned one-quarter turn and withdrawn. This was repeated two more times so that four endometrial quadrants were touched by the catheter at 12:00, 3:00, 6:00, and 9:00.
Number (Count) of Pregnancies Per Number of Patients Undergoing Embryo Transfer
44 number of pregnancies
55 number of pregnancies

Adverse Events

Endometrial Scratch With Pipelle Curette

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Endometrial Scratch With Shepard Catheter

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Brad Hurst, Director of Assisted Reproduction Program

AtriumHealth

Phone: 7043553153

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place