Female Fertility, Environmental Agents and Stress Oxidant

NCT ID: NCT04866329

Last Updated: 2024-07-25

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

RECRUITING

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-12-08

Study Completion Date

2027-12-31

Brief Summary

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Synthetic products used in industrial, pharmaceutical, agro-alimentary or agricultural fields are found in our environment. Thus, humans could be simultaneously exposed to several of these pollutants. Furthermore, these environmental agents exert or could exert adverse actions on fertility, by altering gamete and embryo quality through endocrine disruptor effects or through increase in oxidative stress in gonads (cellular pathway known to be involved in several human reproductive pathologies).

In this context, the objectives of the present project are to obtain descriptive and analytical data on woman and oocyte exposure to several environmental agents (bisphenols, ethynylestradiol and glyphosate). The relation between these pollutant measures in follicular fluid and urine (from women receiving follow-up of in vitro fertilization (IVF) protocol in the University hospital of Tours, France) and the oocyte quality, the IVF and pregnancy successes will be studied. Several oxidative stress biomarkers in blood and follicular fluid will be also measured for these women, who will complete a questionnaire on their lifestyles. Finally, thanks to in vitro approaches, the effects and the mechanisms of action (including oxidative stress) of these pollutants (alone or in cocktails) will be studied on granulosa cells from these patients.

Detailed Description

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After being informed about the project Fertenox during a meeting describing about the Fecondation In Vitro protocol, all women patients not opposing to participate in the study and to use individual information will be included in the research during the usual bacteriological exam performed 1-2 months before oocyte pick up in the University hospital. They will receive the questionnaire on their lifestyle during this exam.

On the eve of the oocyte pick up (at the end of ovarian stimulation) during the usual blood collection, three additional tubes of blood will be collected for each patient in the University hospital. Women will also receive the screw-top container for morning-after urine sample and the completion of the lifestyle questionnaire will be checked (some advices will be done if necessary to help patients to fill out the questionnaire). Samples will be treated, aliquoted and stored according to requirements the same day.

The day of the oocyte pick up, the first morning urine will be collected by patients at home (or otherwise in the hospital). The completed questionnaire will be recovered and follicular fluid and granulosa cells will be collected for each woman. Samples will be aliquoted and stored according to requirements the same day. Granulosa cells will be cultured for in vitro approaches in research labs the same day.

Tubes of blood, urine and follicular fluid will be coded and kept at -80°C in the University hospital until their shipment to laboratories, where analyses of pollutants (bisphenols, ethynylestradiol and glyphosate) and analyses of oxidative stress biomarkers (antioxidant vitamins, FRAP), activity of several enzymes (catalase, superoxide dismutase, glutathione peroxidase) and oxidized lipids) will be performed.

Conditions

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Female Infertility

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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In Vitro Fertilisation protocol

Women followed in the department for an in vitro fertilisation protocol

Blood sample

Intervention Type OTHER

Additional blood sampling at the end of ovarian stimulation monitoring (the eve of the oocyte pick-up)

Urine sample

Intervention Type OTHER

Collection of the first urine in the morning on the day of the oocyte pick-up

Follicular fluid and granulosa cells sample

Intervention Type OTHER

Collection of follicular fluid and granulosa cells during oocyte pick-up.

Interventions

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Blood sample

Additional blood sampling at the end of ovarian stimulation monitoring (the eve of the oocyte pick-up)

Intervention Type OTHER

Urine sample

Collection of the first urine in the morning on the day of the oocyte pick-up

Intervention Type OTHER

Follicular fluid and granulosa cells sample

Collection of follicular fluid and granulosa cells during oocyte pick-up.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Woman aged 18 to 43 years old
* First oocyte puncture (IVF rank = 1)

Exclusion Criteria

* Opposition to data processing
* IVF rank equal or greater than 2
* Egg donation
* Intracytoplasmic Sperm Injection with testicular biopsy
* Intracytoplasmic Sperm Injection with self-preservation straw
* Sperm donation
Minimum Eligible Age

18 Years

Maximum Eligible Age

43 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Tours

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fabrice GUERIF, MD-PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Tours

Locations

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Department of Reproductive Medicine and Biology, Univesity Hospital, Tours

Tours, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Fabrice GUERIF, MD-PhD

Role: CONTACT

02.47.47.84.76 ext. +33

Virginie MAILLARD, PhD

Role: CONTACT

02.47.42.79.71 ext. +33

Facility Contacts

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Fabrice GUERIF, MD-PhD

Role: primary

Claire VIGNAULT, MD

Role: backup

Other Identifiers

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2020-A03241-38

Identifier Type: OTHER

Identifier Source: secondary_id

DR200209

Identifier Type: -

Identifier Source: org_study_id

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