PREVenting-ENvIronment-Reprotoxic Exposures Before In Vitro Fertilization (PREVENIR-FIV)

NCT ID: NCT06100523

Last Updated: 2023-10-25

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

4224 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-31

Study Completion Date

2028-06-30

Brief Summary

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The objective is to evaluate the effectiveness of an innovative personalized management strategy adapted to the level of environmental risk, in a population of infertile couples, eligible for assisted reproductive treatment (ART) by intraconjugal In Vitro Fertilization (IVF)/ Intracytoplasmic sperm injection (ICSI).

Consultation of the couple at the ARTcenter : - Prescriptions of the standard assessment of infertility to the couples eligible for ART. - Inclusion and randomization (arm A interventional vs arm B standard management) of the couples having signed the consent. - Information for each patient on a standardized online self questionnaire on environmental exposures, physical activity and stress.

Detailed Description

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* Arm A (interventional): analysis of the responses to the self-administered questionnaires with, if necessary, protocol interview concerning environmental and occupational factors, which will determine the consultations to be planned for their follow-up by the platform. - support of couples by the multidisciplinary platform with the help of the downloaded application: Meeting by videoconsultation with professionals adapted to the exposures highlighted by the questionnaires. Multidisciplinary Synthesis (MS): Synthesis of the first consultations and the results of the self-questionnaires by the multidisciplinary team. Determination of preventive and corrective measures, specific advice, specialized follow-up if necessary. Presentation to patients of the personalized measures decided in MS: information on the personalized management proposed (follow-up addictologist, dietician, psychologist, occupational doctor), personalized advice sheets. Couples who do not require personalized measures will continue their treatment with prevention advice adapted to their profession and their environment. Transmission of the minutes of the MS to the clinician in charge of the couple.
* Arm B (standard management): care path according to the usual modalities of the ART center (indications, network of practitioners, monitoring and information tools). If necessary, distribution by the clinician of information leaflets on addictions, dietetics + distribution of a general information leaflet on reprotoxic factors.

In both arms: embryology consultation before ART: information on the planned ART. Information on the online self-assessment questionnaire for assessing reprotoxic exposures, assessing stress, physical activity, and quality of life during infertility. In centers with a biological resource center Germethèque, hair sampling from the 2 members of the couple.

First attempt of IVF/ICSI, in both arms, followed for 24 months with every 6 months: information of the online self-administered questionnaire of assessment of reprotoxic exposures, assessment of stress, physical activity, quality of life in infertility course. At 12 months and 24 months: hair sampling from both members of the couple (in Germethèque centers only).

\- In arm A during the 24 months of follow-up: active support of corrective measures implemented with couples by the platform, with the help of the application (weight loss goals, changes in habits, physical activity, decreased or stopped toxics). Continuation of specialized follow-up if necessary, in videoconsultation.

At the end of the study: a sample of about twenty couples in each arm will be the subject of a semi-directed interview aimed at qualitatively determining the brakes and levers to their adherence to the environmental health advice received during their management in ART.

Medical-economic analysis: a cost-effectiveness analysis and a budget impact analysis will be carried out by the Epidemiology and Health Economics Department.

Conditions

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Infertility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Arm A (interventional)

Analysis of the responses to the self-administered questionnaires with, if necessary, protocol interview concerning environmental and occupational factors, which will determine the consultations to be planned for their follow-up by the platform

Group Type EXPERIMENTAL

Visioconsulation

Intervention Type BEHAVIORAL

Meeting by videoconsultation with professionals adapted to the exposures highlighted by the questionnaires for patients who responded on the dedicated application (Arm A)

hair sampling

Intervention Type BIOLOGICAL

hair sampling from the 2 members of the couple

self-assessment questionnaire on dedicated application

Intervention Type BEHAVIORAL

self-administered questionnaire of assessment of reprotoxic exposures, assessment of stress, physical activity, quality of life in infertility course

Specialized follow-up

Intervention Type BEHAVIORAL

proactive healthcare pathway : active support of corrective measures implemented with couples by the platform, with the help of the application

self-assessment questionnaire for follow-up

Intervention Type BEHAVIORAL

self-administered questionnaire of assessment of reprotoxic exposures, assessment of stress, physical activity, quality of life in infertility course

Arm B (standard management)

Care path according to the usual modalities of the assisted reproductive treatment (ART) center

Group Type ACTIVE_COMPARATOR

self-assessment questionnaire

Intervention Type BEHAVIORAL

self-administered questionnaire of assessment of reprotoxic exposures, assessment of stress, physical activity, quality of life in infertility course

hair sampling

Intervention Type BIOLOGICAL

hair sampling from the 2 members of the couple

self-assessment questionnaire for follow-up

Intervention Type BEHAVIORAL

self-administered questionnaire of assessment of reprotoxic exposures, assessment of stress, physical activity, quality of life in infertility course

Interventions

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Visioconsulation

Meeting by videoconsultation with professionals adapted to the exposures highlighted by the questionnaires for patients who responded on the dedicated application (Arm A)

Intervention Type BEHAVIORAL

self-assessment questionnaire

self-administered questionnaire of assessment of reprotoxic exposures, assessment of stress, physical activity, quality of life in infertility course

Intervention Type BEHAVIORAL

hair sampling

hair sampling from the 2 members of the couple

Intervention Type BIOLOGICAL

self-assessment questionnaire on dedicated application

self-administered questionnaire of assessment of reprotoxic exposures, assessment of stress, physical activity, quality of life in infertility course

Intervention Type BEHAVIORAL

Specialized follow-up

proactive healthcare pathway : active support of corrective measures implemented with couples by the platform, with the help of the application

Intervention Type BEHAVIORAL

self-assessment questionnaire for follow-up

self-administered questionnaire of assessment of reprotoxic exposures, assessment of stress, physical activity, quality of life in infertility course

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Couple eligible for a first attempt of conventional In Vitro Fertilization (IVF) or Intra Cytoplasmic Sperm Injection (IVF-ICSI) intra-marital;
* Signature of informed consent by both partners of the couple;
* Possession of a smartphone.

Exclusion Criteria

* Not fluent in the language;
* Refusal to participate in the study of one or both members of the couple;
* Use of cryopreserved intra-conjugal gametes before management in MPA;
* Use of gamete donation, embryo reception;
* History of chemotherapy/radiotherapy;
* Support in viral risk circuit;
* Not having a smartphone.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique Hopitaux De Marseille

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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François CREMIEUX

Role: STUDY_DIRECTOR

Assistance Publique - Hôpitaux de Marseille

Locations

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Assitance Publique Hôpitaux de Marseille

Marseille, , France

Site Status

Countries

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France

Central Contacts

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Jeanne PERRIN

Role: CONTACT

06 10 48 93 23

Claire MORANDO

Role: CONTACT

0(4) 91 38 21 83

Facility Contacts

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Jeanne PERRIN

Role: primary

06 10 48 93 23

Other Identifiers

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2022-A01017-36

Identifier Type: OTHER

Identifier Source: secondary_id

RCAPHM21_0387

Identifier Type: -

Identifier Source: org_study_id

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