Maternal Cardiovascular Adaption to Pregnancy in IVF Patients Following Frozen Embryo Transfer (FET)

NCT ID: NCT06471140

Last Updated: 2025-05-29

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

ENROLLING_BY_INVITATION

Total Enrollment

75 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-03-01

Study Completion Date

2028-08-01

Brief Summary

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Aim of the study is to explore the effect of a lacking corpus luteum on maternal cardiovascular and metabolic adaption to pregnancy by the use of magnetic resonance imaging (MRI).

Detailed Description

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The use of programmed frozen embryo transfer cycle (FET) in IVF women is associated with an increased risk of obstetric complications (pregnancy-induced hypertension, preeclampsia, postpartum hemorrhage and placenta accreta) compared to FET in natural cycle.

The lack of corpus luteum in programmed cycles and the subsequent absence of circulating vasoactive substances may lead to an impaired cardio-vascular adaption to pregnancy and thereby an increased risk of pregnancy-induced hypertension and preeclampsia.

The cardiovascular and metabolic adaption to pregnancy is evaluated throughout pregnancy by use of Magnetic Resonance Imaging (MRI) as well as non-invasive measurements by use of elastography and seismocardiography.

Patients are screened for preeclampsia throughout pregnancy with measurements of blood pressure, urine samples as well as blood samples.

Conditions

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IVF Frozen Embryo Transfer (FET) Cardiovascular Adaption Magnetic Resonance Imaging (MRI) Preeclampsia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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IVF-pregnancy achieved following modified natural FET cycle, autologous embryo transfer

One corpus luteum, control group, autologous embryo transfer

magnetic resonance imaging (MRI)

Intervention Type OTHER

MRI performed three times during pregnancy and 6 months postpartum

IVF-pregnancy achieved following programmed FET cycle, autologous embryo transfer

No corpus luteum, study group, autologous embryo transfer

magnetic resonance imaging (MRI)

Intervention Type OTHER

MRI performed three times during pregnancy and 6 months postpartum

IVF-pregnancy achieved following egg donation in a FET cycle

One corpus luteum or no corpus luteum, study group, donor egg recipient.

magnetic resonance imaging (MRI)

Intervention Type OTHER

MRI performed three times during pregnancy and 6 months postpartum

Interventions

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magnetic resonance imaging (MRI)

MRI performed three times during pregnancy and 6 months postpartum

Intervention Type OTHER

Other Intervention Names

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Elastography Seismocardiography

Eligibility Criteria

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Inclusion Criteria

* Autologous embryo transfer in programmed FET-cycle or modified-natural FET-cycle or
* Planned donor egg transfer in programmed FET-cycle or modified-natural FET-cycle
* Age \< 40 years
* BMI \< 35
* Primary diagnosis being unexplained infertility, male infertility or tubal factor
* Singleton blastocyst transfer

Exclusion Criteria

* PCOS
* Essential hypertension
* Diabetes Mellitus (type 1 or 2)
* Known cardiac disease
* Antiphospholipid syndrome, Lupus erythematosus, rheumatoid disease
* Preelampsia, gestational hypertension, gestational diabetes or severe intrauterine growth restriction (IUGR) in any previous pregnancy
* Smoking
* Multiple pregnancy
* Severe claustrophobia or any other contraindications to MRI
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Regionshospitalet Viborg, Skive

OTHER

Sponsor Role collaborator

Aalborg University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Lise Haaber Thomsen

MD, Consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lise H Thomsen, MD, PhD

Role: STUDY_CHAIR

Department of Obstetrics and Gynecology, Aalborg University Hospital, Denmark

Anne N Sørensen, MD, PhD

Role: STUDY_CHAIR

Department of Obstetrics and Gynecology, Aalborg University Hospital, Denmark

Ulrik Kesmodel, Professor

Role: STUDY_CHAIR

The Fertility Unit, Department of Obstetrics and Gynecology, Aalborg University Hospital, Denmark

Peter Humaidan, Professor

Role: STUDY_CHAIR

The Fertility Clinic, Department of Obstetrics and Gynecology, Skive Region Hospital, Denmark

Locations

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Aalborg University Hospital

Aalborg, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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FET-PE-2024

Identifier Type: -

Identifier Source: org_study_id

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