Comparison of Two Different Sperm Processing Methods and Their Effects on Sperm DNA Fragmentation and Embryo Development

NCT ID: NCT06990841

Last Updated: 2025-09-17

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

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-11

Study Completion Date

2026-12-31

Brief Summary

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The goal of this clinical trial is to learn if the LensHooke CA0 device lowers DNA fragmentation in sperm samples compared to a gradient/swim-up technique.

The main questions it aims to answer are:

1. Does the LensHooke® CA0 device reduce DNA fragmentation compared to the gradient/swim-up technique?
2. Does the LensHooke® CA0 device improve concentration, motility, and morphology compared to the gradient/swim-up technique?
3. Is sibling embryo fertilization and development the same?
4. Are pregnancy rates different between the 2 groups?

1 semen sample will be split between the 2 treatment techniques. Half of the partner's egg cohort will be injected via intra-cytoplasmic sperm using sperm processed by one technique and the other half of the cohort will be injected by the sperm processed by the other technique. Both methods will look at DNA fragmentation, concentration, motility, and morphology of the sperm. Both methods will be compared in the resulting embryos looking at fertilization, embryo development and pregnancy rates.

Detailed Description

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Conditions

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DNA Damage DNA Strand Breaks Sperm DNA Fragmentation

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Gradient/swim-up vs Lenshooke CA0 device comparison

Group Type EXPERIMENTAL

sperm separation device

Intervention Type DEVICE

comparison of DNA damage between the 2 interventions and subsequent embryo development and pregnancy rates

Interventions

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sperm separation device

comparison of DNA damage between the 2 interventions and subsequent embryo development and pregnancy rates

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Samples with ≥15 M/mL spermatozoa concentration
* Female partner between 18 and 34 years old.
* Minimum of 4 fertilized eggs in gradient/swim prep group and 4 fertilized eggs in the Lenshooke prep group for each patient

Exclusion Criteria

* Samples with \<15 M/mL spermatozoa concentration
* female partner \>35 years old
* female patient with recurrent pregnancy loss
* female patient with diminished ovarian reserve
Minimum Eligible Age

18 Years

Maximum Eligible Age

34 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Richard Kordus, PhD, HCLD (ABB)

OTHER

Sponsor Role lead

Responsible Party

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Richard Kordus, PhD, HCLD (ABB)

Director of ART Laboratories

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Richard Kordus, PhD

Role: PRINCIPAL_INVESTIGATOR

Prisma Health-Upstate Fertility Center of the Carolinas

Locations

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Prisma Health-Upstate Fertility Center of the Caroliinas

Greenville, South Carolina, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Richard J Kordus, PhD

Role: CONTACT

864-455-1675

Patti Parker

Role: CONTACT

864-455-1510

Facility Contacts

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Richard J Kordus, PhD

Role: primary

864-455-1675

References

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Ho CLT, Vaughan-Constable DR, Ramsay J, Jayasena C, Tharakan T, Yap T, Whiteman I, Graham N, Minhas S, Homa ST. The relationship between genitourinary microorganisms and oxidative stress, sperm DNA fragmentation and semen parameters in infertile men. Andrologia. 2022 Mar;54(2):e14322. doi: 10.1111/and.14322. Epub 2021 Nov 24.

Reference Type BACKGROUND
PMID: 34817086 (View on PubMed)

Amor H, Hammadeh ME, Mohd I, Jankowski PM. Impact of heavy alcohol consumption and cigarette smoking on sperm DNA integrity. Andrologia. 2022 Aug;54(7):e14434. doi: 10.1111/and.14434. Epub 2022 Apr 28.

Reference Type BACKGROUND
PMID: 35484935 (View on PubMed)

Cho CL, Agarwal A, Majzoub A, Esteves SC. Clinical utility of sperm DNA fragmentation testing: concise practice recommendations. Transl Androl Urol. 2017 Sep;6(Suppl 4):S366-S373. doi: 10.21037/tau.2017.07.28.

Reference Type BACKGROUND
PMID: 29082146 (View on PubMed)

Rex AS, Aagaard J, Fedder J. DNA fragmentation in spermatozoa: a historical review. Andrology. 2017 Jul;5(4):622-630. doi: 10.1111/andr.12381.

Reference Type BACKGROUND
PMID: 28718529 (View on PubMed)

Other Identifiers

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2295231-1

Identifier Type: -

Identifier Source: org_study_id

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