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Trial registered on ANZCTR
Registration number
ACTRN12609001065280
Ethics application status
Not yet submitted
Date submitted
22/07/2009
Date registered
11/12/2009
Date last updated
11/12/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
Does Picking Intracytoplasmic Sperm Injection (PICSI) improve clinical pregnancy rates in men with elevated deoxyribonucleic acid fragmentation index(DFI) undertaking intracytoplasmic sperm injection (ICSI )treatment for infertility? A randomised pilot study.
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Scientific title
Does Picking Intracytoplasmic Sperm Injection (PICSI) improve clinical pregnancy rates in men with elevated deoxyribonucleic acid fragmentation index (DFI) undertaking intracytoplasmic sperm injection (ICSI) treatment for infertility? A randomised pilot study.
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Secondary ID [1]
1192
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none
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Universal Trial Number (UTN)
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Trial acronym
PICSI vs ICSI
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Male infertility - high deoxyribonucleic acid (DNA) fragmentation index (DFI)
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Condition category
Condition code
Reproductive Health and Childbirth
239657
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Fertility including in vitro fertilisation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
PICSI - a type of fertilisation technique which allows mature sperm to bind to a substance (hyaluronan) in a dish. Scientists then pick a sperm for use in ICSI from this select population of sperm. Selection is based on morphology and motility.
This intervention process takes 5-10 minutes.
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Intervention code [1]
236997
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Treatment: Devices
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Comparator / control treatment
ICSI - routine injection of sperm into an egg with scientist picking the best sperm based on appearance of sperm. The duration of this procedure is 2-3 minutes per egg injected.
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Control group
Active
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Outcomes
Primary outcome [1]
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Fertilization rates- the scientists check for fertilisation 24 hrs after the sperm is injected. They do this by looking under a microscope .
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Assessment method [1]
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Timepoint [1]
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1 year following randomization
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Secondary outcome [1]
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Pregnancy rates. A pregnancy hormone test is carried out 14 days after the embryo is transferred into the uterus and if this is positive, an ultrasound of the uterus is performed 6 weeks later to confirm an intrauterine pregnancy.
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Assessment method [1]
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Timepoint [1]
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1yr following randomisation
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Eligibility
Key inclusion criteria
All couples eligible for (intracytoplasmic sperm injection) ICSI
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Minimum age
No limit
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Men not eligible for Pick Intracytoplasmic Sperm Injection (PICSI)
Where the women is older than 43 years of age
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All subjects will be invited to participate in the trial if they require ICSI.
On the day of sperm collection for (in vitro fertilzation) IVF, a Sperm Chromatin Structure Assay (SCSA ) test will be performed on all men and they will be randomly allocated to either PICSI or ICSI
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Blocked randomization will be used using sealed opaque envelopes.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/02/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
150
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Royal Prince Alfred Hospital Fertility Unit (RPAH )
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Address [1]
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Missenden Rd
Camperdown
Sydney
NSW 2050
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Sydney IVF
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Address
321 Kent St
Sydney NSW
2000
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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RPAH
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Address [1]
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Royal Prince ALfred Hospital (RPAH) Fertility Unit
Missenden rd
Camperdown
NSW 2050
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Country [1]
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Sydney South West Area Health Service
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Ethics committee address [1]
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Royal Prince Alfred Hospital (RPAH) Missenden Rd Camperdown 2050 NSW
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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09/12/2009
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
Intracytoplasmic sperm injection is commonly used to aid fertilisation rates in men with low sperm counts , poor sperm mobility and high levels of sperm DNA fragmentation. The sperm used to inject into the egg is hand picked by the scientist, based on sperm appearance. However, a scientist is unable to detect poor DNA based on sperm appearance. The PICSI dish contains a substance called hyaluronan that normally exists around an egg. It is proposed that sperm with lower levels of DNA damage are more likely to bind to this hyaluronan. This allows the scientists to be more selective in the handpicking process. By handpicking only that sperm that has bound to the substance, they may be selecting the better sperm for injection into the egg.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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natasha andreadis
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Address
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RPAH FERTILITY UNIT
Missenden Rd
Camperdown
2050
nsw
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Country
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Australia
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Phone
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+61 2 9515 6111
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Fax
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+61 2 9515 7976
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Email
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[email protected]
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Contact person for scientific queries
Name
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natasha andreadis
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Address
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Royal Prince Alfred Hospital
Missenden Rd
Camperdown
NSW 2050
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Country
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Australia
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Phone
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+61 2 9515 6111
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Fax
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+61 2 9515 7976
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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