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Trial registered on ANZCTR
Registration number
ACTRN12614001139662
Ethics application status
Approved
Date submitted
10/10/2014
Date registered
28/10/2014
Date last updated
17/04/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of in vitro embryo culture conditions on metabolism of optimal human embryos in infertile couples
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Scientific title
Which cultivation conditions could yield more optimal human embryos of infertile couples using different levels of oxygen ( 5% versus 20% O2) by using morphokinetics and a method of profiling amino acids
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Secondary ID [1]
285475
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none
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Universal Trial Number (UTN)
U1111-1162-7559
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
infertility
293252
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Condition category
Condition code
Reproductive Health and Childbirth
293523
293523
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0
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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
Randomized cultivation of human embryos with different levels of oxygen (5% versus 20%) from the day of fertilization (day 0) till the day of embryo transfer (day 5). On the day 3, the best embryos (based on morphokinetics) will be cultivated separately till the day 5. On the day 5, blastocyst media of the transffered embryo will be analyzed by LC-MS/MS ( liquid chromatography-mass spectrometry) to identify specific metabolic amino acid profile of the transffered embryos.
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Intervention code [1]
290412
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Treatment: Other
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Comparator / control treatment
Comparator treatment is cultivation of embryos with 20% O2 as it was standard treatment for many years.
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Control group
Active
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Outcomes
Primary outcome [1]
293340
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Clinical Pregnancy Rate (CPR) - assessed by serum hCG assay and fetal ultrasound
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Assessment method [1]
293340
0
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Timepoint [1]
293340
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4 weeks after embryo transfer
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Primary outcome [2]
293341
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Fertilization Rate (FR) - assessed by checking pronuclear stage of oocytes on day 1 by microscope evaluation
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Assessment method [2]
293341
0
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Timepoint [2]
293341
0
24 hours after oocite pick-up
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Primary outcome [3]
293342
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Amino acid profiles of transffered embryos - assessed by LC-MS/MS (liquid chromatography-mass spectrometry)
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Assessment method [3]
293342
0
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Timepoint [3]
293342
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On the day 5 of cultivation
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Secondary outcome [1]
310821
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Live birth rate (LBR) - assessed by live birth of a child
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Assessment method [1]
310821
0
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Timepoint [1]
310821
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About 9 months after embryo transfer
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Eligibility
Key inclusion criteria
Infertile patients in stimulated cycles
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Minimum age
22
Years
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Maximum age
42
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Severe male infertility (azoospermia, cryptozoospermia)
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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)
central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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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
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Number of participants is defined by power analysis of chi quadrat test and with respect to number of patients in our clinic.Number of participants is 100. Female participants are divided in 3 age categories: 22-34, 35-39 and 40-42. Number of patients of each group should be over 30.
Data will be analyzed by Kolmogorov-Smirnov Test and due to the given results parametric or non-parametric test will be used: chi quadrat test, t-test, Mann-Whitney U test, Kruskal-Wallis test.
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data analysis is complete
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Reason for early stopping/withdrawal
Other reasons/comments
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Other reasons
92 samples were collected and the study stopped before collection of 100 samples because our hospital changed culture media supplier and different cultivation conditions would cause bias.
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Date of first participant enrolment
Anticipated
3/11/2014
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Actual
1/03/2015
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Date of last participant enrolment
Anticipated
22/12/2016
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Actual
18/10/2016
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Date of last data collection
Anticipated
18/07/2017
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Actual
18/07/2017
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Sample size
Target
100
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Accrual to date
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Final
92
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Recruitment outside Australia
Country [1]
6403
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Croatia
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State/province [1]
6403
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Zagreb
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Funding & Sponsors
Funding source category [1]
290077
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Hospital
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Name [1]
290077
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Clinical Hospital Centre Zagreb
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Address [1]
290077
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Petrova 13, 10 000 Zagreb
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Country [1]
290077
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Croatia
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Primary sponsor type
Individual
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Name
NINA GELO
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Address
Clinical Hospital Centre Zagreb, Petrova 13, 10 000 Zagreb
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Country
Croatia
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Secondary sponsor category [1]
288772
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None
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Name [1]
288772
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Address [1]
288772
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Country [1]
288772
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291792
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University of Zagreb, School of Medicine
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Ethics committee address [1]
291792
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Salata 3, 10 000 Zagreb
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Ethics committee country [1]
291792
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Croatia
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Date submitted for ethics approval [1]
291792
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13/05/2014
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Approval date [1]
291792
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17/06/2014
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Ethics approval number [1]
291792
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Ethics committee name [2]
291793
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University Hospital Centre Zagreb
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Ethics committee address [2]
291793
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Kispaticeva 12, 10 000 Zagreb
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Ethics committee country [2]
291793
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Croatia
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Date submitted for ethics approval [2]
291793
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15/05/2014
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Approval date [2]
291793
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17/06/2014
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Ethics approval number [2]
291793
0
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Summary
Brief summary
Cultivation of embryos in the new incubator using 5% O2, unlike the previous 20% O2, opens the question whether this increases biological potential of embryos for implantation or not and which methods for determination of this potential are more accurate and reliable. Given that the existing data on the benefits of cultivation with 5% O2 are contradictory considering the age of the patient, it is necessary to carry out research on a larger number of samples of all ages. Current methodology for determining the biological potential of embryos -morphology assessment should be supplemented by an objective method that is not subject to the subjective judgment of biologists –embryologist. Such a potential method is determination of the metabolic profile of amino acids of embryos by analyzing the spent media in which they are cultivated. It is necessary to determine the sensitivity and applicability of such methods. Given the fact that we work with human material it is necessary that a method is absolutely non-invasive.
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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
52014
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Ms NINA GELO
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Address
52014
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Clinical Hospital Centre Zagreb
Petrova 13, 10 000 Zagreb
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Country
52014
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Croatia
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Phone
52014
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+385 1 460 4765 or +385 91 252 1235
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Fax
52014
0
+385 1 2376 267
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Email
52014
0
[email protected]
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Contact person for public queries
Name
52015
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NINA GELO
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Address
52015
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Clinical Hospital Centre Zagreb
Petrova 13, 10 000 Zagreb
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Country
52015
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Croatia
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Phone
52015
0
+385 1 460 4765
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Fax
52015
0
+385 1 2376 267
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Email
52015
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[email protected]
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Contact person for scientific queries
Name
52016
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NINA GELO
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Address
52016
0
Clinical Hospital Centre Zagreb
Petrova 13, 10 000 Zagreb
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Country
52016
0
Croatia
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Phone
52016
0
+385 1 460 4765
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Fax
52016
0
+385 1 2376 267
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Email
52016
0
[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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