Preimplantation genetic screening (PGS) through 24-chromosome aneuploidy screening of day 3 embryos in advanced maternal aged patients: a prospective randomised controlled trial

ISRCTN ISRCTN37972669
DOI https://doi.org/10.1186/ISRCTN37972669
Secondary identifying numbers N°GENERA 201003
Submission date
10/11/2010
Registration date
20/12/2010
Last edited
20/12/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Laura Rienzi
Scientific

GENERA
Clinica valle Giulia
Via de Notaris 2B
Rome
00197
Italy

Phone +39 (0)6 3269791
Email rienzi@generaroma.it

Study information

Study designProspective randomised double blinded study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details below to requset a patient information sheet
Scientific titlePreimplantation genetic screening on day 3 embryos using Comparative Genomic Hybridization (CGH)-array in women of advanced maternal age: a prospective randomised controlled trial
Study acronymPGS by CGH-array on day 3 embryos in AMA patients
Study objectivesPatients with advanced maternal age (AMA) (36 - 43 years) have a higher ongoing pregnancy rate after embryo transfer of embryos with a normal chromosomal pattern analysed through 24-chromosome aneuploidy preimplantation genetic screening (PGS) compared with patients who had an embryo transfer without PGS.
Ethics approval(s)The local ethics committee (Clinica Valle Giulia, Rome, Italy) approved on the 20th October 2010
Health condition(s) or problem(s) studiedInfertility
Intervention1. Control group: ICSI procedure, day 3 zona pellucida laser assisted drilling without blastomere biopsy and Preimplantaion Genetic Screening (PGS), day 5 up to double embryo transfer .

2. Study group: ICSI, one-cell embryo biopsy on day 3 and Preimplantation Genetic Screening with array-CGH, day 5 up to double embryo transfer. Embryos with dubious results will be reanalysed by trofoblast biopsy and array-CGH.

All available supenumerary viable embryos will be cryopreserved by vitrification procedure in both groups.
Intervention typeOther
Primary outcome measureOngoing pregnancy rate per embryo transfer (defined as the ratio between the number of
ongoing prergnancy greater than 20 weeks gestation and the number of embryo transfer performed)
Secondary outcome measures1. Embryo transfer rate per started cycle
2. Ongoing implantation rate
3. Miscarriage rate
4. Multiple pregnancy rate
5. Ongoing pregnancy rate per started cycle
Overall study start date01/11/2010
Completion date01/11/2011

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants200
Key inclusion criteria1. Female patients aged between 36 and 43 years undergoing an in vitro fertilisation (IVF)/intracytoplasmic sperm injection (ICSI) attempt at the GENERA centre for Reproductive Medicine in Rome
2. History of less than 3 consecutive miscarriages and no more than 2 failed IVF/ICSI cycles
3. Greater than or equal to 6 metaphase II (MII) oocytes retrieved
4. Signed consent form
Key exclusion criteria1. Azoospermic male partner
2. Severe male factor infertility defined as ejaculate sperm of less than 1 million sperm/ml
3. Hydrosalpinx
4. Polycystic ovarian syndrome (PCOS)
5. Preimplantation genetic diagnosis (PGD) cycles for monogenic defects and/or chromosomal structural abnormalities
6. Female patients with pathological uterine cavity
7. Number of retrieved MII oocytes below 6
8. Known American Society for Reproductive Medicine (ASRM) Grade III or IV endometriosis
9. Maternal disease that is not clinically stable and known to impact the ability to become pregnant or carry a pregnancy to term
9.1. Lupus
9.2. Chronic liver or kidney disease
9.3. Body mass index (BMI) greater than 30
9.4. Uncontrolled hypertension
9.5. Anti-phospholipid antibody
9.6. Thrombophilia
9.7. Insulin dependent diabetes
Date of first enrolment01/11/2010
Date of final enrolment01/11/2011

Locations

Countries of recruitment

  • Italy

Study participating centre

GENERA
Rome
00197
Italy

Sponsor information

BlueGnome Ltd (UK)
Not defined

Breaks House
Mill Court
Great Shelford
Cambridge
CB22 5LD
United Kingdom

Phone +44 (0)1223 844441
Email info@cambridgebluegnome.com
ROR logo "ROR" https://ror.org/027c2yv63

Funders

Funder type

Research organisation

GENERA Centre for Reproductive Medicine (Italy)

No information available

GENOMA Molecular Genetics Laboratory (Italy)

No information available

BlueGnome Ltd (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan