Study to evaluate if the uterus is ready for embryo implantation in in vitro fertilization treatments

ISRCTN ISRCTN11352119
DOI https://doi.org/10.1186/ISRCTN11352119
Secondary identifying numbers R010203_PG20-01_Seedchrony03_PIC, CPP2022-009720
Submission date
06/10/2025
Registration date
09/10/2025
Last edited
09/10/2025
Recruitment status
Not yet recruiting
Overall study status
Ongoing
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

Background and study aims
In vitro fertilization (IVF) success rates remain below 40%, with embryo transfer being a leading cause of failure. This study aims to evaluate whether the concentration of a biomarker dissolved in uterine fluid (alone or in combination with other clinical data) can predict the outcome of embryo transfer to improve success rates.

Who can participate?
Female IVF patients aged 18-42 years undergoing frozen embryo transfer

What does the study involve?
A measurement of a biomarker dissolved in endometrial fluid is conducted on the day of embryo transfer using the investigational device Seedchrony (RUO 02). The measurement results are hidden to both investigators and participants and do not influence clinical decision-making.

What are the possible benefits and risks of participating?
Participation offers no direct personal benefit, but it may help develop a device to assess uterine readiness for embryo implantation on transfer day, informing whether to proceed or defer the transfer to improve IVF success and reduce attempts. Risks are similar to standard embryo transfer: possible mild discomfort from the catheter (reduced by arriving with a full bladder) and a small risk of bleeding or infection, kept less than 0.1% with sterile technique.

Where is the study run from?
Vall d’Hebron Research Institute (VHIR) and Manina Medtech SL (Spain)

When is the study starting and how long is it expected to run for?
July 2025 to July 2026

Who is funding the study?
In addition to private funding from Manina Medtech, this study is supported by the project CPP2022-009720, funded by the Spanish State Research Agency (AEI), and co-financed by the European Union through NextGenerationEU/PRTR.

Who is the main contact?
Dr Gina Abello Sumpsi, gina.abello@maninamedtech.com

Study website

Contact information

Dr Melchor Carbonell
Principal investigator

Pg. de la Vall d'Hebron, 119
Barcelona
08035
Spain

Phone +34 (0)934893177
Email melchor.carbonell@vallhebron.cat
Dr Gina Abelló
Public

Carrer de la Llacuna, 162-164
Barcelona
08018
Spain

Phone +34 (0)934 34 11 69
Email gina.abello@maninamedtech.com
Dr Monica Rodriguez de la Vega
Scientific

Carrer de la Llacuna, 162-164
Barcelona
08018
Spain

Phone +34 (0)934 34 11 69
Email monica.delavega@maninamedtech.com

Study information

Study designExploratory open-label single-arm multicenter study
Primary study designInterventional
Secondary study designOpen-label, single-arm
Study setting(s)Hospital
Study typeSafety, Efficacy
Participant information sheet Not available in web format, please use contact details to request a participant information sheet.
Scientific titleClinical research to estimate the predictive capacity of SEEDCHRONY on the success of the cryotransfer with a single euploid blastocyst: Seedchrony03
Study acronymSeedchrony03
Study objectivesThe objective of this investigation is to assess whether the concentration of an intrauterine biomarker (alone or in combination with other embryo and patient clinical variables), measured on the day of embryo transfer, can predict embryo transfer outcomes.
Ethics approval(s)

Approved 18/07/2025, Ethics board from the University Hospital Vall d'Hebron (VHIR Edifici Central, Pg. de la Vall d'Hebron, 129, Horta-Guinardo, Barcelona, 08035, Spain; +34 (0)934893000; ceic@vhir.org), ref: PS(AG)029/2025(6480)

Health condition(s) or problem(s) studiedUterine readiness for embryo transfer in IVF patients undergoing euploid blastocyst transfer
InterventionAn intrauterine measurement of a biomarker dissolved in endometrial fluid will be conducted on the day of embryo transfer using the investigational device Seedchrony (RUO). This device incorporates a microsensor within a guiding catheter to quantify biomarker levels in uterine fluid entering the catheter. The measurement procedure lasts approximately 2 minutes. A blood sample will also be collected on the day of embryo transfer for biomarker analysis.
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Seedchrony RUO 02
Primary outcome measure1. Concentration of a biomarker dissolved in the endometrial fluid measured using the medical device Seedchrony (RUO 02) during 2 minutes on the embryo transfer day.
2. Clinical pregnancy outcome assessed by ultrasound at post-transfer week 4. Results will be record as positive or negative.
Secondary outcome measures1. Biochemical pregnancy outcome assessed using a serum β-hCG (pregnancy) test conducted 10–14 days after embryo transfer. The result will be recorded as positive or negative
2. Seedchrony algorithm accuracy calculated as the proportion of correct predictions (true positives + true negatives) by the total number of predictions
3. Seedchrony algorithm sensitivity calculated as the number of true positives divided by the total number of actual positives (true positives + false negatives)
4. Seedchrony algorithm specificity calculated as the number of true negatives divided by the total number of actual negatives (true negatives + false positives)
5. Pain measured using the visual analogue score (VAS) after intrauterine biomarker measurement
6. End-user experience assessed through a short questionnaire administrated after every intrauterine measurement
7. Seedchrony performance evaluated by recording and reporting any erroneous readings, device malfunctions or software failures observed during the trial
8. Seedchrony safety monitored by reporting adverse events and serious adverse events related to the investigational device during the trial, as well as any operational or safety incidents not previously identified in earlier studies or risk analyses
Overall study start date18/07/2025
Completion date31/07/2026

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit42 Years
SexFemale
Target number of participants62
Key inclusion criteria1. Patients who have signed the informed consent form
2. Patients with a body mass index (BMI) ≤30 kg/m²
3. Patients undergoing their first transfer cycle with a vitrified euploid blastocyst selected according to PGT-A
4. Patients eligible for a modified natural transfer cycle with ovulation trigger and luteal phase support
5. Patients with an endometrial thickness ≥ 7 mm and a trilaminar pattern on the day of the trigger visit
6. Patients scheduled for a single embryo transfer of a day 5 euploid blastocyst
7. Patients scheduled to undergo embryo transfer after 120 hours of progesterone exposure
Key exclusion criteria1. Patients with a prior history of repeated pregnancy loss (two or more miscarriages).
2. Patients with a prior history of recurrent implantation failure (RIF), defined as failure of three or more transfers with A/B-quality embryos from at least two different cycles, or failure of one or more transfers with a euploid embryo.
3. Use of sperm obtained from a testicular biopsy.
4. Patients diagnosed with at least one of the following medical conditions: insulin-dependent diabetes mellitus, Cushing’s syndrome, uncorrected thyroid dysfunction, liver and/or kidney failure, or antiphospholipid syndrome.
5. Patients currently taking any anti-inflammatory drugs that may influence prostaglandin production (e.g., ibuprofen, naproxen, indomethacin, mesalazine).
6. Lack of adequate understanding, oral or written, of the clinical research protocol and informed consent form.
Date of first enrolment27/10/2025
Date of final enrolment23/03/2026

Locations

Countries of recruitment

  • Spain

Study participating centres

CRA Barcelona
Carrer del Mestre Nicolau, 9, Sarrià-Sant Gervasi
Barcelona
08021
Spain
Eugin Barcelona
Carrer de Balmes, 236, Sarrià-Sant Gervasi
Barcelona
08006
Spain
CIRH
Carrer de Balmes, 236, Sarrià-Sant Gervasi
Barcelona
08006
Spain
Instituto Bernabeu Palma de Mallorca
C/ Aragó, 8, Llevant
Palma Mallorca
07006
Spain

Sponsor information

Funders

Funder type

Government

Agencia Estatal de Investigación
Government organisation / National government
Alternative name(s)
Spanish State Research Agency, Spanish Agencia Estatal de Investigación, AEI
Location
Spain
European Union

No information available

Manina Medtech

No information available

Results and Publications

Intention to publish date01/09/2026
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication in peer-reviewed journal.
IPD sharing planThe datasets generated and/or analyzed during this clinical investigation will remain confidential and will not be publicly shared, as they contain proprietary information subject to intellectual property protection. Following publication of the study findings, summary analyses and integrated data will be made available, but access to raw datasets will be restricted to ensure data integrity and protection of trade secrets.

Editorial Notes

07/10/2025: Study's existence confirmed by the Agencia Española de Medicamentos y Productos Sanitarios (AEMPS).