Comparison of the cryopreservation method for day 3 embryos using slow freezing or vitrification

ISRCTN ISRCTN16672665
DOI https://doi.org/10.1186/ISRCTN16672665
Protocol serial number N/A
Sponsor Research Foundation Flanders (Belgium)
Funder University Hospital Brussels (Universitair Ziekenhuis Brussel [UZ Brussel]) (Belgium) - covering incidental costs
Submission date
19/11/2008
Registration date
30/01/2009
Last edited
30/01/2009
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

Mrs Lisbet Van Landuyt
Scientific

UZBrussel
Centre for Reproductive Medicine
Laarbeeklaan 101
Brussels
1090
Belgium

Phone +32 (0)2 477 6698
Email lisbet.vanlanduyt@uzbrussel.be

Study information

Primary study designInterventional
Study designDouble-blinded prospectively randomised trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleRandomised controlled trial comparing the implantation potential of a frozen-thawed cleavage-stage embryo cryopreserved using vitrification or slow freezing
Study objectivesTo avoid multiple pregnancies, the proportion of elective single embryo transfers (SET) has increased substantially in our centre. Consequently, the impact of the cryopreservation program on the in vitro fertilisation (IVF)/intra-cytoplasmic sperm injection (ICSI) success rate is augmented since more surplus embryos become available. SET requires a cryopreservation program which optimally preserves the vitality of the surplus embryos. The first step to improve the efficiency of a cryopreservation program is to improve the post-thaw embryo survival. Retrospective analysis of our slow-cooling and thawing cryopreservation program showed that about 35% of day 3 cleavage stage embryos are severely damaged after freezing and thawing and are not suitable for transfer and another 15% is moderately damaged.

According to recent findings, vitrification as a new cryopreservation method is assumed to reduce cryo-damage and thus better preserves the embryo viability. During vitrification the formation of intracellular ice formation is prevented by short incubation of the embryos in high concentrations of cryoprotective agents. Successful vitrification of embryos at all preimplantation stages has been reported. Retrospective analyses show higher or similar survival and implantation rates after vitrification compared to the results obtained after traditional slow freezing and thawing. However, these data remain unvalidated in prospectively randomised studies.

The aim of the study is to compare the live birth rate after transfer of one frozen-thawed day 3 embryo using either vitrification or slow freezing as the cryopreservation method.
Ethics approval(s)Medical Ethics Committee UZ Brussel-VUB gave approval on the 6th November 2008 (ref: B.U.N B14320084732)
Health condition(s) or problem(s) studiedIn vitro fertilisation
InterventionIVF patients will receive a frozen-thawed embryo that was frozen using the vitrification method or the standard slow freezing method.
Intervention typeOther
Primary outcome measure(s)

Live birth rate per frozen-thawed embryo

Key secondary outcome measure(s)

1. Post-thaw survival of thawed embryos (the percentage of intact blastomeres on the total number of blastomeres present before freezing)
2. Post-thaw development of embryos after overnight culture
3. Implantation rate per transferred embryo
4. Ongoing pregnancy rate per thawing cycle
5. Live birth rate per transferred embryo

Completion date01/12/2010

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target sample size at registration306
Key inclusion criteria1. Female aged less than 38 years
2. Patients with day 3 single or double embryo transfer and surplus embryos frozen
3. Cryopreservation criteria:
3.1. 6 - 7 cell embryos on day 3 with less than or equal to 20% fragmentation
3.2. Greater than or equal to 8 cell embryos on day 3 with less than or equal to 50% fragmentation
3.3. No multi-nucleated embryos
Key exclusion criteriaPatients with preimplantation genetic diagnosis treatment
Date of first enrolment01/12/2008
Date of final enrolment01/12/2010

Locations

Countries of recruitment

  • Belgium

Study participating centre

UZBrussel
Brussels
1090
Belgium

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes