A Randomized Clinical Trial Comparing Embryo Euploidy Rates Following Ultrashort Versus Standard Abstinence

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-42
SponsorUConn Health

About this trial

This research is being done to determine if producing sperm after an ultrashort period of abstinence (1 hour of abstinence) will be effective in improving the rates of embryos with normal chromosomes (structures that carry genetic information) during in vitro fertilization (IVF) treatment. The investigators hypothesize that a shorter period of abstinence is effective at improving rates of normal chromosomes among embryos.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Subjects are nonpregnant females ≥ 18 years and ≤ 42 years of age.

Subjects obtain greater than or equal to 6 mature oocytes at the time of oocyte retrieval for ICSI or greater than or equal to 8 oocytes at the time of oocyte retrieval for standard insemination.

Subjects are utilizing standard insemination or ICSI for fertilization.

Subjects are undergoing PGT-A (PGT for aneuploidy) or PGT-M (PGT for monogenic disorders).

Disqualifiers

Subjects are utilizing donor oocytes, donor sperm, or gestational carrier.

Subjects have a diagnosis of cryptozoospermia (no spermatozoa identified in fresh semen sample).

Subjects are utilizing surgically removed sperm (e.g. via testicular sperm aspiration [TESA] or microsurgical epididymal sperm aspiration [MESA]).

Subjects are utilizing frozen/thawed sperm, including in cases in which a fresh sample was planned and the sample is insufficient for use.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Ultrashort abstinence

    Other intervention

    Ultrashort abstinence: producing a sperm sample after 1 hour of abstinence.

  • Standard abstinence

    Other intervention

    Standard abstinence: producing a sperm sample after 2-5 days of abstinence.

Treatment groups

187 Participants
are divided into 2 treatment groups
Group A: Ultrashort abstinenceExperimental treatment 1 intervention
Group B: Standard abstinenceActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Euploidy rate per oocyte

Rate of embryos with normal chromosomes in both groups

Time frame
Within 2-4 weeks of IVF cycle

Secondary outcomes

1

Pregnancy rates after transfer of euploid embryos

Pregnancy rate after one euploid embryo (from either experimental or control group) is transferred back into the participant in a subsequent cycle

Time frame
Within 1-2 weeks of transfer
2

Fertilization rate

Proportion of oocytes fertilized in each group

Time frame
Within 1 - 2 weeks of IVF cycle
3

Blastulation rate

Proportion of usable blastocysts in each group

Time frame
Within 2-3 weeks of IVF cycle

Other outcomes

1

Sperm DNA fragmentation and DNA methylation results

Compare sperm DNA fragmentation and DNA methylation results between groups

Time frame
1-2 years after initial study completed

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

UConn Health

Lead sponsor

The Center for Advanced Reproductive Services, P.C.

Collaborator