Recurrent Implantation Failure
Conditions
Brief summary
Assessing whether Preimplantation Genetic Testing for Aneuploidy (PGT-A) can increase the ongoing pregnancy rate per transferred embryo and can decrease the time to pregnancy and miscarriage rate in patients with Recurrent Implantation Failure (RIF)
Interventions
ovarian stimulation, oocyte aspiration, embryo culture until the blastocyst stage (day 5/6), TE biopsy, vitrification of all embryos in the blastocyst stage, PGT-A by NGS and finally embryo transfer of genetically normal embryos in cumulative frozen-thawed embryo transfer cycles
ovarian stimulation, oocyte aspiration, embryo culture until the blastocyst stage, fresh embryo transfer of the morphologically best embryo on day 5/6, vitrification of supernumerary embryos and embryo transfer in cumulative frozen-thawed embryo transfer cycles if not pregnant from the fresh cycle.
Sponsors
Study design
Intervention model description
Pilot RCT
Eligibility
Inclusion criteria
* Women with recurrent implantation failure (previous transfer of least 4 good quality embryos in at least 3 fresh or frozen cycles) * BMI \< 35 * Normal hysteroscopy
Exclusion criteria
* thin endometrium in previous cycles (\<6mm), endometriosis ASRM score III-IV, premature ovarian failure (POF, Bologna criteria), abnormal karyotype, donor oocytes or embryos, PGT-M
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| OPR | at 20 weeks gestational age | Ongoing pregnancy rate per embryo transfer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| IR | 2 weeks | Implantation rate per transferred embryo |
Countries
Belgium