Artificial Oocyte Activation, Infertility, IVF
Conditions
Keywords
artificial oocyte activation, calcium ionophore, ivf, poor responder
Brief summary
GM508 CultActive is a bicarbonate buffered reagent and ready-to-use designed to investigate oocytes of patients with failed fertilization after previous Intracytoplasmatic Sperm Injection cycles. The investigators hypothesize that GM508 CultActive will improve the fertilization rate and embryo development of such IVF patients (a history of poor fertilization, a history of poor embryo quality, and over 40 years old expected challenging to conceive).
Interventions
The intervention group will be treated with a ready-to-use ionophore medium (GM508 CultActive, Gynemed) within 15 min after ICSI (or 18 min in IVF) based on the situation of sperm. After 15 min of incubation in GM508 CultActive and a thorough washing process, the oocytes will be cultured in the same protocol as the control group.
Sponsors
Study design
Eligibility
Inclusion criteria
* Low fertilization rate in previous IVF cycle (\<30%), or * Poor embryo developmental problems in previous IVF cycle, or * Diminished ovarian reserve (AMH\<1.2 or AFC\<5) and/or more than 40 y/o.
Exclusion criteria
* Without or just one oocyte picked up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| fertilization rate | Day 1 | The normal fertilization rate will defined as the number of zygotes with 2PN and 2PB per the total number of mature oocytes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| blastocyst formation rate | Day 5 | NO. of blastocysts per 2PN zygotes |
| top-quality blastocyst formation rate | Day 5 | No. of 3AA, 4AA, 5AA or 6AA blastocysts / 2PN zygotes |
| pregnancy outcome | 1 year | pregnancy rates, abortion rate, live birth rates,congenital anomaly rate |
Countries
Taiwan