Sequential pH Effect on Blastocyst Formation Rate
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,312
- 试验地点
- 3
- 主要终点
- Ongoing Pregnancy rate
研究概览
简要总结
Any drift in extracellular pH (pHe) from the intercellular pH (pHi) could alter the mechanism regulating transporters and exchangers through the plasma membrane. This could lead to difficulty in restoring the physiological level of pHi. The critical stages that lack robust mechanism of regulating the pHi are the denuded oocyte, early stage of fertilization or a thawed embryo. This, in turn, could lead to a significant effect of the perturbations on embryo development. Convincing evidence regarding the optimal pHe for culturing human embryo is, so far, scanty and mostly anecdotal. The embryo has been reported to have a compensatory mechanism to grow at pHe between 7.0-7.4. Others have recommended that embryo need a sequential pH to viably grow suggesting that the post-genomic activation stage needs a slightly alkaline range of pH. However, whether this holds true remains to be examined.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 40 Years(Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •ICSI cycles
排除标准
- •No exclusion
研究组 & 干预措施
Sequential pH culture (7.23 then 7.35)
A split embryo at day 3 to continue culture at a pHe of 7.23±0.02 or to be cultured at a pH of 7.35±0.02 and monitor the effect on blastocyst development.
干预措施: pH Effect on blastocyst formation (Other)
Continuously pH culture at 7.23
Embryo culture from day 0 to 5 or 6 at 7.23
结局指标
主要结局
Ongoing Pregnancy rate
时间窗: 12 weeks
women with continued pregnancy at week 12 of gestation
次要结局
- rate of usable blastocysts(6 days of culture)
- Blastocyst formation rate(6 days of culture)
- Clinical pregnancy rate(3 months)
- Implantation rate(7 weeks)
研究者
Muhammad Fawzy
IVF Lab Director
Ibn Sina Hospital
