Preimplantation Genetic Testing for Aneuploidy (PGT-A) in Women Aged 37-41 Years - a Randomized Controlled Multicenter Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Infertility
- Sponsor
- Rigshospitalet, Denmark
- Enrollment
- 590
- Locations
- 1
- Primary Endpoint
- Cumulative live birth rate after one complete ART treatment
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
A multinational multi-centre, randomized, controlled non-blinded trial with participation of three fertility clinics in Denmark and one in Spain to assess the efficacy and safety of preimplantation genetic testing for aneuploidy (PGT-A) in 37-41-year-old women.
Investigators
Anja Bisgaard Pinborg
Professor & medical director at the Fertility Clinic
Rigshospitalet, Denmark
Eligibility Criteria
Inclusion Criteria
- •Women aged 37-41 years with a male partner, a female partner og undergoing fertility with no partner.
- •Anti Müllerian Hormone (AMH) ≥6.28 pmol/L (AMH should be measured no more than one year prior to study inclusion). The optimal is to use the Elecsys® Assay. If other assays are used this should be reported to the investigator and the AMH cut-off level may appropriately be changed so that it corresponds to the cut-off used in the Elecsys® Assay.
- •IVF/ICSI cycle number 1-5 (previous IVF/ICSI cycles will not count if the woman is recruited after an IVF/ICSI/FET-delivery).
Exclusion Criteria
- •PGT-SR or PGT-M.
- •Testicular sperm aspiration (TESA), testicular sperm extraction (TESE), micro-TESE (or cryopreserved sperm from these procedures).
- •Males with severely compromised semen quality (\<1 million progressively motile sperm cells following gradient centrifugation).
- •Endometriosis stage three or four.
- •Women with severe thyroid disease (women can be included if they have normal thyroid levels on relevant medication).
- •Severe co-morbidity; diabetes mellitus type 1 (DM1), Mb Crohn or Colitis ulcerosa, systemic lupus erythematosus (SLE), HIV, Hepatitis B/C, or dysregulated thyroid disease.
- •≥2 previous ART treatment without blastocyst formation.
Outcomes
Primary Outcomes
Cumulative live birth rate after one complete ART treatment
Time Frame: Approximately 18 months after inclusion of the last patient
To assess if PGT-A is non-inferior compared to standard treatment regarding the cumulative LBR after one complete ART treatment per randomized woman.
Live birth rate per first embryo transfer
Time Frame: Approximately 12 months after inclusion of the last patient
To assess if PGT-A is superior to standard non-PGT-A treatment regarding the live birth rate per first embryo transfer (ET) (or no ET if only aneuploid embryo(s) in the PGT-A group) per randomized woman.