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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02305420
Registration number
NCT02305420
Ethics application status
Date submitted
27/11/2014
Date registered
2/12/2014
Titles & IDs
Public title
EmbryoGen/ Blastgen for Couples With Implantation Problems or Previous Miscarriage
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Scientific title
EmbryoGen/ Blastgen for Couples With Implantation Problems or Previous Miscarriage
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Secondary ID [1]
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8114
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Universal Trial Number (UTN)
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Trial acronym
BlastGen
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Recurrent Miscarriage
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Infertility
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Condition category
Condition code
Reproductive Health and Childbirth
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Fetal medicine and complications of pregnancy
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Reproductive Health and Childbirth
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Abortion
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - EmbryoGen/ BlastGen media
Treatment: Devices - Standard Cook sequential media
Experimental: EmbryoGen/BlastGen - EmbryoGen and BlasGen media containing GM-CSF 2ng/ml will be used in the experimental arm
The intervention is to use EmbryoGen/BlastGen
Active comparator: Control - Standard Cook sequential media
Treatment: Devices: EmbryoGen/ BlastGen media
Embryos will be cultured in media containing Gm-CSF (EmbryoGen/ BlastGen media)
Treatment: Devices: Standard Cook sequential media
Standard Cook IVF media will be used in the control arm
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Livebirth >20 weeks
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Assessment method [1]
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Any delivery \>20 resulting in a livebirth
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Timepoint [1]
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9 months after closure of trial (18 +9 months)
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Secondary outcome [1]
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Congenital Anomaly Rate
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Assessment method [1]
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number of liveborns with a congenital anomaly
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Timepoint [1]
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9 months after closure of trial (18 +9 months)
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Secondary outcome [2]
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Clinical pregnancy rates at 7 and 12 weeks gestation
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Assessment method [2]
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Fetal Heart Beat seen on Ultrasound scan at 7 and 12 weeks
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Timepoint [2]
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18 months
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Secondary outcome [3]
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Number of embryos reaching blastocyst stage
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Assessment method [3]
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Number of blastocysts per cycle
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Timepoint [3]
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18 months
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Secondary outcome [4]
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Day 3 and day 5 embryo scores
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Assessment method [4]
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grade of day 3 and day 5 embryos
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Timepoint [4]
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18 months
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Secondary outcome [5]
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Cryopreservation outcomes
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Assessment method [5]
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Number of Frozen blastocysts
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Timepoint [5]
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18 months
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Eligibility
Key inclusion criteria
* women undertaking an IVF or ICSI cycle
* aged between 25 and 41 years
* 2 or more embryos transferred without a positive pregnancy outcome OR a history of at least 1 previous pregnancy loss, OR
* Poor embryo development (<20% of embryo developing on time at Day 3 or no blastocyst above Grade 2 on Day 5)
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Minimum age
25
Years
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Maximum age
41
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* male partner requiring surgical retrieval of sperm except in cases of previous vasectomy
* the use of another investigational drug within 30 days
* any severe chronic disease that would significantly influence an IVF cycle
* less than 3 follicles>14mm on ultrasound on the day of HCG trigger
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
14/06/2017
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Sample size
Target
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Accrual to date
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Final
100
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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FertilitySA - Adelaide
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Recruitment postcode(s) [1]
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5006 - Adelaide
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
FertilitySA
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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University of Adelaide
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
EmbryoGen and BlastGen contain the cytokine growth factor Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF), which has been documented to give significant benefit to this difficult group of patients. Results showed a highly significant effect of 44% relative improvement in ongoing implantation rate (p=0.001) in women who have previously miscarried (Ziebe et al 2013). We wish to undertake a randomised Controlled trial to determine if EmbryoGen/BlastGen media improves pregnancy outcomes in women with recurrent implantation failure, recurrent miscarriage and poor embryo development when compared to standard media.
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Trial website
https://clinicaltrials.gov/study/NCT02305420
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Trial related presentations / publications
Rose RD, Barry MF, Dunstan EV, Yuen SM, Cameron LP, Knight EJ, Norman RJ, Hull ML. The BlastGen study: a randomized controlled trial of blastocyst media supplemented with granulocyte-macrophage colony-stimulating factor. Reprod Biomed Online. 2020 May;40(5):645-652. doi: 10.1016/j.rbmo.2020.01.011. Epub 2020 Jan 23.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02305420