UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055616
Receipt number R000063550
Scientific Title Validating the embryo culture medium supplemented with antioxidants in IVF cycles of advanced age patients
Date of disclosure of the study information 2025/10/01
Last modified on 2024/09/26 08:34:48

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Basic information

Public title

Validating the embryo culture medium supplemented with antioxidants in IVF cycles of advanced age patients

Acronym

AOX medium for 40s patients

Scientific Title

Validating the embryo culture medium supplemented with antioxidants in IVF cycles of advanced age patients

Scientific Title:Acronym

AOX medium for 40s patients

Region

Japan


Condition

Condition

Patients seeking ART treatments with in vitro fertilization, embryo culture and transfer.

Classification by specialty

Not applicable

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Evaluate the culture medium supplemented with three antioxidants, alpha-lipoic acid, acetyl-L-cysteine and acetyl-L-carnitine, for handling and culturing gametes and embryos collected from IVF patients aged 40 and 45 years old, and study the potential impact on the success rates of pre-implantation embryo culture as well as embryo transfer outcomes.

Basic objectives2

Others

Basic objectives -Others

This study aims to evaluate the performance of embryo culture medium supplemented with antioxidants. It is not designed for treatments or diagnostics of patients themselves, but for handling of gametes (oocytes and sperm) and continuous culturing of embryos collected from the patients couple seeking infertility treatment with ART.

Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Those rates shall be denominated by per M-II oocytes and per-2PN embryo.
(1) Good blastocyst rate (via Gardner's criteria): Grade 3BB or better between day 5 and day 7
(2) Number of Usable Blastocysts per cycles: embryos meeting the criteria of fresh embryo transfer or vitrification
(3) Overall blastocyst rate, observed between day 5 and day 7

Key secondary outcomes

(1) 2PN rate after the insemination,
(2) Good embryos on day 3, consist of 6 or more blastomeres with Veeck criteria at 3 or better
(3) ET outcomes: embryo implantation defined by HCG+, CPR verified by GS in week 5, OPR verified by fetal heartbeats in week 6 or after
(4) AA, AB, BA blastocysts rates


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Single blind -participants are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

Oocytes and sperm samples collected from patients who meet the selection criteria will be handled and cultured in either Gx-series medium (study arm), and in G-Plus series medium (control arm). The embryo culture lab alternates these two series of medium for gametes handling and pre-implantation embryo culture in every months during the study period.
These treatment cycles assigned to "study arm" month use Gx series medium for gamete handling and pre-implantation embryo culture.

Interventions/Control_2

These treatment cycles assigned to "control arm" month use G-Plus series medium for gamete handling and pre-implantation embryo culture.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit

46 years-old >

Gender

Female

Key inclusion criteria

Patients and treatment cycles must meet all of the following conditions:
(1) Received informed consent (IC) by physician. The patient age must be between 40 and 45 on the day of IC consultation.
(2) Shown to be eligible to the standard IVF treatment procedure in the study clinics by the initial diagnosis results collected before starting IVF treatment.

Key exclusion criteria

Patients or treatment cycles applicable to any one of the following conditions:
(1) Fertilization is performed with sperms collected through special procedure for male infertility patients: e.g., TESA and TESE.
(2) Fertilization is performed with both cIVF and ICSI in a single treatment cycle.
(3) Any treatment cycles in which an embryo, either in the study arm or in the control arm, is taken out from the culture for embryo transfer before reaching to blastocysts, such as day 2/3 embryo transfer.
(4) Patients who have already been registered in any other clinical studies.

Target sample size

340


Research contact person

Name of lead principal investigator

1st name Keiji
Middle name
Last name Kuroda

Organization

Sugiyama clinic Marunouchi

Division name

Center for Reproductive Medicine and Endoscopy

Zip code

100-0005

Address

Marunouchi 1-6-2, Chiyoda-ku, Tokyo

TEL

03-5222-1500

Email

kuroda@sugiyama.or.jp


Public contact

Name of contact person

1st name Souichi
Middle name
Last name Ogata

Organization

Vitrolife K.K.

Division name

Scientific support

Zip code

105-0011

Address

1-3-1 Shibakoen, Ryuen Building 8F, Minato-ku, Tokyo, Japan

TEL

03-6459-4437

Homepage URL


Email

sogata@vitrolife.com


Sponsor or person

Institute

Vitrolife K.K.

Institute

Department

Personal name



Funding Source

Organization

(N/A)

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Sugiyama clinic Institutional review board

Address

Nishishinjuku 1-19-6, Yamate-Shinjuku building 5F, Shinjuku-ku, Tokyo

Tel

03-5381-3000

Email

kanda@sugiyama.clinic


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 10 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2024 Year 05 Month 20 Day

Date of IRB

2024 Year 05 Month 15 Day

Anticipated trial start date

2024 Year 10 Month 01 Day

Last follow-up date

2025 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 09 Month 25 Day

Last modified on

2024 Year 09 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063550