UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062497
Receipt number R000071539
Scientific Title Evaluation of the Clinical Utility of PICSI
Date of disclosure of the study information 2026/10/01
Last modified on 2026/08/06 16:21:05

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Basic information

Public title

Evaluation of the Clinical Utility of Physiological Sperm Selection Using Hyaluronic Acid

Acronym

Evaluation of the Clinical Utility of PICSI

Scientific Title

Evaluation of the Clinical Utility of PICSI

Scientific Title:Acronym

Evaluation of the Clinical Utility of PICSI

Region

Japan


Condition

Condition

Infertility requiring intracytoplasmic sperm injection (ICSI)

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the clinical utility of physiological intracytoplasmic sperm injection (PICSI) using hyaluronic acid for sperm selection in patients with infertility requiring intracytoplasmic sperm injection (ICSI).

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Clinical pregnancy rate following embryo transfer using embryos obtained by PICSI, defined as the proportion of pregnancies with a gestational sac confirmed by ultrasonography.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

On the day of oocyte retrieval, physiological sperm selection using hyaluronic acid will be performed for spermatozoa to be used for intracytoplasmic sperm injection (ICSI). Motile spermatozoa capable of binding to hyaluronic acid will be selected as mature spermatozoa and used for ICSI (PICSI). The intervention will be performed once per oocyte retrieval cycle, with an intervention period of one day. Embryos will subsequently be cultured according to standard assisted reproductive technology procedures, and embryo transfer will be performed using the resulting embryos. Embryo development, pregnancy, and pregnancy outcomes will be followed.

Interventions/Control_2


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

18 years-old <=

Age-upper limit

43 years-old >

Gender

Female

Key inclusion criteria

Patients who meet all of the following criteria will be eligible:

1.Patients undergoing infertility treatment and assisted reproductive technology at our institution.
2.Patients for whom intracytoplasmic sperm injection (ICSI) is indicated.
3.Patients with a history of failure to obtain good-quality embryos following conventional ICSI; patients in whom sperm selection based on morphology and motility is difficult due to asthenozoospermia, teratozoospermia, or other sperm abnormalities; or patients with advanced paternal age.
4.Patients who have received sufficient information about the study and have provided written informed consent to participate voluntarily.
5.Patients otherwise considered appropriate for participation by the principal investigator or a study investigator.

Key exclusion criteria

Patients who meet any of the following criteria will be excluded:

1.Patients who do not meet the inclusion criteria.
2.Patients who do not provide written informed consent to participate in the study.
3.Patients with no motile spermatozoa for whom pharmacological stimulation, such as pentoxifylline treatment, is required to obtain motile spermatozoa.
4.Patients considered unable to participate in the study due to psychiatric disorders, psychiatric symptoms, or other relevant conditions.
5.Patients otherwise consider

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Zen
Middle name
Last name Watanabe

Organization

Tohoku Universtiy Hospital

Division name

Gynecology

Zip code

980-8574

Address

1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, Japan

TEL

022-717-7251

Email

zen.watanabe.e8@tohoku.ac.jp


Public contact

Name of contact person

1st name Zen
Middle name
Last name Watanabe

Organization

Tohoku University Graduate School of Medicine

Division name

Department of Obstetrics and Gynecology

Zip code

980-8574

Address

1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, Japan

TEL

022-717-7251

Homepage URL


Email

zen.watanabe.e8@tohoku.ac.jp


Sponsor or person

Institute

Tohoku University

Institute

Department

Personal name



Funding Source

Organization

Tohoku University

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

Ethics Committee Tohoku University Graduate School of Medicine

Address

2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, Japan

Tel

022-717-8007

Email

med-kenkyo@grp.tohoku.ac.jp


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

2026 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

2026 Year 08 Month 01 Day

Date of IRB


Anticipated trial start date

2026 Year 08 Month 01 Day

Last follow-up date

2031 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 08 Month 06 Day

Last modified on

2026 Year 08 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071539