Fertilization in VitroNCT03201783
Immediate Versus Delayed FET Following a Stimulated IVF Cycle
A study testing immediate frozen-thawed embryo transfer and delayed frozen-thawed embryo transfer in people with Fertilization in Vitro and Embryo Transfer, run by ShangHai Ji Ai Genetics & IVF Institute at 1 site in China.
Trial summary
Information regarding the optimal timing for frozen-thawed embryo transfer (FET) following a stimulated in vitro fertilization (IVF) is lacking. One option is to perform FET in the first cycle following the stimulated IVF cycle, i.e. immediate transfer. Read more about this study
- Who is it for?
- Ages 20 to 43 years, women only
- Conditions the study is for
- Fertilization in Vitro, Embryo Transfer
- What is being tested?
- immediate frozen-thawed embryo transfer and delayed frozen-thawed embryo transfer
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 724 participants
- Where
- 1 siteChina
- Study dates
- 9 Aug 2017to 31 Dec 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 43 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Women aged ≤43 years at the time of IVF/ICSI treatment Undergoing IVF with a standard stimulation At least one frozen embryo or blastocyst The first FET cycle following ovarian stimulation in IVF/ICSI
Who cannot join
- Use of mild stimulation or natural cycle for IVF/ICSI treatment Severe ovarian hyperstimulation syndrome during IVF/ICSI treatment Preimplantation genetic diagnosis treatment Use of donor oocytes Presence of hydrosalpinx which is not surgically treated or endometrial polyp on scanning during ovarian stimulation
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Randomized Trial Comparing the Effect of Immediate Versus Delayed Frozen-thawed Embryo Transfer Following a Stimulated IVF Cycle
Information regarding the optimal timing for frozen-thawed embryo transfer (FET) following a stimulated in vitro fertilization (IVF) is lacking. One option is to perform FET in the first cycle following the stimulated IVF cycle, i.e. immediate transfer. Another option is to postpone FET for at least one menstrual cycle, i.e. delayed transfer. This randomized study aims to compare the ongoing pregnancy rate of immediate versus delayed FET following a stimulated IVF cycle.
- Conditions
- Fertilization in Vitro, Embryo Transfer
- Being tested
- immediate frozen-thawed embryo transfer, delayed frozen-thawed embryo transfer
- Keywords
- frozen-thawed embryo transfer, time interval
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
immediate frozen-thawed embryo transferOther
Frozen-thawed embryo transfer will be performed in the first cycle following the stimulated IVF cycle
delayed frozen-thawed embryo transferOther
Frozen-thawed embryo transfer will be performed at least in the second cycle following the stimulated IVF cycle
| Study group | Role | What they receive |
|---|---|---|
| immediate group | Other | the intervention: immediate frozen-thawed embryo transfer (FET) which means FET will be performed in the first cycle following the stimulated IVF cycle Receives: Other: immediate frozen-thawed embryo transfer |
| delayed group | Other | the intervention: delayed frozen-thawed embryo transfer (FET) which means FET will be performed at least in the second cycle following the stimulated IVF cycle Receives: Other: delayed frozen-thawed embryo transfer |
What is being measured
The primary outcome is the main question the study is designed to answer.
ongoing pregnancy
viable pregnancy beyond gestation 12 weeks
Measured: viable pregnancy beyond gestation 12 weeks
Secondary outcomes (9)
Positive hCG level
the result of serum β-hCG ≥10 mIU/mL.
Measured: A blood pregnancy test is performed 14 days after the FET
clinical pregnancy
presence of intrauterine gestational sac on ultrasound
Measured: presence of intrauterine gestational sac on ultrasound at 6 weeks of pregnancy
biochemical pregnancy:
positive blood pregnancy test not followed by clinical pregnancy
Measured: positive blood pregnancy test not followed by clinical pregnancy during 12 weeks gestation
implantation rate
number of gestational sacs per embryo transferred
Measured: number of gestational sacs per embryo transferred during 4 weeks of pregnancy
multiple pregnancy
more than one intrauterine sacs on scanning
Measured: multiple pregnancy beyond gestation 12 weeks
ectopic pregnancy
pregnancy outside the uterine cavity
Measured: ectopic pregnancy during 12 weeks gestation
miscarriage
the loss of a pregnancy before 22 weeks gestation
Measured: the loss of a pregnancy before 22 weeks gestation
live birth rate
the rate of live births per cycle
Measured: a live birth after 22 weeks gestation
birth weight
birth weight of the baby delivered
Measured: a live birth after 22 weeks gestation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jun 2017
- Study start9 Aug 2017
- Primary completion4 Mar 2019
- Study completion31 Dec 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Fertilization in VitroStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 724 participants (actual)
Sponsor and investigators
- Lead sponsor
- ShangHai Ji Ai Genetics & IVF Institute
- Sponsor type
- University, hospital or other
- Collaborators
- The University of Hong Kong
- Responsible party
- Sponsor
- Investigators
- XIAOXI SUN, PHD, Principal investigator, Shanghai JiAi Genetics & IVF Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03201783
- Sponsor's protocol ID
- ShangHaiIVG
- Status last verified
- Sep 2019
- First submitted
- 23 Jun 2017
- Last updated
- 14 May 2020
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Individual participant data that underlie the results after deidentification (text, tables, figures, and appendices) and study protocol will be shared. Data will be available when beginning 3 months and ending 5 years following article publication. To achieve aims in the approved proposal, researchers who provide a methodologically sound proposal will be shared with.Data will be made available by the following way. Proposals should be directed to lihe198900@163.com. And data are available for 5 years at a third party website (link to be included after the article publication).
Publications
Santos-Ribeiro S, Siffain J, Polyzos NP, van de Vijver A, van Landuyt L, Stoop D, Tournaye H, Blockeel C. To delay or not to delay a frozen embryo transfer after a failed fresh embryo transfer attempt? Fertil Steril. 2016 May;105(5):1202-1207.e1. doi: 10.1016/j.fertnstert.2015.12.140. Epub 2016 Jan 21.
PubMed 26806686Santos-Ribeiro S, Polyzos NP, Lan VT, Siffain J, Mackens S, Van Landuyt L, Tournaye H, Blockeel C. The effect of an immediate frozen embryo transfer following a freeze-all protocol: a retrospective analysis from two centres. Hum Reprod. 2016 Nov;31(11):2541-2548. doi: 10.1093/humrep/dew194. Epub 2016 Sep 8.
PubMed 27609984Lattes K, Checa MA, Vassena R, Brassesco M, Vernaeve V. There is no evidence that the time from egg retrieval to embryo transfer affects live birth rates in a freeze-all strategy. Hum Reprod. 2017 Feb;32(2):368-374. doi: 10.1093/humrep/dew306. Epub 2016 Dec 16.
PubMed 27986819Volodarsky-Perel A, Eldar-Geva T, Holzer HE, Schonberger O, Reichman O, Gal M. Cryopreserved embryo transfer: adjacent or non-adjacent to failed fresh long GnRH-agonist protocol IVF cycle. Reprod Biomed Online. 2017 Mar;34(3):267-273. doi: 10.1016/j.rbmo.2016.11.013. Epub 2016 Dec 16.
PubMed 28041829Li H, Sun X, Yang J, Li L, Zhang W, Lu X, Chen J, Chen H, Yu M, Fu W, Peng X, Chen J, Ng EHY. Immediate versus delayed frozen embryo transfer in patients following a stimulated IVF cycle: a randomised controlled trial. Hum Reprod. 2021 Jun 18;36(7):1832-1840. doi: 10.1093/humrep/deab071.
PubMed 33885131Li H, Li L, Lu X, Sun X, Ng EHY. Comparison of the effect of immediate versus delayed transfer following a stimulated IVF cycle on the ongoing pregnancy rate of frozen-thawed embryo transfer cycles: a study protocol for a randomised controlled trial. BMJ Open. 2018 May 17;8(5):e020507. doi: 10.1136/bmjopen-2017-020507.
PubMed 29773699
Study at a glance
From the registry record, last updated by the sponsor on 14 May 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Trial Comparing the Effect of Immediate Versus Delayed Frozen-thawed Embryo Transfer Following a Stimulated IVF Cycle
- ClinicalTrials.gov ID
- NCT03201783
- Acronym / sponsor ID
- ShangHaiIVG
- Conditions
- Fertilization in Vitro, Embryo Transfer
- Keywords
- frozen-thawed embryo transfer, time interval
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 724 participants (actual)
- Lead sponsor
- ShangHai Ji Ai Genetics & IVF InstituteUniversity, hospital or other
- Collaborators
- The University of Hong Kong
- Study start
- 9 Aug 2017 (actual)
- Primary completion
- 4 Mar 2019 (actual)
- Study completion
- 31 Dec 2019 (actual)
- First posted
- 28 Jun 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Information regarding the optimal timing for frozen-thawed embryo transfer (FET) following a stimulated in vitro fertilization (IVF) is lacking. One option is to perform FET in the first cycle following the stimulated IVF cycle, i.e. immediate transfer. Another option is to postpone FET for at least one menstrual cycle, i.e. delayed transfer. This randomized study aims to compare the ongoing pregnancy rate of immediate versus delayed FET following a stimulated IVF cycle.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| immediate group | Other | Other: immediate frozen-thawed embryo transferthe intervention: immediate frozen-thawed embryo transfer (FET) which means FET will be performed in the first cycle following the stimulated IVF cycle |
| delayed group | Other | Other: delayed frozen-thawed embryo transferthe intervention: delayed frozen-thawed embryo transfer (FET) which means FET will be performed at least in the second cycle following the stimulated IVF cycle |
Who may qualify
- Ages
- 20 to 43 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- Women aged ≤43 years at the time of IVF/ICSI treatment Undergoing IVF with a standard stimulation At least one frozen embryo or blastocyst The first FET cycle following ovarian stimulation in IVF/ICSI
Key exclusion criteria (1 listed)
- Use of mild stimulation or natural cycle for IVF/ICSI treatment Severe ovarian hyperstimulation syndrome during IVF/ICSI treatment Preimplantation genetic diagnosis treatment Use of donor oocytes Presence of hydrosalpinx which is not surgically treated or endometrial polyp on scanning during ovarian stimulation
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| immediate frozen-thawed embryo transferFrozen-thawed embryo transfer will be performed in the first cycle following the stimulated IVF cycle | Other | immediate group |
| delayed frozen-thawed embryo transferFrozen-thawed embryo transfer will be performed at least in the second cycle following the stimulated IVF cycle | Other | delayed group |
Primary outcome
ongoing pregnancy
Time frame: viable pregnancy beyond gestation 12 weeks
viable pregnancy beyond gestation 12 weeks
9 secondary outcomes
Positive hCG level
Time frame: A blood pregnancy test is performed 14 days after the FET
clinical pregnancy
Time frame: presence of intrauterine gestational sac on ultrasound at 6 weeks of pregnancy
biochemical pregnancy:
Time frame: positive blood pregnancy test not followed by clinical pregnancy during 12 weeks gestation
implantation rate
Time frame: number of gestational sacs per embryo transferred during 4 weeks of pregnancy
multiple pregnancy
Time frame: multiple pregnancy beyond gestation 12 weeks
ectopic pregnancy
Time frame: ectopic pregnancy during 12 weeks gestation
miscarriage
Time frame: the loss of a pregnancy before 22 weeks gestation
live birth rate
Time frame: a live birth after 22 weeks gestation
birth weight
Time frame: a live birth after 22 weeks gestation
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 May 2020.
- Background: PubMed 26806686Santos-Ribeiro S, Siffain J, Polyzos NP, van de Vijver A, van Landuyt L, Stoop D, Tournaye H, Blockeel C. To delay or not to delay a frozen embryo transfer after a failed fresh embryo transfer attempt? Fertil Steril. 2016 May;105(5):1202-1207.e1. doi: 10.1016/j.fertnstert.2015.12.140. Epub 2016 Jan 21.
- Background: PubMed 27609984Santos-Ribeiro S, Polyzos NP, Lan VT, Siffain J, Mackens S, Van Landuyt L, Tournaye H, Blockeel C. The effect of an immediate frozen embryo transfer following a freeze-all protocol: a retrospective analysis from two centres. Hum Reprod. 2016 Nov;31(11):2541-2548. doi: 10.1093/humrep/dew194. Epub 2016 Sep 8.
- Background: PubMed 27986819Lattes K, Checa MA, Vassena R, Brassesco M, Vernaeve V. There is no evidence that the time from egg retrieval to embryo transfer affects live birth rates in a freeze-all strategy. Hum Reprod. 2017 Feb;32(2):368-374. doi: 10.1093/humrep/dew306. Epub 2016 Dec 16.
- Background: PubMed 28041829Volodarsky-Perel A, Eldar-Geva T, Holzer HE, Schonberger O, Reichman O, Gal M. Cryopreserved embryo transfer: adjacent or non-adjacent to failed fresh long GnRH-agonist protocol IVF cycle. Reprod Biomed Online. 2017 Mar;34(3):267-273. doi: 10.1016/j.rbmo.2016.11.013. Epub 2016 Dec 16.
- Derived from this study: PubMed 33885131Li H, Sun X, Yang J, Li L, Zhang W, Lu X, Chen J, Chen H, Yu M, Fu W, Peng X, Chen J, Ng EHY. Immediate versus delayed frozen embryo transfer in patients following a stimulated IVF cycle: a randomised controlled trial. Hum Reprod. 2021 Jun 18;36(7):1832-1840. doi: 10.1093/humrep/deab071.
- Derived from this study: PubMed 29773699Li H, Li L, Lu X, Sun X, Ng EHY. Comparison of the effect of immediate versus delayed transfer following a stimulated IVF cycle on the ongoing pregnancy rate of frozen-thawed embryo transfer cycles: a study protocol for a randomised controlled trial. BMJ Open. 2018 May 17;8(5):e020507. doi: 10.1136/bmjopen-2017-020507.
- Individual participant dataSharing planned: Yes. Individual participant data that underlie the results after deidentification (text, tables, figures, and appendices) and study protocol will be shared. Data will be available when beginning 3 months and ending 5 years following article publication. To achieve aims in the approved proposal, researchers who provide a methodologically sound proposal will be shared with.Data will be made available by the following way. Proposals should be directed to lihe198900@163.com. And data are available for 5 years at a third party website (link to be included after the article publication).
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
XIAOXI SUN, PHD principal investigator
Shanghai JiAi Genetics & IVF Institute
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing immediate frozen-thawed embryo transfer and delayed frozen-thawed embryo transfer in people with Fertilization in Vitro and Embryo Transfer, run by ShangHai Ji Ai Genetics & IVF Institute at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 May 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
ongoing pregnancy (time frame: viable pregnancy beyond gestation 12 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03201783, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 May 2020.