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IVMNCT04048486

Children Born From IVM-CAPA vs IVF or Natural Conception

An observational study of IVM and IVF, run by Mỹ Đức Hospital at 1 site in Vietnam.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

CAPA-IVM is a new promising IVM technique involving the use of a new compound to facilitate the oocyte and embryo competence. CAPA-IVM preserved the maintenance of trans-zonal projections and significantly improved maturation rate and blastocyst yield. Read more about this study

Who is it for?
Ages 1 month to 66 months
Conditions the study is for
IVM, IVF
What is being tested?
Developmental score according to The Ages & Stages Questionnaires®, Third Edition - ASQ®-3, Physical development and General Health and Developmental Red flags
How many people
66 participants
Where
1 siteVietnam
Study dates
7 Aug 2019to 15 Dec 2019
Phase
Observational
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 1 month to 66 months
  • All sexes
  • Child

Study population: Live babies born from CAPA-IVM, IVF or natural conception

Who may be able to join

  • Live babies born from CAPA-IVM
  • Live babies born from IVF
  • Live babies born from natural conception
  • Parents agree to participate

Who cannot join

  • Babies born from oocyte donation cycles
  • Babies born from sperm donation cycles
  • Babies born from PGT cycles

Trial locations and contacts

1 site in 1 country.

Vietnam1 site
  • Mỹ Đức Hospital

    Ho Chi Minh City, Tan Binh

Other trials in Vietnam

About this study

Official title: Follow-up of Children Born From CAPA-IVM IVF or Natural Conception: a Prospective Cohort Study

CAPA-IVM is a new promising IVM technique involving the use of a new compound to facilitate the oocyte and embryo competence. CAPA-IVM preserved the maintenance of trans-zonal projections and significantly improved maturation rate and blastocyst yield. NGS analysis of 20 good quality CAPA-IVM blastocysts did not reveal increased aneuploidy compared to age-matched routine ICSI patients. The first CAPA-IVM baby was born in 2017 at My Duc Hospital, Vietnam and up to now, there are 33 babies born from this technique. There is no study to investigate the development of babies born from CAPA-IVM.

Read the detailed description

Assisted reproductive technologies (ART), such as in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI) and in vitro maturation (IVM), are widely used to solve human infertility, and have provided great benefits for millions of couples who have struggled with infertility disorders. The use of ART has been growing persistently and more than 8 million babies worldwide have been born via ART since the first IVF conceived child was born in 1978 (ESHRE monitoring).

During the last two decades, many studies have shown that children born following assisted reproductive techniques (ART) have an increased risk of adverse obstetric, perinatal and short-term follow-up outcomes when compared to naturally conceived (NC) infants (Jackson RA 2004, Helmerhorst et al., 2004; Pinborg et al., 2013; Adams et al., 2015). The etiologies of this association are mainly related to higher proportion of multiple pregnancies due to double embryo transfer option and greater rate of unfavorable comorbidities of infertile women (older age, high BMI, diabetes…). But with the trend toward single embryo transfer in current IVF practice, there are existing evidences supporting that the perinatal risks of singleton gestations following IVF treatment are still higher than those that result from a spontaneous conception (McDonald et al., 2009; Pandey et al., 2012).

Long-term development of children born by ART is also a concerned issue. It is evident that children born as a result of IVF treatment have an excess rate of congenital abnormalities, higher risk of developing metabolic, cardiovascular disorders and subclinical hyperthyroidism in later life (Roger Hart and Robert J. Norman, 2013, part I). Regarding mental health and development outcomes, cerebral palsy and slight neurodevelopmental delay are potential long-term associations with ART (Roger Hart and Robert J. Norman, 2013, part II). However, these adverse outcomes can be explained by obstetric factors (higher rate of prematurity and intrauterine growth restriction) rather than IVF. This leads to the concern about research biases in studies of long-term development of children born by ART where multiple gestations, prematurity, neonatal hospitalization and growth restriction were not well-controlled. Another concern about long-term follow-up studies of IVF children is the limitation of literatures and high-quality clinical trials that investigate the general health outcomes of children born by ART. The majority of valuable data only exist on the short-term outcome of infants born as a result of IVF treatment (Kalra and Barnhart, 2011) even though it is possible that some suspected disorders might only be identifiable beyond the first year of life (Oliver et al., 2012).

When studying about the long-term development of children following ART, a very important factor need to be considered is the medium of culture. There have been existing theories that proposed the mechanism of how epigenetic environment can up or down-regulate a set of genes which then results in the changes in embryonic growth or even the long-term development of children in later stage of life. Different ART methods may cause possible changes in DNA methylation patterns which in turn affect development of the placenta and fetus. This is the "developmental origins of health and disease hypothesis" (DOHaD) explaning why exposure to an adverse environment (possibly the culture medium) may result in unfavorable development and illnesses profiles in the ART offspring (Barker, 2007).

CAPA-IVM is a new promising IVM technique involving the use of a new compound to facilitate the oocyte and embryo competence. CAPA-IVM preserved the maintenance of trans-zonal projections and significantly improved maturation rate and blastocyst yield. NGS analysis of 20 good quality CAPA-IVM blastocysts did not reveal increased aneuploidy compared to age matched routine ICSI patients. The first CAPA-IVM baby was born in 2017 at My Duc Hospital, Vietnam and up to now, there are 33 babies born from this technique. There is no study to investigate the development of babies born from CAPA-IVM.

The investigators therefore conduct this study to investigate the physical and mental development of babies born from CAPA-IVM, IVF or natural conception.

Conditions
IVM, IVF
Being tested
Developmental score according to The Ages & Stages Questionnaires®, Third Edition - ASQ®-3, Physical development and General Health, Developmental Red flags

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Developmental score according to The Ages & Stages Questionnaires®, Third Edition - ASQ®-3Other

    Ages \& Stages Questionnaires®, Third Edition (ASQ®-3) is a developmental screening tool designed for use by early educators and health care professionals. It relies on parents as experts, is easy-to-use, family-friendly and creates the snapshot needed to catch delays and celebrate milestones.

  • Physical development and General HealthOther

    Physical development and General health examination

  • Developmental Red flagsOther

    Developmental Red flags Questionnaires

Study groups in NCT04048486
Study groupRoleWhat they receive
CAPA-IVMLive babies born from CAPA-IVM
Receives: Other: Developmental score according to The Ages & Stages Questionnaires®, Third Edition - ASQ®-3; Other: Physical development and General Health; Other: Developmental Red flags
IVF/ICSILive babies born from IVF/ICSI
Natural conceptionLive babies born from natural conception
Receives: Other: Developmental score according to The Ages & Stages Questionnaires®, Third Edition - ASQ®-3; Other: Physical development and General Health; Other: Developmental Red flags

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The average total ASQ-3 score

    • ASQ-3 (Ages and Stages Questionares®) has 5 aspects: Communication, Gross motor, Fine motor, Problem solving and Personal-Social
    • Each aspesct has 6 questions, if the answer is Yes, score = 10, Sometimes = 5 and Not yet = 0.
    • ASQ-3 average = average score of 5 aspects.

    Measured: Up to 66 months after birth

Secondary outcomes (12)
  1. Score of Communication

    • 6 questions, if the answer is Yes, score = 10, Sometimes = 5 and Not yet = 0.
    • Total score will be used: minimum = 0 and maximum = 60.
    • Each aspects in each stages has alternative threshold

    Measured: Up to 66 months after birth

  2. Score of Gross motor

    • 6 questions, if the answer is Yes, score = 10, Sometimes = 5 and Not yet = 0.
    • Total score will be used: minimum = 0 and maximum = 60.
    • Each aspects in each stages has alternative threshold

    Measured: Up to 66 months after birth

  3. Score of Fine motor

    • 6 questions, if the answer is Yes, score = 10, Sometimes = 5 and Not yet = 0.
    • Total score will be used: minimum = 0 and maximum = 60.
    • Each aspects in each stages has alternative threshold

    Measured: Up to 66 months after birth

  4. Score of Problem solving

    • 6 questions, if the answer is Yes, score = 10, Sometimes = 5 and Not yet = 0.
    • Total score will be used: minimum = 0 and maximum = 60.
    • Each aspects in each stages has alternative threshold

    Measured: Up to 66 months after birth

  5. Score of Personal-Social

    • 6 questions, if the answer is Yes, score = 10, Sometimes = 5 and Not yet = 0.
    • Total score will be used: minimum = 0 and maximum = 60.
    • Each aspects in each stages has alternative threshold

    Measured: Up to 66 months after birth

  6. The presence of red flag signs by age

    1. For children less than 4 months
    • Rolling prior to 3 months
    • Persistent fisting at 3 months
    • Failure to alert to environmental stimuli
    1. For children from 4 to 6 months
    • Poor head control
    • Failure to reach for objects by 5 months
    • Absent smile
    1. For children from 6 to 12 months
    • Absent babbling by 6 months
    • W-sitting at 7 months
    • Inability to localize sound by 10 months
    • Persistent mouthing of objects at 12 months
    • Lack of consonant production by 15 months
    1. For children from 12 to 24 months
    • Lack of imitation by 16 months
    • Lack of protodeclarative pointing by 18 months
    • Hand dominance prior to 18 months
    • Inability to walk up and down stairs at 24 months
    • Advanced non-communicative speech (meaningless communication repertoires)
    • Delayed Language Development milestone (50 single words at 24 months)

    Measured: Up to 24 months after birth

  7. Duration of breast-feeding

    Duration of breast-feeding

    Measured: Up to 24 months after birth

  8. Infant age at which weaning starts

    Infant age at which weaning starts

    Measured: Up to 24 months after birth

  9. Diseases that lead to hospital admission

    Diseases that lead to hospital admission

    Measured: Up to 24 months after birth

  10. Number of hospital admission

    Number of hospital admission

    Measured: Up to 24 months after birth

  11. Weight

    Weight at 3, 6, 12, 18, 24 months and on the examination date

    Measured: At 3, 6, 12, 18, 24 months and on the examination date

  12. Height

    Height at 3, 6, 12, 18, 24 months and on the examination date

    Measured: At 3, 6, 12, 18, 24 months and on the examination date

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Aug 2019
  2. Study start7 Aug 2019
  3. Primary completion30 Sep 2019
  4. Study completion15 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
66 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04048486
Sponsor's protocol ID
CS/BVMĐ/19/07
Status last verified
Oct 2020
First submitted
2 Aug 2019
Last updated
12 Oct 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Stephens SM, Arnett DM, Meacham RB. The use of in vitro fertilization in the management of male infertility: what the urologist needs to know. Rev Urol. 2013;15(4):154-60.

    PubMed 24659912
  • Helmerhorst FM, Perquin DA, Donker D, Keirse MJ. Perinatal outcome of singletons and twins after assisted conception: a systematic review of controlled studies. BMJ. 2004 Jan 31;328(7434):261. doi: 10.1136/bmj.37957.560278.EE. Epub 2004 Jan 23.

    PubMed 14742347
  • Pinborg A, Wennerholm UB, Romundstad LB, Loft A, Aittomaki K, Soderstrom-Anttila V, Nygren KG, Hazekamp J, Bergh C. Why do singletons conceived after assisted reproduction technology have adverse perinatal outcome? Systematic review and meta-analysis. Hum Reprod Update. 2013 Mar-Apr;19(2):87-104. doi: 10.1093/humupd/dms044. Epub 2012 Nov 14.

    PubMed 23154145
  • McDonald SD, Han Z, Mulla S, Murphy KE, Beyene J, Ohlsson A; Knowledge Synthesis Group. Preterm birth and low birth weight among in vitro fertilization singletons: a systematic review and meta-analyses. Eur J Obstet Gynecol Reprod Biol. 2009 Oct;146(2):138-48. doi: 10.1016/j.ejogrb.2009.05.035. Epub 2009 Jul 4.

    PubMed 19577836
  • Pandey S, Shetty A, Hamilton M, Bhattacharya S, Maheshwari A. Obstetric and perinatal outcomes in singleton pregnancies resulting from IVF/ICSI: a systematic review and meta-analysis. Hum Reprod Update. 2012 Sep-Oct;18(5):485-503. doi: 10.1093/humupd/dms018. Epub 2012 May 19.

    PubMed 22611174
  • Hart R, Norman RJ. The longer-term health outcomes for children born as a result of IVF treatment: Part I--General health outcomes. Hum Reprod Update. 2013 May-Jun;19(3):232-43. doi: 10.1093/humupd/dms062. Epub 2013 Feb 28.

    PubMed 23449642
  • Hart R, Norman RJ. The longer-term health outcomes for children born as a result of IVF treatment. Part II--Mental health and development outcomes. Hum Reprod Update. 2013 May-Jun;19(3):244-50. doi: 10.1093/humupd/dmt002. Epub 2013 Feb 28.

    PubMed 23449643
  • Kalra SK, Barnhart KT. In vitro fertilization and adverse childhood outcomes: what we know, where we are going, and how we will get there. A glimpse into what lies behind and beckons ahead. Fertil Steril. 2011 May;95(6):1887-9. doi: 10.1016/j.fertnstert.2011.02.044. Epub 2011 Mar 16.

    PubMed 21411083
  • Oliver VF, Miles HL, Cutfield WS, Hofman PL, Ludgate JL, Morison IM. Defects in imprinting and genome-wide DNA methylation are not common in the in vitro fertilization population. Fertil Steril. 2012 Jan;97(1):147-53.e7. doi: 10.1016/j.fertnstert.2011.10.027. Epub 2011 Nov 23.

    PubMed 22112648
  • Barker DJ. The origins of the developmental origins theory. J Intern Med. 2007 May;261(5):412-7. doi: 10.1111/j.1365-2796.2007.01809.x.

    PubMed 17444880

Questions about this trial

What is this clinical trial studying?

An observational study of IVM and IVF, run by Mỹ Đức Hospital at 1 site in Vietnam.

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 4 inclusion and 3 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 12 Oct 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 Vietnam. 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?

The average total ASQ-3 score (time frame: Up to 66 months after birth). 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 NCT04048486, which also lists 10 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 12 Oct 2020; AzTrials last refreshed its copy on 31 Oct 2026.

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