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Infertility, FemaleNCT05837325

Is the AMH Intrafollicular Level a Predictor of the Ploidy Status of the Blastocyst?

An observational study of Infertility, Female and Infertility, run by ART Fertility Clinics LLC at 1 site in United Arab Emirates.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

To investigate, whether on the day of egg retrieval, after ovarian stimulation for ICSI (intracytoplasmic sperm injection), there is a correlation between the intrafollicular AMH (Anti-Müllerian hormone) levels and the ploidy status of the blastocyst. Read more about this study

Who is it for?
Ages 18 to 40 years, women onlyHealthy volunteers can take part
Conditions the study is for
Infertility, Female, Infertility
What is being tested?
Oocyte Pick Up - Out of Study, Denudation - Out of Study and ICSI
Type of treatment
Surgery or procedure
How many people
300 participants
Where
1 siteUnited Arab Emirates
Study dates
23 May 2023to 31 Dec 2026
Phase
Observational
Are there results?
Not yet: the study is under way

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 18 to 40 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Study population: Female undergoing IVF treatment

Who may be able to join

  • At least one follicle from each ovary at day of trigger
  • Age from 18 to 40 years old
  • Normal menstrual cycle of 25-35 days
  • Poor, normal and high response will be included
  • First follicle punctured from each ovary will be consider for inclusion: if the COC (Cumulus Oocyte Complex) is present in clear FF (Follicular fluid), the FF will be collected separately for further analysis and the oocyte included in the study

Who cannot join

  • Very hematic follicular fluid
  • If the COC is not found in the follicular fluid
  • Azoospermia
  • Known chromosomal abnormalities
  • Severe OAT (Oligoasthenoteratozoospermia)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United Arab Emirates1 site, 1 recruiting
  • ART Fertility Clinics LLC

    Abu Dhabi, Abu Dhabi Emirate, 60202

    Barbara Lawrenz, PhD, 0097126528000 ext. 1108, barbara.lawrenz@artfertilityclinics.com

    Jonalyn Edades, 0097126528000 ext. 1106, jonalyn.edades@artfertilityclinics.com

    Recruiting

Other trials in United Arab Emirates

About this study

Official title: Is the AMH Intrafollicular Level a Predictor of the Ploidy Status of the Blastocyst? A Prospective Study

To investigate, whether on the day of egg retrieval, after ovarian stimulation for ICSI (intracytoplasmic sperm injection), there is a correlation between the intrafollicular AMH (Anti-Müllerian hormone) levels and the ploidy status of the blastocyst.

Read the detailed description

In clinical practice, AMH is used as a diagnostic and/or prognostic marker in women in association with ovulation induction and in various pathophysiological conditions. This study looks to investigate if the hormonal environment that surrounds an oocyte has an impact on the ploidy status of the blastocyst. Nowadays, using NGS (Next Generation Sequencing) platform for analysis of 23 pairs of chromosomes for Preimplantation Genetic Testing on blastocysts, the ploidy status of the embryo is more adequately assessed. Furthermore, embryo culture to blastocyst will provide further information about embryo quality and possibilities of implantation.

To have complete information between the serum hormones, follicular hormones, embryo development and ploidy will provide to clinicians, embryologist and patients further information on embryo selection and adequate ovarian stimulation protocols.

The database will be exported from the clinical information manager, VRepro, to a table in excel format through a database-based query system. The exported data will be duly codified to protect the clinical and personal information of the participants. Prior to the statistical study, an exploratory data analysis will be carried out to review the quality of the information extracted.

Being tested
Oocyte Pick Up - Out of Study, Denudation - Out of Study, ICSI, Culture, Biopsy
Keywords
Estradiol, FSH, LH, AMH, Ploidy, Chromosomes, Infertility, Progesterone, Inhibin B
Medical subject headings
Infertility, Female, Infertility

What participants receive

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

  • Oocyte Pick Up - Out of StudyProcedure or surgery

    Aspiration of follicles. search for the oocyte(s) All oocytes are grouped in one dish.

  • Denudation - Out of StudyProcedure or surgery

    All oocytes are denuded together. Maturational stages are recorded.

  • ICSIProcedure or surgery

    One oocyte injected at a time.

  • CultureProcedure or surgery

    One embryo per culture drop. Individual follow-up of the embryo development.

  • BiopsyGenetic

    One embryo per culture drop.

  • VitrificationProcedure or surgery

    One embryo per vitrification straw.

  • OPU - Study GroupProcedure or surgery

    Measure the size of the follicle and aspirate only one follicle and flush. The needle before moving to the second ovary. Oocyte included in the study will be cultured separately (each ovary separately too).

  • Denudation - Study GroupProcedure or surgery

    Oocyte included in the study will be denuded separately. Maturational stages are recorded per follicle.

Study groups in NCT05837325
Study groupRoleWhat they receive
Study GroupNot described
Receives: Procedure: ICSI; Procedure: Culture; Genetic: Biopsy; Procedure: Vitrification; Procedure: OPU - Study Group; Procedure: Denudation - Study Group
Out of Study GroupNot described
Receives: Procedure: Oocyte Pick Up - Out of Study; Procedure: Denudation - Out of Study; Procedure: ICSI; Procedure: Culture; Genetic: Biopsy; Procedure: Vitrification

What is being measured

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

  1. Oocyte maturity

    Calculated as percentage transformation of an oocyte from prophase I to metaphase II

    Measured: 1 day

  2. Fertilization

    Percentage of mature oocytes - metaphase II (MII) that become 2 pronucleii embryos (2PN)

    Measured: 1 day

  3. Blastulation

    Ability of the embryo to form a cavity (=to blastulate) 114-118 hours post ICSI. Number of blastocysts divided by the number of 2PN

    Measured: 1 day

  4. Blastocyst quality

    Four Embryo Quality Scores (EQ1, 2, 3, 4) based on the expansion stage of the blastocyst, the grade of the inner cell mass and the grade of the trophectoderm.

    Measured: 6 days

  5. Ploidy status

    Determined after biopsy of trophectoderm cells, taken from the blastocyst on day 5, 6 or 7 from development

    Measured: 14 days

  6. Mitochondria status

    Measured as mtDNA ratio, the ratio of mitochondrial DNA (mtDNA) read counts to autosomal (chromosome 1-22) DNA read counts

    Measured: 14 days

Secondary outcomes (18)
  1. AMH in the follicular fluid.

    To evaluate if there is an association between the levels of serum AMH on day 2-3 of the stimulation, AMH day of OPU and the intra-follicular AMH.

    Measured: 1 day

  2. FSH in the follicular fluid.

    To evaluate if there is an association between serum FSH on day 2-3 of the stimulation, serum FSH day of OPU and the intra-follicular FSH.

    Measured: 1 day

  3. LH in the follicular fluid.

    To evaluate if there is an association between serum LH on day 2-3 of the stimulation, serum LH day of OPU and the intra-follicular LH.

    Measured: 1 day

  4. E2 in the follicular fluid.

    To evaluate if there is an association between serum E2 on day 2-3 of the stimulation, serum E2 day of OPU and the intra-follicular E2.

    Measured: 1 day

  5. P4 in the follicular fluid.

    To evaluate if there is an association between serum P4 on day 2-3 of the stimulation, serum P4 day of OPU and the intra-follicular P4.

    Measured: 1 day

  6. Inhibin B in the follicular fluid.

    To evaluate if there is an association between serum Inhibin B on day 2-3 of the stimulation, serum Inhibin B day of OPU and the intra-follicular Inhibin B.

    Measured: 1 day

  7. AMH in serum day of OPU

    To evaluate if there is an association between the levels of serum AMH on day 2-3 of the stimulation, AMH day of OPU and the intra-follicular AMH.

    Measured: 1 day

  8. FSH in serum day of OPU

    To evaluate if there is an association between serum FSH on day 2-3 of the stimulation, serum FSH day of OPU and the intra-follicular FSH.

    Measured: 1 day

  9. LH in serum day of OPU

    To evaluate if there is an association between serum LH on day 2-3 of the stimulation, serum LH day of OPU and the intra-follicular LH.

    Measured: 1 day

  10. E2 in serum day of OPU

    To evaluate if there is an association between serum E2 on day 2-3 of the stimulation, serum E2 day of OPU and the intra-follicular E2.

    Measured: 1 day

  11. P4 in serum day of OPU

    To evaluate if there is an association between serum P4 on day 2-3 of the stimulation, serum P4 day of OPU and the intra-follicular P4.

    Measured: 1 day

  12. Inhibin B in serum day of OPU

    To evaluate if there is an association between serum Inhibin B on day 2-3 of the stimulation, serum Inhibin B day of OPU and the intra-follicular Inhibin B.

    Measured: 1 day

  13. AMH in serum day of day 2/3 of stimulation.

    To evaluate if there is an association between the levels of serum AMH on day 2-3 of the stimulation, AMH day of OPU and the intra-follicular AMH.

    Measured: 1 day

  14. FSH in serum day of day 2/3 of stimulation.

    To evaluate if there is an association between serum FSH on day 2-3 of the stimulation, serum FSH day of OPU and the intra-follicular FSH.

    Measured: 1 day

  15. LH in serum day of day 2/3 of stimulation.

    To evaluate if there is an association between serum LH on day 2-3 of the stimulation, serum LH day of OPU and the intra-follicular LH.

    Measured: 1 day

  16. E2 in serum day of day 2/3 of stimulation.

    To evaluate if there is an association between serum E2 on day 2-3 of the stimulation, serum E2 day of OPU and the intra-follicular E2.

    Measured: 1 day

  17. P4 in serum day of day 2/3 of stimulation.

    To evaluate if there is an association between serum P4 on day 2-3 of the stimulation, serum P4 day of OPU and the intra-follicular P4.

    Measured: 1 day

  18. Inhibin B in serum day of day 2/3 of stimulation.

    To evaluate if there is an association between serum Inhibin B on day 2-3 of the stimulation, serum Inhibin B day of OPU and the intra-follicular Inhibin B.

    Measured: 1 day

Timeline

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

  1. First posted1 May 2023
  2. Study start23 May 2023
  3. Primary completion1 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

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
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05837325
Sponsor's protocol ID
2212-ABU-015-LM
Status last verified
Jun 2025
First submitted
13 Mar 2023
Last updated
2 Oct 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Hattori Y, Sato T, Okada H, Saito C, Sugiura-Ogasawara M. Comparison of follicular fluid and serum anti-Mullerian hormone levels as predictors of the outcome of assisted reproductive treatment. Eur J Obstet Gynecol Reprod Biol. 2013 Jul;169(2):252-6. doi: 10.1016/j.ejogrb.2013.03.021. Epub 2013 Apr 25.

    PubMed 23622971
  • Capkin SI, Ozyer S, Karayalcin R, Moraloglu O, Ozcan S, Ugur M. Serum and follicular fluid Anti-Mullerian hormone concentrations at the time of follicle puncture and reproductive outcome. J Turk Ger Gynecol Assoc. 2012 Mar 1;13(1):21-6. doi: 10.5152/jtgga.2011.71. eCollection 2012.

    PubMed 24627670
  • Melado Vidales L, Fernandez-Nistal A, Martinez Fernandez V, Verdu Merino V, Bruna Catalan I, Bajo Arenas JM. Anti-Mullerian hormone levels to predict oocyte maturity and embryo quality during controlled ovarian hyperstimulation. Minerva Ginecol. 2017 Jun;69(3):225-232. doi: 10.23736/S0026-4784.16.03958-7. Epub 2016 Jun 28.

    PubMed 27352270
  • Hammoud I, Vialard F, Bergere M, Albert M, Gomes DM, Adler M, Malagrida L, Bailly M, Wainer R, Selva J. Follicular fluid protein content (FSH, LH, PG4, E2 and AMH) and polar body aneuploidy. J Assist Reprod Genet. 2012 Oct;29(10):1123-34. doi: 10.1007/s10815-012-9841-8. Epub 2012 Aug 14.

    PubMed 22890422
  • Calzada M, Lopez N, Noguera JA, Mendiola J, Hernandez AI, Corbalan S, Sanchez M, Torres AM. AMH in combination with SHBG for the diagnosis of polycystic ovary syndrome. J Obstet Gynaecol. 2019 Nov;39(8):1130-1136. doi: 10.1080/01443615.2019.1587604. Epub 2019 Jun 17.

    PubMed 31208261
  • Devroey P, Aboulghar M, Garcia-Velasco J, Griesinger G, Humaidan P, Kolibianakis E, Ledger W, Tomas C, Fauser BC. Improving the patient's experience of IVF/ICSI: a proposal for an ovarian stimulation protocol with GnRH antagonist co-treatment. Hum Reprod. 2009 Apr;24(4):764-74. doi: 10.1093/humrep/den468. Epub 2009 Jan 19.

    PubMed 19153090
  • Ferraretti AP, Gianaroli L. The Bologna criteria for the definition of poor ovarian responders: is there a need for revision? Hum Reprod. 2014 Sep;29(9):1842-5. doi: 10.1093/humrep/deu139. Epub 2014 Jul 9.

    PubMed 25008235

Questions about this trial

What is this clinical trial studying?

An observational study of Infertility, Female and Infertility, run by ART Fertility Clinics LLC at 1 site in United Arab Emirates.

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 5 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 2 Oct 2025. 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 United Arab Emirates. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Barbara Lawrenz, PhD (0097126528000 ext. 1108, barbara.lawrenz@artfertilityclinics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Oocyte maturity (time frame: 1 day). The study lists 6 primary outcomes in all. 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 NCT05837325, which also lists 7 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 2 Oct 2025.

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