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AzTrials

Infertility (IVF Patients)SAFENCT06940973

Study of Abnormally Fertilized Embryos

An observational study of Infertility (IVF Patients), run by Igenomix at 1 site in Spain.

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

The goal of this observational study is to determine the diploidy rate of haploid and triploid embryos from in vitro fertilization (IVF) cycles. The main questions it aims to answer are: Can a molecular genetic fertilization check of abnormally fertilized embryos be used to expand opportunities for couples undergoing… Read more about this study

Who is it for?
Ages 18 to 49 years
Conditions the study is for
Infertility (IVF Patients)
What is being tested?
Parental samples, PGT-A and TE rebiopsies and spent blastocyst media collection
How many people
300 participants
Where
1 siteSpain
Study dates
2 Jul 2025to Sep 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 49 years
  • All sexes
  • No healthy volunteers
  • Adult

Study population: Embryos from subjects undergoing assisted reproductive treatment with oocytes exhibiting an abnormal number of pronuclei (1PN, 2.1PN, and/or 3PN). Recruitment of subjects for the study will be conducted through routine consultation with the principal investigator and collaborators, as long as they meet the selection criteria.

Who may be able to join

  • ART patients who sign the Informed Consent of the study.
  • Age: oocytes from women ≤ 49 years and semen from men ≤ 60 years. Donation of gametes is allowed.
  • ≥1 blastocysts from oocytes with an abnormal pronuclear pattern (1PN, 2.1PN, and/or 3PN) and with the presence of 2 polar bodies (PB), cultured in a time-lapse incubator.

Who cannot join

  • No exclusion criteria have been considered for this study.

Trial locations and contacts

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

Carlos A Gomez De La Cruz, BSc MSc contact

+34963905310

carlos.gomez@igenomix.com

Spain1 site, 1 recruiting
  • Equipo Médico Crespo Valencia

    Valencia, Valencia, 46015

    Jose Teruel López, BSc MSc, +34 961 042 557, jteruel@juanacrespo.es

    María Escribá Suarez, BSc MSc

    Recruiting

Other trials in Spain

About this study

Official title: Prospective Observational Study of the Morphokinetics and Ploidy of Blastocysts With Abnormal Fertilization (1PN, 2.1PN and 3PN) to Identify the Origin of Fertilization Alterations

The goal of this observational study is to determine the diploidy rate of haploid and triploid embryos from in vitro fertilization (IVF) cycles. The main questions it aims to answer are:

  • Can a molecular genetic fertilization check of abnormally fertilized embryos be used to expand opportunities for couples undergoing assisted reproduction treatment?
  • Is the chromosomal loss or gain present in abnormally fertilized embryos predominantly maternal in origin?
Read more

For this purpose, we will evaluate the morphokinetics and ploidy of about 300 embryos with different types of abnormal pronuclear patterns (1PN, 2.1PN, and 3PN) that reach the blastocyst stage. Whenever possible, embryos with a non-diploid chromosomal complement will also be assessed to determine the origin (maternal or paternal) of the chromosomal set that has been lost or gained.

Study subjects will follow their previously scheduIed IVF/ICSI treatment and no additional visits/interventions will be required for participating.

Read the detailed description

Chromosomes are cellular structures containing the majority of the genetic information of a living organism. Gametes (oocytes and spermatozoa) contain only a single set of 23 chromosomes within structures known as pronuclei (PN). Upon fertilization, the 23 chromosomes from the oocyte and the 23 chromosomes from the sperm combine to form a 2PN zygote, which contains a total of 46 chromosomes.

In assisted reproduction (ART) laboratories, the embryologists can determine through morphological evaluation whether the fertilization process was normal (2PN) or abnormal (0PN, 1PN, or >2PN). For an ART treatment, only a successfully fertilized oocyte (2PN) that develops to the blastocyst stage may be suitable for embryo transfer. However, previous studies have demonstrated that some embryos from oocytes with abnormal fertilization may possess a normal chromosomal content and could be used in ARTs when embryos from normal fertilization are not available.

There are genetic analysis techniques to determine not only if an embryo is euploid (contains a normal number of chromosomes) but also to assess if it is haploid, diploid or triploid (1PN, 2.1PN, and 3PN respectively). These techniques may be applied to "rescue" embryos with abnormal fertilization that are currently being discarded. This approach could be beneficial for IVF patients with a limited number of viable embryos available (diminished ovarian reserve cases, advanced maternal age, poor response to ovarian stimulation, etc.).

The current prospective and observational study has been approved by the competent Research Ethics Committee and every potential participant will be asked to sign the study informed consent.

The 300 embryos that will be part of the study will be recruited in the laboratory of the collaborating center on the day of fertilization after performing the conventional IVF procedures. Following these same routine procedures, biological samples from both parents will also be stored to perform the genetic analysis to determine the origin of the chromosomal anomalies. A biopsy will be taken from the selected embryos when they reach the blastocyst stage for the genetic analysis that will allow detecting whether there is indeed any chromosomal anomaly. All embryos not confirmed as chromosomally normal will be thawed, washed, and cultured for a second biopsy to confirm their previous diagnosis and the origin of the chromosomal abnormalities. For this new analysis, in addition to the biopsies, individual samples of the culture media of the thawed blastocysts will be collected and stored. Samples will be shipped to Igenomix for the genetic research and further data analysis.

The expected duration of the study is 18 months. Embryos will be included in the participating center for an estimated period of 13 months. Participants involvement in the study is just linked to the moment of the consent form signature. Exceptionally, embryos from abnormal fertilization that were informed as chromosomally normal after the first biopsy can be considered to transfer providing there are no other embryos available. If the patient decides to proceed with the transfer, her clinical follow-up will be part of the study until achieving ongoing pregnancy (12 gestational weeks). After that, her participation in the study will end but her physician will continue monitoring the pregnancy until delivery, if applicable, in accordance with the standard clinical practice.

Being tested
Parental samples, PGT-A, TE rebiopsies and spent blastocyst media collection
Keywords
PGT-A, niPGT-A, Blastocyst, Infertility, In vitro fertilization, Ploidy, Embryo development, Time-lapse culture, Triploid, Haploid, Abnormal fertilization, Pronuclei
Medical subject headings
Infertility, Triploidy

What participants receive

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

  • Parental samplesGenetic

    On fertilization, following the conventional ICSI/IVF procedure, samples from cumulus cells (obtained during the routine oocyte denudation process) and surplus sperm cells present in seminal plasma will be retrieved. These samples will be stored frozen at -20°C until they are sent to Igenomix. There, they will be used to perform the genetic analysis required to achieve the study's objectives, provided the patient consents to participate. If the patient ultimately chooses not to participate, these samples will be destroyed.

    Parents may be asked to provide a saliva sample for the same purpose in cases where obtaining the samples during fertilization was not possible or if the collected samples were unsuitable for processing in the laboratory. The saliva sample may be collected at the clinic during one of the scheduled visits for reproductive treatment or, alternatively, by the parents at home using a kit provided by the clinic.

  • PGT-ADiagnostic test

    On day 3 of development, assisted hatching will be performed to facilitate biopsy at the blastocyst stage. Each embryo will be biopsied in the laboratory using conventional trophectoderm (TE) biopsy techniques on day +5, +6, or +7 of development, depending on when they reach the appropriate blastocyst stage. After biopsy, blastocyst will be vitrified following the clinical routine protocol and store until the genetic results are available. The biopsy samples will be placed in a PCR tube labeled with its corresponding study-specific code and stored in a cold rack at 4°C before being transferred to a freezer at -20°C. Finally, the samples will be sent to the Igenomix for preimplantation genetic testing for aneuploidy.

  • TE rebiopsies and spent blastocyst media collectionGenetic

    After obtaining the PGT-A results, any embryo not genetically confirmed as euploid and without ploidy abnormalities will be thawed, washed, and cultured for rebiopsy. A complementary analysis using next-generation sequencing (NGS) techniques will be performed to confirm the diagnosis and determine the origin of the abnormalities. For this additional analysis, in addition to the new biopsies, the individual culture medium of each embryo will be aspirated after an incubation period of 8 to 24 hours. The collected medium will be placed in PCR tubes and stored in a freezer at -20°C before being sent to the laboratory.

    Regardless the result of these complementary analysis, no rebiopsied blastocyst will be considered for clinical purposes.

Study groups in NCT06940973
Study groupRoleWhat they receive
Blastocysts from abnormally fertilized oocytes during assisted reproductionDuring the conventional ICSI/IVF procedures in the laboratory, the embryologist observing fertilization will identify embryos with an abnormal pronuclear pattern and preselect them for the study. These embryos will be cultured in a time-lapse incubator following the laboratory's standard practice. All recorded morphokinetic parameters, along with the corresponding images, will be documented. Each embryo will be monitored, its developmental quality assessed and recorded to determine whether it reaches the blastocyst stage. If so, the researchers will contact the patient to ask consent for these embryos to be included in the study. Embryos with an abnormal pronuclear pattern that fail to reach the blastocyst stage due to developmental blockage will be discarded. No drugs or medical devices will be used.
Receives: Genetic: Parental samples; Diagnostic Test: PGT-A; Genetic: TE rebiopsies and spent blastocyst media collection

What is being measured

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

  1. Diploidy rate in haploid embryos from IVF/ICSI

    Number of 2PN blastocysts from abnormally fertilized oocytes (1PN)

    Measured: 3 months

  2. Diploidy rate in triploid embryos from IVF/ICSI

    Number of 2PN blastocysts from abnormally fertilized oocytes (2.1PN and 3PN)

    Measured: 3 months

Secondary outcomes (8)
  1. Origin of the chromosomal abnormalities in embryos with a non-diploid chromosomal content

    To determine the origin (maternal or paternal) of the chromosomal set that has been lost or gained.

    Measured: 6 months

  2. Pregnancy rate of euploid embryos from abnormal fertilization

    Number of patients with positive serum level of β-human chorionic gonadotropin (βhCG > 25 mIU/ml) per embryo transfer. Beta-hCG will be measured at day 12±2 after the embryo transfer.

    Measured: 2 weeks after the embryo transfer

  3. Implantation rate of euploid embryos from abnormal fertilization

    Number of gestational sacs observed by vaginal ultrasound divided by the number of embryos transferred.

    Measured: Up to 4 weeks after the embryo transfer

  4. Biochemical pregnancy rate of euploid embryos from abnormal fertilization

    Number of pregnancies diagnosed only by β-hCG detection without a gestational sac visualized by vaginal ultrasound, per number of pregnancies.

    Measured: 4 weeks after the embryo transfer with euploid embryos from abnormal fertilization

  5. Ectopic pregnancy rate of euploid embryos from abnormal fertilization

    Number of pregnancies outside the uterine cavity, diagnosed by ultrasound, surgical visualization or histopathology, per number of pregnancies.

    Measured: 4-5 weeks after the embryo transfer

  6. Clinical miscarriage rate of euploid embryos from abnormal fertilization

    Number of spontaneous pregnancy losses before week 12, in which a gestational sac/s was previously observed, per number of pregnancies.

    Measured: Up to 12 gestational weeks

  7. Ongoing pregnancy rate of euploid embryos from abnormal fertilization

    Number of pregnancies up to 12 gestational weeks (at least one fetus with a discernible heartbeat diagnosed) achieved per each embryo transfer.

    Measured: Over 12 gestational weeks

  8. Voluntary termination rate of euploid embryos from abnormal fertilization

    Number of voluntary terminations before week 12 per number of pregnancies.

    Measured: Up to 12 gestational weeks

Timeline

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

  1. First posted23 Apr 2025
  2. Study start2 Jul 2025
  3. Primary completionSep 2026 (estimated)
  4. Study completionSep 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
NCT06940973
Sponsor's protocol ID
EJC-SAFE-24-02
Acronym
SAFE
Status last verified
Aug 2026
First submitted
16 Apr 2025
Last updated
21 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Infertility (IVF Patients), run by Igenomix at 1 site in Spain.

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 3 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: looking for participants now, as of the sponsor's last update on 21 Aug 2026. 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 Spain. 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 Carlos A Gomez De La Cruz, BSc MSc (+34963905310, carlos.gomez@igenomix.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Diploidy rate in haploid embryos from IVF/ICSI (time frame: 3 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Aug 2026.

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