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Infertility FemaleKARU-FERTILNCT07231510

Chlordecone Exposure and Female Fertility

An observational study of Infertility Female, run by Centre Hospitalier Universitaire de la Guadeloupe at 1 site in Guadeloupe.

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

Chlordecone is an organochlorine pesticide used in the French West Indies (FWI) from 1972 to 1993 to control the banana root borer. Due to its very long persistence the population continues to be exposed to this chemical through their food consumptions. Read more about this study

Who is it for?
Ages 18 to 39 years, women only
Conditions the study is for
Infertility Female
How many people
634 participants
Where
1 siteGuadeloupe
Study dates
26 Jan 2024to 26 Jan 2028
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 39 years
  • Women only
  • No healthy volunteers
  • Adult

Study population: Women consulting for couple infertility in Guadeloupe.

Who may be able to join

  • Women aged from 18 to 39 years
  • Consulting for couple infertility at the Centre Caribéen de Médecine de la Reproduction (CCMR, Caribbean Center for Reproductive Medicine) of the University Hospital of Guadeloupe
  • Free, informed and written consent

Who cannot join

  • Women aged from 18 to 39 years
  • Consulting for couple infertility at the Centre Caribéen de Médecine de la Reproduction (CCMR, Caribbean Center for Reproductive Medicine) of the University Hospital of Guadeloupe
  • Free, informed and written consent

Trial locations and contacts

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

Guadeloupe1 site, 1 recruiting
  • Chu de La Guadeloupe

    Pointe-à-Pitre, 97159

    Léah MICHINEAU, +590690483336, leah.michineau@inserm.fr

    melanie.petapermal@chu-guadeloupe.fr

    Recruiting

Other trials in Guadeloupe

About this study

Official title: KARU-FERTIL: Chlordecone Exposure and Female Fertility

Chlordecone is an organochlorine pesticide used in the French West Indies (FWI) from 1972 to 1993 to control the banana root borer. Due to its very long persistence the population continues to be exposed to this chemical through their food consumptions. Although, chlordecone have been associated in animal study impairment of ovarian reserve, to date, no study has been published concerning the link between chlordecone exposure and female fertility. The main objective of this project is to study the association between chlordecone exposure and anti-mullerian hormone (AMH) in women consulting for couple infertility in Guadeloupe.

Read the detailed description

Chlordecone is an organochlorine pesticide used in the French West Indies (FWI) from 1972 to 1993 to control the banana root borer. Due to its very long persistence the population continues to be exposed to this chemical through their food consumptions. Chlordecone is an endocrine-disrupting chemical with well-defined estrogenic and progestagenic properties in vivo and in vitro. To date, no study has been published concerning the link between chlordecone exposure and female fertility. Nevertheless, mammalian studies in females have consistently reported that chlordecone exposure impairs ovulation and leads to a reduced ovarian reserve. In addition, there are questions about the impact of other environmental exposures, including by non-targeted approaches, and also of the vaginal and endometrial microbiome on female fertility.

Keywords
polycystic ovarian syndrome, endometriosis, female infertility,, ovarian reserve, environmental exposures, chlordecone, kepone
Medical subject headings
Infertility, Female, Polycystic Ovary Syndrome, Endometriosis

What is being measured

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

  1. Levels of AMH according to terciles of chlordecone levels.

    The purpose is to study the association between chlordecone exposure and AMH levels in women consulting for couple infertility in Guadeloupe.

    Measured: AMH levels will be measured during the assessment conducted for assisted reproductive technology (ART) and will date from less than one year before inclusion

Secondary outcomes (4)
  1. Number of antral follicles according to terciles of chlordecone levels.

    Transvaginal ultrasound for antral follicle count will be performed between days 2 and 4 of the spontaneous menstrual cycle, the number of antral follicles corresponds to the total number of antral follicles in both ovaries, with a diameter between 2 and 10 mm.

    Measured: between days 2 and 4 of the spontaneous menstrual cycle

  2. AMH levels and antral follicle count according to the levels of other POPs

    AMH levels and antral follicle count

    Measured: baseline

  3. relationship between exposure to chlordecone and other POPs and the risk of the main causes of female infertility

    main causes of female infertility : Endometriosis ; Polycystic ovary syndrome (PCOS) ; Decreased ovarian reserve

    Measured: baseline

  4. Chlordecone levels according to the outcomes of IVF/ICSI management:

    relationship between occupational exposure to solvents and others factors described :

    • Endometrial thickness,
    • Peak estraiol,
    • Number of oocytes collected,
    • Number of mature oocytes collected,
    • Number of zygotes,
    • Embryo quality,
    • Blastocyst number,
    • Number of frozen embryos,
    • Biological pregnancy,
    • Clinical pregnancy,
    • Live birth.

    Measured: changes from baseline to 2 years after

Timeline

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

  1. First posted17 Nov 2025
  2. Study start26 Jan 2024
  3. Primary completion26 Jan 2026 (estimated)
  4. Study completion26 Jan 2028 (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
634 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07231510
Sponsor's protocol ID
PAP_RIPH2_2023/08
Other IDs
2023-A01755-40
Acronym
KARU-FERTIL
Status last verified
Nov 2025
First submitted
14 Nov 2025
Last updated
17 Nov 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Infertility Female, run by Centre Hospitalier Universitaire de la Guadeloupe at 1 site in Guadeloupe.

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 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: looking for participants now, as of the sponsor's last update on 17 Nov 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 Guadeloupe. 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 Mélanie petapermal (+590590934667, melanie.petapermal@chu-guadeloupe.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Levels of AMH according to terciles of chlordecone levels. (time frame: AMH levels will be measured during the assessment conducted for assisted reproductive technology (ART) and will date from less than one year before inclusion). 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 17 Nov 2025.

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