AzTrials
AzTrials

Infertility (IVF Patients)IO-CAPANCT07858435

Intra-ovarian CAPA-IVM vs Standard IVM

A study testing CAPA-IVM, In-House CAPA-IVM Pre-Maturation Medium and Minimal-Stimulation OS-IVF in people with Infertility (IVF Patients) and Infertility, run by New Hope Fertility Center at 1 site in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This prospective study compares two approaches to obtaining mature oocytes for fertility treatment within the same participant. Immature oocytes are first retrieved from the right ovary and matured in the laboratory using a two-step biphasic capacitation in vitro maturation method (CAPA-IVM). Read more about this study

Who is it for?
Ages 18 to 38 years, women only
What is being tested?
CAPA-IVM, In-House CAPA-IVM Pre-Maturation Medium and Minimal-Stimulation OS-IVF
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteUnited States
Study dates
Oct 2026to Oct 2027
Phase
Interventional
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 38 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Female, age 18 to 38 years.
  • Undergoing assisted reproductive treatment for infertility.
  • Both ovaries present and anatomically suitable for oocyte retrieval, with no prior oophorectomy.
  • Adequate ovarian reserve for study participation, including AMH greater than 0.5 ng/mL and antral follicle count greater than 6 per ovary.
  • Both ovaries considered suitable for their assigned study procedures: right ovary for CAPA-IVM and left ovary for minimal-stimulation OS-IVF.
  • Access to partner or donor sperm for fertilization/ICSI according to clinic protocol.
  • Willing and able to provide written informed consent and comply with study procedures and follow-up.

Who cannot join

  • Severe endometriosis, Stage III or IV.
  • Known diminished ovarian reserve with AMH less than 0.2 ng/mL, unless specifically permitted under an approved study amendment.
  • Active pelvic infection.
  • Untreated hydrosalpinx.
  • Known chromosomal abnormality in either reproductive partner, unless appropriate genetic testing is planned.
  • Contraindication to oocyte retrieval or sedation/anesthesia.
  • Any medical or gynecologic condition that, in the investigator's judgment, would interfere with study participation, oocyte retrieval, study procedures, or participant safety.

Trial locations and contacts

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

Clinical Coordinators contact

212-969-7461

coordinators@nhfc.com

United States1 site
  • New Hope Fertility Center

    New York, New York, 10021

    Clinical Coordinators, 212-969-7461, coordinators@nhfc.com

Other trials in United States

About this study

Official title: A Within-Patient Comparison of CAPA-IVM (Biphasic Capacitation IVM) With the Contralateral Ovary Undergoing Minimal Controlled Ovarian Stimulation (OS-IVF)

This prospective study compares two approaches to obtaining mature oocytes for fertility treatment within the same participant. Immature oocytes are first retrieved from the right ovary and matured in the laboratory using a two-step biphasic capacitation in vitro maturation method (CAPA-IVM). Beginning on Day 5 of the same menstrual cycle, the left ovary undergoes minimal controlled ovarian stimulation followed by routine oocyte retrieval and IVF/ICSI.

The primary objective is to evaluate the maturation of CAPA-IVM oocytes to the metaphase II (MII) stage and compare reproductive laboratory outcomes between the CAPA-IVM and minimal-stimulation OS-IVF approaches. Secondary outcomes include fertilization, embryo development, blastocyst formation, embryo quality, pregnancy and live birth outcomes, and safety.

Read the detailed description

This is a prospective, within-patient comparative study in women undergoing fertility treatment. Each participant serves as her own internal control. At the Day 3 baseline visit, the right ovary is assigned to the CAPA-IVM approach and the left ovary is assigned to minimal controlled ovarian stimulation followed by IVF/ICSI. Both approaches are performed within the same menstrual cycle.

For the CAPA-IVM arm, immature oocytes are retrieved from the right ovary beginning on or after menstrual cycle Day 3, before ovarian stimulation is initiated. The right ovary is not stimulated and does not receive an ovulation trigger before oocyte collection. Retrieved cumulus-oocyte complexes are handled separately, and immature oocytes at the germinal vesicle (GV) or metaphase I (MI) stage undergo a biphasic CAPA-IVM process consisting of an initial pre-maturation/capacitation phase followed by transfer to maturation conditions and assessment for development to the metaphase II (MII) stage.

After completion of right-ovary aspiration, minimal controlled ovarian stimulation of the left ovary begins on Day 5. The protocol uses clomiphene citrate for approximately 9 days and follitropin beta for approximately 3 days, with ultrasound and/or hormonal monitoring. Final oocyte maturation is initiated with leuprolide acetate as a GnRH-agonist trigger, followed by routine oocyte retrieval from the left ovary.

Mature oocytes obtained from both approaches may undergo ICSI according to New Hope Fertility Center clinical practice. Oocyte assessment and selection for ICSI, ICSI itself, and standard embryo culture are considered clinical procedures; the research-specific component is the CAPA-IVM maturation approach and the within-patient comparison of outcomes according to ovary of origin. Oocytes and embryos are tracked separately to maintain traceability throughout fertilization, embryo culture, and subsequent clinical outcomes.

The primary endpoint is the proportion of immature CAPA-IVM oocytes that mature to the MII stage. Secondary endpoints include fertilization rate, cleavage, blastocyst formation, high-quality blastocyst formation, implantation, clinical pregnancy, ongoing pregnancy, live birth, neonatal outcomes, and safety outcomes including procedure-related complications and ovarian reserve measures.

Being tested
CAPA-IVM, In-House CAPA-IVM Pre-Maturation Medium, Minimal-Stimulation OS-IVF
Keywords
In Vitro Maturation, IVM, CAPA-IVM, Biphasic In Vitro Maturation, Oocyte Maturation, Oocyte, Assisted Reproductive Technology, IVF, ICSI, Minimal Ovarian Stimulation, Controlled Ovarian Stimulation, Embryo Development, Blastocyst Formation, Female Infertility, Within-Patient Comparison
Medical subject headings
Infertility, Infertility, Female

What participants receive

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

  • CAPA-IVMProcedure or surgery

    Immature cumulus-oocyte complexes are retrieved from the right ovary before ovarian stimulation and undergo a biphasic CAPA-IVM process. The first phase is a pre-maturation/capacitation culture intended to maintain meiotic arrest while supporting developmental competence. Oocytes are then transferred to maturation conditions and assessed for maturation to metaphase II (MII). Mature oocytes may subsequently undergo ICSI and standard embryo culture according to clinical practice.

  • In-House CAPA-IVM Pre-Maturation MediumDevice

    An investigational in-house reproductive culture medium is used during the pre-maturation/capacitation phase of CAPA-IVM for immature cumulus-oocyte complexes. The proprietary formulation is prepared for use in the CAPA-IVM laboratory procedure. Following the pre-maturation phase, oocytes are transferred to maturation conditions and assessed for MII maturation.

  • Minimal-Stimulation OS-IVFProcedure or surgery

    After completion of right-ovary CAPA-IVM aspiration, minimal controlled ovarian stimulation of the left ovary begins on menstrual cycle Day 5. The regimen includes clomiphene citrate for approximately 9 days and follitropin beta for approximately 3 days with ultrasound and/or hormonal monitoring. Final oocyte maturation is initiated using leuprolide acetate as a GnRH-agonist trigger. Oocytes are subsequently retrieved from the left ovary and undergo standard IVF/ICSI and embryo culture according to clinical practice.

Study groups in NCT07858435
Study groupRoleWhat they receive
Within-Patient CAPA-IVM and Minimal-Stimulation OS-IVFExperimentalAll participants undergo a within-patient comparison in the same menstrual cycle. The right ovary undergoes retrieval of immature oocytes for CAPA-IVM beginning on or after menstrual cycle Day 3, before ovarian stimulation. The left ovary subsequently undergoes minimal controlled ovarian stimulation beginning on Day 5, followed by oocyte retrieval and standard IVF/ICSI. Outcomes are compared according to ovary and oocyte origin, with each participant serving as her own internal control.
Receives: Procedure: CAPA-IVM; Device: In-House CAPA-IVM Pre-Maturation Medium; Procedure: Minimal-Stimulation OS-IVF

What is being measured

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

  1. Maturation Rate to Metaphase II (MII) Following CAPA-IVM

    Proportion of immature oocytes retrieved from the CAPA-IVM ovary that reach the metaphase II (MII) stage after completion of the biphasic CAPA-IVM culture process. Maturation rate will be calculated as the number of oocytes reaching MII divided by the number of immature oocytes undergoing CAPA-IVM.

    Measured: Up to approximately 54 hours after initiation of CAPA-IVM culture

Secondary outcomes (13)
  1. Fertilization Rate

    Proportion of injected MII oocytes showing normal two-pronuclear (2PN) fertilization after ICSI, analyzed by ovary/treatment origin.

    Measured: At fertilization assessment following ICSI

  2. Cleavage Rate

    Proportion of normally fertilized embryos that undergo cleavage by embryo culture Day 2-3.

    Measured: Day 2-3 after fertilization

  3. Blastocyst Formation Rate

    Proportion of embryos developing to the blastocyst stage, analyzed according to CAPA-IVM or minimal-stimulation OS-IVF origin.

    Measured: Day 5-6 after fertilization

  4. High-Quality Blastocyst Rate

    Proportion of embryos meeting the center's predefined criteria for high-quality blastocyst morphology.

    Measured: Day 5-6 after fertilization

  5. Clinical Pregnancy Rate

    Proportion of embryo transfers resulting in a clinical pregnancy confirmed by ultrasound evidence of fetal cardiac activity.

    Measured: Approximately 7-8 weeks gestation

  6. Ongoing Pregnancy Rate

    Proportion of embryo transfers resulting in an ongoing pregnancy beyond 12 weeks gestation.

    Measured: Greater than 12 weeks gestation

  7. Live Birth Rate

    Proportion of embryo transfers resulting in a live birth. Outcomes will be analyzed according to embryo origin when traceable.

    Measured: At delivery, up to approximately 10 months after embryo transfer

  8. Procedure-Related and Treatment-Related Adverse Events

    Incidence of adverse events including ovarian hyperstimulation syndrome, egg-retrieval complications, sedation/anesthesia complications, and other study-related adverse events.

    Measured: From initiation of study treatment through 6 months after treatment

  9. Change in Serum Anti-Müllerian Hormone (AMH)

    Change in serum AMH concentration from baseline to the follow-up ovarian-reserve assessment.

    Measured: Baseline and 3-6 months after treatment

  10. Gestational Age at Delivery

    Gestational age at delivery among live-born infants resulting from embryos included in the study.

    Measured: At delivery

  11. Change in Antral Follicle Count (AFC)

    Change in antral follicle count from baseline to the follow-up ovarian-reserve assessment.

    Measured: Baseline and 3-6 months after treatment

  12. Birth Weight

    Birth weight of live-born infants resulting from embryos included in the study.

    Measured: At birth

  13. Reported Congenital Anomalies

    Number and proportion of live-born infants with one or more congenital anomalies documented at birth.

    Measured: At birth

Timeline

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

  1. First posted5 Oct 2026
  2. Study startOct 2026 (estimated)
  3. Primary completionMar 2027 (estimated)
  4. Study completionOct 2027 (estimated)

Resources

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
Not applicable
Intervention model
Single group
Model description
All participants undergo the same prospective within-patient paired comparison. The right ovary is assigned to CAPA-IVM and the left ovary is assigned to minimal-stimulation OS-IVF. Immature oocytes are retrieved from the right ovary for CAPA-IVM beginning on or after menstrual cycle Day 3, before ovarian stimulation. Minimal stimulation of the left ovary begins on Day 5 of the same menstrual cycle, followed by oocyte retrieval and standard IVF/ICSI. Outcomes are compared according to ovary and oocyte origin, with each participant serving as her own internal control.
Masking
None (open label)
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07858435
Sponsor's protocol ID
IVM-001
Acronym
IO-CAPA
Status last verified
Sep 2026
First submitted
24 Sep 2026
Last updated
5 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No: Individual participant data are not currently planned to be made publicly available. Study results may be published or presented in aggregate form without identifying individual participants.

Publications

  • Gilchrist RB, Ho TM, De Vos M, Sanchez F, Romero S, Ledger WL, Anckaert E, Vuong LN, Smitz J. A fresh start for IVM: capacitating the oocyte for development using pre-IVM. Hum Reprod Update. 2024 Jan 3;30(1):3-25. doi: 10.1093/humupd/dmad023.

    PubMed 37639630
  • Vuong LN, Ho VNA, Ho TM, Dang VQ, Phung TH, Giang NH, Le AH, Pham TD, Wang R, Smitz J, Gilchrist RB, Norman RJ, Mol BW. In-vitro maturation of oocytes versus conventional IVF in women with infertility and a high antral follicle count: a randomized non-inferiority controlled trial. Hum Reprod. 2020 Nov 1;35(11):2537-2547. doi: 10.1093/humrep/deaa240.

    PubMed 32974672
  • Vuong LN, Le AH, Ho VNA, Pham TD, Sanchez F, Romero S, De Vos M, Ho TM, Gilchrist RB, Smitz J. Live births after oocyte in vitro maturation with a prematuration step in women with polycystic ovary syndrome. J Assist Reprod Genet. 2020 Feb;37(2):347-357. doi: 10.1007/s10815-019-01677-6. Epub 2020 Jan 4.

    PubMed 31902102
  • Sanchez F, Le AH, Ho VNA, Romero S, Van Ranst H, De Vos M, Gilchrist RB, Ho TM, Vuong LN, Smitz J. Biphasic in vitro maturation (CAPA-IVM) specifically improves the developmental capacity of oocytes from small antral follicles. J Assist Reprod Genet. 2019 Oct;36(10):2135-2144. doi: 10.1007/s10815-019-01551-5. Epub 2019 Aug 9.

    PubMed 31399916

Questions about this trial

What is this clinical trial studying?

A study testing CAPA-IVM, In-House CAPA-IVM Pre-Maturation Medium and Minimal-Stimulation OS-IVF in people with Infertility (IVF Patients) and Infertility, run by New Hope Fertility Center at 1 site in United States.

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 7 inclusion and 7 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: opening soon, as of the sponsor's last update on 5 Oct 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 United States. 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 Clinical Coordinators (212-969-7461, coordinators@nhfc.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maturation Rate to Metaphase II (MII) Following CAPA-IVM (time frame: Up to approximately 54 hours after initiation of CAPA-IVM culture). 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 NCT07858435, which also lists 4 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 5 Oct 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in