University Hospital of Nancy (CHRU Nancy)
Nancy, France
NCT Number: NCT07468331
Since the 2021 revision of French bioethics laws, access to assisted reproductive technologies (ART) has expanded, leading to a significant increase in gamete donation requests. In this context, oocyte donation remains a limited resource, with marked disparities between centers and persistent donor shortages.
At the Assisted Reproductive Technology Center of Nancy University Hospital, more than fifty women have initiated an oocyte donation process since the implementation of the new legislation. However, not all candidates complete the donation pathway, and clinical and organizational outcomes have not yet been formally evaluated.
This retrospective observational study will evaluate the oocyte donation pathway at the Assisted Reproductive Technology Center of Nancy University Hospital. The study population will include all women who attended a biological consultation for primary or secondary oocyte donation from the implementation of the new Bioethics laws until December 31, 2025 (study period).
Baseline clinical and biological characteristics of donor candidates will be described, including age, body mass index, anti-Müllerian hormone level, and antral follicle count.
The proportion of donor candidates undergoing oocyte retrieval and the time interval between the first biological consultation and oocyte retrieval will be assessed.
Biological and clinical outcomes will also be analyzed, including the number of oocytes retrieved, the number of mature oocytes (metaphase II) obtained, fertilization rate following in vitro fertilization, clinical pregnancy rate per embryo transfer, and live birth rate.
Results will be compared with national data reported by the French Biomedicine Agency in order to evaluate the activity and outcomes of the center and to identify potential areas for organizational and clinical improvement in the oocyte donation pathway.
The overall objective is to optimize donor management and improve access to oocyte donation for recipient patients.
Trial opening soon.
Get Notified18 year–38 year
Female
Observational
Nancy, France
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Time frame: From the first biological consultation until oocyte retrieval, assessed up to 12 months
Proportion of patients who underwent oocyte retrieval following ovarian stimulation among all donor candidates who attended a biological consultation for oocyte donation at Nancy University Hospital during the study period.
The outcome will be reported as a percentage (number of oocyte retrieval procedures divided by the total number of donor candidates evaluated).
Time frame: At the time of oocyte retrieval procedure, approximately 14-16 days after the start of ovarian stimulation
Total number of oocytes collected during transvaginal oocyte retrieval divided by the number of retrieval procedures performed.
Time frame: From the first biological consultation until oocyte retrieval, assessed up to 12 months
Mean time interval between the first biological consultation for oocyte donation and the oocyte retrieval procedure among donor candidates who completed ovarian stimulation and underwent oocyte retrieval. The time interval will be calculated in months.
Time frame: At the time of oocyte retrieval procedure, approximately 14-16 days after the start of ovarian stimulation
Median number of mature oocytes at the metaphase II stage obtained per oocyte retrieval procedure. Only oocytes classified as metaphase II at the time of assessment in the embryology laboratory will be included in the calculation.
Time frame: 1 day after fertilization
Proportion of normally fertilized oocytes (two pronuclei) among the total number of inseminated or injected mature oocytes.
Time frame: From embryo transfer until confirmation of clinical pregnancy by ultrasound, assessed up to 8 weeks after embryo transfer
Proportion of embryo transfer cycles resulting in a clinical pregnancy defined as the presence of an intrauterine gestational sac with fetal heartbeat detected by ultrasound.
Time frame: From embryo transfer until delivery, assessed up to 41 weeks of gestation
Proportion of embryo transfer cycles resulting in at least one live birth.
Time frame: Baseline (at first biological consultation)
Age of women evaluated for oocyte donation at the time of the first biological consultation. Results will be summarized using mean and median values.
Time frame: Baseline (at first biological consultation)
Body Mass Index calculated from weight (kg) and height (m) recorded at the time of the first biological consultation, using the standard formula: BMI = weight (kg) / height (m²). BMI will be reported in kg/m².
Time frame: Baseline (at first biological consultation)
Serum anti-Müllerian hormone (AMH) level measured in ng/mL at the time of the first biological consultation.
Time frame: Baseline (at first biological consultation)
Number of antral follicles measured by transvaginal ultrasound during the initial evaluation for oocyte donation.
Contact information is provided by the study sponsor or research team.
Central Hospital, Nancy, France
Other
DONOVO-Nancy: Egg Donation at the Assisted Reproductive Technology (ART) Center of the Nancy University Hospital: an Overview of the Donor Journey Since the Revisions to the Bioethics Laws
Acronym: DONOVO-Nancy
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