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NCT Number: NCT05837325

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

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.

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Key information

Age range

18 year–40 year

Sex eligibility

Female

Study type

Observational

Primary location

ART Fertility Clinics LLC

Abu Dhabi, Abu Dhabi Emirate, 60202, United Arab Emirates

Location status: Recruiting

Location contact

Barbara Lawrenz, PhD

CONTACT

[email protected]

0097126528000 ext. 1108

Ibrahim ElKhatib

SUB_INVESTIGATOR

Jonalyn Edades

CONTACT

[email protected]

0097126528000 ext. 1106

Laura Melado, PhD

PRINCIPAL_INVESTIGATOR

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

Exclusion criteria

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

Treatment and study plan

Oocyte Pick Up - Out of Study

Procedure

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

Denudation - Out of Study

Procedure

All oocytes are denuded together. Maturational stages are recorded.

ICSI

Procedure

One oocyte injected at a time.

Culture

Procedure

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

Biopsy

Genetic

One embryo per culture drop.

Vitrification

Procedure

One embryo per vitrification straw.

OPU - Study Group

Procedure

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 Group

Procedure

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

Primary outcomes

  1. Oocyte maturity

    Time frame: 1 day

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

  2. Fertilization

    Time frame: 1 day

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

  3. Blastulation

    Time frame: 1 day

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

  4. Blastocyst quality

    Time frame: 6 days

    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.

  5. Ploidy status

    Time frame: 14 days

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

  6. Mitochondria status

    Time frame: 14 days

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

Secondary outcomes

  1. AMH in the follicular fluid.

    Time frame: 1 day

    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.

  2. FSH in the follicular fluid.

    Time frame: 1 day

    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.

  3. LH in the follicular fluid.

    Time frame: 1 day

    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.

  4. E2 in the follicular fluid.

    Time frame: 1 day

    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.

  5. P4 in the follicular fluid.

    Time frame: 1 day

    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.

  6. Inhibin B in the follicular fluid.

    Time frame: 1 day

    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.

  7. AMH in serum day of OPU

    Time frame: 1 day

    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.

  8. FSH in serum day of OPU

    Time frame: 1 day

    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.

  9. LH in serum day of OPU

    Time frame: 1 day

    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.

  10. E2 in serum day of OPU

    Time frame: 1 day

    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.

  11. P4 in serum day of OPU

    Time frame: 1 day

    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.

  12. Inhibin B in serum day of OPU

    Time frame: 1 day

    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.

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

    Time frame: 1 day

    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.

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

    Time frame: 1 day

    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.

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

    Time frame: 1 day

    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.

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

    Time frame: 1 day

    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.

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

    Time frame: 1 day

    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.

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

    Time frame: 1 day

    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.

Study contacts

Contact information is provided by the study sponsor or research team.

Barbara Lawrenz, PhD

CONTACT

[email protected]

0097126528000 ext. 1108

Suzan Samir

CONTACT

[email protected]

0097126528000 ext. 1121

Sponsors and collaborators

Lead sponsor

ART Fertility Clinics LLC

Other

Registry information

Official study title

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

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
May 1, 2023
Registry last updated
Oct 2, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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