基于子宫内膜容受性检测的 PCOS 患者个体化胚胎移植策略研究

注册号:

Registration number:

ChiCTR2200064131 

最近更新日期:

Date of Last Refreshed on:

2023-06-18 18:22:39 

注册时间:

Date of Registration:

2022-09-27 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于子宫内膜容受性检测的 PCOS 患者个体化胚胎移植策略研究

Public title:

Efficacy of personalized embryo transfer based on endometrial receptivity test in patients with polycystic ovarian syndrome (PCOS)

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于子宫内膜容受性检测的 PCOS 患者个体化胚胎移植策略研究

Scientific title:

Efficacy of personalized embryo transfer based on endometrial receptivity test in patients with polycystic ovarian syndrome (PCOS)

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

陈晶晶 

研究负责人:

李艳萍 

Applicant:

Chen Jingjing 

Study leader:

Li Yanping 

申请注册联系人电话:

Applicant telephone:

+86 15874861692

研究负责人电话:

Study leader's
telephone:

+86 13607317798

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

cjj619@163.com

研究负责人电子邮件:

Study leader's E-mail:

liyanp@csu.edu.cn

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

湖南省长沙市开福区87号

研究负责人通讯地址:

湖南省长沙市开福区87号

Applicant address:

87 Xiangya Road, Kaifu District, Changsha, Hu'nan

Study leader's address:

87 Xiangya Road, Kaifu District, Changsha, Hu'nan

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

中南大学湘雅医院

Applicant's institution:

Xiangya Hospital, Central South University

研究负责人所在单位:

中南大学湘雅医院

Affiliation of the Leader:

Xiangya Hospital, Central South University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

伦审科第(202112604-2)号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

中南大学湘雅医院生殖医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Xiangya Hospital Central South University

伦理委员会批准日期:

Date of approved by ethic committee:

2022-07-28 00:00:00

伦理委员会联系人:

肖佩君

Contact Name of the ethic committee:

Xiao Peijun

伦理委员会联系地址:

湖南省长沙市开福区87号

Contact Address of the ethic committee:

87 Xiangya Road, Kaifu District, Changsha, Hu'nan

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

中南大学湘雅医院

Primary sponsor:

Xiangya Hospital, Central South University

研究实施负责(组长)单位地址:

湖南省长沙市开福区87号

Primary sponsor's address:

87 Xiangya Road, Kaifu District, Changsha, Hu'nan

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

湖南

市(区县):

长沙

Country:

China

Province:

Hu'nan

City:

Changsha

单位(医院):

中南大学湘雅医院

具体地址:

开福区87号

Institution
hospital:

Xiangya Hospital, Central South University

Address:

87 Xiangya Road, Kaifu District

经费或物资来源:

国家重点研发计划项目

Source(s) of funding:

The National Key Research and Development Program

研究疾病:

多囊卵巢综合征  

Target disease:

polycystic ovarian syndrome

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

1、探究ERT指导的个体化胚胎移植对PCOS不孕症患者妊娠结局的影响; 2、探究不同亚型PCOS患者种植窗的转录组学特征及种植窗偏移的发生率。  

Objectives of Study:

1. Evaluating the efficacy of personalized embryo transfer (pET) based on endometrial receptivity test (ERT) in infertile patients with polycystic ovarian syndrome; 2. Evaluating the transcriptomic signature and an incidence of a displaced window of implantation of patients with different phenotypes of polycystic ovarian syndrome.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1、伴有子宫内膜疾病,包括宫腔粘连,子宫内膜结核、子宫内膜非典型增生、未经处理的子宫内膜息肉及子宫内膜炎等;
2、伴有子宫其他疾病,包括子宫畸形,宫腔纵膈,肌壁间肌瘤压迫宫腔线等;
3、未经处理的输卵管积液;
4、III-IV 期子宫内膜异位症;
5、伴有其他影响胚胎着床和妊娠结局的疾病,如血栓前状态、免疫系统疾病(系统性红斑狼疮、干燥综合征等)、恶性肿瘤,未经控制的糖尿病、高血压等;
6、反复种植失败患者,定义为曾接受2次及2次以上胚胎移植,移植2枚优质囊胚或4枚优质卵裂期胚胎未孕者;
7、曾行卵巢楔形切除术或卵巢打孔的患者;
8、近3月曾使用过雄激素抑制剂、避孕药等治疗患者;
9、复发性流产患者,定义为曾有3次及以上妊娠丢失经历(包括生化妊娠);
10、其他研究者认为不适合参加本研究的情况,例如:精神因素等。

Exclusion criteria:

1. Accompany with endometrial diseases, including intrauterine adhesions, endometrial tuberculosis, atypical endometrial hyperplasia, untreated endometrial polyps or endometritis, etc.;
2. Accompany with uterine diseases, including uterine malformation, uterine mediastinum, intramural fibroids compressing the uterine cavity line, etc.;
3. Untreated severe hydrosalpinx;
4. Stage III-IV endometriosis;
5. Accompaned with other diseases that affect embryo implantation, such as prethrombotic state, immune system diseases (systemic lupus erythematosus, Sjgren's syndrome, etc.), malignant tumors, uncontrolled diabetes, hypertension, etc.;
6. Patients with repeated implantation failure, defined as have received 2 or more embryo transfers cycles, transferred 2 high-quality blastocysts or 4 high-quality cleavage-stage embryos without pregnancy;
7. Patients who have undergone ovarian wedge resection or ovarian drilling;
8. Patients who have used androgen inhibitors, contraceptives, etc. in the past 3 months;
9. Patients with recurrent miscarriage, defined as having experienced 3 or more pregnancy losses (including biochemical pregnancy);
10. Other factors that researchers consider unsuitable to participate in this study, such as mental factors, etc.

研究实施时间:

Study execute time:

From 2022-07-31 00:00:00 To 2024-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-10-01 00:00:00 To 2024-11-30 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

62

Group:

Experimental group

Sample size:

干预措施:

接受子宫内膜容受性检测指导的个体化胚胎移植

干预措施代码:

Intervention:

receiving personalized embryo transfer based on endometrial receptivity test

Intervention code:

组别:

对照组

样本量:

62

Group:

Control group

Sample size:

干预措施:

接受常规胚胎移植

干预措施代码:

Intervention:

Receiving conventional embryo transfer

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

湖南 

市(区县):

长沙 

Country:

China

Province:

Hu'nan

City:

Changsha

单位(医院):

中南大学湘雅医院 

单位级别:

三级甲等 

Institution
hospital:

Xiangya Hospital, Central South University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

宫内临床妊娠率

指标类型:

主要指标

Outcome:

Intrauterine clinical pregnancy rate

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生化妊娠率

指标类型:

次要指标

Outcome:

Biochemical pregnancy rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胚胎种植率

指标类型:

次要指标

Outcome:

Embryo implantation rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

持续妊娠率

指标类型:

次要指标

Outcome:

Ongoing clinical pregnancy rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

活产率

指标类型:

次要指标

Outcome:

Live birth rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

异位妊娠率

指标类型:

次要指标

Outcome:

Ectopic pregnancy rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

流产率

指标类型:

次要指标

Outcome:

Miscarriage rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

多胎妊娠率

指标类型:

次要指标

Outcome:

Multiple pregnancy rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

子宫内膜

组织:

子宫腔

Sample Name:

Endometrium

Tissue:

Uterine cavity

人体标本去向

使用后保存  

说明

Fate of sample:

Preservation after use  

Note:

标本中文名:

宫腔液

组织:

子宫腔

Sample Name:

uterine fluid

Tissue:

Uterine cavity

人体标本去向

使用后保存  

说明

Fate of sample:

Preservation after use  

Note:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后保存  

说明

Fate of sample:

Preservation after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 20 years
最大 Max age 35 years

性别:

女性

Gender:

Female

随机方法(请说明由何人用什么方法产生随机序列):

由主治医师负责,依据随机数字表随机入组。

Randomization Procedure (please state who generates the random number sequence and by what method):

Patients were randomized according to the random number table performed by the doctor.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

N/A

Blinding:

N/A

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

原始数据不公开

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Raw data won't be disclosed.

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

病例报告表及电子采集和管理系统

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Case Record Form and Electronic Data Capture

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2022-09-27 17:31:15