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The study of implantation potential of the embryo stay a priority in In Vitro Fertilization (IVF). Indeed, the selection of embryos to transfer is actually based in routine check on morphologic criteria, approved by literature but not perfect. Implantation's markers identification, allowing to choose the embryo(s) to transfer and then decrease pregnancy failure, represent a major issue in IVF, not any biomarker being approved yet.
Among factors regulating embryonic implantation, investigators have recently proposed soluble CD146, coming from proteolytic cleavage of the CD146 membrane, angiogenic bond molecule.
In a monocentric study about 222 transferred embryos at the end of IVF try, investigators showed that the sCD146 dose in the embryonic culture environment reflected the implantation ability of embryo, a high rate showing a low implantation potential and this independently of the embryonic quality. A multicentric prospective study is now required to confirm the utility of this dosage in clinical practice.
Primary objective : Compared 2 frozen embryo transfer (FET) strategies in terms of implantation efficiency, according to choice method of embryo to be transferred :
Expected Results :
Methodology :
- Multicentric prospective study with 2 groups of Frozen Embryo Transfer (FET); The calculation of the number of staff required includes 151 couples per group.
For this will be include for 24 months, couples benefiting of freezing at least one of the two embryos and transfer of only one FET.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard strategy | According to embryo quality (morphologic criteria) | ||
| Experimental strategy | Association of embryo quality and sCD146 rate |
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| Measure | Description | Time Frame |
|---|---|---|
| Beginner pregnancy rate at 1st transfer (%) | Corresponds to number of defined pregnancy by plasmatic quantity of hCG (human chorionic gonadotropin) >100 UI/l 15 days after FET/number of FET. | 0 to 9 months after FET |
| Measure | Description | Time Frame |
|---|---|---|
| Beginner pregnancy rate at 2nd or 3rd transfer | Corresponds to number of defined pregnancy by plasmatic quantity of hCG >100 UI/l 15 days after FET/number of FET. | 0 to 9 months after FET |
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Pre Inclusion Criteria:
Inclusion Criteria:
- FET realization in the selected population
Exclusion Criteria:
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Couples benefiting of at least one of the two embryos and a transfer of one frozen embryo (FET)
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Odile Lacroix-Paulmyer, PUPH | Contact | +33 (0)4 91 38 13 78 | odile.lacroix-paulmyer@ap-hm.fr |
| Name | Affiliation | Role |
|---|---|---|
| Jean Olivier Arnaud | Assistance Publique Hôpitaux de Marseille | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de Biologie de la Reproduction | Marseille | 13005 | France |
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