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Phase 1: Standardize and validate pure platelet-rich plasma (P-PRP) protocol
Aims:
To validate a standardized double-spin protocol for preparing pure platelet-rich plasma (P-PRP) in an IVF laboratory setting by assessing its platelet yield, purity, and reproducibility.
Outcomes
Primary outcome Platelet concentration in PRP Absolute platelet count in P-PRP and fold-increase compared to whole blood Secondary outcome Platelet recovery (%): (Platelet count in P-PRP × P-PRP volume) / (Whole blood platelet count × blood volume) × 100 Purity: White blood cell (WBC) concentration in P-PRP Growth factors :e.g.. VEGF, PDGF-AB, TGF-β, IGF-1… concentrations in plasma of PPP and P-PRP preparation Reproducibility Metrics: Coefficient of variation (CV%), intraclass correlation coefficient (ICC), and Bland-Altman limits of agreement for technical and biological duplicates.
Phase 2: Examine the effect of pure platelet-rich plasma (P-PRP) on sperm parameters Hypotheses and objectives Hypotheses The investigator hypothesizes that co-culture of semen with pure platelet-rich plasma (P-PRP) enhances sperm quality by increasing motility compared to standard culture medium without P-PRP (control group).
Primary outcome
- To compare total sperm motility after 24 hours of co-culture between semen samples co-cultured with P-PRP versus a control group (without P-PRP).
Secondary outcome
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Non-PRP group | Experimental | Sperm after washing without co-culture |
|
| PRP group | Experimental | Sperm after washing with PRP co-culture |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard culture | Other | Only sperm culture |
| |
| PRP culture |
| Measure | Description | Time Frame |
|---|---|---|
| Phase I: Platelet concentration in PRP | Absolute platelet count in P-PRP | Baseline |
| Phase II: total sperm motility | total sperm motility after 24 hours of co-culture between semen samples co-cultured with P-PRP versus a control group (without P-PRP). | Up to 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Phase I: Platelet recovery (%) | Platelet recovery (%)=(Platelet count in P-PRP × P-PRP volume) / (Whole blood platelet count × blood volume) × 100 in PRP | Baseline |
| VEGF | Growth factors VEGF concentration |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dr. Chung Pui Wah Jacqueline | Hong Kong | China |
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| ID | Term |
|---|---|
| D007246 | Infertility |
| ID | Term |
|---|---|
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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This study will validate the standardized double-spin P-PRP protocol and evaluate its effect on sperm motility and DNA fragmentation after semen co-culture. It aims to enhance sperm quality while ensuring reproducibility and accessibility in clinical practice.
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| Other |
PRP 2-5% will be co-culture with sperm |
|
| Up to 8 weeks |
| TGF-β | Growth factors PDGF-A concentration | Up to 8 weeks |
| IGF-1 | Growth factors IGF-1concentration | Up to 8 weeks |
| Sperm progressive motility | Sperm progressive motility | Up to 24 hours |
| Sperm non-progressive motility | Sperm non-progressive motility | Up to 24 hours |
| Sperm immotility | Sperm immotility | Up to 24 hours |