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Investigational Oocyte Cryopreservation for Medical and Non Medical Indications

Primary Purpose

Infertility, Female, Deferred Childbearing

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Investigational Oocyte Cryopreservation
Sponsored by
University of Illinois at Chicago
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Infertility, Female

Eligibility Criteria

18 Years - 40 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Women aged >18 and < 40years
  • Women able to defer definitive cancer therapy for 21 to 30 days
  • Women diagnosed with cancer or any disease whose treatment or its progression may impair their reproductive potential (this would include but not be limited to cancer patients requiring treatment with chemotherapy or radiation, patients with rheumatologic diseases such as lupus, rheumatoid arthritis and ulcerative colitis and patients with genetic predisposition to cancers
  • Women undergoing standard In Vitro Fertilization to treat infertility who experience unforeseen events that halts the treatment cycle
  • Women seeking oocyte cryopreservation for non medical reasons, such as deferred childbearing
  • Women who are carriers of BRCA mutations predisposing them to cancer
  • Otherwise healthy females
  • Ability and willingness to comply with study protocol
  • Informed written consent, prior to any study-related procedure not part of normal care, with the understanding that the subject may withdraw consent at any time without prejudice to their future medical care

Exclusion Criteria:

  • Current pregnancy
  • Serum FSH > 10 mIU/ml for patients having egg freezing for a medical indication
  • Serum FSH > 10 mIU/ml for patients having egg freezing for social reasons
  • Women with psychological, psychiatric, or other conditions which prevent giving fully informed consent (Post Traumatic Stress Disorder, severe depression, bipolar disorder, schizophrenia, severe anxiety and inability to cope)
  • Patients with extensive disease whose therapy is deemed palliative by the medical oncologist

Sites / Locations

  • University of Illinois Hospital & Health Sciences System - IVF Program in the Fertility Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Investigational Oocyte Cryopreservation

Arm Description

All subjects will undergo controlled ovarian hyperstimulation. They will be treated with variable dosages of injectable gonadotrophins over a period of 8 to 12 days. Response will be monitored using vaginal ultrasound and serum estradiol levels. When appropriate follicle maturation has been achieved, a single dose of human chorionic gonadotropin (hCG) will be administered to induce final oocyte maturation. Thirty-six hours after hCG administration, the subject will undergo standard transvaginal oocyte retrieval under ultrasound guidance. The procedure takes approximately 20 minutes and is carried out under conscious sedation with Fentanyl and Versed. The oocytes are immediately handed off to the embryology technicians in the IVF laboratory.

Outcomes

Primary Outcome Measures

Assessing the impact of the process of oocyte cryopreservation
Fertility focused quality of life questionnaire (FertiQol)
Assessing the impact of the process of oocyte cryopreservation
Structured interview
Assessing the comparison between cancer patients and women for non-medical undergoing oocyte cryopreservation
Fertility focused quality of life questionnaire (FertiQol)
Assessing the comparison between cancer patients and women for non-medical undergoing oocyte cryopreservation
Structured interview

Secondary Outcome Measures

Full Information

First Posted
October 30, 2020
Last Updated
March 20, 2023
Sponsor
University of Illinois at Chicago
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1. Study Identification

Unique Protocol Identification Number
NCT04616417
Brief Title
Investigational Oocyte Cryopreservation for Medical and Non Medical Indications
Official Title
Investigational Oocyte Cryopreservation for Medical and Non Medical Indications
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
May 8, 2015 (Actual)
Primary Completion Date
March 20, 2023 (Actual)
Study Completion Date
March 20, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Illinois at Chicago

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a prospective study to assess the long term benefits and outcomes of the existing oocyte cryopreservation methods for fertility preservation in women with a potential medical or non medical risk of loss of fertility
Detailed Description
This is a prospective study to assess the long term benefits and outcomes of the existing oocyte cryopreservation methods for fertility preservation in women with a potential medical or non medical risk of loss of fertility. Women wishing to preserve their oocytes using cryopreservation will be informed of the risk and limitations of the procedures involved in ovarian hyperstimulation, oocyte recovery, cryopreservation and subsequent viability after warming. Women who consent to the procedure will undergo standard controlled ovarian hyperstimulation (COH) and oocyte retrieval procedures currently in use for IVF. Following harvest all eggs obtained will be evaluated for degree of fragmentation and maturation status. The oocytes will be cryopreserved using kits of media and devices currently approved for use in the vitrification of fertilized eggs and embryos, and the cryopreserved oocytes will be stored for future patient use in a long term storage facility in Minnesota (Reprotech Ltd.). Patients with stored oocytes will be contacted annually to determine the outcome of any oocyte warming procedures (oocyte thawing, fertilization and embryo transfer). We will obtain a structured fertility focused quality of life questionnaire (FertiQol) and survey to assess one year after harvest the impact of the process. We will compare cancer patients to those patients undergoing oocyte cryopreservation for non-medical reasons

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Infertility, Female, Deferred Childbearing

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Investigational Oocyte Cryopreservation
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Investigational Oocyte Cryopreservation
Arm Type
Experimental
Arm Description
All subjects will undergo controlled ovarian hyperstimulation. They will be treated with variable dosages of injectable gonadotrophins over a period of 8 to 12 days. Response will be monitored using vaginal ultrasound and serum estradiol levels. When appropriate follicle maturation has been achieved, a single dose of human chorionic gonadotropin (hCG) will be administered to induce final oocyte maturation. Thirty-six hours after hCG administration, the subject will undergo standard transvaginal oocyte retrieval under ultrasound guidance. The procedure takes approximately 20 minutes and is carried out under conscious sedation with Fentanyl and Versed. The oocytes are immediately handed off to the embryology technicians in the IVF laboratory.
Intervention Type
Procedure
Intervention Name(s)
Investigational Oocyte Cryopreservation
Intervention Description
Transvaginal oocyte retrieval under ultrasound guidance
Primary Outcome Measure Information:
Title
Assessing the impact of the process of oocyte cryopreservation
Description
Fertility focused quality of life questionnaire (FertiQol)
Time Frame
1 year
Title
Assessing the impact of the process of oocyte cryopreservation
Description
Structured interview
Time Frame
1 year
Title
Assessing the comparison between cancer patients and women for non-medical undergoing oocyte cryopreservation
Description
Fertility focused quality of life questionnaire (FertiQol)
Time Frame
1 year
Title
Assessing the comparison between cancer patients and women for non-medical undergoing oocyte cryopreservation
Description
Structured interview
Time Frame
1 year

10. Eligibility

Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Women aged >18 and < 40years Women able to defer definitive cancer therapy for 21 to 30 days Women diagnosed with cancer or any disease whose treatment or its progression may impair their reproductive potential (this would include but not be limited to cancer patients requiring treatment with chemotherapy or radiation, patients with rheumatologic diseases such as lupus, rheumatoid arthritis and ulcerative colitis and patients with genetic predisposition to cancers Women undergoing standard In Vitro Fertilization to treat infertility who experience unforeseen events that halts the treatment cycle Women seeking oocyte cryopreservation for non medical reasons, such as deferred childbearing Women who are carriers of BRCA mutations predisposing them to cancer Otherwise healthy females Ability and willingness to comply with study protocol Informed written consent, prior to any study-related procedure not part of normal care, with the understanding that the subject may withdraw consent at any time without prejudice to their future medical care Exclusion Criteria: Current pregnancy Serum FSH > 10 mIU/ml for patients having egg freezing for a medical indication Serum FSH > 10 mIU/ml for patients having egg freezing for social reasons Women with psychological, psychiatric, or other conditions which prevent giving fully informed consent (Post Traumatic Stress Disorder, severe depression, bipolar disorder, schizophrenia, severe anxiety and inability to cope) Patients with extensive disease whose therapy is deemed palliative by the medical oncologist
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sana Salih, MD
Organizational Affiliation
University of Illinois at Chicago
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Illinois Hospital & Health Sciences System - IVF Program in the Fertility Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States

12. IPD Sharing Statement

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Investigational Oocyte Cryopreservation for Medical and Non Medical Indications

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