Aurora Test for ART Donor Patients (AURORA-Donor)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: AURORA-Donor.
- Who it may be relevant to
- Registry conditions: Infertility. Basic parameters: 18 years — 35 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Spain
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
An Observational Study to Evaluate the Expression Profiles of Oocyte-potency-related Genes in Cumulus Cells of Women Treated With Human Recombinant FSH (Hr-FSH)and Triggered With GnRH Agonist in an Oocyte Donation Program
Overview
This is a randomized observational study. The main aim is to determine potential oocyte competence predictive mRNA expression profiles in the cumulus cells isolated form individual oocytes. In 2 patient cohorts: 1)GnRH Antagonist \& hr-FSH with GnRH Agonist trigger, 2) Progesterone \& hr-FSH with GnRH Agonist trigger.
Interventions
- Other AURORA-Donor
Explorative study of cumulus cells gene expression in relation to the oocyte competence for good quality blastocyst formation and predictive for clinical pregnancy.
Primary outcome measures
- Basic clinical donor patient and stimulation characteristics: P4 [Time frame: During ovarian stimulation (max 3 weeks)]
- Basic clinical donor patient and stimulation characteristics: E2 [Time frame: During ovarian stimulation (max 3 weeks)]
- Basic clinical donor patient and stimulation characteristics: Gonadotropin type and dose [Time frame: During ovarian stimulation (max 3 weeks)]
- Clinical evaluation: number of Follicles [Time frame: During ovarian stimulation (max 3 weeks)]
- Clinical evaluation: number of cumulus-oocyte complex [Time frame: Day 1 of embryo culture]
- Clinical evaluation: Meiosis II oocytes [Time frame: Day 1 of embryo culture]
- Clinical evaluation: Abnormal fertilization [Time frame: Day 1 of embryo culture]
- Clinical evaluation: Normal Fertilization [Time frame: Day 1 of embryo culture]
- Clinical evaluation: Day 3 embryo evaluation [Time frame: Day 3 of embryo culture]
- Clinical evaluation: Day 5/6 embryo evaluation [Time frame: Day 6 of embryo culture]
Secondary outcome measures (4)
- Biochemical pregnancy [Time frame: Day 10 after embryo transfer]
- Clinical pregnancy with positive fetal heartbeat [Time frame: week 5-6 after embryo transfer]
- Expression profile: pregnancy prediction [Time frame: 2.5 years after study start]
- Normalized messenger ribonucleic acid (mRNA) expression [Time frame: 2.5 years after study start]
Eligibility criteria
Inclusion Criteria Donor:
- Patients are 18 to 35 years old
- BMI between 17-30
- Regular menstrual cycles
- AFC > 8
- Patient profile in compliance with SEF (Sociedad Española de Fertilidad) directives for egg donation (medical, psychological and genetic screening, informed consent)
- Patients' stimulation: GnRH Antagonist \& hr-FSH with GnRH Agonist trigger or Progesterone \& hr-FSH with GnRH Agonist trigger
- Patients agree that the oocytes will be denuded for cumulus testing and provide written informed consent for participation to the study
Exclusion Criteria Donor:
- BMI < 17 or > 30
- Extreme irregular menstrual cycles (<20 days or >40 days)
- AFC < 8
- <8 MII on previous egg retrieval
- Women with history of poor oocyte maturation or known maturation defect or unexplained failure in previous treatments
- Patients that fail to comply with SEF (Sociedad Española de Fertilidad) directives for egg donation (medical, psychological and genetic screening, informed consent)
Inclusion Criteria Recipient:
- Patients applying for ART egg donation with fresh/frozen sperm from the partner or frozen donor sperm. With eSB-FET in modified natural cycle or an HRT cycle.
- Patients are from 18 to 50 years old.
- Patients will be treated by ICSI (intracytoplasmic sperm injection) and eSB-FET (elective Single Blastocyst Frozen Embryo Transfer)
- Recipient patients agree that the donors' oocytes will be denuded for cumulus testing and provide written informed consent for participation to the study
Exclusion Criteria for oocyte Recipients
- Patient included in any other prospective study.
- BMI < 17 or > 35
- Severe uterine factor: Multiple myomectomy, multiple fibroids, major uterine malformation (unicorn, septum), Asherman Sd, severe adenomyosis
- Repeated Implantation Failure or Repeated Pregnancy Loss after euploid Single Blastocyst Transfer
- Severe male factor: Abnormal Caryotype or FISH, severe OAT / Cripto-Azoospermia, DNA Fragmentation >50% after medical treatment
- TESE / TESA (testicular sperm extraction/aspiration)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Cohort
Study locations
Spain · 1 center
- Fertilab — Barcelona
Identifiers
NCT: NCT06280677 · 2023.Aurora-Donor