History
# Registration date Revision Id
3 2022-12-06, 1401/09/15 248318
2 2022-08-01, 1401/05/10 235616
1 2021-12-08, 1400/09/17 208495
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  • Protocol summary

    The aim of this study was to compare two methods of embryo transfer in increasing implantation and pregnancy in assisted reproductive cycles
    Comparison of two embryo transfer methods in increasing implantation and pregnancy in assisted reproductive cycles
    هدف ما از این مطالعه مقایسه دو روش انتقال جنیندر افزایش لانه گزینی و حاملگی در سیکل های کمک باروری می باشد
    مقایسه دو روش انتقال جنین در افزایش لانه گزینی و حاملگی در سیکل های کمک باروری
    Women 18 to 40 years old are candidates for frozen embryo transfer are included in the study , and cases of severe male infertility, including azoospermia and sperm from TESE or PESA, and a history of uterine surgery such as hysteroscopic surgery and a body mass index greater than 30 are excluded.
    Women 18 to 40 years old are candidates for frozen embryo transfer are included in the study , and cases of severe male infertility, including azoospermia and sperm from TESE or PESA, and a body mass index greater than 30 are excluded.
    زنان 18تا 40 سال کاندید انتقال جنین فریز شده وارد مطالعه میشوند و موارد ناباروری مردانه شدید شامل موارد آزواسپرمی و اسپرم حاصل از TESE یا PESA وسابقه جراحی رحم مثل جراحی هیستروسکوپیک و شاخص توده ی بدنی بیشتر از 30 از مطالعه حذف میشوند.
    زنان 18تا 40 سال کاندید انتقال جنین فریز شده وارد مطالعه میشوند و موارد ناباروری مردانه شدید شامل موارد آزواسپرمی و اسپرم حاصل از TESE یا PESA و شاخص توده ی بدنی بیشتر از 30 از مطالعه حذف میشوند.
    Chemical pregnancy, clinical pregnancy, early abortion, implantation rate
    clinical pregnancy
    حاملگی شیمیایی ، حاملگی بالینی ، سقط زودرس، میزان لانه گزینی
    حاملگی بالینی
  • General information

    empty
    260
    empty
    2021-12-21, 1400/09/30
    empty
    2022-07-09, 1401/04/18
    empty
    2022-09-22, 1401/06/31
    زنان نابارور که کاندید انتقال جنین فریز می شود.
    زنان نابارور که کاندید انتقال جنین فریز می شوند.
    Severe male infertility includes cases of azoospermia and sperm from TESE or PESA
    History of uterine surgery such as hysteroscopic surgery
    Body mass index more than 30
    Severe male infertility includes cases of azoospermia and sperm from TESE or PESA
    Body mass index more than 30
    ناباروری مردانه شدید شامل موارد آزواسپرمی و اسپرم حاصل از TESE یا PESA
    سابقه جراحی رحم مثل جراحی هیستروسکوپیک
    شاخص توده ی بدنی بیشتر از 30
    ناباروری مردانه شدید شامل موارد آزواسپرمی و اسپرم حاصل از TESE یا PESA
    شاخص توده ی بدنی بیشتر از 30
    Each participant is assigned a number from 1 to 260, and then 9 blocks of 32 are considered, and then each block is randomly selected. In each block, the type of treatment protocol of the participants is determined. Randomization using software The random allocation 1 software will be a block randomization method. The randomization of samples in each block is independent, which is specified by the software, and the researchers do not know about the randomized list.
    Each participant is assigned a number from 1 to 264, and then 9 blocks of 32 are considered, and then each block is randomly selected. In each block, the type of treatment protocol of the participants is determined. Randomization using software The random allocation 1 software will be a block randomization method. The randomization of samples in each block is independent, which is specified by the software, and the researchers do not know about the randomized list.
    به هر شرکت کننده یک شماره از 1 تا 260 تعلق میگیرد و سپس 9 بلوک 32 تایی در نظر گرفته می شوند و سپس هر بلوک به تصادف انتخاب می شود.در هر بلوک نوع پروتکل درمانی شرکت کنندگان مشخص میشود.تصادفی سازی با استفاده از نرم افزارrandom allocation1 روش تصادفی سازی بلوکی انجام خواهد شد.تصادفی سازی نمونه ها در هر بلوک به صورت مستقل است که توسط نرم افزار مشخص میگردد و پژوهشگران از لیست تصادفی شده اطلاع ندارند.
    به هر شرکت کننده یک شماره از 1 تا 264 تعلق میگیرد و سپس 9 بلوک 32 تایی در نظر گرفته می شوند و سپس هر بلوک به تصادف انتخاب می شود.در هر بلوک نوع پروتکل درمانی شرکت کنندگان مشخص میشود.تصادفی سازی با استفاده از نرم افزارrandom allocation 1 روش تصادفی سازی بلوکی انجام خواهد شد.تصادفی سازی نمونه ها در هر بلوک به صورت مستقل است که توسط نرم افزار مشخص میگردد و پژوهشگران از لیست تصادفی شده اطلاع ندارند.
  • Primary outcomes

    #1
    Chemical pregnancy
    Clinical pregnancy
    حاملگي شيميايي
    حاملگی کلینیکی
    15 days after embryo transfer
    3 weeks after positive beta-h Cg
    15 روز بعد از انتقال جنین
    3 هفته بعد از مثبت شدن بتا اچ سی جی
    Blood laboratory kit
    Observation of fetal heart activity by transvaginal ultrasonography
    کیت آزمایشگاهی خون
    مشاهده قلب جنین با سونوگرافی واژینال
    #2
    Clinical pregnancy
    empty
    حاملگی کلینیکی
    empty
    3 weeks after positive beta-h Cg
    empty
    3 هفته بعد از مثبت شدن بتا اچ سی جی
    empty
    Observation of fetal heart activity by transvaginal ultrasonography
    empty
    مشاهده قلب جنین با سونوگرافی واژینال
    empty
  • Secondary outcomes

    #1
    empty
    Chemical pregnancy
    empty
    حاملگي شيميايي
    empty
    15 days after embryo transfer
    empty
    15روز بعد از انتقال جنین
    empty
    Blood laboratory kit
    empty
    کیت آزمایشگاهی خون
  • Intervention groups

    #1
    روزانه ۶ میلیگرم استرادیول خوراکی از روز دوم سیکل دریافت میکند و در روز 13 سیکل سونوگرافی ترانس واژینال انجام میشود در صورت مناسب بودن ضخامت آندومتر (بیشتر از ۷ میلیمتر) پروژسترون واِینال ۴۰۰ میلیگرم دو نوبت در روز شروع میشود و ۷۲ ساعت بعد انتقال جنین در مرحله کلیواژ 8 سلولی صورت میگیرد.اندازه گیری سونوگرافیک طول رحم قبل از انتقال و با سونوگرافی واژینال انجام می شود و طول کاتتر بر اساس طول یوتروسرویکال اندازه گیری شده در سونوگرافی تنظیم می شود.
    روزانه ۶ میلیگرم استرادیول خوراکی از روز دوم سیکل دریافت میکند و در روز 13 سیکل سونوگرافی ترانس واژینال انجام میشود در صورت مناسب بودن ضخامت آندومتر (بیشتر از ۷ میلیمتر) پروژسترون واژینال ۴۰۰ میلیگرم دو نوبت در روز شروع میشود و ۷۲ ساعت بعد انتقال جنین در مرحله کلیواژ 8 سلولی صورت میگیرد. اندازه گیری سونوگرافیک طول رحم قبل از انتقال و با سونوگرافی واژینال انجام می شود و طول کاتتر بر اساس طول یوتروسرویکال اندازه گیری شده در سونوگرافی تنظیم می شود
    #2
    Intervention group: receives 6 mg of oral estradiol daily from the second day of the cycle and on day 13 of the cycle, transvaginal ultrasound is performed. Embryo transfer takes place at the stage of 8-cell cleavage. Transfer is performed under the guidance of abdominal ultrasound.
    Intervention group: receives 6 mg of oral estradiol daily from the second day of the cycle and on day 13 of the cycle, transvaginal ultrasound is performed. Embryo transfer takes place at the stage of cleavage. Transfer is performed under the guidance of abdominal ultrasound.
    گروه مداخله: روزانه ۶ میلیگرم استرادیول خوراکی از روز دوم سیکل دریافت میکند و در روز 13 سیکل سونوگرافی ترانس واژینال انجام میشود در صورت مناسب بودن ضخامت آندومتر (بیشتر از ۷ میلیمتر) پروژسترون واِینال ۴۰۰ میلیگرم دو نوبت در روز شروع میشود و ۷۲ ساعت بعد انتقال جنین در مرحله کلیواژ 8 سلولی صورت میگیرد.انتقال تحت هدایت سونوگرافی شکمی انجام می شود.
    گروه مداخله: روزانه ۶ میلیگرم استرادیول خوراکی از روز دوم سیکل دریافت میکند و در روز 13 سیکل سونوگرافی ترانس واژینال انجام میشود در صورت مناسب بودن ضخامت آندومتر (بیشتر از ۷ میلیمتر) پروژسترون واِینال ۴۰۰ میلیگرم دو نوبت در روز شروع میشود و ۷۲ ساعت بعد انتقال جنین در مرحله کلیواژ صورت میگیرد.انتقال تحت هدایت سونوگرافی شکمی انجام می شود.
  • Sponsors / Funding sources

    #1

    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Hooshang Mehrparvar
    Full name of responsible person - Persian: هوشنگ مهرپرور
    Street address - English: bahonar Ave
    Street address - Persian: خیابان باهنر
    City - English: Yazd
    City - Persian: یزد
    Province: Yazd
    Country: Iran (Islamic Republic of)
    Postal code: 8916978477
    Phone: +98 35 3726 3733
    Fax:
    Email: ah.mehrparvar@gmail.com
    Web page address:

    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Hooshang Mehrparvar
    Full name of responsible person - Persian: هوشنگ مهرپرور
    Street address - English: Bahonar Ave
    Street address - Persian: خیابان باهنر
    City - English: Yazd
    City - Persian: یزد
    Province: Yazd
    Country: Iran (Islamic Republic of)
    Postal code: 8916978477
    Phone: +98 35 3726 3733
    Fax:
    Email: ah.mehrparvar@gmail.com
    Web page address:
  • Person responsible for general inquiries


    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Maryam Eftekhar
    Full name of responsible person - Persian: مریم افتخار
    Position - English: Professor
    Position - Persian: استاد
    Latest degree: specialist
    Area of specialty/work: 49
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Safaeiyeh, Bouali Ave
    Street address - Persian: صفاييه - خيابان بوعلي
    City - English: Yazd
    City - Persian: یزد
    Province: Yazd
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8916977443
    Phone: +98 35 1824 7085
    Mobile: +98 913 156 3078
    Fax:
    Email: eftekharmaryam@yahoo.com
    Web page address:

    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Maryam Eftekhar
    Full name of responsible person - Persian: مریم افتخار
    Position - English: Professor
    Position - Persian: استاد
    Latest degree: specialist
    Area of specialty/work: 49
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Safaeiyeh, Bouali Ave
    Street address - Persian: صفاييه، خيابان بوعلي
    City - English: Yazd
    City - Persian: یزد
    Province: Yazd
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8916977443
    Phone: +98 35 1824 7085
    Mobile: +98 913 156 3078
    Fax:
    Email: eftekharmaryam@yahoo.com
    Web page address:
  • Person responsible for scientific inquiries


    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Maryam Eftekhar
    Full name of responsible person - Persian: مریم افتخار
    Position - English: Professor
    Position - Persian: استاد
    Latest degree: specialist
    Area of specialty/work: 49
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Safaeiyeh, Bouali Ave
    Street address - Persian: صفاييه - خيابان بوعلي
    City - English: Yazd
    City - Persian: یزد
    Province: Yazd
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8916977443
    Phone: +98 35 3824 7085
    Mobile: +98 913 156 3078
    Fax:
    Email: eftekharmaryam@yahoo.com
    Web page address:

    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Maryam Eftekhar
    Full name of responsible person - Persian: مریم افتخار
    Position - English: Professor
    Position - Persian: استاد
    Latest degree: specialist
    Area of specialty/work: 49
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Safaeiyeh, Bouali Ave
    Street address - Persian: صفاييه، خيابان بوعلي
    City - English: Yazd
    City - Persian: یزد
    Province: Yazd
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8916977443
    Phone: +98 35 3824 7085
    Mobile: +98 913 156 3078
    Fax:
    Email: eftekharmaryam@yahoo.com
    Web page address:
  • Person responsible for updating data


    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Maryam Eftekhar
    Full name of responsible person - Persian: مریم افتخار
    Position - English: Professor
    Position - Persian: استاد
    Latest degree: specialist
    Area of specialty/work: 49
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Safaeiyeh, Bouali Ave
    Street address - Persian: صفاييه - خيابان بوعلي
    City - English: Yazd
    City - Persian: یزد
    Province: Yazd
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8916977443
    Phone: +98 35 1824 7085
    Mobile: +98 913 156 3078
    Fax:
    Email: eftekharmaryam@yahoo.com
    Web page address:

    Name of organization / entity - English:
    Name of organization / entity - Persian:
    Full name of responsible person - English: Maryam Eftekhar
    Full name of responsible person - Persian: مریم افتخار
    Position - English: Professor
    Position - Persian: استاد
    Latest degree: specialist
    Area of specialty/work: 49
    Area of specialty/work title - English:
    Area of specialty/work title - Persian:
    Street address - English: Safaeiyeh, Bouali Ave
    Street address - Persian: صفاييه، خيابان بوعلي
    City - English: Yazd
    City - Persian: یزد
    Province: Yazd
    Province - English:
    Province - Persian:
    contact.provinces_available: 1
    Country: Iran (Islamic Republic of)
    Postal code: 8916977443
    Phone: +98 35 1824 7085
    Mobile: +98 913 156 3078
    Fax:
    Email: eftekharmaryam@yahoo.com
    Web page address:
  • Sharing plan

    ا پژوهشکده علوم تولید مثل یزد، خیابان بوعلی، یزد، ایران
    پژوهشکده علوم تولید مثل یزد، خیابان بوعلی، یزد، ایران

Protocol summary

Study aim
Comparison of two embryo transfer methods in increasing implantation and pregnancy in assisted reproductive cycles
Design
A clinical trial with two parallel groups and a sample size of 260 people. Randomization will be done using random allocation1 software. Block randomization method will be done. Blinding will not be done.
Settings and conduct
It is done at Yazd Infertility Research Center.
Participants/Inclusion and exclusion criteria
Women 18 to 40 years old are candidates for frozen embryo transfer are included in the study , and cases of severe male infertility, including azoospermia and sperm from TESE or PESA, and a body mass index greater than 30 are excluded.
Intervention groups
The first intervention group receives 6 mg of oral estradiol daily from the second day of the cycle and on day 13 of the cycle, transvaginal ultrasound is performed. Embryo transfer takes place at the stage of 8-cell cleavage. The transfer is performed under the guidance of abdominal ultrasound. The second intervention group receives 6 mg of oral estradiol from the second day of the cycle, and on the 13th cycle, transvaginal ultrasound is performed. Embryo transfer takes place in the 8-cell cleavage stage. Ultrasound measurement of uterine length is performed before transfer with vaginal ultrasound and the length of the catheter is adjusted based on the uteroservical length measured in the ultrasound.
Main outcome variables
clinical pregnancy

General information

Reason for update
Update methodology changes
Acronym
IRCT registration information
IRCT registration number: IRCT20110509006420N24
Registration date: 2021-12-08, 1400/09/17
Registration timing: prospective

Last update: 2022-12-08, 1401/09/17
Update count: 2
Registration date
2021-12-08, 1400/09/17
Registrant information
Name
Maryam Eftekhar
Name of organization / entity
Yazd Research and Clinical Center for Infertility
Country
Iran (Islamic Republic of)
Phone
+98 35182470856
Email address
eftekhar@ssu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-12-06, 1400/09/15
Expected recruitment end date
2022-06-05, 1401/03/15
Actual recruitment start date
2021-12-21, 1400/09/30
Actual recruitment end date
2022-07-09, 1401/04/18
Trial completion date
2022-09-22, 1401/06/31
Scientific title
Comparison of fetal transfer results under abdominal ultrasound with fetal transfer based on previous measurement of uterine length with vaginal ultrasound in assisted reproductive cycles
Public title
fetal transfer under abdominal ultrasound compared with fetal transfer based on the previous measurement of uterine length
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Infertile women who are candidates for frozen embryo transfer.
Exclusion criteria:
Severe male infertility includes cases of azoospermia and sperm from TESE or PESA Body mass index more than 30
Age
From 18 years old to 40 years old
Gender
Female
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 260
Actual sample size reached: 260
Randomization (investigator's opinion)
Randomized
Randomization description
Each participant is assigned a number from 1 to 264, and then 9 blocks of 32 are considered, and then each block is randomly selected. In each block, the type of treatment protocol of the participants is determined. Randomization using software The random allocation 1 software will be a block randomization method. The randomization of samples in each block is independent, which is specified by the software, and the researchers do not know about the randomized list.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Yazd Research and Clinical Center for infertility, Shahid Sadoughi University
Street address
Bouali Ave, Safaeiyeh
City
Yazd
Province
Yazd
Postal code
8916877391
Approval date
2021-02-21, 1399/12/03
Ethics committee reference number
IR.SSU.RSI.REC.1399.047

Health conditions studied

1

Description of health condition studied
Infertility
ICD-10 code
N97
ICD-10 code description
Female infertility

Primary outcomes

1

Description
Clinical pregnancy
Timepoint
3 weeks after positive beta-h Cg
Method of measurement
Observation of fetal heart activity by transvaginal ultrasonography

Secondary outcomes

1

Description
Early Miscarriage rate
Timepoint
10 weeks after embryo transfer
Method of measurement
Absence of fetal heart activity in ultra sound sonography

2

Description
Implantation rate
Timepoint
3 weeks after positive beta-h Cg
Method of measurement
Calculated by the number of gestational sacs observed on ultrasound on the number of embryos transferred

3

Description
Chemical pregnancy
Timepoint
15 days after embryo transfer
Method of measurement
Blood laboratory kit

Intervention groups

1

Description
Intervention group: intervention group receives 6 mg of oral estradiol from the second day of the cycle, and on the 13th cycle, transvaginal ultrasound is performed. Embryo transfer takes place in the 8-cell cleavage stage. Ultrasound measurement of uterine length is performed before transfer with vaginal ultrasound and the length of the catheter is adjusted based on the uterocervical length measured in the ultrasound.
Category
Treatment - Other

2

Description
Intervention group: receives 6 mg of oral estradiol daily from the second day of the cycle and on day 13 of the cycle, transvaginal ultrasound is performed. Embryo transfer takes place at the stage of cleavage. Transfer is performed under the guidance of abdominal ultrasound.
Category
Treatment - Other

Recruitment centers

1

Recruitment center
Name of recruitment center
Yazd Research and Clinical Center for Infertility
Full name of responsible person
Freshteh Bahrami
Street address
Safaeiyeh, Bouali Ave
City
Yazd
Province
Yazd
Postal code
8916977443
Phone
+98 35 3824 7085
Email
freshtehbahrami1966@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Yazd University of Medical Sciences
Full name of responsible person
Hooshang Mehrparvar
Street address
Bahonar Ave
City
Yazd
Province
Yazd
Postal code
8916978477
Phone
+98 35 3726 3733
Email
ah.mehrparvar@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Yazd University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Yazd University of Medical Sciences
Full name of responsible person
Maryam Eftekhar
Position
Professor
Latest degree
Specialist
Other areas of specialty/work
Gynecology and Obstetrics
Street address
Safaeiyeh, Bouali Ave
City
Yazd
Province
Yazd
Postal code
8916977443
Phone
+98 35 1824 7085
Email
eftekharmaryam@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Yazd University of Medical Sciences
Full name of responsible person
Maryam Eftekhar
Position
Professor
Latest degree
Specialist
Other areas of specialty/work
Gynecology and Obstetrics
Street address
Safaeiyeh, Bouali Ave
City
Yazd
Province
Yazd
Postal code
8916977443
Phone
+98 35 3824 7085
Email
eftekharmaryam@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Yazd University of Medical Sciences
Full name of responsible person
Maryam Eftekhar
Position
Professor
Latest degree
Specialist
Other areas of specialty/work
Gynecology and Obstetrics
Street address
Safaeiyeh, Bouali Ave
City
Yazd
Province
Yazd
Postal code
8916977443
Phone
+98 35 1824 7085
Email
eftekharmaryam@yahoo.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
Title and more details about the data/document
All participant data sets are to be shared
When the data will become available and for how long
2 months after the result publication
To whom data/document is available
A journal in which the results are published
Under which criteria data/document could be used
Submission of an official application via the agent that is legally in charge
From where data/document is obtainable
Yazd Reproductive Sciences Institute, Bouali Ave, Yazd, Iran
What processes are involved for a request to access data/document
Request from the Research Deputy, submitted to the Research Council of the Center if the request accepts its referral to the security and after completion of the relevant forms, the request is referred to the research experts and then get the data.
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