【ChiCTR2600133941】One-step Rehydration Thawing Method in Frozen Embryo Transfer: A pragmatic randomized controlled clinical trial (ORT-FET-RCT)
ChiCTR2600133941
正在进行
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2026-10-09
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Frozen embryo transfer
One-step Rehydration Thawing Method in Frozen Embryo Transfer: A pragmatic randomized controlled clinical trial (ORT-FET-RCT)
One-step Rehydration Thawing Method in Frozen Embryo Transfer: A pragmatic randomized controlled clinical trial (ORT-FET-RCT)
The primary objective is to evaluate the clinical outcomes and cost-effectiveness of the novel direct warming method compared to the conventional multi-step warming method for FET in terms of clinical pregnancy rate (CPR), ongoing pregnancy rate (OPR), live birth rate (LBR), miscarriage rate and time efficiency, cost-effectiveness. The secondary objective is to evaluate the impact of technical variations (warming media, storage devices, and culture media) on clinical outcomes between the direct warming method and the conventional multi-step method.
随机平行对照
其它
A stratified randomization approach will be used to ensure balanced distribution of participants across treatment groups based on age, a key factor influencing embryo warming and transfer outcomes. Participants will be stratified into three age groups: <30 years, 30-34 years, and ≥35 years. Within each age stratum, participants will be randomly assigned to one of two study groups (conventional warming or direct warming) using a computerized randomization process in SPSS. Random numbers will be generated for each participant, and participants will be assigned to the intervention or control group based on these random numbers, ensuring even distribution across groups within each age stratum. In the case of an odd number of participants in any stratum, the remaining participant will be randomly assigned to one of the two groups. This method ensures that participants are randomized within each stratum, achieving a balance in age distribution across the treatment groups.
These envelopes will be prepared in advance and will only be opened by the embryologist responsible for embryo handling. The research staff/nurse/clinician responsible for enrolling participants will not be aware of group assignments, ensuring allocation concealment until the interventions are carried out. After the embryo transfer, if it is determined that the patient is not pregnant, their group assignment may be disclosed to them. However, if pregnancy is confirmed, the group assignment will remain concealed, and the patient will not be informed until a live birth occurs, or in the event of a miscarriage or elective termination. This approach ensures allocation concealment throughout the pregnancy, minimizing bias and maintaining the integrity of the trial.
Hong Kong Health and Medical Fund (Ref18190321), Hong Kong Research Matching Grant (RMG01-8601386)
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289
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2025-10-01
2027-10-31
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Patients undergoing FET cycle and plan for a single embryo transfer.;
请登录查看Patients with repeated implantation failure (RIF), recurrent miscarriage (RM), uterus anomaly, and embryo retention during transfer will be excluded, blastocysts with a grade C morphology either in inner cell mass or trophectoderm.;
请登录查看The Chinese University of Hong Kong
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