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Phase 2 Completed N=41 Single-blind Treatment

Assessing the Endometrial Environment in Recurrent Pregnancy Loss and Unexplained Infertility

Recurrent Pregnancy Loss · Unexplained Infertility
Source: ClinicalTrials.gov NCT03401918 ↗
Enrolled (actual)
41
Serious AEs
0.0%
Results posted
May 2022
Primary outcomePrimary: Abnormal Microbiome Bacterial Sequencing

Summary

The purpose of this study is to determine if patients with recurrent pregnancy loss or unexplained infertility have an altered uterine gene expression or uterine microbiome (micro-organism composition) during the window of embryo implantation. Furthermore we would like to assess for women with an abnormal uterine gene expression whether vaginal progesterone medication improves or alters gene expression and for women with an abnormal microbiome whether antibiotic treatment followed by probiotic treatment normalizes the microbiome.

Outcome Measures

OutcomeResultp-value
PRIMARY
Abnormal Microbiome Bacterial Sequencing
PRIMARY
Abnormal Endometrial Receptivity Array
PRIMARY
Normalized Microbiome Bacterial Sequencing
PRIMARY
Normalized Endometrial Receptivity Array

Eligibility Criteria

Inclusion/Exclusion Criteria:

  • Recurrent Pregnancy Loss

Inclusion:

  • Age 18-45
  • 3 or more SABs including biochemical pregnancies OR 2 or more SABs if one is documented to be euploid

Exclusion:

  • irregular menstrual cycles
  • Submucosal fibroid >3cm
  • Stage 3-4 endometriosis
  • BMI >40
  • IUD within the last 3 months
  • Unexplained infertility Patients

Inclusion:

  • TTC x >= 1 year
  • At least one SA with TMS >10 mil within last 2 years
  • At least one patent fallopian tube documented by HSG or SHG
  • Cycle length 25-35 days

Exclusion:

  • Irregular menstrual cycles
  • Submucosal fibroid >3cm
  • Stage 3-4 endometriosis
  • BMI >40
  • IUD within the last 3 months
  • Less then 2 SABs including biochemical pregnancies
  • Healthy control patients

Inclusion:

  • Patients who present for fertility preservation, sex selection, same sex couples needing fertility care, preconception counseling
  • 1 or more live births

Exclusion:

  • Irregular menstrual cycles
  • Submucosal fibroid >3cm
  • Stage 3-4 endometriosis
  • BMI >40
  • IUD within the last 3 months
  • Less then 2 SABs including biochemical pregnancies
  • No history of RPL or infertility
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03401918). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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