ClinicalTrials.gg
Active, not recruitingNCT03381300Updated Feb 17, 2025

Preservation of Ovarian Cortex Tissue in Girls With Turner Syndrome

An interventional study of Ovarian tissue cryopreservation in Fertility Preservation, Ovarian Tissue Cryopreservation and Turner Syndrome, sponsored by Radboud University Medical Center. Active, not recruiting at 1 site in Netherlands. Open to female participants aged 2 Years to 18 Years. Per ClinicalTrials.gov, last updated 2025-02-17.

Sponsored by Radboud University Medical Center · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
106
Allocation
Not applicable
Ages
2 Years to 18 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies in Turner Syndrome with a site in Netherlands — 3 open to participants now, 6 under way, 2 of them phase 3. Turner Syndrome · Netherlands.

Started
2018
with 2 others
No phase
2 of 10
1 open now
Registered
4th of 10
by date
Lead sponsor
2 of 10
Radboud University Medical Center

Among the 10 studies in Turner Syndrome with a site in Netherlands, this one is one of 3 that started in 2018, is one of 2 with no phase, and was the 4th registered.

Turner Syndrome

125 studies on the registry are indexed under Turner Syndrome; 33 are open to participants now.

Browse Turner Syndrome studies →

Open to participants now

3 of the 10 studies in Turner Syndrome with a site in Netherlands are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in Netherlands have not opened yet or have stopped. Only those recruiting at a site in Netherlands →

Who these studies take

Of the 25 Turner Syndrome studies recruiting now, 8 (32%) set no upper age limit and 14 (56%) stop at 75 or younger; 15 take children under 18; 5 take healthy volunteers.

This study: 2 Years to 18 Years · female · no healthy volunteers.

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This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 10 studies in Turner Syndrome with a site in Netherlands, or all of them as a file.
02

Study summary

Rationale: Infertility due is a major concern for girls with Turner syndrome (TS) and their parents. Physicians are often asked about possible options to preserve their fertility. However, despite some experimental case reports, clear evidence for fertility preservation in these girls is lacking and many questions remain. Without evidence on the effectiveness of fertility preservation it cannot routinely be offered to girls with TS.

Objective: To investigate the occurrence of live birth in women with TS after ovarian tissue cryopreservation in childhood followed by auto transplantation in adulthood.

Study design: A national multicentre exploratory intervention study

Study population: Girls diagnosed with Turner Syndrome, aged 2-18 years.

Intervention: Ovarian tissue cryopreservation in childhood followed by auto transplantation in adulthood. In order to obtain the ovarian tissue for cryopreservation, all girls must undergo a laparoscopy under general anaesthesia which will be performed in academic/university clinics with paediatric surgery. During the laparoscopic intervention, a unilateral oophorectomy will be performed, thereby leaving the other ovary intact for hormone production, ovulation, spontaneous pregnancies and as an auto transplantation site for cryopreserved-thawed ovarian cortical tissue later on. Furthermore, a small sample of the ovarian cortex will be used to assess the oocyte quality and genetics (e.g. the presence of germ line mosaicism). Oocytes will be karyotyped by using Fluorescence in situ hybridization (FISH). Karyotypic and hormonal data will be collected once at the yearly clinical visit at the paediatric-endocrinologist. Therefore, a buccal swab and one extra blood sample will be taken and evaluated during the routine laboratory evaluation.

In the future, auto transplantation of frozen-thawed ovarian cortex strips will be performed.

Read the detailed description

Nature and extent of the burden and risks associated with participation, benefit and group relatedness:

The primary objective remains to preserve the fertility of the respective (minor) patient, facing a very high risk of premature ovarian insufficiency (POI) of 95-98%. Disadvantages of participating in this study are the potential risk of complications related to the laparoscopic unilateral oophorectomy and/or the unknown effect on future fertility of these girls. Moreover, the procedure might raise false hope in patients (and/or parents) about the chance of getting pregnant after auto transplantation of cryopreserved-thawed ovarian tissue in the future. However, we attempt to overcome this by extensive and objective information provision by both written materials and face to face counselling.

03

Conditions studied

  • Fertility Preservation
  • Ovarian Tissue Cryopreservation
  • Turner Syndrome
  • Live Birth
  • Premature Ovarian Failure
04

Who can participate

Ages eligible
2 Years to 18 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

In order to be eligible to participate in this study, a subject must meet all of the following criteria:

  • Girls and young females with classic Turner (i.e. 45X monosomy) or Turner variants (e.g. 45X / 46XX mosaicism, ring X mosaicism, isochromosome X),
  • Aged 2 through 18 years,
  • who completed the diagnostic work up phase of TS including routine cardiac screening*,
  • whose agreement to participate in this study has been signed by the parents (girls 2-11 years old),
  • whose agreement to participate in this study has been signed by the patient and her parents (girls 12-17 years old),
  • whose agreement to participate in this study has been signed by the patient (adolescents of 18 years old).

Exclusion criteria

Exclusion Criteria:

A potential subject who meets any of the following criteria will be excluded from participation in this study:

  • for laparoscopic unilateral oophorectomy under general anaesthesia (e.g. severe cardiovascular comorbidity and/or >40 kg/m2)*,
  • Contra-indications for cryopreservation (i.e. active , hepatitis-B or hepatitis-C infection)

    • Based on the international Cincinnati Turner Guideline consensus Meeting, July 2016 and consultation of Dutch cardiologists, paediatric-cardiologists and anaesthesists between 2016-2017 there are no absolute cardiovascular contra-indications for surgical intervention and/or pregnancy. Advice against surgical intervention and/or pregnancy should be based on the patient-specific cardiovascular risk profile. The 2% mortality risk due to acute aortic dissection is based on one survey and literature review study that reported the outcomes of 101 pregnancies in patients with TS after oocyte donation. Only 50% of the patients were screened by a cardiologist before entering the oocyte donation programme. Therefore, all girls who want to participate in this study should have completed the diagnostic work up phase of TS including routine cardiac screening and will be screened by a paediatric anaesthesist. Exclusion will be based on the patient specific risk profile. See: References.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
106 participants (actual)

Study arms

  • Other
    Single cohort

    Procedure: Ovarian tissue cryopreservation

Interventions

  • ProcedureOvarian tissue cryopreservation

    Laparoscopic unilateral oophorectomy followed by cryopreservation of ovarian cortex tissue

06

What researchers measure

Primary outcomes

  1. Live birth ratio (LBR) (main outcome)

    • Live birth after auto transplantation of cryopreserved-thawed ovarian cortical tissue (i.e. live birth rate or LBR)

    Time frame: Up to 3 years after auto transplantation of cryopreserved-thawed ovarian cortical tissue, and up to 45 years after ovarian tissue cryopreservation.

  2. Number of primordial follicles (proximate)

    The number of primordial follicles found in the ovarian tissue

    Time frame: Within 1 month after ovarian tissue cryopreservation

Secondary outcomes

  1. Patient's age versus LBR

    The association between patient's age at cryopreservation and LBR

    Time frame: Up to 3 years after auto transplantation of cryopreserved-thawed ovarian cortical tissue, and up to 45 years after ovarian tissue cryopreservation.

  2. Patient's genotype versus LBR

    The association between patient's genotype and LBR

    Time frame: Up to 3 years after auto transplantation of cryopreserved-thawed ovarian cortical tissue, and up to 45 years after ovarian tissue cryopreservation.

  3. Patient's Anti-Müllerian hormone (AMH) level versus LBR

    The association between patient's AMH level at cryopreservation and LBR

    Time frame: Up to 3 years after auto transplantation of cryopreserved-thawed ovarian cortical tissue, and up to 45 years after ovarian tissue cryopreservation.

  4. Patient's Follicle-stimulating hormone (FSH) level versus LBR

    The association between patient's FSH level at cryopreservation and LBR

    Time frame: Up to 3 years after auto transplantation of cryopreserved-thawed ovarian cortical tissue, and up to 45 years after ovarian tissue cryopreservation.

Other outcomes

  1. Study participation rate

    The willingness of girls with TS to perform a unilateral oophorectomy for fertility preservation (i.e. the study participation rate)

    Time frame: Up to 3 years after inclusion

  2. Eligible participants

    The number of eligible participants

    Time frame: Up to 3 years after inclusion

  3. Age

    The age of the participant

    Time frame: Up to 3 years after inclusion

  4. Buccal cells versus peripheral lymphocytes

    The incidence of somatic mosaicism (i.e. buccal cells versus peripheral lymphocytes)

    Time frame: Up to 3 years after inclusion

  5. Ovarian cells versus peripheral lymphocytes

    The incidence of germ cell mosaicism (i.e. ovarian cells versus peripheral lymphocytes and buccal cells)

    Time frame: Up to 3 years after inclusion

  6. Serum hormone levels

    Serum hormone levels (i.e. FSH, Luteinizing hormone (LH), AMH, E2, inhibin B)

    Time frame: Up to 3 years after inclusion

  7. Complication rate

    The number of complications related to the laparoscopic procedure

    Time frame: Up to 1 year after the laparoscopic procedure

  8. Influence of laparoscopic oophorectomy on puberty and/or menarche

    The incidence of puberty and/or menarche after laparoscopic oophorectomy

    Time frame: Up to 10 years after the laparoscopic procedure

  9. Incidence of spontaneous pregnancies

    The incidence of spontaneous pregnancies after laparoscopic oophorectomy

    Time frame: Up to 45 years after the laparoscopic procedure

  10. Restoration of ovarian function after auto transplantation of ovarian tissue

    The incidence of menstruation cycle recovery after auto transplantation of cryopreserved-thawed ovarian tissue in the future

    Time frame: Up to 2 years after auto transplantation of cryopreserved-thawed ovarian cortical tissue

  11. Pregnancies after auto transplantation of ovarian tissue

    The incidence of pregnancies after auto transplantation of cryopreserved-thawed ovarian tissue in the future

    Time frame: Up to 2 years after auto transplantation of cryopreserved-thawed ovarian cortical tissue

  12. Ongoing pregnancies after auto transplantation of ovarian tissue

    The incidence of ongoing pregnancies after auto transplantation of cryopreserved-thawed ovarian tissue in the future

    Time frame: Up to 2 years and 3 months after auto transplantation of cryopreserved-thawed ovarian cortical tissue

  13. Miscarriages after auto transplantation of ovarian tissue

    The number of miscarriages after auto transplantation of cryopreserved-thawed ovarian tissue in the future

    Time frame: Up to 3 years after auto transplantation of cryopreserved-thawed ovarian cortical tissue

  14. Time to pregnancy after auto transplantation of ovarian tissue

    Time to pregnancy after auto transplantation of cryopreserved-thawed ovarian tissue in the future

    Time frame: Up to 2 years after auto transplantation of cryopreserved-thawed ovarian cortical tissue

  15. Time to live birth after auto transplantation of ovarian tissue

    Time to live birth after auto transplantation of cryopreserved-thawed ovarian tissue in the future

    Time frame: Up to 3 years after auto transplantation of cryopreserved-thawed ovarian cortical tissue

07

Study locations

1 site
08

References and documents

Publications

  • Gravholt CH, Andersen NH, Conway GS, Dekkers OM, Geffner ME, Klein KO, Lin AE, Mauras N, Quigley CA, Rubin K, Sandberg DE, Sas TCJ, Silberbach M, Soderstrom-Anttila V, Stochholm K, van Alfen-van derVelden JA, Woelfle J, Backeljauw PF; International Turner Syndrome Consensus Group. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting. Eur J Endocrinol. 2017 Sep;177(3):G1-G70. doi: 10.1530/EJE-17-0430. PubMed 28705803 ↗
  • Nadesapillai S, van der Velden J, Smeets D, van de Zande G, Braat D, Fleischer K, Peek R. Why are some patients with 45,X Turner syndrome fertile? A young girl with classical 45,X Turner syndrome and a cryptic mosaicism in the ovary. Fertil Steril. 2021 May;115(5):1280-1287. doi: 10.1016/j.fertnstert.2020.11.006. Epub 2020 Dec 17. PubMed 33342535 ↗
  • Schleedoorn M, van der Velden J, Braat D, Beerendonk I, van Golde R, Peek R, Fleischer K. TurnerFertility trial: PROTOCOL for an observational cohort study to describe the efficacy of ovarian tissue cryopreservation for fertility preservation in females with Turner syndrome. BMJ Open. 2019 Dec 11;9(12):e030855. doi: 10.1136/bmjopen-2019-030855. PubMed 31831533 ↗
  • Peek R, Schleedoorn M, Smeets D, van de Zande G, Groenman F, Braat D, van der Velden J, Fleischer K. Ovarian follicles of young patients with Turner's syndrome contain normal oocytes but monosomic 45,X granulosa cells. Hum Reprod. 2019 Sep 29;34(9):1686-1696. doi: 10.1093/humrep/dez135. PubMed 31398245 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2018 (actual). Primary completion is estimated for Nov 2071, 646 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 22, 2017
First posted
Dec 21, 2017
StartActual
Jan 1, 2018
Primary completionEst.
Nov 1, 2071
CompletionEst.
Nov 1, 2071
Last update
Feb 17, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03381300
Responsible party
Sponsor
First posted
Dec 21, 2017
Start date
Jan 1, 2018
Primary completion
Nov 1, 2071 (estimated)
Completion
Nov 1, 2071 (estimated)
Last update
Feb 17, 2025

Study contacts

Kathrin Fleischer, MD, PhD
principal investigator · Head Department of Reproductive Medicine, Gynaecologist/Subspecialist Reproductive Medicine

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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