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CompletedNCT03877939TESTKMUpdated Jan 13, 2026

Detection of Kisspeptins and miRNAs in Patients With Non-viable Pregnancy

An observational study in Non-Viable Pregnancy, sponsored by Vida Recoletas Sevilla. Completed at 2 sites in Spain. Open to female participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-13.

Sponsored by Vida Recoletas Sevilla · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
433
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

Ectopic pregnancy (EP) is a pathology that affects 3%-16% of pregnancies in humans, being the main cause of morbidity and maternal mortality in the first trimester of pregnancy worldwide. The relevance of this problem has led to a demand on the scientific community, to obtain specific and early biomarkers in the determination of EP. In this context, the investigator's group has previously confirmed that both kisspeptin 54 and miR-324-3p are specific, selective and precise biomarkers to identify those patients suffering an EP. However, the utility of a diagnostic test using both biomarkers and other related ones in a population with other types of non-viable pregnancies should still be analysed.

Read the detailed description

This is a pilot study in which we intend to determine the moment in which biomarkers begin to be detected in non-viable pregnancies, in order to subsequently be able to develop specific studies focused on that moment. The following visits will be required:

SCREENING VISIT: To be performed before β-hCG test. After recruitment and signing informed consent, patients will be assigned with a three-letter code identifying the clinic and three numbers indicating the order in which the patient is recruited by each clinic.

β-hCG VISIT: To be performed the day of the β-hCG test (week 4):

- Peripheral blood samples will be collected for Progesterone (P4), Kisspeptin 54 and miR-324-3p analysis.

In case of negative result, patient will be out of the study. In case of positive result, β-hCG test > 10 UI/L, patient will continue with the following visits.

SUBSEQUENT BLOOD EXTRACTION VISITS: To be performed on Mondays and Thursdays or Tuesdays and Fridays of each week from β-hCG test until non-viable pregnancy is confirmed or between weeks 6 and 8 when viable pregnancy is confirmed (a maximum of 10 blood sample extractions):

  • Peripheral blood samples will be collected Progesterone (P4), Kisspeptin 54 and miR-324-3p will be analysed in these samples. Blood collection will be performed each day in a different arm, allowing a period between extractions in each arm of one week.
  • In addition, an optional transvaginal ultrasound scan will be performed before each blood sample if patient wishes.

In case of pregnancy of unknown location (PUL), protocol will continue until VP or NVP is confirmed.

If NVP is confirmed before clinical pregnancy visit, patient will undergo an end of study visit.

CLINICAL PREGNANCY VISIT: To be performed between weeks 5+2 and 5+6, the same day that one of the subsequent blood extractions:

- A transvaginal ultrasound scan will be performed before the blood sample extraction.

In case of non-viable pregnancy, patient will perform the end of study visit. In case of clinical pregnancy, patient will continue with the following visits.

ONGOING PREGNANCY VISIT: To be performed between weeks 6 and 8, the same day that one of the subsequent blood extractions:

- A transvaginal ultrasound scan will be performed before the blood sample extraction. VP will be confirmed with this ultrasound scan.

In case of non-viable pregnancy, patient will undergo the end of study visit. In case of viable pregnancy, patient will undergo the end of study visit in week 10 of pregnancy.

END OF STUDY VISIT: To be performed after an ultrasound scan when NVP is confirmed or in week 10 of pregnancy. The following samples will be collected:

In case of ectopic pregnancy:

- Peripheral blood samples for Progesterone (P4), Kisspeptin 54 and miR-324-3p analysis.

In case of clinical miscarriage:

- Peripheral blood samples for Progesterone (P4), Kisspeptin 54 and miR-324-3p analysis.

In case of Biochemical pregnancy:

  • Peripheral blood samples for Progesterone (P4), Kisspeptin 54 and miR-324-3p analysis.
  • Blood sample for KIR typing.
  • Blood samples of patient and partner for HLA-C typing. If partner does not attend to this visit, his sample may be collected in the following 3 weeks.
  • Blood samples for detection of miRNAs related with insulin resistance, miR-424-5p and miR-15b.
  • Oral glucose tolerance test (OGTT), including blood sample analysis before 75 g of glucose consumption and after 1h and 2 h.
  • Uterine biopsy in the month in which the biochemical pregnancy is confirmed or in the following month (in P + 5) for detection of miRNAs related with insulin resistance, miR-424-5p and miR-15b.

In case of viable pregnancy in week 10 of gestation:

  • Peripheral blood samples for Progesterone (P4), Kisspeptin 54 and miR-324-3p analysis.
  • Blood sample for KIR typing.
  • Blood samples of patient and partner for HLA-C typing. If partner does not attend to this visit, his sample may be collected in the following 3 weeks.
  • Blood samples for detection of miRNAs related with insulin resistance, miR-424-5p and miR-15b.
  • Data of an oral glucose tolerance test (OGTT) that patients perform routinely in the first trimester of pregnancy will be required.
02

Conditions studied

  • Non-Viable Pregnancy

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Keywords

  • Ectopic pregnancy
  • non-viable pregnancy
  • miRNA
  • Kisspeptin
  • β-HCG
  • biomarkers
03

In context

Pregnancy, Ectopic

83 studies on the registry are indexed under Pregnancy, Ectopic; 21 are open to participants now.

This study's enrollment of 433 is above the median of 150 across 39 observational studies indexed under Pregnancy, Ectopic.

Browse Pregnancy, Ectopic studies →

Lead sponsor

Vida Recoletas Sevilla is the lead sponsor of 6 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Those patient that have made a pre-embryonic transfer in the IVI RMA Seville, IVI RMA Madrid, IVI RMA Valencia, and IVI RMA Barcelona clinics will constitute patient population.

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

  • Patients who will perform SET.
  • Patients using own oocytes.

Exclusion criteria

Exclusion Criteria:

  • Complicated uterine cavity.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
433 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Non-pregnant patients

    Patients with β-hCG test \< 10 UI/L.

    Diagnostic Test: Blood samples collection for analysis

  • Patients with viable pregnancy

    Patients with β-hCG test \> 10 UI/L whose pregnancy is confirmed between gestational weeks 6 and 8.

    Diagnostic Test: Blood samples collection for analysis

  • Patients with biochemical pregnancy

    Patients with β-hCG test \> 10 UI/L and without sac observed.

    Diagnostic Test: Blood samples collection for analysis

  • Patients with ectopic pregnancy

    Patients with β-hCG test \> 10 UI/L whose sac is implantated outside the uterine cavity.

    Diagnostic Test: Blood samples collection for analysis

  • Patients with clinical miscarriage

    Patients with β-hCG test \> 10 UI/L whose sac is implanted inside the uterine cavity, but non-viable pregnancy is confirmed before gestational week 8.

    Diagnostic Test: Blood samples collection for analysis

Interventions

  • Diagnostic testBlood samples collection for analysis

    Blood samples: Blood samples will be collected for the determination of the levels of various biomarkers (Kisspeptins and miRNAs), which are molecules that regulate the expression of proteins and can serve as markers for predicting pregnancy viability. Additionally, after biochemical or week 10 of clinical pregnancy confirmation, blood samples will be collected for KIR and HLA-C typing, Oral glucose tolerance test (OGTT) and analysis of the levels of miRNAs related with insulin resistance, miR-424-5p and miR-15b. Uterine biopsy (only in patients with BP): Uterine biopsy samples will be collected also after biochemical pregnancy confirmation for the determination of the levels of miRNAs related with insulin resistance, miR-424-5p and miR-15b.

    Also known as: Uterine biopsy sample collection (only in biochemical pregnancy patients)

06

What researchers measure

Primary outcomes

  1. Level of Kisspeptin 54

    Level in peripheral blood of Kisspeptin 54

    Time frame: Mar 2019 - Oct 2021

  2. Level of miR-324-3p

    Level in peripheral blood of miR-324-3p

    Time frame: Mar 2019 - Oct 2021

Secondary outcomes

  1. Level of progesterone

    Level in peripheral blood of progesterone

    Time frame: Mar 2019 - Oct 2021

  2. Level of hormone β-hCG

    Level in peripheral blood of hormone β-hCG

    Time frame: Mar 2019 - Oct 2021

  3. Level of miRNAs related with insulin resistance, miR-424-5p and miR-15b

    Level in peripheral blood of miR-424-5p and miR-15b in patients with viable and biochemical pregnancy

    Time frame: Mar 2019 - Oct 2021

  4. Level of miRNAs related with insulin resistance, miR-424-5p and miR-15b

    Level in endometrial sample of miR-424-5p and miR-15b in patients with biochemical pregnancy

    Time frame: Mar 2019 - Oct 2021

  5. KIR typing

    Killer-cell immunoglobulin-like receptors typing in patients with viable and biochemical pregnancy

    Time frame: Mar 2019 - Oct 2021

  6. HLA-C typing

    HLA (human leucocyte antigens)-C typing in patients with viable and biochemical pregnancy and their partners

    Time frame: Mar 2019 - Oct 2021

  7. Oral glucose tolerance test (OGTT)

    Including blood sample analysis before 75 g of glucose consumption and after 1h and 2 h.

    Time frame: Mar 2019 - Oct 2021

07

Study locations

2 sites
  • IVI RMA Madrid
    Madrid, Madrid 28023, Spain
  • IVI RMA Seville
    Seville, Seville 41011, Spain
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2019 to primary completion in Dec 2024, 63 months.

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

Registered
Mar 14, 2019
First posted
Mar 18, 2019
StartActual
Sep 15, 2019
Primary completionActual
Dec 30, 2024
CompletionActual
Mar 20, 2025
Last update
Jan 13, 2026
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 Jan 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03877939
Lead sponsor
Vida Recoletas Sevilla
Collaborators
IVI Madrid, Instituto Valenciano de Infertilidad, IVI VALENCIA, IVI Barcelona
Responsible party
Sponsor
First posted
Mar 18, 2019
Start date
Sep 15, 2019
Primary completion
Dec 30, 2024
Completion
Mar 20, 2025
Last update
Jan 13, 2026

Study contacts

Manuel Fernández-Sánchez, PhD, MD
principal investigator · IVI RMA Seville

Oversight

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

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This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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