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CompletedNCT04339166ESNi-PGTUpdated Dec 11, 2025

Embryo Selection by Noninvasive Preimplantation Genetic Test

An interventional study of Non-invasive chromosome screening(NICS) in Infertility and Chromosome Abnormality, sponsored by Peking University Third Hospital. Completed at 13 sites in China. Open to female participants aged 35 Years to 42 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-11.

Sponsored by Peking University Third Hospital · Not applicable, Interventional, and Screening

Phase
Not applicable
Study type
Interventional
Enrollment
1,152
Allocation
Randomized
Ages
35 Years to 42 Years
Sex
Female
01

Study summary

The objective of this study is to explore whether non-invasive chromosome screening (NICS) can be used as an effective indicator for embryos selection besides morphology through a multicenter randomized controlled trial, by comparing the differences of live birth rate, pregnancy rate and miscarriage rate between the two groups of embryo selection by "NICS+ morphology" and embryo selection only by "morphology" in IVF cycle.

Read the detailed description

Chromosomal abnormalities commonly exist in early human embryos, and often cause embryo implantation failure and pregnancy loss in in-vitro fertilization (IVF) treatments. Preimplantation genetic testing for aneuploidies (PGT-A) by comprehensive chromosome screening (CCS) has been widely applied in IVF practices to select embryos with normal ploidy. Although multiple clinical trials have demonstrated improved clinical outcomes with PGT-A, it's in controversial for whether PGT-A is truly worthwhile to be offered to all IVF patients. One of the main concerns is that it involves an embryo biopsy procedure, which is invasive and the long-term safety issue of the embryo biopsy remains to be fully investigated.

In recent years, researchers have found that the spent medium of embryo culture contains trace amount of cell-free DNA, which may reflect the ploidy of the embryo. The non-invasive chromosome screening (NICS) approach utilizing spent culture medium samples has been evaluated in studies. However, the clinical value of NICS as a new effective indicator to evaluate embryo competence so far has not been justified by randomized clinical trials.

The main purpose of this project is to verify whether NICS can be used as a new effective indicator for evaluating embryo developmental potential through multi-center, randomized clinical trials

02

Conditions studied

  • Infertility
  • Chromosome Abnormality

Keywords

  • Culture media
  • Embryonic cell-free DNA
  • Euploidy
03

In context

Infertility

2,506 studies on the registry are indexed under Infertility; 407 are open to participants now.

This study's enrollment of 1,152 is above the median of 120 across 1,698 interventional studies indexed under Infertility.

Browse Infertility studies →

Lead sponsor

Peking University Third Hospital is the lead sponsor of 735 studies on the registry; 262 are open to participants now.

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

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Who can participate

Ages eligible
35 Years to 42 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Infertile couples receiving IVF- ICSI procedure for assisted reproduction cycle
  2. Female age: 35 - 42 years old
  3. Women receiving controlled ovarian hyperstimulation treatment (including ultra-long protocol、long-protocol 、short protocol treatment with GnRH agonist and GnRH antagonist treatment protocol); and the number of oocytes ≥6; The female BMI is from 18 to 30kg/m2.
  4. Culture embryos to blastocyst stage and all the blastocysts will be single cryopreserved.
  5. Single frozen-thawed blastocyst Transferred for the first time
  6. The number of blastocysts ≥2, morphology grade (above 4BC/4CB)
  7. Written informed consent

Exclusion criteria

Exclusion Criteria:

  1. One of couples with IVF or ICSI contraindications(such as poorly controlled type I or type II diabetes; liver disease or dysfunction; kidney disease or renal function abnormality; significant anemia; history of deep venous thrombosis, pulmonary embolus; history of cerebrovascular accident; uncontrolled hypertension or diagnosed heart disease; history of cervical, endometrial or breast cancer; undiagnosed vaginal bleeding.)
  2. PGT cycles
  3. Women who have pathologies or malformations that affect the pregnancy outcome: genital malformations, untreated hydrosalpinx, untreated uterine infections, intramural myomas > 4cm , benign tumor of pelvic and abdominal cavity> 4cm, intimal thickness\<8mm, pituitary tumors and malignant tumors of various tissues and organs during the patient's participation in the study
  4. Untreated hyperprolactinemia, thyroid disease, adrenal disease
  5. Women with endometrial polyps that were not treated before embryo transfer
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Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
1,152 participants (actual)

Study arms

  • Experimental
    Group A

    Single thawed blastocyst transfer with blastocyst selection according to the analysis of NICS and morphologic score.

    Diagnostic Test: Non-invasive chromosome screening(NICS)

  • No intervention
    Group B

    Single thawed blastocyst transfer with blastocyst selection according to morphologic score.

Interventions

  • Diagnostic testNon-invasive chromosome screening(NICS)

    NICS is noninvasive chromosome screening approach to analysis the euploidy by free DNA in embryo culture medium

06

What researchers measure

Primary outcomes

  1. Ongoing pregnancy rate

    Number of women with ongoing pregnancies after the first transfer/ number of women randomized to the specific group

    Time frame: 12 weeks after the first embryo transfer

Secondary outcomes

  1. Clinical pregnancy rate

    Number of women with clinical pregnancies after the first transfer / number of women randomized to the specific group

    Time frame: 7 weeks after the first embryo transfer

  2. Miscarriage rate

    Number of pregnancy losses / number of clinical pregnancies after the first transfer.

    Time frame: Miscarriage:28 weeks of after the first embryo transfer; First trimester miscarriage(early miscarriage):12 weeks of after the first embryo transfer;

  3. Live birth rate

    Number of women with live births after the first transfer / number of women randomized to the specific group.

    Time frame: within 2 weeks after live birth

07

Study locations

13 sites
  • The First Affiliated Hospital,Sun Yat-sen University
    Guanzhou, Guangdong, China
  • Peking University Shenzhen Hospital
    Shenzhen, Guangdong, China
  • Hebei Maternity and Reproductive hospital
    Shijiazhuang, Hebei, China
  • The Second Hospital of Hebei Medical University
    Shijiazhuang, Hebei, China
  • The Third Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan, China
  • Reproductive & Genetic Hospital of Citic-Xiangya
    Changsha, Hunan, China
  • Jinling Hospital,Nanjing University,School Medicine
    Nanjing, Jiangsu, China
  • Shengjing Hospital of China Medical University
    Shenyang, Liaoning, China
  • West China Second Hospital of Sichuan University
    Chengdu, Sichuan, China
  • The Second Affiliated Hospital of Wenzhou Medical University
    Wenzhou, Zhejiang, China
  • Peking University Third Hospital
    Beijing, China
  • The First Medical Center of Chinese People's Liberation Army General Hospital
    Beijing, China
  • Northwest women's and children's hospital
    Xi'an, China
08

References and documents

Publications

  • Huang J, Rong L, Zeng L, Hu L, Shi J, Cai L, Yao B, Wang XX, Xu Y, Yao Y, Wang Y, Zhao J, Guan Y, Qian W, Hao G, Lu S, Liu P, Qiao J. Embryo selection through non-invasive preimplantation genetic testing with cell-free DNA in spent culture media: a protocol for a multicentre, double-blind, randomised controlled trial. BMJ Open. 2022 Jul 27;12(7):e057254. doi: 10.1136/bmjopen-2021-057254. PubMed 35896299 ↗

Individual participant data

Plan to share: Yes — Data may be shared with proper internal and ethical approval. De-identified data may also be shared with approved study investigators.

Supporting information: Study protocol

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04339166
Lead sponsor
Peking University Third Hospital
Collaborators
Jinling Hospital, China, Reproductive Medical Center of Hebei Maternity Hospital, Northwest Women's and Children's Hospital, Xi'an, Shaanxi, First Affiliated Hospital of the Chinese People's Liberation Army Naval Medical University, Shengjing Hospital, First Affiliated Hospital, Sun Yat-Sen University, Reproductive & Genetic Hospital of CITIC-Xiangya, Yikon Genomics Company, Ltd, Peking University Shenzhen Hospital, The Second Hospital of Hebei Medical University, West China Second University Hospital, Second Affiliated Hospital of Wenzhou Medical University, Third Affiliated Hospital of Zhengzhou University
Responsible party
Jie Qiao (Professor, Peking University Third Hospital) — Principal investigator
First posted
Apr 9, 2020
Start date
Apr 16, 2020
Primary completion
Feb 28, 2024
Completion
Aug 6, 2024
Last update
Dec 11, 2025

Study contacts

Jie Qiao
principal investigator · Peking University Third Hospital

Oversight

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 Dec 2025. You cannot join it, but the record below documents what was studied.

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