ClinicalTrials.gg
Status unknownNCT05231551EMBRYOxUpdated Feb 28, 2022

Using Embryo Organoids to Discover Human-specific Mechanisms of Preimplantation Embryo Development and Early Pregnancy

An observational study in Infertility, sponsored by University Hospital, Montpellier. Status unknown at 1 site in France. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2022-02-28.

Sponsored by University Hospital, Montpellier · Observational

The sponsor has not verified this record recently (last verified Feb 2022), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
5
Ages
18 Years to 50 Years
Sex
Female
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Study summary

EMBRYOx study aims to establish and validate the use of trophoblast organoids (embryoids) from trophoblast placental stem cells as a 3D research model in understanding further preimplantation embryo development in vitro. The organoids are capable of proliferation, differentiation, and implantation in a matrix, reproducing early human embryo development.

Read the detailed description

Study objectives:

Our primary objective is to compare the transcriptomic profiles of embryoids with those obtained from human embryos donated to research and cultured in two different oxygen conditions (monophasic oxygen strategy: 5% of O2 for 5 days vs. biphasic oxygen strategy: 5% of O2 for 3 days and 2% of O2 afterwards for 2 days). The transcriptomic profiles of human embryos donated to research and cultured in two different oxygen conditions were obtained in our previous study (PMID: 34789773). The biphasic oxygen strategy turned out to be beneficial for early embryo development and pregnancy. The comparison of transcriptomic profiles could allow us to validate the embryoids as a model in the study of preimplantation embryo development in vitro. Moreover, this could permit us to better understand the molecular mechanisms associated with the positive impact of the biphasic oxygen conditions on embryo development.

Our secondary objective is to identify new non-invasive biomarkers predictive for preimplantation embryo development and pregnancy.

This is a prospective, monocentric, observational study.

Study population:

Patients having first trimester voluntary termination of pregnancy in Montpellier University Hospital which have previously signed an informed consent. Placental tissues are collected after aspiration of abortion products. At least 5 organoids populations from 5 different placentas will be generated.

Material and methods:

  • Collection of placental tissues after first trimester voluntary termination of pregnancy. Foetal tissues will not be collected as organoids are formed exclusively of trophoblast placental stem cells.
  • Isolation of trophoblast placental stem cells.
  • Culture, differentiation, and formation of embryoids.
  • Culture of embryoids under monophasic (5% of O2 for 5 days) or biphasic oxygen conditions (5% of O2 for 3 days and 2% of O2 after for 2 days).
  • ARN extraction (MiniKit Qiagen) and establishment of transcriptomic profiles (MGX-Montpellier GenomiX platform).
  • Comparison of the transcriptomic profiles obtained with those of human embryos (Ingenuity Pathway Analysis).
  • Cryopreservation of extra organoids in liquid nitrogen.

Assessment criteria:

Embryoids' dimension (100-150 um), proliferation/apoptosis index, expression of trophoblast markers (GATA3, KRT7, EGFR, TFAP2A, TFAP2C) by qPCR (Affymetrix Clariom) or immunohistochemistry.

Results and perspectives:

The investigators are expecting to obtain higher expression of proliferation, cellular survivor and pluripotency genes in embryoids cultured in biphasic oxygen conditions. If the investigators find the same outcomes after transcriptomic analysis of trophoblast organoids as those of human embryos, this would support the utilisation of organoids as a model in the study of human preimplantation embryo development.

Subsequently, the investigators could test the impact of other factors on the organoids' development (as culture medium composition, pH, etc.) and optimise the predictive value of non-invasive biomarkers (cf-DNA, PROK1 etc.).

02

Conditions studied

  • Infertility

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Keywords

  • Embryo development
  • Implantation
  • Oxygen
  • Trophoblast organoid
  • In vitro fertilization
03

In context

Infertility

2,540 studies on the registry are indexed under Infertility; 405 are open to participants now.

This study's planned enrollment of 5 is below the median of 200 across 722 observational studies indexed under Infertility.

Browse Infertility studies →

Lead sponsor

University Hospital, Montpellier is the lead sponsor of 1,261 studies on the registry; 227 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients having first trimester voluntary termination of pregnancy in Montpellier university hospital which have previously signed an informed consent. Placental tissues are collected after aspiration of abortion products.

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

- No smoking patients without drug consumption or previous medication who are having first trimester voluntary termination of pregnancy surgically or medically induced.

Exclusion criteria

Exclusion criteria:

- Patients smoking, drug consumption, previous medication

05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
5 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Single-group study

    Patients having first trimester voluntary termination of pregnancy in Montpellier university hospital.

    Procedure: Placental tissues

Interventions

  • ProcedurePlacental tissues

    Placental tissues are collected after aspiration of abortion products. They are treated immediately in order to isolate placental stem cells. Organoid culture is established and the obtained embryoids are cultured in monophasic or biphasic oxygen conditions. Extra organoids are cryopreserved in liquid nitrogen

06

What researchers measure

Primary outcomes

  1. Rate of research in preimplantation embryo development in vitro

    Establish and validate the use of embryoids from trophoblast placental stem cells as a 3D model for research in preimplantation embryo development in vitro.Our primary objective is to compare the transcriptomic profiles of embryoids with those obtained from human embryos donated to research and cultured in two different oxygen conditions (monophasic oxygen strategy: 5% of O2 for 5 days vs. biphasic oxygen strategy: 5% of O2 for 3 days and 2% of O2 afterwards for 2 days). The transcriptomic profiles of human embryos donated to research and cultured in two different oxygen conditions were obtained in our previous study (PMID: 34789773). The biphasic oxygen strategy turned out to be beneficial for early embryo development and pregnancy.

    Time frame: 1 day

Secondary outcomes

  1. Rate of Identification of new non-invasive biomarkers

    Identification of new non-invasive biomarkers which are predictive for preimplantation embryo development and pregnancy

    Time frame: 1 day

07

Study locations

1 of 1 sites recruiting
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References and documents

Individual participant data

Plan to share: Undecided — NC

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2022 (actual). Primary completion is estimated for Feb 2024, 24 months after the start.

Of 272 non-industry observational studies under Infertility, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 82. This study's planned 24 months is below that.

Counting every sponsor, half of 308 studies reached it within 38 months; a quarter within 16 and three quarters within 80.

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

Registered
Feb 7, 2022
First posted
Feb 9, 2022
StartActual
Feb 1, 2022
Primary completionEst.
Feb 1, 2024
CompletionEst.
Feb 28, 2024
Last update
Feb 28, 2022
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 28, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05231551
Responsible party
Sponsor
First posted
Feb 9, 2022
Start date
Feb 1, 2022
Primary completion
Feb 1, 2024 (estimated)
Completion
Feb 28, 2024 (estimated)
Last update
Feb 28, 2022

Study contacts

Sophie BROUILLET, MCU-PH
Contact
s-brouillet@chu-montpellier.fr
.4.67.33.59.54 ext. 33
Fatima BARRY, AHU
Contact
fatima.barry@chu-montpellier.fr
4.67.33.64.04 ext. 33
Samir HAMAMAH, PUPH
study director · University Hospital, Montpellier

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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