ClinicalTrials.gg
RecruitingNCT05606679Updated Jan 11, 2024

Maternal KIR and Fetal HLA Influence Reproductive Success in ART-oocyte Donor.

An observational study in Reproductive Issues, sponsored by IVI Madrid. Recruiting at 1 site in Spain. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2024-01-11.

Sponsored by IVI Madrid · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 11 months ago, but the record still lists the study as recruiting.
  • Started Nov 2022; still recruiting 4 years later.
Study type
Observational
Model
Other
Time perspective
Other
Enrollment
400
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The present project is an ambispective study designed to answer how HLA-F SNPs, as well as KIR-HLA-C compatibility, influence reproductive outcomes in oocyte donation cycles. On the one hand, healthy patients without history of RIF and RM and with indication of egg donation cycle as ART treatment will be genotype for KIR, HLA-C and HLA-F. HLA-C from male partners and egg donors will be also analyzed. No matching based on HLA-C genotypes would be performed and donors would be assigned to recipients following the routine clinical practices. After SET, patients will be followed up until delivery or until the end of treatment. On the other hand, access to data from patients who have equally undergone oocyte-donation cycles, who meet the inclusion criteria and who have been genotyped for KIR and HLA-C as a matter of routine practice, will be requested.

For this study, only the first SET of oocyte-donation that patients undergo will be considered. LBR will be the primary endpoint of the study. In addition, secondary endpoints such as embryo development, sustained implantation, progesterone levels, implantation failure, miscarriage rate and unwanted events (preeclampsia, fetal grow restriction, premature birth, low birth weight...) will also be evaluated.

Read the detailed description

This is an ambispective study in which healthy patients without history of RIF and RM and with indication of egg donation cycle as ART treatment will be genotyped for KIR, HLA-C and HLA-F. Male partners and egg donors will also be studied for their HLA-C alleles. Patients would be assigned to donors, following routine clinical practice, without matching based on donor's HLA-C genotype. They would undergo SET and be followed up until delivery.

In addition to this prospective part, we will request access to data from patients who have equally undergone oocyte donation cycles at the clinic, who meet the inclusion criteria and who have been genotyped for KIR and HLA-C as a matter of routine practice.

Combinations of maternal KIR and HLA-C genotypes of the egg donor and fetus (based on the genotypes of the donor and male partner), as well as different HLA-F SNP genotypes of the recipients (form the prospective part of this proyect) will be correlated with reproductive outcomes. LBR will be the primary endpoint of the study. In addition, secondary endpoints such as embryo development, sustained implantation, progesterone leves, implantation failure and miscarriage rate will also be evaluated. Obstetrical complications such as preeclampsia, premature birth (\<34 weeks) and low birth weight will also be evaluated.

02

Conditions studied

  • Reproductive Issues
03

In context

Lead sponsor

IVI Madrid is the lead sponsor of 35 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

The study population will consist of healthy patients with no history of RIF and RM which have undergone or are undergoing ART with oocyte donation and SET at IVI RMA Madrid, Valencia y Barcelona. Study subject candidates will be informed about the study once the inclusion criteria have been met. Data on reproductive outcomes, embryo development and perinatal and obstetric complications will be collected.

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 have undergone or are undergoing their first egg donation cycle.
  • Between 18 and 45 years of age.
  • between 19 and 25 kg/m2
  • Signed written submitted.
  • No history of RIF, defined as implantation failure after 4 consecutive blastocysts are transferred.
  • No history of RM, defined as the presence of 2 or more clinical miscarriages.
  • Normal blood pressure and viral serology.

Exclusion criteria

Exclusion Criteria:

  • Male partner diagnosed with severe male factor
  • Patients who test positive for thrombophilic disorders (factor V Leiden, prothrombinG20210A mutation, positive antiphospholipid antibodies)
  • Participation in a different study or clinical trial with a research drug or device in the last three months prior to recruitment.
  • Known abnormal karyotype of subject or of her partner
  • Any known systemic disease
  • Known inherited or acquired thrombophilia disease.
  • Any known endocrine or metabolic abnormalities with the exception of controlled thyroid function disease.
  • Severe psychiatric conditions.
  • Patients with uterine factor/abnormalities (eg. myomas, polyps, adenomyosis, etc), that determines an unsatisfactory ultrasound for their ART.
  • Patients with PCOS.
  • Patients diagnosed with diseases (eg. Systemic Lupus erythematosus, multiple sclerosis, rheumatoid arthritis).
  • Patients with recent diagnosis (6 months) of chronic infectious disease (HPV, , , , TBC).
  • Patients with current treatment of (eg. , monoclonal antibodies...).
Terms in these criteria, in plain language(9)

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.

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Observational model
Other
Time perspective
Other
Enrollment
400 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients undergoing ART with oocyte donation

    Healthy patients with no history of RIF and RM which have undergone or are undergoing ART with oocyte donation and SET.

    Genetic: Analysis combinations of maternal KIR and HLA-C genotypes

Interventions

  • GeneticAnalysis combinations of maternal KIR and HLA-C genotypes

    Analysis of combinations of maternal KIR and HLA-C genotypes of the egg donor and fetus (based on the genotypes of the donor and male partner), as well as different HLA-F SNP genotypes of the recipients

06

What researchers measure

Primary outcomes

  1. To determine if certain combinations of maternal KIR and oocyte donor HLA-C genotypes results in improved outcomes of live birth rate.

    Principally, to establish whether patients of KIR AA and KIR Bx (2DS1-) genotypes show better outcomes when receiving oocytes from HLA-C1C1 donors than from donors with at least one HLA-C2 allele.

    Time frame: 36 months

Secondary outcomes

  1. To determine if certain combinations of maternal KIR and oocyte donor HLA-C genotypes results in improved outcomes of live birth rate taking into account the extra HLA-C2 alleles of the embryo.

    To determine if certain combinations of maternal KIR and oocyte donor HLA-C genotypes results in improved outcomes of live birth rathe, in the same way as in the primary target, but taking into account the extra HLA-C2 alleles of the embryo with respect to the mother and the alternative division of the maternal genotypes into KIR AA, AB and BB.

    Time frame: 36 months

07

Study locations

1 of 1 sites recruiting
  • Instituto Valenciano de Infertilidad
    Madrid, 28035, Spain
    Recruiting
    • Juan A Garcia-Velasco, MD · Contact341802900
    • Juan A Garcia-Velasco, MD · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 11, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05606679
Lead sponsor
IVI Madrid
Collaborators
Diana Alecsandru
Responsible party
Sponsor
First posted
Nov 7, 2022
Start date
Nov 1, 2022
Primary completion
Dec 1, 2024 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Jan 11, 2024

Study contacts

Diana Alecsandru, PhD
Contact
Diana.Alecsandru@ivirma.com
+34 91 180 29 00
Juan Antonio Garcia Velasco, PhD
Contact
juan.garcia.velasco@ivirma.com
+34 91 180 29 00
Juan Antonio Garcia Velasco, PhD
principal investigator · IVIRMA MADRID

Oversight

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

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