ClinicalTrials.gg
RecruitingNCT06177613TRABLANUpdated Feb 20, 2025

Advantages of Early Intrauterine Transfer of "blank" Culture Medium Prior to 1st or 2nd Transfer of Thawed Embryo(s).

An interventional study of Blank culture transfer and Sham transfer in Single Embryo Transfer and Fertilization in Vitro, sponsored by Centre Hospitalier Universitaire de Nīmes. Recruiting at 7 sites in 2 countries. Open to female participants. Per ClinicalTrials.gov, last updated 2025-02-20.

Sponsored by Centre Hospitalier Universitaire de Nīmes · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by May 2026, 6 months ago, but the record still lists the study as recruiting.
  • Started Feb 2024; still recruiting 2 years 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
1,154
Allocation
Randomized
Sex
Female
01

Study summary

Despite technical advances in Medically Assisted Reproduction (AMP), the success of fertility treatments is sometimes limited by embryo implantation failure. The coordinated development of the embryo and the uterine endometrium requires close communication between the maternal tissue and the embryo. In in vitro fertilization (IVF), embryo transfer generally takes place between the 2nd (D2) and the 6th (D6) day following oocyte fertilization. Recent studies have shown the advantages of sequential transfer (transfer of an embryo on D2/D3 followed by the transfer of another embryo on D5/D6), with higher implantation and clinical pregnancy rate, fewer miscarriages, more live births, and yet no increase in multiple pregnancies. However, the American Society for Reproductive Medicine recommendations continue to prioritize the transfer of a single embryo for all patients aged under 38. To improve pregnancy rates for patients having a single embryo transferred, the study investigators wish to carry out on "blank" transfer, based on the principle of sequential transfer. The study investigators hypothesize that a culture medium, placed in the uterus before the time of embryo transfer, will modify immune tolerance. The study will test whether transferring the same culture medium in an equivalent quantity as during the real transfer into the uterus 2/3 days before the embryo transfer will improve tolerance to this foreign medium and, therefore, embryo implantation. The aim of this study is thus to evaluate the impact of a "blank" transfer with culture medium alone, on the results of frozen embryo transfers (FET) from IVF.

02

Conditions studied

  • Single Embryo Transfer
  • Fertilization in Vitro
03

In context

Lead sponsor

Centre Hospitalier Universitaire de Nīmes is the lead sponsor of 595 studies on the registry; 90 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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

  • Having had a first "fresh" or frozen embryo transfer, whatever the embryo's stage of development, transfer followed by pregnancy failure ;
  • Frozen embryos must be at least D3 stage;
  • The patient must have given their free and and signed the consent form
  • The patient must be a member or beneficiary of a health insurance plan

Exclusion criteria

Exclusion Criteria:

  • The subject is participating in an interventional study, or is in a period of exclusion determined by a previous study
  • The patient is under safeguard of justice or state guardianship
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
1,154 participants (estimated)

Study arms

  • Experimental
    With blank culture

    Procedure: Blank culture transfer

  • Sham comparator
    Without blank culture

    Procedure: Sham transfer

Interventions

  • ProcedureBlank culture transfer

    A maximum of 0.1 ml of gassed embryo culture medium preheated to 37°C is injected into the uterine cavity transcervically using an embryo transfer catheter placed just beyond the internal os, two to 3 days before transfer of the thawed embryo

  • ProcedureSham transfer

    An intermediate transfer step is added two or three days before the planned transfer of the frozen embryo but with an empty catheter.

06

What researchers measure

Primary outcomes

  1. Clinically progressive pregnancy rate between groups

    Measured on first-trimester ultrasound

    Time frame: 12 weeks of amenorrhea

Secondary outcomes

  1. Occurrence of pregnancy between groups

    Defined by a positive beta HCG test ≥ 100 IU/ml

    Time frame: Day 14

  2. Occurrence of a biochemical pregnancy between groups

    Defined by a positive beta HCG test ≥ 10 IU/ml and \< 100 IU/ml

    Time frame: Day 14

  3. Occurrence of a clinical pregnancy between groups

    Defined by a positive beta HCG test ≥ 100 IU/ml and presence of at least one gestational sac on dating ultrasound

    Time frame: 6 weeks of amenorrhea

  4. Occurrence of an early miscarriage between groups

    Defined by the presence of a pregnancy defined by a positive beta HCG test ≥ 100 IU at D14 and the absence of an evolving clinical pregnancy at first-trimester ultrasound

    Time frame: 12 weeks of amenorrhea

  5. Occurrence of live birth

    Yes/no

    Time frame: Upon giving birth (maximum month 9)

  6. Differential cost-result ratio

    Ratio of the cost differential and the number of additional live births (additional progressive clinical pregnancies) between the two strategies, to evaluate the cost per additional live birth.

    Time frame: End of study (Year 3)

  7. Total estimated expenditure for the two care strategies compared (budget impact analysis) over a one-year time horizon.

    Calculated at national level (implementation of the system and consumption of care)

    Time frame: End of study (Year 3)

07

Study locations

1 of 7 sites recruiting
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 Feb 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06177613
Responsible party
Sponsor
First posted
Dec 20, 2023
Start date
Feb 9, 2024
Primary completion
May 2026 (estimated)
Completion
Feb 2027 (estimated)
Last update
Feb 20, 2025

Study contacts

Nathalie Rougier
Contact
nathalie.rougier@chu-nimes.fr
04.66.68.32.24
Nathalie Rougier
principal investigator · CHU de Nimes

Oversight

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

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