ClinicalTrials.gg
RecruitingNCT06858111FIRSTUpdated Oct 7, 2026

Fertilo In Vitro Research Study and Trial

A Phase 3 interventional study of Fertilo and Medicult IVM in In Vitro Maturation of Oocytes, sponsored by Gameto, Inc.. Recruiting at 16 sites in United States. Open to female participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-07.

Sponsored by Gameto, Inc. · Phase 3, Interventional, and Other

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 6 months later.
Updated Oct 7, 20261 site addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
500
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
Female
01

Study summary

The goal of this clinical trial is to evaluate the safety and efficacy of using Fertilo for In vitro maturation (IVM) in participants 18-35 years of age. The main question it aims to answer is whether the use of Fertilo is superior to using Medicult IVM for In vitro maturation.

Researchers will compare the number of ongoing pregnancies at 12 weeks gestation for participants in each arm.

  • Arm 1 participants will have all cumulus oocyte complexes (COCs), or eggs surrounded by helper cells, cultured in Fertilo for 30 hours.
  • Arm 2 participants will have all cumulus oocyte complexes (COCs), or eggs surrounded by helper cells, cultured in Medicult IVM for 30 hours.
02

Conditions studied

  • In Vitro Maturation of Oocytes

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Keywords

  • IVF
  • IVM
  • In Vitro Fertilization
  • Fertilo
  • Gameto
  • infertility
  • fertility
03

In context

Infertility

2,085 studies on the registry are indexed under Infertility; 357 are open to participants now.

This study's planned enrollment of 500 is above the median of 135 across 1,412 interventional studies indexed under Infertility.

Browse Infertility studies →

Lead sponsor

This is the only study on the registry with Gameto, Inc. as lead sponsor.

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

04

Who can participate

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

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

  1. Written .
  2. Premenopausal, Age 18-35.
  3. (BMI) 21-40.
  4. Candidate for IVF according to the ASRM definition (infertile for ≥12 months, require the use of donor sperm, or the inability to achieve a successful pregnancy based on a patient's medical, sexual, and reproductive history, age, physical findings, diagnostic testing, or any combination of those factors).
  5. No to the use of oral pills (OCP) or gonadotropins.
  6. Plan to use embryos for transfer within 2 months of blastocyst cryopreservation.
  7. Anti-mullerian hormone (AMH) ≥ 3 ng/mL within 6 months of Screening/Visit 1 or assessed at the screening visit.
  8. Normal uterine cavity as assessed by hysteroscopy, hysterosalpingography or sonohysterography within 12 months of Screening/Visit 1 or assessed at the screening visit.
  9. Having adequate visualization of both ovaries, without evidence of significant abnormality/pathology or major cyst documented by transvaginal ultrasound within 3 months of screening or assessed during screening period.
  10. No endometriosis of American Fertility Society (AFS) grade 3 or 4 or presence of endometrioma.
  11. Minimum of 1 month without treatment with either clomiphene citrate, GnRH agonist or gonadotropins prior to start of ovarian stimulation.
  12. Have a male partner with semen analysis within the past 12 months prior to randomization considered adequate to proceed with intracytoplasmic sperm injection (ICSI) according to the center's standard practice. If this criterion is not met, the subject can only be entered if donor sperm will be used.

Exclusion criteria

Exclusion Criteria:

  1. History of recurrent pregnancy loss (defined as >2 clinical pregnancies without live birth).
  2. Baseline prolactin levels greater than 30 ng/ml
  3. Male: requirement for retrograde ejaculation procedures or surgical sperm retrievals.
  4. Any pathology that in the judgment of the investigator could impair embryo implantation or pregnancy continuation.
  5. Use of preimplantation genetic testing (PGT) of oocytes, embryos, or transferred blastocysts during participation in the study.
  6. Use of donated oocytes, embryos or blastocysts for this treatment cycle while participating in the study or use of oocytes, embryos, or blastocysts from a previous treatment cycle.
  7. Participation in a concurrent clinical trial or in another drug trial within the past 2 months.
Terms in these criteria, in plain language(6)

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.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
500 participants (estimated)

Study arms

  • Experimental
    Fertilo

    Immature cumulus-oocyte complexes (COCs) are oocytes surrounded by cumulus cells that have not yet matured. The COCs are cultured in Fertilo coculture condition then fertilized, grown to the blastocyst stage, vitrified, and later transferred for reproductive purpose.

    Biological: Fertilo

  • Active comparator
    Medicult IVM®

    Immature COCs are cultured in the standard IVM system MediCult IVM® then fertilized, grown to the blastocyst stage, vitrified, and later transferred for reproductive purpose.

    Device: Medicult IVM

Interventions

  • BiologicalFertilo

    Fertilo is an engineered line of ovarian support cells that aid egg maturation.

  • DeviceMedicult IVM

    MediCult IVM is a system of culture media designed for the in vitro maturation of immature oocytes.

06

What researchers measure

Primary outcomes

  1. Demonstration of the superiority of Fertilo compared to the currently approved MediCult IVM® for infertility treatment via IVF procedures.

    Cumulative ongoing pregnancy from cycles initiated within 6 months post-randomization. The primary endpoint of ongoing pregnancy is assessed at 12 weeks gestation or later. Cumulative ongoing pregnancy is determined using the cumulative outcome of up to the first two embryo transfers. Subjects with a detectable fetal heartbeat, considered normal and healthy, are considered as having achieved an ongoing pregnancy. "Normal" will be determined as expected for the gestational age ranging from 110 bpm to 180 bpm and measured via ultrasound. Ongoing pregnancy is recorded as either a Yes or No for normal fetal heart rate present for each of the Subject's transfer cycles. Subjects without an ongoing pregnancy assessment are considered as a No unless a later observation indicates otherwise (i.e., a live birth). Cumulative ongoing pregnancy is derived as either a Yes, if at least one of the first two embryo transfers achieves an ongoing pregnancy, or a No otherwise.

    Time frame: 12 weeks gestation

Secondary outcomes

  1. Metaphase II (MII) Formation

    MII formation rate is assessed at 30 hours post-oocyte retrieval. A Metaphase II (MII) oocyte is defined as an oocyte with a first polar body (PB1). The MII formation rate is measured as a Subject's total number of MII oocytes divided by their total number of COCs. The MII formation rate is multiplied by 100 and expressed as a percentage.

    Time frame: 30 hours post-oocyte retrieval

  2. Fertilization Rate

    Fertilization rate is assessed at 16-18 hours post-ICSI. Fertilized embryos displaying 2 pronuclei and 2 polar bodies are considered normally fertilized. Fertilized embryos with no pronuclei are considered not fertilized. Fertilized embryos with one pronuclei are held to determine cleavage, as pronuclei visualization timing may mask the second pronucleus. The fertilization rate is measured as a Subject's total number of fertilized embryos divided by their total number of COCs. The fertilization rate is multiplied by 100 and expressed as a percentage.

    Time frame: 16-18 hours post-ICSI

  3. Embryo cleavage rate

    Embryo cleavage rate is assessed at day 3 post-ICSI. Embryos with 2 or more cells are considered as cleaved. Fertilized embryos displaying a single cell will be considered not cleaved. The cell cleavage rate is measured as a Subject's total number of embryos considered as cleaved divided by their total number of COCs. The cell cleavage rate is multiplied by 100 and expressed as a percentage.

    Time frame: Day 3 post-ICSI

  4. High quality blastocyst formation rate.

    High quality blastocyst formation rate is assessed at day 5, 6 and 7 post-ICSI. Embryos that have successfully passed the morula stage, as indicated by cavitation, will be designated as blastocysts and will be graded according to the Gardner Scale. Blastocysts having a Gardner Scale score of 3CC or higher are considered as high quality blastocysts. The high quality blastocyst formation rate is measured as a Subject's total number of high quality blastocysts divided by their total number of COCs. The high quality blastocyst formation rate is multiplied by 100 and expressed as a percentage.

    Time frame: Day 5, 6, and 7 post-ICSI

  5. High quality vitrified blastocyst rate.

    High quality vitrified blastocyst rate is assessed at day 5, 6 and 7 post-ICSI. Embryos deemed high quality, as measured by a Gardner score of 3CC of greater, that have been vitrified, a method of rapid cryopreservation for future embryo transfer, will be designated as high quality vitrified blastocysts. The high quality vitrified blastocyst rate is measured as a Subject's total number of high quality blastocysts that are vitrified divided by their total number of COCs. The high quality vitrified blastocyst rate is multiplied by 100 and expressed as a percentage.

    Time frame: Day 5, 6, and 7 post-ICSI

  6. Cumulative biochemical pregnancy.

    Cumulative biochemical pregnancy from cycles initiated within 6 months post randomization. Biochemical pregnancy is assessed at 10 to 14 days following FET. Cumulative biochemical pregnancy is determined using the cumulative outcome of up to the first two embryo transfers. Subjects with BHCG value greater than 5 mIU/mL on two separate tests are considered as achieving biochemical pregnancy. Biochemical pregnancy is recorded as either a Yes or No for each of the Subject's transfer cycles. Subjects without a biochemical pregnancy assessment are considered as a No unless a later observation indicates otherwise (i.e., a clinical pregnancy, ongoing pregnancy, or live birth). Cumulative biochemical pregnancy is derived as either a Yes, if at least one of the first two embryo transfers achieves a biochemical pregnancy, or a No otherwise.

    Time frame: 10 to 14 days following FET

  7. Cumulative clinical pregnancy.

    Cumulative clinical pregnancy from cycles initiated within 6 months post randomization is assessed at 4-6 weeks gestation. Cumulative clinical pregnancy is determined using the cumulative outcome of up to the first two embryo transfers. Subjects with a gestational sac visualized with TVU are considered as having achieved a clinical pregnancy. Clinical pregnancy is recorded as either a Yes or No for each of the Subject's transfer cycles. Subjects without a clinical pregnancy assessment are considered as a No unless a later observation indicates otherwise (i.e., an ongoing pregnancy or live birth). Cumulative clinical pregnancy is derived as either a Yes, if at least one of the first two embryo transfers achieves a clinical pregnancy, or a No otherwise.

    Time frame: 4-6 weeks gestation

  8. Cumulative live birth.

    Cumulative live birth from cycles initiated within 6 months post-randomization. Live birth is confirmed at \>24 weeks gestation by the presence of signs of life such as breathing, heartbeat, pulsation of the umbilical cord, or definitive movement of voluntary muscles. Cumulative live birth is determined using the cumulative outcome of up to the first two embryo transfers. Subjects with at least one neonate meeting the definition of live birth are considered as having achieved a live birth. Live birth is recorded as either a Yes or No for each of the Subject's transfer cycles. Subjects without a live birth assessment are considered as a No. Cumulative live birth is derived as either a Yes, if at least one of the first two embryo transfers achieves a live birth, or a No otherwise.

    Time frame: Greater than 24 weeks gestation

07

Study locations

16 of 16 sites recruiting
  • Women's Specialty & Fertility Center
    Clovis, California 93611, United States
    Recruiting
    • Casey Study Coordinator · Contactcstorm@santehealth.net · 559-299-7700
    • Howard Synn, MD · Principal investigator
  • HRC Fertility
    Encino, California 91436, United States
    Recruiting
  • Florida Fertility Institute
    Clearwater, Florida 33759, United States
    Recruiting
    • Gayle Cameron · Contactgaylec@xxresearch.com · 727-724-9730
    • Mark Sanchez, MD · Principal investigator
  • IVF Florida
    Pembroke Pines, Florida 33026, United States
    Recruiting
  • Shady Grove Fertility
    Rockville, Maryland 20850, United States
    Recruiting
  • Columbia University Fertility Center
    New York, New York 10019, United States
    Recruiting
  • Reach Fertility
    Charlotte, North Carolina 28207, United States
    Recruiting
  • Conceptions Fertility
    Raleigh, North Carolina 27607, United States
    Recruiting
  • Aspire Fertility Dallas
    Addison, Texas 75001, United States
    Recruiting
  • Aspire Fertility Austin
    Austin, Texas 78705, United States
    Recruiting
  • Care Fertility
    Bedford, Texas 76022, United States
    Recruiting
  • Dallas Fort Worth Fertility Associates
    Dallas, Texas 75231, United States
    Recruiting
  • Pozitivf Fertility San Antonio
    San Antonio, Texas 78249, United States
    Recruiting
  • Aspire Fertility San Antonio
    San Antonio, Texas 78528, United States
    Recruiting
  • Shady Grove Houston
    Webster, Texas 77598, United States
    Recruiting
  • Utah Fertility Center
    Pleasant Grove, Utah 84062, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices).

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Beginning 3 months and ending 5 years following article publication.

Access criteria: Researchers who provide a methodologically sound proposal. Requestord will need to contact clinicaltrials@gametogen.com and sign a data access agreement.

No publications or documents are linked to this record.

09

Timeline

2 registry updates 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 Apr 2025 (actual). Primary completion is estimated for May 2027, 25 months after the start.

Of 25 industry-sponsored phase 3 interventional studies under Infertility, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 24. This study's planned 25 months is above that.

Counting every sponsor, half of 59 studies reached it within 24 months; a quarter within 16 and three quarters within 47.

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

Registered
Feb 27, 2025
First posted
Mar 5, 2025
StartActual
Apr 17, 2025
Primary completionEst.
May 2027
CompletionEst.
Jan 2028
Last update
Oct 7, 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.
Sites
1 site added
Show site
  • Pozitivf Fertility San Antonio · San Antonio, United States
Oct 7, 2026
Site contacts
Changed at 4 sites. See the sites
Show 4 sites
  • HRC Fertility · Encino, United StatesContact c•••@havingbabies.com · •••7288→c•••@havingbabies.com · •••7288
  • Aspire Fertility Dallas · Addison, United StatesContact a•••@aspirefertility.com · •••3806→R•••@inceptionllc.com · •••3806
  • Aspire Fertility Austin · Austin, United StatesContact a•••@aspirefertility.com · •••7979→R•••@inceptionllc.com · •••7979
  • Aspire Fertility San Antonio · San Antonio, United StatesContact R•••@inceptionllc.com · •••8206→R•••@inceptionllc.com · •••8453
Sep 29, 2026
Show all 2 updates
  1. Oct 7, 2026
    1 site added
    Show site
    • Pozitivf Fertility San Antonio · San Antonio, United States
    + 1 other change: verification date
  2. Sep 29, 2026
    Site contacts Changed at 4 sites. See the sites
    Show 4 sites
    • HRC Fertility · Encino, United StatesContact c•••@havingbabies.com · •••7288→c•••@havingbabies.com · •••7288
    • Aspire Fertility Dallas · Addison, United StatesContact a•••@aspirefertility.com · •••3806→R•••@inceptionllc.com · •••3806
    • Aspire Fertility Austin · Austin, United StatesContact a•••@aspirefertility.com · •••7979→R•••@inceptionllc.com · •••7979
    • Aspire Fertility San Antonio · San Antonio, United StatesContact R•••@inceptionllc.com · •••8206→R•••@inceptionllc.com · •••8453

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06858111
Lead sponsor
Gameto, Inc.
Responsible party
Sponsor
First posted
Mar 5, 2025
Start date
Apr 17, 2025
Primary completion
May 2027 (estimated)
Completion
Jan 2028 (estimated)
Last update
Oct 7, 2026

Study contacts

Clinical Trials
Contact
clinicaltrials@gametogen.com
512-535-1164

Oversight

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

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