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RecruitingNCT07066267Updated Jul 17, 2025

Adipose Stem Cell Mitochondria Supplementation to Oocytes (ASCENT)

An interventional study of Experimental in Female Infertility, Oocyte Competence and Mitochondria, sponsored by Sunkaky Medical Cooperation. Recruiting at 1 site in Sri Lanka. Open to female participants aged 29 Years to 39 Years. Per ClinicalTrials.gov, last updated 2025-07-17.

Sponsored by Sunkaky Medical Cooperation · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 9 months ago, but the record still lists the study as recruiting.
  • Started Apr 2025; still recruiting 1 year 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
29 Years to 39 Years
Sex
Female
01

Study summary

The purpose of this study is to investigate the potential of autologous adipose stem cell (ASC) mitochondrial transfer (ASCENT) to oocytes along with intracytoplasmic sperm injection (ICSI)as a means of enhancing embryo development and improving the success rate of in patients with a history of multiple IVF failures. Embryo quality plays a crucial role in determining the success of assisted reproductive technologies and directly contributes to repeated pregnancy failures. Several factors, including age, physiological conditions, genetics, and environmental influences, can significantly impact embryo quality. Oocytes, the largest cells in the human body, are heavily reliant on mitochondria. Mitochondria's role in providing energy for oocytes is crucial, and insufficient energy production has been linked to poor oocyte and embryo quality. Some human studies have shown that increasing oocyte mitochondrial mass can improve embryo quality in patients who have experienced repeated IVF failures.

Read the detailed description

Sibling mature oocytes will be randomly divided into two groups. And one group of oocytes will be undergone conventional intracytoplasmic sperm injection (ICSI) (control group; cont. ICSI) and the other group of oocytes will be undergone mitochondria transplantation along with intracytoplasmic sperm injection (Mito-ICSI). Viable blastocysts from both groups will be biopsied for preimplantation genetic testing for aneuploidy.

02

Conditions studied

  • Female Infertility
  • Oocyte Competence
  • Mitochondria
  • Recurent Implantation Failures
  • Advanced Age

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Keywords

  • mitochondria
  • mitochondria transplantation
  • Adipose stem cell
  • oocyte
  • Female infertility
03

In context

Infertility, Female

540 studies on the registry are indexed under Infertility, Female; 138 are open to participants now.

This study's planned enrollment of 20 is below the median of 100 across 371 interventional studies indexed under Infertility, Female.

Browse Infertility, Female studies →

Lead sponsor

Sunkaky Medical Cooperation is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
29 Years to 39 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Having at least three previous failed IVF trial
  • Specifically consented for to collect biopsies for Preimplantation generic testing for aneuploidy (PGTA) analysis
  • Specifically consented for to have single blastocyst transfer (recommended)
  • No major uterine or ovarian abnormalities
  • Specifically consented for to have all embryos frozen
  • Specifically consented for to collect adipose tissues from subcutaneous liposuction
  • BMI level level \<26kg/m2

Exclusion criteria

Exclusion Criteria:

  • Ovarian endometriosis with Chocolate cysts (American Fertility Society (AFS)) classification type 3 and 4
  • Any medical contraindication oocyte retrieval or subsequent procedures Ovarian hyperstimulation syndrome Bleeding disorders Sex hormone allergies Severe emotional defect on injections
  • Severe sperm abnormalities
  • \<5 million/mL motile sperm
  • Uterine structural anomalies
  • Polycystic ovaries
  • Premature ovarian failure
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Care provider, Investigator)
Enrollment
20 participants (estimated)

Study arms

  • Active comparator
    Autologous Mitochondria transfer

    Mitochondria isolated from autologous adipose-derived stem cells are transplanted into the oocyte in conjunction with intracytoplasmic sperm injection (ICSI); Mito-ICSI group

    Other: Experimental

  • No intervention
    Conventonal Intracytoplasmic Sperm Injection

    Conventional ICSI; Control group

Interventions

  • OtherExperimental

    Autologous adipose stem cell mitochondrial transfer to mature oocytes along with intracytoplasmic sperm injection (ICSI). The intervention is also termed as Adipose Stem Cell ENergy Transfer (ASCENT).

06

What researchers measure

Primary outcomes

  1. Embryo development rate

    Analyze and compare the transferable embryo rate per zygote on day 3 \& day 5 between the Intervention and control groups.

    Time frame: Up to 8 weeks post-intervention

Secondary outcomes

  1. Ongoing clinical pregnancy rate after the first transfer

    Compare ongoing clinical pregnancy rates between the intervention and conrolgroups

    Time frame: Up to 18 months post-intervention

  2. Chemical pregnancy rate

    Compare the chemical pregnancy rates between the two groups.

    Time frame: Up to 18 months post-intervention

  3. Live Birth rates

    Compare live Birth rate following the intervention in both groups

    Time frame: Up to 24 months post-intervention

  4. Pregnancy complication

    Rate of pregnancy complication in both groups

    Time frame: Up to 24 months post-intervention

  5. Abortion rate

    Compare the abortion rates in both groups

    Time frame: Up to 24 months post-intervention

  6. Additional in vitro fertilization - outcome indicators

    Compare the rate of fertilization in between two groups

    Time frame: Up to 8 weeks post-intervention

  7. Additional in vitro fertilization - outcome indicators

    Rate of abnormal fertilization in both groups

    Time frame: Up to 8 weeks post-intervention

  8. Additional in vitro fertilization - outcome indicators

    The rate of non-transferable embryos in both groups

    Time frame: Up to 8 weeks post-intervention

07

Study locations

1 of 1 sites recruiting
  • Wish Fertility Hospital Pvt. Ltd
    Colombo, Sri Lanka
    Recruiting
08

References and documents

Publications

  • Kankanam Gamage US, Hashimoto S, Miyamoto Y, Nakano T, Yamanaka M, Koike A, Satoh M, Morimoto Y. Mitochondria Transfer from Adipose Stem Cells Improves the Developmental Potential of Cryopreserved Oocytes. Biomolecules. 2022 Jul 21;12(7):1008. doi: 10.3390/biom12071008. PubMed 35883564 ↗
  • Kankanam Gamage SU, Hashimoto S, Miyamoto Y, Nakano T, Yamanaka M, Kitaji H, Takada Y, Matsumoto H, Koike A, Satoh M, Ichishi M, Watanabe M, Morimoto Y. Supplementation with autologous adipose stem cell-derived mitochondria can be a safe and promising strategy for improving oocyte quality. J Assist Reprod Genet. 2024 Aug;41(8):2065-2077. doi: 10.1007/s10815-024-03137-2. Epub 2024 May 22. PubMed 38777961 ↗
  • Morimoto Y, Gamage USK, Yamochi T, Saeki N, Morimoto N, Yamanaka M, Koike A, Miyamoto Y, Tanaka K, Fukuda A, Hashimoto S, Yanagimachi R. Mitochondrial Transfer into Human Oocytes Improved Embryo Quality and Clinical Outcomes in Recurrent Pregnancy Failure Cases. Int J Mol Sci. 2023 Feb 1;24(3):2738. doi: 10.3390/ijms24032738. PubMed 36769061 ↗

Individual participant data

Plan to share: No — Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07066267
Lead sponsor
Sunkaky Medical Cooperation
Collaborators
Wish Fertility Hospital Pvt. Ltd
Responsible party
Sponsor
First posted
Jul 15, 2025
Start date
Apr 25, 2025
Primary completion
Dec 31, 2025 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Jul 17, 2025

Study contacts

Dr. SANATHUDAYANGA KANKANAMGAMAGE, PhD
Contact
udayanga646@ivfjapan.com
+818014361766
Dr. HELARUWAN PASAN KUMARA WA, MD, PhD
Contact
helaruwanpasankumara@gmail.com
+94 77 327 3866, +9477 478 878
Dr. Helaruwan Pasan Kumara WA, MD, PhD
principal investigator · Wish Fertility Hospital Pvt. Ltd
Prof. Yoshiharu Morimoto, MD, PhD
principal investigator · Horac Grand Front Osaka Clinic

Oversight

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

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