ClinicalTrials.gg
RecruitingNCT07230600Updated Nov 18, 2025

AD-SVF Therapy for Refractory Endometrial Infertility

A Phase 1 interventional study of AD-SVF in Endometrium; Atrophy and Intrauterine Synechiae, sponsored by The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School. Recruiting at 1 site in China. Open to female participants aged 22 Years to 45 Years. Per ClinicalTrials.gov, last updated 2025-11-18.

Primary conditionGynatresiaRegistry: AtrophyReclassifiedWhy we changed it
Registry
Atrophy — the first condition term the registry derived for this study.
ClinicalTrials.gg
Gynatresia
Why
  1. Atrophy is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Gynatresia.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
22 Years to 45 Years
Sex
Female
01

Study summary

The purpose of this study is to initially explore the efficacy of adipose-derived stromal vascular fraction (AD-SVF) therapy in the treatment of refractory endometrial infertility.

Read the detailed description

Patients with refractory thin endometrium (endometrial thickness \< 6 mm at late proliferative phase or after high-dose estrogen therapy) and/or moderate to severe intrauterine adhesion are recruited for fertility. After detailed explanation of the treatment plan, written informed consent will be obtained from the patients. The subjects undergo liposuction performed by plastic surgeons to obtain adipose tissue, from which AD-SVF is isolated and extracted for intrauterine infusion therapy. Six months post-AD-SVF treatment, the improvement in menstrual volume and endometrial thickness will be assessed during follow-up visits. The subjects will be advised, based on their personal inclination, to attempt conception (hysteroscopic surgery will be repeated if necessary), and their early pregnancy outcomes will be documented in subsequent follow-ups.

02

Conditions studied

  • Endometrium; Atrophy
  • Intrauterine Synechiae

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Keywords

  • adipose-derived stromal vascular fraction
  • thin endometrium
03

In context

Gynatresia Reclassified

99 studies on the registry are indexed under Gynatresia; 23 are open to participants now.

This study's planned enrollment of 10 is below the median of 100 across 87 interventional studies indexed under Gynatresia.

Browse Gynatresia studies →

Lead sponsor

The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School is the lead sponsor of 250 studies on the registry; 147 are open to participants now.

Compared within Gynatresia, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Atrophy. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
22 Years to 45 Years
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

  1. thin endometrium (endometrial thickness \< 6 mm on the day of ovulation or the day of endometrial transformation during a hormone replacement cycle) and/or moderate to severe intrauterine adhesion;
  2. Inability to undergo autologous bone marrow stem cells-scaffold (BMSC) transplantation due to failed bone marrow aspiration, or lack of significant effect following the BMSC treatment;
  3. with fertility intentions;
  4. normal ovarian function or availability of cryopreserved embryos;
  5. 18kg/m\^2 \< (BMI) \< 30kg/m\^2;

Exclusion criteria

Exclusion Criteria:

  1. Chromosomal karyotype abnormalities in one spouse;
  2. Severe endometriosis, uterine fibroids affecting the uterine cavity morphology, or uterine malformations;
  3. Abnormalities in coagulation function, hepatic or renal function, or other underlying conditions deemed by the investigator to potentially impact the study's progression (uncontrolled hypertension, diabetes, diseases, etc.);
  4. for pregnancy;
  5. Contraindications for hormonal cycle therapy;
  6. History of pelvic tumors;
  7. Simultaneous participation in other clinical studies.
Terms in these criteria, in plain language(4)

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    AD-SVF therapy

    AD-SVF intrauterine infusion therapy

    Biological: AD-SVF

Interventions

  • BiologicalAD-SVF

    AD-SVF is isolated and extracted from adipose tissue for intrauterine infusion therapy.

06

What researchers measure

Primary outcomes

  1. Proportion of patients with endometrial thickness of 6 mm or greater

    During the late proliferative phase, the endometrial thickness between anterior and posterior uterine walls is measured to be at least 6 mm through a median sagittal section of the uterus at least once.

    Time frame: 6 months after AD-SVF intrauterine infusion therapy

Secondary outcomes

  1. Menstrual flow score at the 2nd month post-treatment

    2 months after treatment, menstrual flow is scored according to the Pictorial Blood-loss Assessment Chart, with scores ranging from 0 to 100, and higher scores indicate better outcomes.

    Time frame: 2 months after AD-SVF intrauterine infusion therapy

  2. Menstrual flow score at the 6th month post-treatment

    6 months after treatment, menstrual flow is scored according to the Pictorial Blood-loss Assessment Chart, with scores ranging from 0 to 100, and higher scores indicate better outcomes.

    Time frame: 6 months after AD-SVF intrauterine infusion therapy

  3. Chemical pregnancy

    Serum β-HCG ≥ 10 mIU/mL is detected at least 30 days after menstruation.

    Time frame: 9 months after AD-SVF intrauterine infusion therapy

  4. Clinical pregnancy

    Ultrasound indicates the presence of a gestational sac and fetal heartbeat in the uterine cavity Ultrasound indicates the presence of a gestational sac and fetal heartbeat in the uterine cavity Ultrasound indicates the presence of a gestational sac and fetal heartbeat in the uterine cavity at 6-8 weeks of gestation.

    Time frame: 9 months after AD-SVF intrauterine infusion therapy

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Nov 2025; primary completion for Dec 2026, 13 months later.

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

Registered
Nov 13, 2025
First posted
Nov 17, 2025
StartEst.
Nov 2025
Primary completionEst.
Dec 2026
CompletionEst.
Jun 2027
Last update
Nov 18, 2025
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 Nov 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07230600
Responsible party
Yali Hu (M.D., Ph.D., The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School) — Principal investigator
First posted
Nov 17, 2025
Start date
Nov 2025 (estimated)
Primary completion
Dec 2026 (estimated)
Completion
Jun 2027 (estimated)
Last update
Nov 18, 2025

Study contacts

Yali Hu
Contact
glyyhuyali@163.com
86-025-83106666 ext. 11201
Hui Zhu
Contact
zhuhui1231@126.com
86-025-83106666 ext. 54330
Yali Hu
principal investigator · The Affiliated Drum Tower Hospital of Nanjing University
Huiyan Wang
principal investigator · The Affiliated Drum Tower Hospital of Nanjing University

Oversight

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

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