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CompletedNCT07509411Updated Aug 11, 2026

Anti-TNFα Therapy for Improving Pregnancy Rates in Endometriosis Patients With Failed ICSI

A Phase 2 interventional study of TNF-α Inhibitor and Frozen Blastocyst Transfer (FBT) in Endometriosis, sponsored by Benha University. Completed at 1 site in Egypt. Open to female participants aged 19 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-08-11.

Sponsored by Benha University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Aug 2025, registered Mar 2026).
Phase
Phase 2
Study type
Interventional
Enrollment
145
Allocation
Randomized
Ages
19 Years to 40 Years
Sex
Female
01

Study summary

This prospective study targets infertile women with endometriosis (EM) who have experienced a previously failed Intracytoplasmic Sperm Injection (ICSI) trial. Using the P-I-C-O framework, the study evaluates whether the administration of an anti-TNF-α therapy (Intervention) 4-5 days before a frozen blastocyst transfer (FBT) improves reproductive outcomes compared to standard protocols (Comparison). The primary outcome is the clinical pregnancy rate, with secondary outcomes focusing on implantation, ongoing pregnancy, and neonatal health. The goal is to determine if mitigating pro-inflammatory cytokines like TNF-α can enhance endometrial receptivity in this specific high-risk population.

02

Conditions studied

  • Endometriosis

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03

In context

Endometriosis

901 studies on the registry are indexed under Endometriosis; 259 are open to participants now.

This study's enrollment of 145 is above the median of 64 across 525 interventional studies indexed under Endometriosis.

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Lead sponsor

Benha University is the lead sponsor of 356 studies on the registry; 68 are open to participants now.

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

04

Who can participate

Ages eligible
19 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Endometriosis diagnosed during infertility workup.
  • History of a previously failed ICSI trial.
  • Presence of more than one frozen embryo at the D-5 blastocyst stage qualified as good quality (Grade AA6).
  • Signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • Polycystic Ovary Syndrome (PCOS).
  • Inflammatory disorders other than endometriosis.
  • Currently maintaining immune-modulating therapies for any other cause.
  • Refusal to participate.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
145 participants (actual)

Study arms

  • Active comparator
    Intervention Group

    73 infertile women with endometriosis and a history of failed ICSI.

    Drug: TNF-α Inhibitor · Procedure: Frozen Blastocyst Transfer (FBT)

  • Active comparator
    Control Group

    72 infertile women with endometriosis and a history of failed ICSI.

    Procedure: Frozen Blastocyst Transfer (FBT)

Interventions

  • DrugTNF-α Inhibitor

    Administered 4-5 days before the frozen blastocyst transfer. A second session is provided two weeks later only for those with a positive chemical pregnancy diagnosis.

  • ProcedureFrozen Blastocyst Transfer (FBT)

    Transfer of a D-5 blastocyst (Grade AA6) following a standardized endometrial preparation involving GnRH-agonist, estradiol valerate, and progesterone.

06

What researchers measure

Primary outcomes

  1. The Success Rate of Treatment Regimens in Achieving Clinical Pregnancy

    The proportion of patients who achieved a clinical pregnancy (confirmed by ultrasound visualization of a gestational sac with fetal heart activity) following frozen blastocyst transfer, reflecting the effectiveness of the administered anti- TNFα therapy.

    Time frame: 4-6 weeks post-transfer.

Secondary outcomes

  1. Success Rate of Treatment in Achieving Healthy Neonatal Outcomes.

    A composite measure including live birth rate, birth weight, and absence of major neonatal complications/NICU admissions.

    Time frame: At the time of delivery (approximately 9 months post-transfer).

07

Study locations

1 site
  • Benha university
    Banhā, El Qalyoubia 13511, Egypt
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07509411
Lead sponsor
Benha University
Responsible party
Basma Sakr (Professor of Obstetrics & Gynecology, Faculty of Medicine, Benha University, Benha University) — Principal investigator
First posted
Apr 3, 2026
Start date
Aug 15, 2025
Primary completion
Dec 15, 2025
Completion
Aug 7, 2026
Last update
Aug 11, 2026

Oversight

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

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This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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