IVF breakthrough? trial tests embryo 'Defrag' to boost pregnancy chances
NCT ID NCT07500337
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether removing tiny cell fragments from day-4 embryos (a procedure called defragmentation) can help them develop into healthy blastocysts and lead to more pregnancies. About 320 women undergoing IVF will be randomly assigned to have their embryos defragmented or left alone. The goal is to see if this extra step improves usable blastocyst rates and live birth outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- mechanical or laser-assisted embryo defragmentation
- What this could lead to
- If successful, this procedure could increase the chance of getting a usable blastocyst and achieving pregnancy in IVF cycles with fragmented embryos.
- What could go wrong
- This is a relatively early-stage trial with no prior large-scale evidence. The procedure involves micromanipulation and laser use, which carries a small risk of embryo damage. Results may not apply to all fertility clinics.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 320 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2026
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 to 42 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Female patients undergoing ICSI cycles at the participating center 2. Age 18-42 years 3. Presence of at least one morula with cytoplasmic fragmentation ≥10% at Day 4 morphological assessment (Grade B: 10-25%, Grade C: 26-50%, Grade D: ≥50%) 4. Embryos intended for extended culture to blastocyst stage (Day 5/Day 6) 5. All embryo cultures performed in time-lapse incubator (Geri, Genea Biomedex) 6. Written informed consent obtained prior to any study-related procedure - Exclusion Criteria: 1. Severely reduced ovarian reserve (AMH ≤ 0.5 ng/mL) 2. Body mass index (BMI) ≥ 32 kg/m² 3. Diagnosis of endometriosis 4. Polycystic ovary syndrome (PCOS) 5. Maternal age ≥ 42 years 6. History of repeated implantation failure 7. Donor gamete cycles (oocyte or sperm donation) 8. Cycles with preimplantation genetic testing for monogenic disease (PGT-M) as primary indication 9. Embryos with severe morphological compromise at Day 3 10. Concurrent participation in other interventional studies that could interfere with study outcomes 11. Inability to provide written informed consent
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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MOMO' Fertilife
RECRUITINGBisceglie, BT, 76011, Italy
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