Which sperm picking method gives IVF the best shot?
NCT ID NCT07825584
First seen Sep 17, 2026 · Last updated Sep 18, 2026 · Updated 1 time
Summary
Researchers are comparing three ways of selecting sperm before injecting it into an egg during ICSI, a common fertility treatment. The methods are conventional preparation, hyaluronan-binding selection (PICSI), and microfluidic selection. The study uses existing medical records from over 12,000 fertility treatment cycles at multiple centres. It asks whether one method leads to better pregnancy outcomes than the others, and whether the answer depends on the man's specific fertility profile, such as high sperm DNA fragmentation.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- sperm selection methods used before ICSI: conventional preparation, hyaluronan-binding selection, and microfluidic selection
- What this could lead to
- If one sperm selection method works better for certain male-factor profiles, clinics could tailor ICSI treatment to each couple instead of using a one-size-fits-all approach.
- What could go wrong
- This is a retrospective study of existing medical records, not a randomized experiment, so differences between groups may reflect patient characteristics rather than the sperm selection method itself. The findings may not apply to all fertility clinics or patients.
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.
- Participants
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About 12,561 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2020
- Expected to finish
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Sep 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.
Who is studied
The study population comprises adult women undergoing ICSI treatment in routine clinical practice across multiple fertility centres. Eligible source ICSI cycles are retrospectively classified according to the sperm-selection strategy used: conventional ICSI, hyaluronan-binding sperm selection (PICSI), or microfluidic sperm selection. The primary analysis includes an unselected all-comers population, with prespecified phenotype-specific analyses according to male-factor characteristics, including sperm DNA fragmentation.
- Ages
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18 years and older
- 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: * Adult women undergoing an ICSI source cycle at a participating fertility centre during the study period. * Source cycles performed using conventional ICSI, hyaluronan-binding sperm selection (PICSI), or microfluidic sperm selection. * Availability of routinely collected clinical and embryological data sufficient to classify the sperm-selection strategy and evaluate at least one prespecified study outcome. Exclusion Criteria: * Cycles not involving ICSI. * Records with insufficient or internally inconsistent data preventing reliable identification of the source ICSI cycle or sperm-selection strategy. * Cycles involving combined hyaluronan-binding and microfluidic sperm selection are excluded from the primary three-group comparative analysis and may be evaluated separately in prespecified sensitivity analyses.
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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.
Contacts and locations
Locations
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Bocian Fertility Clinic, Białystok
Bialystok, Podlaskie Voivodeship, 15-267, Poland
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Bocian Fertility Clinic, Gdańsk
Gdansk, Pomeranian Voivodeship, 80-244, Poland
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Bocian Fertility Clinic, Katowice
Katowice, Silesian Voivodeship, 40-081, Poland
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Bocian Fertility Clinic, Kielce
Kielce, Świętokrzyskie Voivodeship, 25-435, Poland
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Bocian Fertility Clinic, Lublin
Lublin, Lublin Voivodeship, 20-819, Poland
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Bocian Fertility Clinic, Poznań
Poznan, Greater Poland Voivodeship, 60-529, Poland
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Bocian Fertility Clinic, Rzeszów
Rzeszów, Podkarpackie Voivodeship, 35-309, Poland
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Bocian Fertility Clinic, Szczecin
Szczecin, West Pomeranian Voivodeship, 70-225, Poland
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Bocian Fertility Clinic, Warsaw Śródmieście
Warsaw, Masovian Voivodeship, 00-193, Poland
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Bocian Fertility Clinic, Łódź
Lodz, Łódź Voivodeship, 90-440, Poland
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