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CTRI Number  CTRI/2024/09/074235 [Registered on: 24/09/2024] Trial Registered Prospectively
Last Modified On: 03/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Diagnostic 
Study Design  Single Arm Study 
Public Title of Study   Study on how blood flow in the uterus affects pregnancy success in embryo transfer patients.  
Scientific Title of Study   Study of uterine artery blood flow parameters in embryo transfer patients and its reproductive outcomes 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  V Nivedita Sivadas 
Designation  MCh Resident  
Affiliation  Kasturba Medical college Manipal, MAHE, Manipal  
Address  Department of reproductive medicine and surgery, Kasturba Medical college,Manipal, Manipal Academy of Higher Education.

Udupi
KARNATAKA
576104
India 
Phone  9495947280  
Fax    
Email  sreenivedita@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Prashanth K Adiga 
Designation  Professor and Head  
Affiliation  Kasturba Medical college and Hospital, Manipal  
Address  Professor and Head Department of Reproductive Medicine and Surgery , Kasturba Medical college and Hospital ,Manipal Academy of Higher Education

Udupi
KARNATAKA
576104
India 
Phone  9035036832  
Fax    
Email  prashanth.adiga@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Prashanth K Adiga 
Designation  Professor and Head  
Affiliation  Kasturba Medical college and Hospital, Manipal  
Address  Professor and Head Department of Reproductive Medicine and Surgery , Kasturba Medical college and Hospital ,Manipal Academy of Higher Education

Udupi
KARNATAKA
576104
India 
Phone  9035036832  
Fax    
Email  prashanth.adiga@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Medical college and Hospital, Manipal Academy of Higher Education, Manipal,Udupi,576104 Karnataka, India.  
 
Primary Sponsor  
Name  V Nivedita Sivadas  
Address  Mch Resident Department of reproductive medicine and surgery, Kasturba Medical college and Hospital, MAHE,Manipal, Udupi 576104, Karnataka, India  
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Prashanth Adiga  Kasturba Medical college and Hospital, Manipal.   Scan room, Department of Reproductive Medicine and Surgery, Manipal Assisted Reproduction Centre (MARC)
Udupi
KARNATAKA 
9035036832

prashanth.adiga@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical college and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N971||Female infertility of tubal origin, (2) ICD-10 Condition: N970||Female infertility associated withanovulation, (3) ICD-10 Condition: N972||Female infertility of uterine origin, (4) ICD-10 Condition: N979||Female infertility, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  transvaginal ultrasound colour doppler scan.  transvaginal ultrasound colour doppler scanning is done on the IVF patients. on the day of ovulation trigger in fresh embryo transfer patients and on the day of progesterone gel initiation in frozen embryo transfer patients. Uterine artery pulsatality index,resistance index, peaksystolic velocity, endometrial thickness, endometrial vascularity will be measured. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Women aged 18-40
Patients willing to give consent
Fresh embryo transfer
Frozen embryo transfer
Mild male factor infertility
Tubal factor infertility
Unexplained infertility  
 
ExclusionCriteria 
Details  Uterine malformation
Cavity distorting fibroid uterus
Intra Uterine adhesions
Tuberculosis
Grade 3 embryo transfer
PGT couples
Adenomyosis 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Uterine artery pulsatality index,Uterine artery resistance index,
Peak systolic velocity of uterine artery 
Baseline,2 weeks, 6 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Serum beta hcg
Clinical pregnancy rate. 
14 days after recruitment.
4 weeks after recruitment. 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/12/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Data will be collected from patients who are willing to give consent. Baseline characteristics will age, BMI, type of infertility, obstetrics history, cause of infertility. known comorbidities. embryo transfer protocols. blood hormone values which are routinely done during the course of treatment will be noted. 
Transvaginal ultrasound colour doppler of uterine artery will be measured on the day of ovulation trigger for fresh embryo transfer patients. For frozen embryo transfer patients same will be measured on the day of progesterone gel initiation. The measurements are taken along with the routine ultrasound scan which is done for patients during this time. Pulsatality index , resistance index, peak systolic velocities of both uterine arteries and its mean will be measured. Endometrial thickness , endomterial vascularity, number of embryos transferred , grade of embryos will be noted.
As standard procedure , patients will be called after 14 days of embryo transfer to measure serum beta hcg values . clinical pregnancy is determined by the presence of gestational sac on ultrasound for positive beta hcg patients at 6 weeks of gestation.This will also be noted. 
 
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