Trial Outcomes & Findings for TiLE (Time Lapse Eeva) Clinical Trial (NCT NCT02417441)

NCT ID: NCT02417441

Last Updated: 2020-01-30

Results Overview

Implantation rate was calculated by dividing the number of intrauterine gestational sacs by the number of embryos transferred multiplied by 100.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

976 participants

Primary outcome timeframe

Gestational Weeks 5 to 8

Results posted on

2020-01-30

Participant Flow

A total of 976 subjects were enrolled, out of which 970 subjects were randomized and started the study.

Participant milestones

Participant milestones
Measure
Early Embryo Viability Assessment + Morphological Grading
Embryos of subjects randomized in this group were assessed using Early Embryo Viability Assessment (Eeva) System and morphological grading to identify optimal embryos for transfer.
Morphological Grading
Embryos of subjects randomized in this group were assessed only using morphological grading to identify optimal embryos for transfer.
Overall Study
STARTED
645
325
Overall Study
COMPLETED
593
306
Overall Study
NOT COMPLETED
52
19

Reasons for withdrawal

Reasons for withdrawal
Measure
Early Embryo Viability Assessment + Morphological Grading
Embryos of subjects randomized in this group were assessed using Early Embryo Viability Assessment (Eeva) System and morphological grading to identify optimal embryos for transfer.
Morphological Grading
Embryos of subjects randomized in this group were assessed only using morphological grading to identify optimal embryos for transfer.
Overall Study
Inconclusive due to missing data
52
19

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Early Embryo Viability Assessment + Morphological Grading
n=645 Participants
Embryos of subjects randomized in this group were assessed using Early Embryo Viability Assessment (Eeva) System and morphological grading to identify optimal embryos for transfer.
Morphological Grading
n=325 Participants
Embryos of subjects randomized in this group were assessed only using morphological grading to identify optimal embryos for transfer.
Total
n=970 Participants
Total of all reporting groups
Age, Continuous
33.6 Years
STANDARD_DEVIATION 3.64 • n=645 Participants
33.8 Years
STANDARD_DEVIATION 3.61 • n=325 Participants
33.7 Years
STANDARD_DEVIATION 3.63 • n=970 Participants
Sex: Female, Male
Female
645 Participants
n=645 Participants
325 Participants
n=325 Participants
970 Participants
n=970 Participants
Sex: Female, Male
Male
0 Participants
n=645 Participants
0 Participants
n=325 Participants
0 Participants
n=970 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: Gestational Weeks 5 to 8

Population: The intention-to-treat population included all randomized subjects.

Implantation rate was calculated by dividing the number of intrauterine gestational sacs by the number of embryos transferred multiplied by 100.

Outcome measures

Outcome measures
Measure
Early Embryo Viability Assessment + Morphological Grading
n=645 Participants
Embryos of subjects randomized in this group were assessed using Early Embryo Viability Assessment (Eeva) System and morphological grading to identify optimal embryos for transfer.
Morphological Grading
n=325 Participants
Embryos of subjects randomized in this group were assessed only using morphological grading to identify optimal embryos for transfer.
Implantation Rate
30.1 % of sacs per embryo transferred
Interval 27.2 to 33.0
35.3 % of sacs per embryo transferred
Interval 31.1 to 39.5

SECONDARY outcome

Timeframe: Gestational Weeks 5 to 8

Population: The intention-to-treat population included all randomized subjects.

Clinical pregnancy was confirmed by the presence of a gestational sac with heartbeat as assessed by ultrasonography. Clinical pregnancy rate was measured as the number of clinical pregnancies divided by number of embryo transfer (ET) cycles multiplied by 100.

Outcome measures

Outcome measures
Measure
Early Embryo Viability Assessment + Morphological Grading
n=645 Participants
Embryos of subjects randomized in this group were assessed using Early Embryo Viability Assessment (Eeva) System and morphological grading to identify optimal embryos for transfer.
Morphological Grading
n=325 Participants
Embryos of subjects randomized in this group were assessed only using morphological grading to identify optimal embryos for transfer.
Clinical Pregnancy Rate
41.0 Percentage of pregnancy per transfer
Interval 37.1 to 44.9
47.6 Percentage of pregnancy per transfer
Interval 42.0 to 53.2

SECONDARY outcome

Timeframe: Gestational Weeks 10 to 12

Population: The intention-to-treat population included all randomized subjects.

Ongoing pregnancy was defined as having a positive fetal heart beat (FHB) as assessed by ultrasonography at gestational week 10-12. Number of subjects with ongoing pregnancy status has been reported, where "Yes" indicates participants with positive ongoing pregnancy status and "No" indicates participants with negative ongoing pregnancy status .

Outcome measures

Outcome measures
Measure
Early Embryo Viability Assessment + Morphological Grading
n=645 Participants
Embryos of subjects randomized in this group were assessed using Early Embryo Viability Assessment (Eeva) System and morphological grading to identify optimal embryos for transfer.
Morphological Grading
n=325 Participants
Embryos of subjects randomized in this group were assessed only using morphological grading to identify optimal embryos for transfer.
Number of Subjects With Ongoing Pregnancy Status
Yes
30 Subjects
11 Subjects
Number of Subjects With Ongoing Pregnancy Status
No
2 Subjects
1 Subjects
Number of Subjects With Ongoing Pregnancy Status
Missing
613 Subjects
313 Subjects

SECONDARY outcome

Timeframe: Gestational Weeks 5 to 8

Population: The intention-to-treat population included all randomized subjects.

Multiple pregnancy rate was defined as a clinical pregnancy with greater than equals to (\>=) 2 fetal sacs as assessed by ultrasonography. Multiple Pregnancies rate was measured by number of multiple pregnancies divided by number of embryo transfer cycles multiplied by 100.

Outcome measures

Outcome measures
Measure
Early Embryo Viability Assessment + Morphological Grading
n=645 Participants
Embryos of subjects randomized in this group were assessed using Early Embryo Viability Assessment (Eeva) System and morphological grading to identify optimal embryos for transfer.
Morphological Grading
n=325 Participants
Embryos of subjects randomized in this group were assessed only using morphological grading to identify optimal embryos for transfer.
Multiple Pregnancy Rate
6.4 Percentage of pregnancy per transfer
Interval 4.5 to 8.3
8.4 Percentage of pregnancy per transfer
Interval 5.3 to 11.5

SECONDARY outcome

Timeframe: Day 3 or Day 5/6 of embryo culture

Population: The intention-to-treat population included all randomized subjects.

Utilization rate was defined as the sum of number of transferred and frozen embryos divided by number of normally fertilized oocytes multiplied by 100.

Outcome measures

Outcome measures
Measure
Early Embryo Viability Assessment + Morphological Grading
n=645 Participants
Embryos of subjects randomized in this group were assessed using Early Embryo Viability Assessment (Eeva) System and morphological grading to identify optimal embryos for transfer.
Morphological Grading
n=325 Participants
Embryos of subjects randomized in this group were assessed only using morphological grading to identify optimal embryos for transfer.
Utilization Rate
48.6 Percentage of embryos
Interval 47.1 to 50.1
49.6 Percentage of embryos
Interval 47.5 to 51.7

SECONDARY outcome

Timeframe: Gestational Weeks 10 to 12

Population: The intention-to-treat population included all randomized subjects.

Spontaneous miscarriage rate was measured by the number of spontaneous miscarriages as communicated during medical appointment or by telephone contact divided by number of clinical pregnancies multiplied by 100.

Outcome measures

Outcome measures
Measure
Early Embryo Viability Assessment + Morphological Grading
n=645 Participants
Embryos of subjects randomized in this group were assessed using Early Embryo Viability Assessment (Eeva) System and morphological grading to identify optimal embryos for transfer.
Morphological Grading
n=325 Participants
Embryos of subjects randomized in this group were assessed only using morphological grading to identify optimal embryos for transfer.
Spontaneous Miscarriage Rate
NA Percentage of miscarriages
Technical issues of eCRF led to incorrect and misleading data which was excluded and hence, no accurate data is available for this outcome measure.
NA Percentage of miscarriages
Technical issues of eCRF led to incorrect and misleading data which was excluded and hence, no accurate data is available for this outcome measure.

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 3 of embryo culture

Population: Subgroup Analysis Set included subjects from "Early Embryo Viability Assessment + morphology grading" group for whom the embryologist has followed the recommendation of the Eeva system. Here, Number of Subjects analyzed signifies those who were evaluable for this outcome measure.

Eeva Conformity was reported as the number of subjects who were compliant to use Eeva in embryo assessment in the "Early Embryo Viability Assessment + morphological grading" group. Eeva-compliance subgroup refers to subjects whose embryos were assessed by embryologists following the recommendation of Eeva system and the instructions for use (IFU) of Eeva. Subgroup analysis revealed a high incidence of Eeva noncompliance in the experimental group, which compromised the quality of this study. Only "Early Embryo Viability Assessment + Morphological Grading" reporting arm was applicable for this outcome measure.

Outcome measures

Outcome measures
Measure
Early Embryo Viability Assessment + Morphological Grading
n=242 Participants
Embryos of subjects randomized in this group were assessed using Early Embryo Viability Assessment (Eeva) System and morphological grading to identify optimal embryos for transfer.
Morphological Grading
Embryos of subjects randomized in this group were assessed only using morphological grading to identify optimal embryos for transfer.
Eeva Conformity in Early Embryo Viability Assessment + Morphological Grading Group for Day 3 Embryo Transfer (ET)
163 Subjects

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 5/6 of embryo culture

Population: Subgroup Analysis Set included subjects from "Early Embryo Viability Assessment + morphology grading" group for whom the embryologist has followed the recommendation of the Eeva system. Here, Number of Subjects analyzed signifies those who were evaluable for this outcome measure.

Eeva Conformity was reported as the number of subjects who were compliant to use Eeva in embryo assessment in the "Early Embryo Viability Assessment + morphological grading" group. Eeva-compliance subgroup refers to subjects whose embryos were assessed by embryologists following the recommendation of Eeva system and the IFU of Eeva. Subgroup analysis revealed a high incidence of Eeva noncompliance in the experimental group, which compromised the quality of this study. Only "Early Embryo Viability Assessment + Morphological Grading" reporting arm was applicable for this outcome measure.

Outcome measures

Outcome measures
Measure
Early Embryo Viability Assessment + Morphological Grading
n=191 Participants
Embryos of subjects randomized in this group were assessed using Early Embryo Viability Assessment (Eeva) System and morphological grading to identify optimal embryos for transfer.
Morphological Grading
Embryos of subjects randomized in this group were assessed only using morphological grading to identify optimal embryos for transfer.
Eeva Conformity in Early Embryo Viability Assessment + Morphological Grading Group for Day 5/6 Embryo Transfer (ET)
87 Subjects

POST_HOC outcome

Timeframe: Gestational Weeks 5 to 8

Population: Subgroup analysis set included subjects reporting positive fetal heart beat implantation rate from both "Early Embryo Viability Assessment and Morphological grading arm" and "Morphological grading arm". Here, Number of Subjects analyzed signifies those who were evaluable for this outcome measure.

Number of sites with subjects reporting fetal heart beat (FHB) positive implantation rate (IR) were reported. Overall combined data for "Early Embryo Viability Assessment + Morphological Grading" and "Morphological Grading" arm was planned to be reported.

Outcome measures

Outcome measures
Measure
Early Embryo Viability Assessment + Morphological Grading
n=15 Sites
Embryos of subjects randomized in this group were assessed using Early Embryo Viability Assessment (Eeva) System and morphological grading to identify optimal embryos for transfer.
Morphological Grading
Embryos of subjects randomized in this group were assessed only using morphological grading to identify optimal embryos for transfer.
Number of Sites With Subjects Reporting Fetal Heart Beat (FHB) Positive Implantation Rate (IR)
Day 3 of embryo transfer
5 Sites
Number of Sites With Subjects Reporting Fetal Heart Beat (FHB) Positive Implantation Rate (IR)
Day 5/6 of embryo transfer
7 Sites

Adverse Events

Morphological Grading

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Early Embryo Viability Assessment + Morphological Grading

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Communication Center

Merck KGaA, Darmstadt, Germany

Phone: +49-6151-72-5200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER