Randomized Non-inferiority Within-Patient Trial of Density Gradient Processing of Sequential Ejaculates Versus Centrifugation-free Sperm Separation Device for ICSI in Men With Elevated Sperm DNA Fragmentation.
NCT07626359 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 830
Last updated 2026-06-04
Summary
Elevated SDF can adversely impact fertilization, embryo development, and pregnancy outcomes in IVF-ICSI cycles. Two pragmatic strategies aim to reduce SDF on the day of ICSI: (i) obtaining a second ejaculate shortly after the first to reduce oxidative damage and transit time; and (ii) selecting sperm via centrifugation-free sperm separation device, which enriches for motile sperm with intact DNA. There are limited direct comparisons between these strategies; this study addresses that gap.
Conditions
- Male
Interventions
- PROCEDURE
-
Processed using density gradient centrifugation
Processed using density gradient centrifugation
- PROCEDURE
-
Second Ejaculate (collected after 1-3 hours)
The second ejaculate will be processed with two-layer density gradient centrifugation followed by standard washing.
Sponsors & Collaborators
-
Indira IVF Hospital Pvt Ltd
lead OTHER
Principal Investigators
-
Vipin Chandra, DGO · Indira IVF Hospital Limited
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 21 Years
- Max Age
- 45 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-08-05
- Primary Completion
- 2027-12-25
- Completion
- 2028-03-25
Countries
- India
Study Locations
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