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NOT YET RECRUITING
NCT07265505
NA

Study of Endometrial Immune and Microbiological Modifications in Cases of Recurrent Implantation Failure and/or Recurrent Pregnancy Loss

Sponsor: Assistance Publique - Hôpitaux de Paris

View on ClinicalTrials.gov

Summary

The IMERR study aims to improve understanding of certain causes of infertility related to recurrent implantation failure (RIF) and/or recurrent pregnancy loss (RPL), conditions that affect many women undergoing assisted reproductive technology (ART). Despite medical advances, some patients repeatedly fail to achieve pregnancy, or experience repeated miscarriages. These situations may be linked to subtle immune or microbial disturbances in the uterus. This study seeks to identify immune and microbiological profiles in the endometrium during the implantation window-a crucial period when the embryo attaches to the uterine wall. We will compare women who have experienced RIF and/or RPL with women who have had no such history. Blood and uterine samples will be analyzed to investigate whether certain immune or microbial features are associated with these reproductive failures. The ultimate goal is to uncover predictive factors that may explain why some women experience implantation failure or pregnancy loss, and to lay the foundation for future personalized treatments to improve reproductive outcomes.

Official title: Study of Immune and Microbiological Modifications of the Endometrium in Cases of Recurrent Implantation Failure and/or Recurrent Pregnancy Loss

Key Details

Gender

FEMALE

Age Range

18 Years - 35 Years

Study Type

INTERVENTIONAL

Enrollment

100

Start Date

2026-04

Completion Date

2031-04

Last Updated

2026-02-05

Healthy Volunteers

No

Interventions

DIAGNOSTIC_TEST

Endometrial Biopsy

Endometrial biopsy with Cornier Pipelle (part of the treatment in the RIF/RPL group and some patients of the control group / added for the research for the other patients of the control group)

DIAGNOSTIC_TEST

Vaginal Swab

Vaginal sample collection using a cotton swab. Part of the treatment

DIAGNOSTIC_TEST

Blood sample

Peripheral blood draw. Part of the treatment + 10 mL additional for research

DIAGNOSTIC_TEST

Pelvic ultrasound (±pelvic MRI)

Pelvic ultrasound (±pelvic MRI). Part of the treatment

Locations (1)

Service de Gynécologie Obstétrique II et Médecine de la Reproduction - Cochin Hospital

Paris, IDF, France