About this trial
The aim of this study is to verify the efficacy of in vitro induction of autologous decidual-like NK cells therapy for reproductive failure associated with uterine NK cells abnormalities.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Reproductive failure with abnormal endometrial natural killer (NK) cells in menstrual blood;
With a clear intention to conceive;
Normal ovarian function, or premature ovarian insufficiency with ≥2 high-quality cryopreserved embryos available for transfer;
Endometrial thickness measured by transvaginal ultrasound during the periovulatory period ≥7 mm;
Disqualifiers
Use of progesterone receptor modulators;
One of the couple's chromosomal karyotype abnormalities, with no euploid embryo identified via preimplantation genetic testing for aneuploidy;
Severe endometriosis or adenomyosis, uterine fibroids affecting uterine cavity morphology, uterine malformations, intrauterine adhesions, or thin endometrium;
Uncontrolled autoimmune or endocrine disorders;
Trial design
Parallel
Treatments tested in this trial
NK cell perfusion group
Biological/VaccineCompleting two rounds of NK cell therapy
Treatment groups
Trial outcomes
Primary outcomes
Ongoing pregnancy rate
Ongoing pregnancy is defined as at least 12 weeks of gestation, with ultrasound indicating fetal cardiac activity and fetal size consistent with the gestational age
Secondary outcomes
Improvement rate of NK cells
Improvement rate of NK cells in menstrual blood analysis after intrauterine perfusion of autologous decidual-like NK cells
Clinical pregnancy rate
Clinical pregnancy is defined as the presence of a gestational sac in the uterine cavity as indicated by ultrasound at 5-7 weeks of gestation
Miscarriage rate
Miscarriage is defined as the pregnancy loss before 28 weeks of gestation
Preterm birth rate
Preterm birth is defined as delivery at 28 to 37 weeks of gestation
Locations
Sponsors and contacts
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The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Lead sponsor
The University of Science and Technology of China
Collaborator
Sir Run Run Shaw Hospital
Collaborator
Second Affiliated Hospital of Soochow University
Collaborator
The First Affiliated Hospital of Anhui Medical University
Collaborator
The First Affiliated Hospital of University of Science and Technology of China
Collaborator
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