Actively Recruiting

Phase Not Applicable
Age: 20Years - 50Years
FEMALE
ID05421364

Effects of Intrauterine Administration of Autologous Peripheral Blood Mononuclear Cells (PBMC) on the Endometrial Cells Populations

Led by Nadezhda Women's Health Hospital · Updated on 2025-05-21

300

Participants Needed

2

Research Sites

48 weeks

Total Duration

On this page

Sponsors

N

Nadezhda Women's Health Hospital

Lead Sponsor

M

Medical diagnostic laboratory ImunoVita

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying the effects of intrauterine administration of autologous peripheral blood mononuclear cells (PBMC) on the populations of cells in the endometrium, particularly immune cells, stem cells, and senescent cells. The study focuses on women experiencing female infertility who are undergoing assisted reproduction treatment and have an altered endometrial immune profile. The goal is to understand how PBMC treatment might improve implantation and ongoing pregnancy success in IVF. Participants will receive PBMC treatment where blood is drawn at the time of the LH peak, and PBMCs are isolated, cultured with hHCG, and combined with fresh PBMCs. This cell mixture is then introduced into the uterine cavity on day 2 after the LH peak. The study compares the endometrial cell composition before and one month after the PBMC administration to observe any changes. During the study, participants will have endometrial biopsies taken before and one month after PBMC treatment to assess changes in immune, stem, and senescent cell numbers and distances within the endometrial stroma. IVF outcomes such as embryo implantation rates will be measured two weeks after embryo transfer, and clinical pregnancy rates will be evaluated at six to eight weeks of gestation. The study monitors these outcomes to evaluate the potential impact of PBMC administration on IVF success over the study period.

CONDITIONS

Brief Title

Effects of Intrauterine Administration of Autologous PBMC on the Endometrial Cells Populations

Who Can Participate

Age: 20Years - 50Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Participating in Assisted Reproduction Treatment
  • Presenting altered endometrial immune profile
  • Having primary infertility
  • Having regular menstrual cycles
  • Embryo transfer of euploid embryos
Not Eligible

You will not qualify if you...

  • Uterine pathologies
  • Endometrial Bacterial infections
  • Active endometrial inflammation
  • Polycystic ovary syndrome
  • Presence of auto anti-bodies such as anti-TPO, anti-TG, ACA, APA, ANA, and anti-dsDNA
  • Presence of mutations involving the coagulation system such as deficiency of factor XII, Pro C, Pro S
  • Cancer diagnostics
  • Positive HIV, HCV or HBV tests

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit

Treatment

Duration - Day 2 after LH peak

Participants receive intrauterine administration of autologous peripheral blood mononuclear cells (PBMC) following blood collection and cell preparation.

1 treatment visit (in-person)

Follow-up

Duration - Up to 8 weeks after embryo transfer

Participants are monitored for changes in endometrial cell populations and pregnancy outcomes after the PBMC administration.

2 follow-up visits (at 2 weeks and 6 to 8 weeks post embryo transfer)

Trial Site Locations

Total: 2 locations

1

Nadezhda Women's Health Hospital

Sofia, Sofia, Bulgaria, 1373

Actively Recruiting

2

Medical diagnostic laboratory Imunovita

Sofia, Bulgaria, 1373

Actively Recruiting

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Research Team

G

Georgi Stamenov, MD

R

Rumiana Ganeva, MSc

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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