Actively Recruiting

Age: 15Years - 38Years
FEMALE
ID05327283

Insight Into the Genomics of Idiopathic Premature Ovarian Insufficiency

Led by Ospedale Policlinico San Martino · Updated on 2022-04-25

100

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Primary ovarian insufficiency (POI), also known as premature ovarian failure, is a condition where ovarian follicles are depleted before the age of 40. It affects about 1% of women and can cause infertility, poor ovarian response during IVF, and other health issues like psychological distress, osteoporosis, autoimmune disorders, and heart disease. The causes of POI are varied and include genetic, autoimmune, infectious, or treatment-related factors, but the exact cause remains unknown in many cases. Researchers are investigating the genetic basis of idiopathic POI to better understand its causes and variability among patients. This study is observational and focuses on examining genetic variants and copy number variations in women with idiopathic POI using genome-wide techniques such as high resolution array-CGH and whole exome sequencing (WES). It involves two groups: women with sporadic POI diagnosed before age 38 with specific ovarian reserve markers, and familial POI cases including unaffected family members. The study aims to identify new genes associated with POI by combining data from different genetic analysis methods over a long period. Participants will be evaluated through genetic testing and analysis of clinical ovarian function markers like FSH, AMH, and antral follicle count. The study will monitor the presence of genetic variants related to POI and how these variants co-segregate with the condition. The primary outcomes focus on discovering putative POI-related genes and integrating genetic data from multiple methods. The study is planned to continue up to the year 2030, allowing long-term investigation of genetic contributions to POI.

CONDITIONS

Brief Title

Investigation of Copy Number Variations and Genetic Variants in POI

Who Can Participate

Age: 15Years - 38Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosed with primary ovarian insufficiency before age 38
  • Female aged between 15 and 38 years
  • Normal 46,XX karyotype without FRM1 premutation
  • At least one ovarian reserve marker not age-appropriate: elevated baseline FSH, low age-specific AMH, or antral follicle count less than 5
  • History of poor response to high-dose gonadotrophins stimulation, including cancellation of a cycle with fewer than 3 follicles or retrieval of fewer than 4 oocytes
Not Eligible

You will not qualify if you...

  • History of ovarian surgery
  • Previous chemotherapy or radiotherapy
  • Presence of endometriosis
  • Known autoimmune or metabolic diseases

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 visit (in-person)

Diagnostic Evaluation

Duration - Up to 20 years

Participants undergo genetic testing including high resolution array-CGH and whole exome sequencing to identify genetic variants associated with premature ovarian insufficiency.

Initial testing visit with possible additional assessments depending on genetic findings

Long-term Monitoring

Duration - Up to 20 years

Participants are observed over time to track genetic variant co-segregation and to better understand the genetic heterogeneity and pathogenic mechanisms of idiopathic premature ovarian insufficiency.

Periodic visits depending on participant availability and study assessments

Trial Site Locations

Total: 1 location

1

UOS Fisiopatologia della Riuproduzione Umana

Genova, Italy

Actively Recruiting

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Research Team

P

Paola Scaruffi, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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