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Studies the uterine lining in women with repeated implantation failure or miscarriage

Compares uterine lining immune and microbial features in women with repeated pregnancy problems.

Plain-language title generated from the registry record
Registry title: Study of Endometrial Immune and Microbiological Modifications in Cases of Recurrent Implantation Failure and/or Recurrent Pregnancy Loss

Key facts

Where
Paris, FranceSee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 35 years old?

Source: NCT07265505, who can take part

Where in France

  • Service de Gynécologie Obstétrique II et Médecine de la Reproduction - Cochin HospitalParis, FranceNo longer taking part

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  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Assistance Publique - Hôpitaux de Paris
Trial code
NCT07265505
Record updated
5 February 2026
Original description
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.Read full original descriptionShow less

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

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.

Inclusion: Female aged ≥18 and <36 years; Undergoing assisted reproductive technology (ART) in a fertility center; Covered by the French national health insurance system; Belonging to one of two groups:; Study group: history of recurrent implantation failure (RIF) and/or recurrent pregnancy loss (RPL); Control group: no history of RIF or RPL.

Exclusion: Antibiotic use within one month prior to endometrial biopsy Positive serology for hepatitis B, hepatitis C or HIV; Known autoimmune disease, thrombophilia, or antiphospholipid antibody syndrome; Pregnant at inclusion; Refusal to provide written informed consent; Uterine anatomical abnormalities (e.g., polyps, cavity-distorting fibroids, untreated hydrosalpinx); Known chromosomal abnormality in either partner; Persons under legal protection (e.g., guardianship, curatorship).

ClinicalTrials.gov NCT07265505