Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 22 to 40 Women only

Using natural killer cells from patients to improve fertility and pregnancy outcomes

Official title: Clinical Study of Autologous Decidual-like Natural Killer Cells Therapy for Infertility or Adverse Pregnancy History Caused by Abnormal Uterine Natural Killer Cells

Run by The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School · NCT06821685 · Data updated 2026-11-12

This study is testing whether using a special type of immune cell from patients can help improve fertility and pregnancy outcomes for those struggling with infertility or past pregnancy issues.

More Pre-Eclampsia trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages22 Years to 40 Years
SexWomen only
Enrollment14 (estimated)
SponsorThe Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Academic / other
Locations1 site (Nanjing, Jiangsu)
StatusRecruiting
StartedFebruary 13, 2025
Main results expectedJuly 2027
Study endsDecember 2027
Registry record updatedNovember 17, 2025
Trial IDNCT06821685 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include women with abnormal uterine NK cell function and a history of recurrent pregnancy loss, repeated implantation failure, or unexplained infertility.

Probably not a fit

Patients with severe endometriosis, uterine fibroids, or other significant uterine abnormalities may not benefit from this therapy.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study explores the effectiveness of autologous decidual-like natural killer (NK) cells therapy in patients experiencing infertility or adverse pregnancy outcomes. Patients with abnormal uterine NK cell function will undergo menstrual blood analysis and, if eligible, will have their peripheral blood collected to isolate and culture NK cells. These cells will then be infused into the uterus, with continuous monitoring of NK cell function and subsequent pregnancy attempts over a six-month period. If necessary, patients may receive up to two treatments to enhance NK cell function.

Why it matters

Potential benefit: If successful, this therapy could significantly improve fertility rates and pregnancy outcomes for patients with specific reproductive challenges.

How similar studies have gone: While this approach is innovative, similar studies exploring NK cell therapy have shown promise, indicating potential for success.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* abnormal uterine NK cell function;
* have one of the following medical history: unexplained recurrent spontaneous abortions (≥2 spontaneous abortions, including biochemical pregnancy), repeated implantation failure (failure of implantation of good-quality embryos in at least two IVF cycles), unexplained infertility, early-onset severe gestational hypertension or early-onset fetal growth restriction;
* have clear fertility desires;
* normal ovarian function or with frozen embryos;
* edometrium thickness measured by vaginal ultrasound before ovulation or at mid-luteal phase \>= 7mm;
* 18kg/m\^2 \< Body mass index \< 30kg/m\^2;

Exclusion Criteria:

* using progesterone receptor modulator;
* chromosomal karyotype abnormalities in one spouse;
* severe endometriosis, uterine fibroids affecting the shape of the uterine cavity or the size of the whole uterus more than 2 and a half months of pregnancy, uterine malformation, uterine adhesion or thin endometrium;
* uncontrolled autoimmune diseases;
* abnormal blood coagulation function, abnormal liver and kidney function, or other uncontrolled basic diseases (hypertension, diabetes, thyroid disease, etc.) that the researcher access which may affect the progress of the study;
* history of pelvic malignant tumors;
* currently participating in other clinical studies;
* allergic to blood products.

Where it's running

  • The Affiliated Drum Tower Hospital of Nanjing University
    Nanjing, Jiangsu, China
    Recruiting

Study contacts

  • Principal investigator: Yali Hu — The Affiliated Drum Tower Hospital of Nanjing University
  • Study coordinator: Yali Hu
  • Email: glyyhuyali@163.com
  • Phone: 86-025-83106666

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Pre-eclampsia risk in pregnancies after oocyte donation

    We will follow pregnant women who used donated eggs and women who used their own eggs to see if pregnancies after oocyte donation lead to a higher risk of pre-eclampsia.

    Recruiting at 6 sites Copenhagen University Hospital, Hvidovre · Copenhagen and 5 other locations · NCT07263490

  • Use of metformin to prolong pregnancy in preterm preeclampsia in the Netherlands

    In pregnant people with preterm preeclampsia, this study tests whether metformin can help them stay pregnant longer compared with placebo.

    Recruiting Phase 3 Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · Amsterdam · NCT06452498

  • Preeclampsia Biomarker Test in African Women

    This study tests whether measuring the sFlt-1/PlGF ratio using quick clinic tests helps predict which pregnant women in Africa will develop severe preeclampsia.

    Recruiting Africa Clinical Research Network (ACRN) · Harare, Harare · NCT07810439

  • Internal jugular vein collapsibility to gauge volume status in preeclampsia vs. normal pregnancy

    This study tests whether ultrasound of the internal jugular vein can show differences in fluid status between preeclamptic pregnant people and those with normal blood pressure during planned cesarean delivery.

    Recruiting Tanta University · Tanta, El-Gharbia Govenorate · NCT07786246

  • Blood pressure checker Withings BPM Pro 2 in pregnancy

    This study tests whether the Withings BPM Pro 2 blood pressure monitor gives accurate readings for pregnant people, including those with high blood pressure or preeclampsia.

    Recruiting Withings · Yerevan, Armenia · NCT07595016

  • How the placenta affects maternal and fetal health

    This project will test whether tiny particles released by the placenta differ in pregnancies with pre-eclampsia, gestational diabetes, or fetal growth restriction compared with healthy pregnancies and non-pregnant women.

    Recruiting University of Oxford · Oxford · NCT07470320

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.