The Scientific and Clinical Advances Advisory Committee (SCAAC) met on 6 October 2025. Papers from the meeting are available on the SCAAC webpage.
The Committee discussed developments in two horizon scanning topics and allocated a treatment add-on rating to intrauterine and intraovarian platelet-rich plasma (PRP).
Alternative methods to derive embryonic and embryonic-like stem cells
The committee discussed research findings on establishing and maintaining human pluripotent stem cell populations. This covered stem cells in distinct pluripotent states, advances in establishing alternative human stem cell models, establishing extraembryonic human stem cell lines, as well as establishing novel embryonic and extra embryonic stem cells lines. Technical advances in culture systems and the use of human embryonic stem cells and related stem cell models as platforms for genetic research, drug screening and regenerative therapy were also considered.
Testicular tissue transplantation to restore fertility in males
Members reviewed research developments on testicular tissue transplantation in animals, with a case report of the first autologous grafting of adult human testis tissue. Other research focused on methodology and protocols used for testicular tissue culture and cryopreservation, including safety and health outcomes as well as the impact of cancer and cancer treatment on fertility. Studies on attitudes and experiences of providers, patients and families were also considered.
The Committee noted that men who previously had tissue cryopreserved as prepubertal boys are now wishing to use the tissue and therefore considering research in this field is vital. There is a joint HFEA and Human Tissue Authority (HTA) statement currently in place to address the regulatory overlap.
Platelet-rich plasma as a treatment add-on
During the June 2025 SCAAC meeting the Committee agreed that platelet-rich plasma (PRP) for intrauterine and intraovarian infusion/injection met the criteria to be rated as an HFEA treatment add-on.
The Committee subsequently rated intraovarian PRP for poor/diminished ovarian reserve. Intrauterine PRP was also rated for thin/refractory endometrium, recurrent/repeated implantation failure, Asherman’s syndrome/intrauterine adhesions and recurrent pregnancy loss. Further information will be added to the ‘Treatment add-ons with limited evidence’ webpage in due course.
Relevant public health developments and research findings
The Committee discussed the papers published by the Newcastle Fertility Centre on preimplantation genetic testing and their reproductive care pathway using mitochondrial donation. The two papers were noted as complementary and detailed not only the techniques used but also the patient outcomes.
A paper on IVF outcomes in same-sex female couples using their partner eggs versus own eggs was flagged to the Committee. The findings of the paper resulted in some minor changes to information on our website.
A paper on the development of human oocytes from adult somatic (skin) cells was also discussed.
Members noted the need to encourage further collaboration between clinics and researchers in relation to embryo research, to ensure that embryos donated for research could be used.
Once finalised, minutes from the meeting will be available on the SCAAC webpage.