Evidence map›Paper›PMID 24476536›Full record

Trial reportReproductive biology and endocrinology : RB&E2014

Effect of intrauterine injection of human chorionic gonadotropin before embryo transfer on clinical pregnancy rates from in vitro fertilisation cycles: a prospective study.

Alvaro Santibañez, Jorge García, Olga Pashkova, Omar Colín, Guillermo Castellanos, Ana P Sánchez, Julio F De la Jara

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Reproductive biology and endocrinology : RB&E, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01986374 (Intrauterine Injection of Human Chorionic Gonadotropin to Enhance Embryo Implantation), which is not on this map. Cited by 27 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 6 pooled it
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01986374 nacompletednot on this map

Intrauterine Injection of Human Chorionic Gonadotropin to Enhance Embryo Implantation

TypeinterventionalSponsorServy Massey Fertility InsitituteRan2013 to 2016Enrolled75ConditionsInfertilityArmsHCG is introduced
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 6 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Luteal phase support for assisted reproduction cycles.The Cochrane database of systematic reviews · 2015
    Pooled it
  6. Pooled it
  7. Trial
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  10. Article
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  15. Review
  16. Human Chorionic Gonadotropin and Early Embryogenesis: Review.International journal of molecular sciences · 2022
    Review
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  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Alvaro SantibañezProcrea, Reproductive Centre, 1st floor 670 Ejercito Nacional Avenue, Polanco Reforma, 11550 Mexico City, Mexico. alvaro2304@hotmail.com.
Jorge García
Olga Pashkova
Omar Colín
Guillermo Castellanos
Ana P Sánchez
Julio F De la Jara
Universidad del Ejército y Fuerza Aérea · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe implantation process after embryo transfer depends on the embryo quality and endometrial receptivity. It is estimated that fifty to seventy-five per cent of pregnancies are lost due to a failure of implantation. There is evidence that there is an early secretion of human chorionic gonadotrophin before embryo implantation, and this secretion has been linked to an important function in angiogenesis and the inflammatory response that promotes the implantation process. Our objective was to determine the effects of intrauterine injection of human chorionic gonadotropin (hCG) before the embryo transfer in an in vitro fertilisation cycle.

methodsA prospective randomised study was conducted in Reproductive Medicine Centre PROCREA in Mexico City. Infertile patients who had a medical indication for in vitro fertilisation were studied. Two groups were included (n 210); the intervention group received an intrauterine injection of 500 IU of hCG before the embryo transfer (n 101). The control group (n 109) did not receive hCG. Comparisons were performed using a chi-square test.

resultsThe clinical pregnancy rate (CPR) was our principal outcome. The implantation rate was a secondary outcome. The implantation rate was significantly higher in the hCG group compared to the control group (52.4% vs 35.7%, p 0.014). The clinical pregnancy rate was also significantly higher (50.4 vs 33.0%, p 0.010). No adverse effects were observed.

conclusionsThe intrauterine injection of hCG before embryo transfer showed a significant increase in the clinical pregnancy rate. More clinical trials are needed to reproduce these results on this promising intervention. The live birth rate must be included in subsequent studies.

Indexed as

Chorionic GonadotropinEmbryo TransferFertilization in VitroPregnancy RateAdministration, IntravaginalAdultFemaleHumansMalePregnancyProspective StudiesTreatment OutcomeChorionic Gonadotropin

Identifiers

PMID24476536
PMCPMC3911962
OpenAlexW2141733445

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.