Evidence map›Paper›PMID 25036713›Full record

Trial reportThe Journal of clinical investigation2014

Kisspeptin-54 triggers egg maturation in women undergoing in vitro fertilization.

Channa N Jayasena, Ali Abbara, Alexander N Comninos, Gurjinder M K Nijher, Georgios Christopoulos, Shakunthala Narayanaswamy, Chioma Izzi-Engbeaya, Mathini Sridharan, Alexina J Mason, Jane Warwick and 6 more

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in The Journal of clinical investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01667406 (The Use of the Hormone Kisspeptin in 'in Vitro Fertilisation'), which is not on this map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
17.5field-weighted citation impact, top 1% 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.

NCT01667406 phase2completednot on this map

The Use of the Hormone Kisspeptin in 'in Vitro Fertilisation' (IVF) Treatment

TypeinterventionalSponsorImperial College LondonRan2012 to 2016Enrolled175ConditionsInfertilityArmsKisspeptin 1.6nmol/kg, Kisspeptin 3.2nmol/kg, Kisspeptin 6.4nmol/kg, Kisspeptin 9.6nmol/kg, Kisspeptin 12.8nmol/kg
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 156 citations in OpenAlex.

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  14. The Trigger in IVF Cycles: Molecular Pathways and Clinical Implications.International journal of molecular sciences · 2025
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  19. Triggering final follicular maturation for IVF cycles.Reproductive biology and endocrinology : RB&E · 2025
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 1 country.

Channa N Jayasena
Ali Abbara
Alexander N Comninos
Gurjinder M K Nijher
Georgios Christopoulos
Shakunthala Narayanaswamy
Chioma Izzi-Engbeaya
Mathini Sridharan
Alexina J Mason
Jane Warwick
Deborah Ashby
Mohammad A Ghatei
Stephen R Bloom
Anna Carby
Geoffrey H Trew
Waljit S Dhillo
Hammersmith Hospital · GBImperial College London · GB

Funding

Department of Health CDF-2009-02-05Medical Research Council G1000455Wellcome Trust
6 · The paper itself

Abstract

backgroundPatients with mutations that inactivate kisspeptin signaling are infertile. Kisspeptin-54, the major circulating isoform of kisspeptin in humans, potently stimulates reproductive hormone secretion in humans. Animal studies suggest that kisspeptin is involved in generation of the luteinizing hormone surge, which is required for ovulation; therefore, we hypothesized that kisspeptin-54 could be used to trigger egg maturation in women undergoing in vitro fertilization therapy.

methodsFollowing superovulation with recombinant follicle-stimulating hormone and administration of gonadotropin-releasing hormone antagonist to prevent premature ovulation, 53 women were administered a single subcutaneous injection of kisspeptin-54 (1.6 nmol/kg, n = 2; 3.2 nmol/kg, n = 3; 6.4 nmol/kg, n = 24; 12.8 nmol/kg, n = 24) to induce a luteinizing hormone surge and egg maturation. Eggs were retrieved transvaginally 36 hours after kisspeptin injection, assessed for maturation (primary outcome), and fertilized by intracytoplasmic sperm injection with subsequent transfer of one or two embryos.

resultsEgg maturation was observed in response to each tested dose of kisspeptin-54, and the mean number of mature eggs per patient generally increased in a dose-dependent manner. Fertilization of eggs and transfer of embryos to the uterus occurred in 92% (49/53) of kisspeptin-54-treated patients. Biochemical and clinical pregnancy rates were 40% (21/53) and 23% (12/53), respectively.

conclusionThis study demonstrates that a single injection of kisspeptin-54 can induce egg maturation in women with subfertility undergoing in vitro fertilization therapy. Subsequent fertilization of eggs matured following kisspeptin-54 administration and transfer of resulting embryos can lead to successful human pregnancy.

trial registrationClinicalTrials.gov NCT01667406.

Indexed as

AdultDose-Response Relationship, DrugFemaleFertility Agents, FemaleFertilization in VitroFollicle Stimulating HormoneGonadotropin-Releasing HormoneHumansInfertilityKisspeptinsOocytesOvulationPregnancyPregnancy, EctopicRecombinant ProteinscetrorelixFertility Agents, FemaleFollicle Stimulating HormoneGonadotropin-Releasing HormoneKISS1 protein, humanKisspeptinsRecombinant Proteins

Identifiers

PMID25036713
PMCPMC4109525
OpenAlexW2150819167

What OpenQuestion holds

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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.