Evidence map›Paper›PMID 25296696›Full record

ArticleJournal of ovarian research2014

Co-administration of GnRH-agonist and hCG for final oocyte maturation (double trigger) in patients with low number of oocytes retrieved per number of preovulatory follicles--a preliminary report.

Jigal Haas, Eran Zilberberg, Shir Dar, Alon Kedem, Ronit Machtinger, Raoul Orvieto

4 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of ovarian research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 4% 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.

NCT02715336 phase4unknown statusnot on this mapstarted 2015, after this paper: background citation

A Randomized Controlled Trial of Pre-retrieval Triggering Methods in in Vitro Fertilization Patients Classified as Low, Normal or High Responder

TypeinterventionalSponsorCreate Fertility CenterRan2015 to 2021Enrolled666ConditionsIVF Cycle, Ovarian Stimulation, Egg Retrieval, PregnancyArmsOvulation induction with hCG and Lupron (GnRH agonist)
NCT04407065 phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

Double Trigger in Patients With Low Number of Oocytes Retrieved Per Number of Preovulatory Follicles. A Randomized Controlled Trial

TypeinterventionalSponsorRiyadh Fertility and Reproductive Health centerRan2020 to 2021Enrolled56ConditionsInfertility, FemaleArmsDouble trigger, HCG trigger
NCT05321511 phase4unknown statusnot on this mapstarted 2022, after this paper: background citation

Double Ovarian Stimulation (DuoStim) Comparison of Triggers: Is There Any Advantage Using 3 Different Methods of Trigger for the Second Egg Collection in Predicted Low Responders?

TypeinterventionalSponsorInstituto BernabeuRan2022 to 2023Enrolled165ConditionsIVF, LOW OVARIAN RESPONSEArmsTriptorelin acetate (a-GnRH), Ovitrelle® (hCG), Decapeptyl 0.1 mg® (a-GnRH) and Ovitrelle® (hCG) used together
NCT06146413 phase2unknown statusnot on this mapstarted 2023, after this paper: background citation

Triggering Oocyte Maturation in Normoresponders Using Double Trigger or HCG Trigger . A Randomized Controlled Trial

TypeinterventionalSponsorBedaya HospitalRan2023 to 2025Enrolled150ConditionsInfertilityArmsDouble trigger, HCG trigger
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  6. The Effect of Dual Trigger onInternational journal of fertility & sterility · 2025
    Article
  7. Triggering final follicular maturation for IVF cycles.Reproductive biology and endocrinology : RB&E · 2025
    Review
  8. Review
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  13. Does dual trigger improve euploidy rate in normoresponder? A cross-sectional study.International journal of reproductive biomedicine · 2023
    Article
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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

6 authors at 1 institution in 1 country.

Jigal Haas
Eran Zilberberg
Shir Dar
Alon Kedem
Ronit Machtinger
Raoul Orvieto
Sheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, the co-administration of GnRH agonist and hCG for final oocyte maturation- 40 and 34 hours prior to OPU, respectively (double trigger) was suggested as the treatment of genuine empty follicle syndrome. In the present study, we aim to evaluate whether the double trigger improves the number of oocytes retrieved in patients with low (<50%) number of oocytes retrieved per number of preovulatory follicles.

methodsIn this proof of concept cohort historical study, we compared the stimulation characteristics of 8 IVF cycles, which include the double trigger to the patients' previous IVF attempt, triggered with hCG-only.

resultsPatients who received the double trigger (study group) had a significantly higher number of oocytes retrieved, number of 2PN, number of embryos transferred and significantly higher proportions of the number of oocytes retrieved to the number of follicles >10 mm and >14 mm in diameter on day of hCG administration, with a tendency toward a higher number of TQE, as compared to their previous cycles (hCG-only trigger). Three ongoing clinical pregnancies were recorded in the study group and none in the hCG-only trigger group.

conclusionsCo-administration of GnRH-agonist and hCG for final oocyte maturation, 40 and 34 hours prior to OPU, respectively (double trigger), is suggested as a valuable new tool in the armamentarium for treating patients with low/poor oocytes yield despite an apparently normal follicular development and E2 levels and in the presence of optimal hCG levels on the day of OPU.

Indexed as

Ovulation InductionAdultChorionic GonadotropinFemaleFertilization in VitroGonadotropin-Releasing HormoneHumansOocyte RetrievalOocytesOogenesisPregnancyChorionic GonadotropinGonadotropin-Releasing Hormone

Identifiers

PMID25296696
PMCPMC4237863
OpenAlexW2103218942

What OpenQuestion holds

Textmetadata
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.