Evidence map›Paper›PMID 27221477›Full record

Trial reportJournal of assisted reproduction and genetics2016

The endometrial preparation for frozen-thawed euploid blastocyst transfer: a prospective randomized trial comparing clinical results from natural modified cycle and exogenous hormone stimulation with GnRH agonist.

Ermanno Greco, Katarzyna Litwicka, Cristiana Arrivi, Maria Teresa Varricchio, Alina Caragia, Alessia Greco, Maria Giulia Minasi, Francesco Fiorentino

Registry-linked trialOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of assisted reproduction and genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02378584 (The Clinical Results After Frozen-thawed Healthy Blastocyst Transfer in Natural Cycle Versus Cycle With Endometrial Preparation), which is not on this map. Cited by 28 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 8 pooled it
3.6field-weighted citation impact, top 7% 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.

NCT02378584 nacompletednot on this map

The Clinical Results After Frozen-thawed Healthy Blastocyst Transfer in Natural Cycle Versus Cycle With Endometrial Preparation

TypeinterventionalSponsorEuropean HospitalRan2015 to 2015Enrolled236ConditionsInfertilityArmsembryo transfer
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 8 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Cycle regimens for endometrial preparation prior to frozen embryo transfer.The Cochrane database of systematic reviews · 2025
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  7. Cycle regimens for frozen-thawed embryo transfer.The Cochrane database of systematic reviews · 2017
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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

8 authors at 1 institution in 1 country.

Ermanno GrecoCentre for Reproductive Medicine, European Hospital, Via Portuense 700, 00149, Rome, Italy. ergreco1@virgilio.it.
Katarzyna LitwickaCentre for Reproductive Medicine, European Hospital, Via Portuense 700, 00149, Rome, Italy.
Cristiana ArriviCentre for Reproductive Medicine, European Hospital, Via Portuense 700, 00149, Rome, Italy.
Maria Teresa VarricchioCentre for Reproductive Medicine, European Hospital, Via Portuense 700, 00149, Rome, Italy.
Alina CaragiaCentre for Reproductive Medicine, European Hospital, Via Portuense 700, 00149, Rome, Italy.
Alessia GrecoCentre for Reproductive Medicine, European Hospital, Via Portuense 700, 00149, Rome, Italy.
Maria Giulia MinasiCentre for Reproductive Medicine, European Hospital, Via Portuense 700, 00149, Rome, Italy.
Francesco FiorentinoGENOMA-Molecular Genetics Laboratory, Via Castel Giubileo, 11, 00138, Rome, Italy.
European Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the study was to evaluate two methods of endometrial preparation for frozen-thawed single euploid blastocyst transfer: modified natural and artificial cycle with GnRH-agonist pituitary suppression.

methodsIn this prospective, controlled randomized trial, a total of 236 patients undergoing infertility treatment were randomized in 1:1 ratio; 118 received a frozen-thawed single euploid blastocyst transfer in a modified natural cycle and 118 in an artificial cycle with GnRH-agonist pituitary suppression. In the artificial protocol, GnRH-agonist combined with estradiol valerate was administered. In the natural protocol, only final oocyte maturation was induced using human chorionic gonadotropin administration. The primary end-points were the clinical pregnancy and implantation rates; the secondary end-points were the cost-benefit in terms of drug cost and the number of visits and the woman psychological distress caused by the treatment.

resultsNo significant differences were found in clinical pregnancy, implantation, and miscarriage rates between protocols. The number of clinical and ultrasound controls and the number of laboratory dosages and venous samplings were similar in both study groups. No significant differences were found between the groups in the anxiety and depression values before the start of treatment, on the days of progesterone administration, the blastocyst transfer, and pregnancy test.

conclusionsThe findings of this study evidence that in case of frozen-thawed single euploid blastocyst transfer, both protocols are equally effective in terms of clinical outcomes, cost-benefit, and patient compliance. The choice of endometrial preparation protocol should be based on women menstrual and ovulatory characteristics or otherwise on patient need for cycle planning.

trial registrationwww.clinicaltrials.gov with number NCT02378584.

Indexed as

Abortion, SpontaneousAdultAnxietyChorionic GonadotropinCryopreservationDepressionEmbryo ImplantationEmbryo TransferEndometriumEstradiolEstrogensFemaleGonadotropin-Releasing HormoneHumansOvulation InductionPituitary GlandChorionic GonadotropinEstradiolEstrogensGonadotropin-Releasing HormoneProgesteroneBlastocyst transferEndometrial preparationEuploid embryosVitrification

Identifiers

PMID27221477
PMCPMC4930788
OpenAlexW2398659223

What OpenQuestion holds

Textmetadata
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.