Evidence map›Paper›PMID 34254211›Full record

Trial reportJournal of assisted reproduction and genetics2021

Pregnancy and neonatal outcomes in fresh and frozen cycles using blastocysts derived from ovarian stimulation with follitropin delta.

Jon Havelock, Anna-Karina Aaris Henningsen, Bernadette Mannaerts, Joan-Carles Arce, ESTHER-1 and ESTHER-2 Trial Groups

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of assisted reproduction and genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT01956110 phase3completednot on this map

A Randomised, Controlled, Assessor-blind, Parallel Groups, Multicentre, Multinational Trial Comparing the Efficacy and Safety of FE 999049 With Follitropin Alfa (GONAL-F) in Controlled Ovarian Stimulation in Women Undergoing an Assisted Reproductive Technology Programme

TypeinterventionalSponsorFerring PharmaceuticalsRan2013 to 2017Enrolled1,329ConditionsInfertilityArmsFollitropin Delta (FE 999049), Follitropin Alfa (GONAL-F)
NCT01956123 phase3completednot on this map

A Controlled, Assessor-blind, Parallel Groups, Multicentre, Multinational Trial Evaluating the Immunogenicity of FE 999049 in Repeated Cycles of Controlled Ovarian Stimulation in Women Undergoing an Assisted Reproductive Technology Programme

TypeinterventionalSponsorFerring PharmaceuticalsRan2014 to 2017Enrolled513ConditionsInfertilityArmsFollitropin Delta (FE 999049), Follitropin Alfa (GONAL-F)
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.

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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

5 authors at 3 institutions in 2 countries.

Jon HavelockPacific Centre for Reproductive Medicine, Department of Obstetrics and Gynaecology, University of British Columbia, Burnaby, BC, Canada.
Anna-Karina Aaris HenningsenFertility Clinic, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Bernadette MannaertsReproductive Medicine & Maternal Health, Ferring Pharmaceuticals, Copenhagen, Denmark.
Joan-Carles ArceReproductive Medicine & Maternal Health, Ferring Pharmaceuticals, Copenhagen, Denmark. jca@ferring.com.ORCID http://orcid.org/0000-0001-7374-5992
ESTHER-1 and ESTHER-2 Trial Groups
Ferring Pharmaceuticals (Denmark) · DKCopenhagen University Hospital · DKUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe the pregnancy and neonatal outcomes using fresh and vitrified/warmed blastocysts obtained from ovarian stimulation with follitropin delta in controlled trials versus follitropin alfa.

methodsThis investigation evaluated the outcome from 2719 fresh and frozen cycles performed in 1326 IVF/ICSI patients who could start up to three ovarian stimulations in the ESTHER-1 (NCT01956110) and ESTHER-2 (NCT01956123) trials, covering 1012 fresh cycles and 341 frozen cycles with follitropin delta and 1015 fresh cycles and 351 frozen cycles with follitropin alfa. Of the 1326 first cycle patients, 513 continued to cycle 2 and 188 to cycle 3, and 441 patients started frozen cycles after the fresh cycles. Pregnancy follow-up was continued until 4 weeks after birth.

resultsThe overall cumulative take-home baby rate after up to three stimulation cycles was 60.3% with follitropin delta and 60.7% with follitropin alfa (-0.2% [95% CI: -5.4%; 5.0%]), of which the relative contribution was 72.8% from fresh cycles and 27.2% from frozen cycles in each treatment group. Across the fresh cycles, the ongoing implantation rate was 32.1% for follitropin delta and 32.1% for follitropin alfa, while it was 27.6% and 27.8%, respectively, for the frozen cycles. Major congenital anomalies among the live-born neonates up until 4 weeks were reported at an incidence of 1.6% with follitropin delta and 1.8% with follitropin alfa (-0.2% [95% CI: -1.9%; 1.5%]).

conclusionsBased on comparative trials, the pregnancy and neonatal outcomes from fresh and frozen cycles provide reassuring data on the efficacy and safety of follitropin delta.

trial registrationClinicalTrials.gov Identifier: NCT01956110 registered on 8 October 2013; NCT01956123 registered on 8 October 2013.

Indexed as

Embryo ImplantationAdolescentAdultBlastocystDenmarkFemaleFertilization in VitroFollicle Stimulating Hormone, HumanHumansInfant, NewbornLive BirthMaleOvulation InductionPregnancyPregnancy OutcomePregnancy RateFollicle Stimulating Hormone, Humanfollitropin deltaRecombinant ProteinsFollitropin deltaFresh cycleFrozen cycleNeonatal outcomeOvarian stimulationTake-home baby rate

Identifiers

PMID34254211
PMCPMC8581102
OpenAlexW3183007243

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.