Evidence map›Paper›PMID 34845576›Full record

ArticleJournal of assisted reproduction and genetics2022

Are commercial warming kits interchangeable for vitrified human blastocysts? Further evidence for the adoption of a Universal Warming protocol.

Stefano Canosa, Lodovico Parmegiani, Lorena Charrier, Gianluca Gennarelli, Cristina Garello, Francesca Granella, Francesca Evangelista, Giuseppe Monelli, Daniela Guidetti, Alberto Revelli and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06741748 (A Pragmatic, Multi-centre, Double-blinded, Two-arm Randomized Controlled Trial on a Direct Warming Frozen Embryo Transfer in Assisted Reproductive Technologies Treatment Outcome), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

NCT06741748 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Pragmatic, Multi-centre, Double-blinded, Two-arm Randomized Controlled Trial on a Direct Warming Frozen Embryo Transfer in Assisted Reproductive Technologies Treatment Outcome

TypeinterventionalSponsorChinese University of Hong KongRan2025 to 2027Enrolled578ConditionsFrozen Embryo Transfer (FET), Assisted Reproductive Techniques, In Vitro Fertilization (IVF), Cryopreservation of EmbryosArmsDirect Warming Method, Conventional Multi-step Thawing Method
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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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

12 authors.

Stefano CanosaLivet, GeneraLife IVF, Torino, Italy. s.canosa88@gmail.com.ORCID http://orcid.org/0000-0001-6402-6750
Lodovico ParmegianiGynePro Medical, NextClinics International, Reproductive Medicine Unit, Bologna, Italy.ORCID http://orcid.org/0000-0003-3901-885X
Lorena CharrierDepartment of Public Health and Pediatrics, University of Torino, Torino, Italy.ORCID http://orcid.org/0000-0002-1300-4508
Gianluca GennarelliLivet, GeneraLife IVF, Torino, Italy.ORCID http://orcid.org/0000-0003-4390-9428
Cristina GarelloLivet, GeneraLife IVF, Torino, Italy.
Francesca GranellaLivet, GeneraLife IVF, Torino, Italy.
Francesca EvangelistaLivet, GeneraLife IVF, Torino, Italy.
Giuseppe MonelliLivet, GeneraLife IVF, Torino, Italy.
Daniela GuidettiLivet, GeneraLife IVF, Torino, Italy.
Alberto RevelliLivet, GeneraLife IVF, Torino, Italy.ORCID http://orcid.org/0000-0002-5797-3722
Marco FilicoriGynePro Medical, NextClinics International, Reproductive Medicine Unit, Bologna, Italy.ORCID http://orcid.org/0000-0003-4995-0317
Francesca BongioanniLivet, GeneraLife IVF, Torino, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study whether a new combination of different warming kits is clinically effective for vitrified human blastocysts.

methodsThis is a longitudinal cohort study analysing two hundred fifty-five blastocysts warming cycles performed between January and October 2018. Embryos were vitrified using only one brand of ready-to-use kits (Kitazato), whereas the warming procedure was performed with three of the most widely used vitrification/warming kits (Kitazato, Sage and Irvine) after patient stratification for oocyte source. The primary endpoint was survival rate, while the secondary endpoints were clinical pregnancy, live birth and miscarriage rates.

resultsWe observed a comparable survival rate across all groups of 100% (47/47) in KK, 97.6% (49/50) in KS, 97.6% (41/42) in KI, 100% (38/38) in dKK, 100% (35/35) in dKS and 100% (43/43) in dKI. Clinical pregnancy rates were also comparable: 38.3% (18/47) in KK, 49% (24/49) in KS, 56.1% (23/ 41) in KI, 47.4% (18/38) in dKK, 31.4% (11/35) in dKS and 48.8% (21/ 43) in dKI. Finally, live birth rates were 29.8% (14/47) in KK, 36.7% (18/49) in KS, 46.3% (19/41) in KI, 36.8% (14/38) in dKK, 25.7% (9/35) in dKS and 41.9% (18/43) in dKI, showing no significant differences.

conclusionThis study confirmed the efficacy of applying a single warming protocol, despite what the "industry" has led us to believe, supporting the idea that it is time to proceed in the cryopreservation field and encouraging embryologists worldwide to come out and reveal that such a procedure is possible and safe.

Indexed as

VitrificationAdultBlastomeresCohort StudiesEmbryo TransferFemaleHot TemperatureHumansLongitudinal StudiesMaleMiddle AgedOocytesEmbryo cryopreservationIn vitro fertilizationUniversal warming protocolVitrificationWarming

Identifiers

PMID34845576
PMCPMC8866604

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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.