Comparing blastocyst euploid rates between the progestin-primed and gonadotrophin-releasing hormone antagonist protocols in aneuploidy genetic testing : a randomised trial protocol

© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ..

INTRODUCTION: Progestin can inhibit the pituitary luteinising hormone (LH) surge during ovarian stimulation for in vitro fertilisation (IVF) and studies show progestin-primed ovarian stimulation (PPOS) is effective in blocking the LH surge in IVF. More and more centres are using PPOS because this regimen appears simpler and cheaper. This study aims to compare the euploidy rate of blastocysts following the PPOS protocol and the gonadotropin-releasing hormone antagonist protocol in women undergoing preimplantation genetic testing for aneuploidy (PGT-A).

METHODS/ANALYSIS: This is a randomised trial. A total of 400 women undergoing PGT-A will be enrolled and randomised according to a computer-generated randomisation list to either (1) the antagonist group: an antagonist given once daily from day 6 of ovarian stimulation till the day of the ovulation trigger; or (2) the PPOS group: dydrogesterone from the first day of ovarian stimulation till the day of ovulation trigger. The primary outcome is the euploidy rate of blastocysts.

ETHICS/DISSEMINATION: An ethical approval was granted from the ethics committee of assisted reproductive medicine in Shanghai JiAi Genetics and IVF institute (JIAIE2020-03). A written informed consent will be obtained from each woman before any study procedure is performed, according to good clinical practice. The results of this randomised trial will be disseminated in a peer-reviewed journal.

TRIAL REGISTRATION NUMBER: NCT04414748.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

BMJ open - 14(2024), 3 vom: 23. März, Seite e079208

Sprache:

Englisch

Beteiligte Personen:

Li, He [VerfasserIn]
Yu, Min [VerfasserIn]
Zhang, Wenbi [VerfasserIn]
Chen, Junling [VerfasserIn]
Chen, Hua [VerfasserIn]
Lu, Xiang [VerfasserIn]
Li, Lu [VerfasserIn]
Ng, Ernest H Y [VerfasserIn]
Sun, Xiaoxi [VerfasserIn]

Links:

Volltext

Themen:

33515-09-2
9002-67-9
Clinical Trial Protocol
GYNAECOLOGY
Gonadotropin-Releasing Hormone
Hormone Antagonists
Journal Article
Luteinizing Hormone
Progestins
REPRODUCTIVE MEDICINE
Subfertility

Anmerkungen:

Date Completed 25.03.2024

Date Revised 28.03.2024

published: Electronic

ClinicalTrials.gov: NCT04414748

Citation Status MEDLINE

doi:

10.1136/bmjopen-2023-079208

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370110986