Clinical Efficacy of Highly Purified hMG versus Recombinant FSH in IVF/ICSI Cycles: A Meta-Analysis

被引:15
作者
Jee, Byung Chul [1 ,2 ]
Suh, Chang Suk [1 ,2 ,3 ]
Kim, Yong Beom [1 ]
Kim, Seok Hyun [2 ,3 ]
Moon, Shin Yong [2 ,3 ]
机构
[1] Seoul Natl Univ, Bundang Hosp, Dept Obstet & Gynecol, Songnam 463707, Gyeonggi, South Korea
[2] Seoul Natl Univ, Coll Med, Dept Obstet & Gynecol, Seoul, South Korea
[3] Seoul Natl Univ, Med Res Ctr, Inst Reprod Med & Populat, Seoul, South Korea
关键词
Highly purified hMG; Recombinant FSH; IVF; Pregnancy rate; Meta-analysis; FOLLICLE-STIMULATING-HORMONE; IN-VITRO FERTILIZATION; HUMAN MENOPAUSAL GONADOTROPIN; SPERM INJECTION CYCLES; OVARIAN STIMULATION; ECONOMIC-EVALUATION; ASSISTED REPRODUCTION; CONTROLLED-TRIAL; IVF CYCLES; HP-HMG;
D O I
10.1159/000308458
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background/Aims: To compare the effectiveness of highly purified hMG (Menopur) with recombinant FSH (Gonal-F) in IVF/ICSI patients who underwent ovarian hyperstimulation with pituitary suppression. Methods: A literature search of the National Library of Medicine and the National Institutes of Health (PubMed), Medline and Cochrane Controlled Trials Register was performed using the key words 'highly purified hMG' and 'recombinant FSH.' Only prospective randomized controlled trials were included when they compared IVF/ICSI outcomes after administration of Menopur versus Gonal-F. Five studies met the inclusion criteria and were reviewed. The primary outcome measure was ongoing pregnancy/live birth. Results: Ongoing pregnancy rate per started cycle (RR: 1.10, 95% CI: 0.96-1.26) or per embryo transfer (RR: 1.13, 95% CI: 0.99-1.29), as well as live birth rate per embryo transfer (RR: 1.14, 95% CI: 0.98-1.33), is similar between the Menopur and the Gonal-F group. Conclusion: The combined data presented in this meta-analysis do not support a clinical superiority of Gonal-F over Menopur. Copyright (C) 2010 S. Karger AG, Basel
引用
收藏
页码:132 / 137
页数:6
相关论文
共 26 条
[1]   Ovulation induction in the new millennium: Recombinant follicle-stimulating hormone versus human menopausal gonadotropin [J].
Al-Inany, H ;
Aboulghar, MA ;
Mansour, RT ;
Serour, GI .
GYNECOLOGICAL ENDOCRINOLOGY, 2005, 20 (03) :161-169
[2]   Meta-analysis of recombinant versus urinary-derived FSH: an update [J].
Al-Inany, H ;
Aboulghar, M ;
Mansour, R ;
Serour, G .
HUMAN REPRODUCTION, 2003, 18 (02) :305-313
[3]   Efficacy and safety of human menopausal gonadotrophins versus meta-analysis recombinant FSH: a mate-analysis [J].
Al-Inany, Hesham G. ;
Abou-Setta, Ahmed M. ;
Aboulghar, Mohamed A. ;
Mansour, Ragaa T. ;
Serour, Gamal I. .
REPRODUCTIVE BIOMEDICINE ONLINE, 2008, 16 (01) :81-88
[4]   Highly purified hMG achieves better pregnancy rates in IVF cycles but not ICSI cycles compared with recombinant FSH: a meta-analysis [J].
Al-Inany, Hesham G. ;
Abou-Setta, Ahmed M. ;
Aboulghar, Mohamed A. ;
Mansour, Ragaa T. ;
Serour, Gamal I. .
GYNECOLOGICAL ENDOCRINOLOGY, 2009, 25 (06) :372-378
[5]   Clinical outcome following stimulation with highly purified hMG or recombinant FSH in patients undergoing IVF: a randomized assessor-blind controlled trial [J].
Andersen, Anders Nyboe ;
Devroey, Paul ;
Arce, Joan-Carles .
HUMAN REPRODUCTION, 2006, 21 (12) :3217-3227
[6]   Highly purified hMG versus recombinant FSH in ovarian hyperstimulation with GnRH antagonists - a randomized study [J].
Bosch, E. ;
Vidal, C. ;
Labarta, E. ;
Simon, C. ;
Remohi, J. ;
Pellicer, A. .
HUMAN REPRODUCTION, 2008, 23 (10) :2346-2351
[7]   A comparison of the efficacy and tolerability of two recombinant human follicle-stimulating hormone preparations in patients undergoing in vitro fertilization-embryo transfer [J].
Brinsden, P ;
Akagbosu, F ;
Gibbons, LM ;
Lancaster, S ;
Gourdon, D ;
Engrand, P ;
Loumaye, E .
FERTILITY AND STERILITY, 2000, 73 (01) :114-116
[8]   Urinary hMG versus recombinant FSH for controlled ovarian hyperstimulation following an agonist long down-regulation protocol in IVF or ICSI treatment: a systematic review and meta-analysis [J].
Coomarasamy, Arri ;
Afnan, Masoud ;
Cheema, Deepti ;
van der Veen, Fulco ;
Bossuyt, Patrick M. M. ;
van Wely, Madelon .
HUMAN REPRODUCTION, 2008, 23 (02) :310-315
[9]   Recombinant versus urinary follicle stimulating hormone for ovarian stimulation in assisted reproduction [J].
Daya, S ;
Gunby, J .
HUMAN REPRODUCTION, 1999, 14 (09) :2207-2215
[10]  
Diedrich K, 2002, FERTIL STERIL, V78, P520