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A randomized controlled trial of the GnRH antagonist ganirelix in Chinese normal responders: high efficacy and pregnancy rates

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单位: [1]MSD, NL-5340 BH Oss, Netherlands [2]Peking Univ, Reprod Med Ctr, Hosp 3, Beijing 100871, Peoples R China [3]Reprod & Genet Hosp CITIC, Changsha, Hunan, Peoples R China [4]Huazhong Sci & Tech Univ, Tongji Hosp, Wuhan, Peoples R China [5]Shanghai Jiai Genet & IVF Inst, Shanghai, Peoples R China [6]MSD Technol, Singapore, Singapore
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关键词: GnRH agonist GnRH antagonist ganirelix IVF ICSI rFSH triptorelin

摘要:
Gonadotropin-releasing hormone (GnRH) antagonists for controlled ovarian stimulation (COS) were only recently introduced into China. The efficacy and safety of the GnRH antagonist ganirelix was assessed in a multicenter, controlled, open-label study, in which Chinese women were randomized to either ganirelix (n = 113) or a long GnRH agonist protocol of triptorelin (n = 120). The primary end point was the amount of recombinant follicle-stimulating hormone (rFSH) required to meet the human chorionic gonadotropin criterion (three follicles = 17 mm). The amount of rFSH needed was significantly lower for ganirelix (1272 IU) vs. triptorelin (1416 IU; P < 0.001). Ongoing pregnancy rates per started cycle were 39.8% (ganirelix) and 39.2% (triptorelin). Although both treatments were well tolerated, cancellation due to risk of ovarian hyperstimulation syndrome (OHSS) was less frequent with ganirelix (1.8%) than triptorelin (7.5%) (P = 0.06). Less rFSH was needed in the ganirelix protocol than the long GnRH agonist protocol, with fewer reported cases of OHSS and similar pregnancy rates.

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出版当年[2011]版:
大类 | 4 区 医学
小类 | 4 区 内分泌学与代谢 4 区 妇产科学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 内分泌学与代谢 4 区 妇产科学
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出版当年[2010]版:
Q3 OBSTETRICS & GYNECOLOGY Q4 ENDOCRINOLOGY & METABOLISM
最新[2023]版:
Q2 OBSTETRICS & GYNECOLOGY Q3 ENDOCRINOLOGY & METABOLISM

影响因子: 最新[2023版] 最新五年平均 出版当年[2010版] 出版当年五年平均 出版前一年[2009版] 出版后一年[2011版]

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第一作者单位: [2]Peking Univ, Reprod Med Ctr, Hosp 3, Beijing 100871, Peoples R China
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通讯机构: [1]MSD, NL-5340 BH Oss, Netherlands [*1]MSD, POB 20, NL-5340 BH Oss, Netherlands
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