Individualized versus conventional ovarian stimulation for in vitro fertilization: a multicenter, randomized, controlled, assessor-blinded, phase 3 noninferiority.

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Presentation transcript:

Individualized versus conventional ovarian stimulation for in vitro fertilization: a multicenter, randomized, controlled, assessor-blinded, phase 3 noninferiority trial  Anders Nyboe Andersen, M.D., Ph.D., Scott M. Nelson, M.R.C.O.G., Ph.D., Bart C.J.M. Fauser, M.D., Ph.D., Juan Antonio García- Velasco, M.D., Ph.D., Bjarke M. Klein, Ph.D., Joan-Carles Arce, M.D., Ph.D. Herman Tournaye, Petra De Sutter, Wim Decleer, Alvaro Petracco, Edson Borges, Caio Parente Barbosa, Jon Havelock, Paul Claman, Albert Yuzpe, Hana Višnová, Pavel Ventruba, Petr Uher, Milan Mrazek, Anders Nyboe Andersen, Ulla Breth Knudsen, Didier Dewailly, Anne Guivarc'h Leveque, Antonio La Marca, Enrico Papaleo, Waldemar Kuczynski, Katarzyna Kozioł, Margarita Anshina, Irina Zazerskaya, Alexander Gzgzyan, Elena Bulychova, Victoria Verdú, Pedro Barri, Juan Antonio García-Velasco, Manuel Fernández-Sánchez, Fernando Sánchez Martin, Ernesto Bosch, José Serna, Gemma Castillon, Rafael Bernabeu, Marcos Ferrando, Stuart Lavery, Marco Gaudoin, Scott M. Nelson, Bart C.J.M. Fauser, Bjarke M. Klein, Lisbeth Helmgaard, Bernadette Mannaerts, Joan-Carles Arce Anders Nyboe Andersen, M.D., Ph.D., Scott M. Nelson, M.R.C.O.G., Ph.D., Bart C.J.M. Fauser, M.D., Ph.D., Juan Antonio García-Velasco, M.D., Ph.D., Bjarke M. Klein, Ph.D., Joan-Carles Arce, M.D., Ph.D. Herman Tournaye, Petra De Sutter, Wim Decleer, Alvaro Petracco, Edson Borges, Caio Parente Barbosa, Jon Havelock, Paul Claman, Albert Yuzpe, Hana Višnová, Pavel Ventruba, Petr Uher, Milan Mrazek, Anders Nyboe Andersen, Ulla Breth Knudsen, Didier Dewailly, Anne Guivarc'h Leveque, Antonio La Marca, Enrico Papaleo, Waldemar Kuczynski, Katarzyna Kozioł, Margarita Anshina, Irina Zazerskaya, Alexander Gzgzyan, Elena Bulychova, Victoria Verdú, Pedro Barri, Juan Antonio García-Velasco, Manuel Fernández- Sánchez, Fernando Sánchez Martin, Ernesto Bosch, José Serna, Gemma Castillon, Rafael Bernabeu, Marcos Ferrando, Stuart Lavery, Marco Gaudoin, Scott M. Nelson, Bart C.J.M. Fauser, Bjarke M. Klein, Lisbeth Helmgaard, Bernadette Mannaerts, Joan-Carles Arce  Fertility and Sterility  Volume 107, Issue 2, Pages 387-396.e4 (February 2017) DOI: 10.1016/j.fertnstert.2016.10.033 Copyright © 2016 The Authors Terms and Conditions

Figure 1 Ovarian response relative to AMH. (A) Number of oocytes retrieved (two upper curves) and number of good-quality blastocysts available for transfer (two lower curves) by serum AMH levels at screening for the two treatment groups; circles (conventional follitropin alfa) and squares (individualized follitropin delta) illustrate the observed number ±1 SE; trend lines are penalized B-splines of degree 1. (B) Proportion of women achieving the target number of oocytes retrieved (8–14) by serum AMH levels at screening for the two treatment groups; circles (conventional follitropin alfa) and squares (individualized follitropin delta) illustrate the observed proportion ±1 SE; the lines are based on a logistic regression model with treatment, AMH and log(AMH)2, and corresponding interactions in the linear predictor; the likelihood ratio test of treatment difference indicates evidence of a treatment difference (P=.037). (C) Proportion of women requiring OHSS preventive interventions and/or experiencing OHSS by AMH levels for the two treatment groups; circles (conventional follitropin alfa) and squares (individualized follitropin delta) illustrate the observed proportion ±1 SE; the lines are based on a logistic regression model with treatment and log(AMH) and an interaction term in the linear predictor; the likelihood ratio test of treatment difference indicates evidence of a treatment difference (P=.037). Fertility and Sterility 2017 107, 387-396.e4DOI: (10.1016/j.fertnstert.2016.10.033) Copyright © 2016 The Authors Terms and Conditions

Supplemental Figure 1 Trial and participant flow. Fertility and Sterility 2017 107, 387-396.e4DOI: (10.1016/j.fertnstert.2016.10.033) Copyright © 2016 The Authors Terms and Conditions