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Table 1 Characteristics of inculded studies

From: GnRH agonist and hCG (dual trigger) versus hCG trigger for follicular maturation: a systematic review and meta-analysis of randomized trials

Author (year)

Conflict of interest

Ethical approval

Time of randomization

Time frame

Inclusion criteria

Exclusion criteria

Sample size

Intervention

Comparison

Haas et al. (2020) [14]

None

Yes

Morning of the trigger day

2016–2018

Age 18–41 y; BMI 18–35 kg/m2; AMH > 1 ng/ml; AFC 6–20; FSH < 20 IU/l; first three IVF cycle

E2 levels > 15,000 pmol/l; moderate–severe endometriosis

146

hCG 10,000 IU and GnRH agonist 0.5 mg

hCG 10,000 IU and placebo

Mahajan et al. (2016) [21]

None

Yes

NR

NR

Aged 24–43; AMH < 4 ng/ml; AFCs/ovary < 12

None

76

hCG 5000 IU and GnRH agonist 1 mg

hCG 10,000 IU

Ali et al. (2020) [13]

None

Yes

NR

2016–2018

First ICSI cycle; aged less than 40 y; BMI 18–30 kg/m2; AMH > 1 ng/ml; normal, mild or moderate male factor infertility

Azoospermic males

160

250 IU of recombinant HCG and GnRH agonist 1 mg

250 IU of recombinant HCG

Schachter et al. (2008) [24]

NR

Yes

Onset of intervention

NR

Failed at least one IVF-ET cycle on GnRH agonist long protocol; hysterosalpingogram or hysteroscopy history; BMI 18–30 kg/m2;

Lack of oocytes aspirated in previous cycles;

211

hCG 5000 IU and GnRH agonist 0.2 mg

hCG 5000 IU

Haas et al. (2019) [19]

None

Yes

NR

2015–2017

Poor responders defined with the Bologna criteria.

None

23

hCG 6500 IU and GnRH agonist (dose not reported)

hCG 6.500 IU

Eftekhar et al. (2017) [20]

None

Yes

Leading follicles reached 17 mm in diameter

2014–2015

Aged less than 42 y; BMI 18–30 kg/m2; moderate ovarian response

Endocrine disorders; PCOS; UA; RIF; azoospermia; day-3 FSH ≥ 10 IU/L or AMH ≤1.0 ng/mL

192

hCG 6500 IU and GnRH agonist 0.2 mg

hCG 6.500 IU

Kim et al. (2014) [22]

NR

Yes

NR

NR

Women with regular ovulatory cycles

PCOS, metabolic disorders

120

250 μg rhCG and GnRH agonist 0.1 mg

250 μg rhCG and placebo

Decleer et al. (2014) [23]

NR

Yes

NR

2011–2013

Tubal or male infertility, BMI < 32, age ≤ 38 y, frst, second and third IVF cycle.

Azospermia, UA, PCOS, endocrine disorders, endometriosis

120

hCG 5000 IU and GnRH agonist 0.2 mg

hCG 5000 IU

  1. Abbreviations: NR not reported, NS no special, ET embryo transfer, IVF in vitro fertilization, ICSI intracytoplasmic sperm injection, 2PN two pronuclei, OHSS ovarian hyperstimulation syndrome, PCOS polycystic ovarian syndrome, BMI body mass index, PGT preimplantation genetic screening, RIF repeated implantation failure, UA uterine anomalies, AMH anti-Mullerian Hormone