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Table 2 Basic characteristic table

From: What is the impact of granulocyte colony-stimulating factor (G-CSF) in subcutaneous injection or intrauterine infusion and during both the fresh and frozen embryo transfer cycles on recurrent implantation failure: a systematic review and meta-analysis?

Author\Year \Country

study design

Study period

ET cycle

Intervention group

Control group

Definition of RIF

Outcomes

Kalem

2020

Turkey

RCT

2016.3–2017.12

Fresh cycle

Administered 30 mIU/ml of Leucotomy®(Filgrastim [G-CSF]; DEM Medical, Dong-A; South Korea) through slow infusion into the endometrial cavity using a soft embryo transfer catheter

1 mL normal saline of infused into the endometrial cavity in the same way as the intervention group

Failure to achieve a clinical pregnancy after the transfer of at least four good-quality embryos in a minimum of three fresh or frozen cycles to a woman under the age of 40 years

Endometrial thickness; clinical pregnancy rate. Live birth rate

Huang

2020

China

RCT

2015.12–2017.7

Frozen cycle

Administered a 1-ml uterine infusion of recombinant human G-CSF (150 mg, 1 ml, Rubbia, Shandong) through an intrauterine insemination (IUI) catheter

1. n = 52 intrauterine infusion of saline solution in the same way as the intervention group; 2. n = 59 no treatment

At least two previous implantation failures

Clinical pregnancy rate miscarriage rate;

live birth rate

Scarpellini

2019

Italy

RCT

Not reported

Frozen cycle

Subcutaneous GM-CSF 1.5 mg/kg/daily (60–100) from the day of embryo transfer to the day of b-hcg HCG

Subcutaneous saline solution infusion in the same way as the intervention group

At least 9 good embryos previously transferred, women less than 38 years old

Pregnancy rate

Arefi

2018

Iran

RCT

2010.5–2015.10

Fresh cycle

Recombinant human G-CSF 300 μg (0.5 ml) subcutaneously injected 30 min before blastocyst embryo transfer

Not reported

More than three previous IVF-ET failures

Live birth rate; clinical pregnancy rate

Tanha

2016

Iran

RCT

2011.12–2014.1

Frozen cycle (n = 9)

Fresh cycle(n = 91)

G-CSF 300 m0mg/1 m1ml was administered at the day of oocyte puncture or day of progesterone administration of FET cycle

40 in the saline group;20 in the placebo group

At least three implantation failures with history of transferring at least four good-quality embryos without uterine or thrombophilia factors

Pregnancy rate; implantation rate

Aleyasin 2016

Iran

RCT

Not reported

Frozen cycle

Subcutaneous 300 μg GCSF before implantation

Not reported

Not reported

Implantation rate; chemical pregnancy rate; clinical pregnancy rate

Obidniak 2016

Iran

RCT

Not reported

Frozen cycle

1. Study group No 1: intrauterine perfusion with G-CSF (filgrastim 30 million IU, 1 mL) using insemination catheter 5 days prior to embryo transfer ;2. Study group No 2: G-CSF (filgrastim 30 million IU, 1 ml) was administered subcutaneously once at on the day of embryo transfer

No therapy

At least two cycles of in vitro fertilization in which good-quality embryos (Gardner blastocyst grading system) were transferred in each cycle without achieving a clinical pregnancy

Implantation rate;

clinical pregnancy rate

Maryam 2016

Iran

RCT

2014.10–2015.2

fresh cycle

G-CSF 0.5 ml (300 μg/ml) GCSF was infused intrauterine infusion in intervention group

Not reported

Women between 20 and 40 years old with history of at least two implantation failures

Implantation rate;

clinical pregnancy rate

Abedi

2015

Iran

RCT

Not reported

Not reported

Subcutaneous 300 m0mg GCSF before implantation

Not reported

Infertile women with normal endometrial thickness who had 2 implantation failures after IVF cycles

Implantation rate chemical pregnancy rate; clinical pregnancy rate