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This monocenter academic study aims to evaluate the effectiveness and cost effectiveness of two different strategies: fresh Embryo Transfer (ET) on day 3 followed by cryopreservation of cleavage-stage (Day 3) embryos versus blastocyst-stage (Day 5) embryos.
The primary outcome is the cumulative pregnancy rate after all transfers (fresh and/or frozen embryo transfer cycles which might take about 1 year), up to two sequential cycles. The secondary outcome concerns a cost analysis of both strategies from the healthcare payer's perspective.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Day 3 vitrification | Active Comparator | Day of vitrification of supernumerary embryos is day 3 |
|
| Day 5 vitrification | Active Comparator | Day of vitrification of supernumerary embryos is day5 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Day of vitrification | Procedure | Supernumerary embryos after fresh transfer on Day 3 after oocyte aspiration are either vitrified on Day 3 or are kept in culture until Day 5 and vitrified on Day 5 |
| Measure | Description | Time Frame |
|---|---|---|
| cumulative pregnancy rate | The cumulative pregnancy rate after all transfers (fresh and/or frozen embryo transfer cycles) | Cumulative pregnancy is measured after two consecutive IVF cycles including fresh and frozen transfers which might take about 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| cost analysis | cost analysis of day 3 and day 5 vitrification strategy | Cumulative pregnancy is measured after two consecutive IVF cycles including fresh and frozen transfers which might take about 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Leuven University Fertility Center | Leuven | 3000 | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37886820 | Derived | Mengels A, Van Muylder A, Peeraer K, Luyten J, Laenen A, Spiessens C, Debrock S. Cumulative pregnancy rates of two strategies: Day 3 fresh embryo transfer followed by Day 3 or Day 5/6 vitrification and embryo transfer: a randomized controlled trial. Hum Reprod. 2024 Jan 5;39(1):62-73. doi: 10.1093/humrep/dead222. |
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| ID | Term |
|---|---|
| D007246 | Infertility |
| ID | Term |
|---|---|
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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