Empirical use of growth hormone in IVF is useless: the largest randomized controlled trial
2024

Growth Hormone in IVF: A Useless Addition

Sample size: 288 publication 10 minutes Evidence: high

Author Information

Author(s): Mourad Ali, Jamal Wael, Hemmings Robert, Tadevosyan Artak, Phillips Simon, Kadoch Isaac-Jacques

Primary Institution: University of Montreal

Hypothesis

Does adjuvant growth hormone (GH) therapy in GnRH antagonist cycles improve reproductive outcomes in the general IVF population?

Conclusion

Adding growth hormone therapy to IVF cycles does not improve reproductive outcomes for patients.

Supporting Evidence

  • GH therapy did not improve clinical pregnancy rates compared to the control group.
  • Both groups had similar ovarian stimulation outcomes.
  • The study is the largest RCT on this topic to date.

Takeaway

The study found that giving growth hormone to women undergoing IVF doesn't help them get pregnant or have healthy babies.

Methodology

This was a phase III open-label RCT involving 288 patients undergoing antagonist IVF cycles, comparing GH therapy to a control group.

Potential Biases

The open-label design may introduce bias due to participants' expectations regarding treatment.

Limitations

The study focused on expected normal responders, limiting its applicability to other patient populations such as poor responders.

Participant Demographics

Participants were women aged 30 to 42 years with primary or secondary infertility, normal responders, and a mean age of 38 years.

Statistical Information

P-Value

0.406

Confidence Interval

95% CI: −0.06 [−0.22, 0.09]

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/humrep/deae251

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