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Study · Randomized controlled trial · n = 173 · 2019

9 results

Medroxyprogesterone acetate versus ganirelix in oocyte donation: a randomized controlled trial.

Beguería R, García D, Vassena R, Rodríguez A

Human reproduction (Oxford, England)1 May 2019Cited by 80 (Europe PMC)

Summary

The text of this summary is not shown here, because the article license does not allow reuse. Read it at the source (opens in a new tab)

Text rights: Publisher copyright. Results still quote short attributed sentences.

Results from this study9

9 results from studies that gave the peptide. 9 results from people.

  1. 01HumanRandomized controlled trialEfficacy outcome

    In oocyte donors, mature oocyte numbers did not differ between ganirelix and MPA.

    In plain wordsIn oocyte donors, mature oocyte numbers did not differ between ganirelix and MPA.

    Peptide
    Ganirelix
    Outcome
    No significant changeMature oocytes retrieved
    Study

    n = 173

    Comparator
    Medroxyprogesterone acetate
    Analysis
    Primary
    Outcome group
    Sex hormones and fertility · Reproductive and sexual health
    Studied dose
    0.25 mg/dayAs given in this study (human).

    Measurements

    Mature oocytes
    14.6 oocytes
    ganirelix mean
    Mature oocytes SD
    7 oocytes
    ganirelix
    Mature oocytes
    15.1 oocytes
    MPA mean
    Mature oocytes SD
    8.3 oocytes
    MPA
    95% CI of the difference in MII retrieved
    −2.78 to −1.83 oocytes
    between groups

    Source sentences

    Summary
    The number of MII retrieved was no different: 15.1 (SD 8.3) with MPA and 14.6 (SD 7.0), 95% CI of the difference -2.78, -1.83 excluding the pre-defined non-inferiority limit (-3).
    2 context sentences
    Summary · context
    Randomized clinical trial, open-label, single center, to assess the non-inferiority of MPA (10 mg/day) versus ganirelix (0.25 mg/day) from Day 7, in ovarian stimulation cycles triggered with triptoreline acetate.
    Summary · context
    Overall, 252 oocyte donors were selected (eligible), 216 were randomized and 173 reached OPU: 86 under MPA and 87 under ganirelix.
  2. 02HumanRandomized controlled trialEfficacy outcome

    Recipients received similar numbers of mature oocytes from ganirelix and MPA donor cycles.

    In plain wordsRecipients received similar numbers of mature oocytes from ganirelix and MPA donor cycles.

    Peptide
    Ganirelix
    Outcome
    No significant changeMature oocytes assigned per recipient
    Study

    n: not reported in source

    Comparator
    Medroxyprogesterone acetate
    Analysis
    Secondary
    Outcome group
    Sex hormones and fertility · Reproductive and sexual health
    Studied dose
    0.25 mg/dayAs given in this study (human).

    Measurements

    Mature oocytes assigned
    6.6 oocytes
    ganirelix mean
    Mature oocytes assigned SD
    1.2 oocytes
    ganirelix
    Mature oocytes assigned
    6.7 oocytes
    MPA mean
    Mature oocytes assigned SD
    1.2 oocytes
    MPA

    Source sentences

    Summary
    The mean number of MII assigned to each recipients was 6.7 (SD 1.2) in MPA and 6.6 (SD 1.2) in ganirelix (P = 0.58).
    2 context sentences
    Summary · context
    Randomized clinical trial, open-label, single center, to assess the non-inferiority of MPA (10 mg/day) versus ganirelix (0.25 mg/day) from Day 7, in ovarian stimulation cycles triggered with triptoreline acetate.
    Summary · context
    Overall, 252 oocyte donors were selected (eligible), 216 were randomized and 173 reached OPU: 86 under MPA and 87 under ganirelix.
  3. 03HumanRandomized controlled trialEfficacy outcome

    Fertilization rates were similar for oocytes from ganirelix and MPA donor cycles.

    In plain wordsFertilization rates were similar for oocytes from ganirelix and MPA donor cycles.

    Peptide
    Ganirelix
    Outcome
    No significant changeFertilization rate
    Study

    n: not reported in source

    Comparator
    Medroxyprogesterone acetate
    Analysis
    Secondary
    Outcome group
    Sex hormones and fertility · Reproductive and sexual health
    Studied dose
    0.25 mg/dayAs given in this study (human).

    Measurements

    Fertilization rate
    74%
    ganirelix
    Fertilization rate
    76%
    MPA

    Source sentences

    Summary
    MII were fertilized with partner sperm in 84% cycles overall and fertilization rate was 76% in MPA versus 74% in ganirelix (P = 0.34).
    2 context sentences
    Summary · context
    Randomized clinical trial, open-label, single center, to assess the non-inferiority of MPA (10 mg/day) versus ganirelix (0.25 mg/day) from Day 7, in ovarian stimulation cycles triggered with triptoreline acetate.
    Summary · context
    Overall, 252 oocyte donors were selected (eligible), 216 were randomized and 173 reached OPU: 86 under MPA and 87 under ganirelix.
  4. 04HumanRandomized controlled trialEfficacy outcome

    In oocyte donors, stimulation duration was similar with ganirelix and MPA, at 11.2 days.

    In plain wordsIn oocyte donors, stimulation duration was similar with ganirelix and MPA.

    Peptide
    Ganirelix
    Outcome
    Direction not reportedStimulation duration
    Study

    n = 173

    Comparator
    Medroxyprogesterone acetate
    Outcome group
    Sex hormones and fertility · Reproductive and sexual health
    Studied dose
    0.25 mg/dayAs given in this study (human).

    Measurements

    Stimulation duration
    11.2 days
    both groups

    Source sentences

    Summary
    Duration of stimulation was similar in both groups (11.2 days), as well as the total gonadotropin dose up to trigger (2162 IU in MPA and 2163 IU in ganirelix).
    2 context sentences
    Summary · context
    Randomized clinical trial, open-label, single center, to assess the non-inferiority of MPA (10 mg/day) versus ganirelix (0.25 mg/day) from Day 7, in ovarian stimulation cycles triggered with triptoreline acetate.
    Summary · context
    Overall, 252 oocyte donors were selected (eligible), 216 were randomized and 173 reached OPU: 86 under MPA and 87 under ganirelix.
  5. 05HumanRandomized controlled trialEfficacy outcome

    In oocyte donors, total gonadotropin dose was similar with ganirelix and MPA.

    In plain wordsIn oocyte donors, gonadotropin dose was similar with ganirelix and MPA.

    Peptide
    Ganirelix
    Outcome
    Direction not reportedTotal gonadotropin dose
    Study

    n = 173

    Comparator
    Medroxyprogesterone acetate
    Outcome group
    Sex hormones and fertility · Reproductive and sexual health
    Studied dose
    0.25 mg/dayAs given in this study (human).

    Measurements

    Gonadotropin dose
    2163 IU
    ganirelix
    Gonadotropin dose
    2162 IU
    MPA

    Source sentences

    Summary
    Duration of stimulation was similar in both groups (11.2 days), as well as the total gonadotropin dose up to trigger (2162 IU in MPA and 2163 IU in ganirelix).
    2 context sentences
    Summary · context
    Randomized clinical trial, open-label, single center, to assess the non-inferiority of MPA (10 mg/day) versus ganirelix (0.25 mg/day) from Day 7, in ovarian stimulation cycles triggered with triptoreline acetate.
    Summary · context
    Overall, 252 oocyte donors were selected (eligible), 216 were randomized and 173 reached OPU: 86 under MPA and 87 under ganirelix.
  6. 06HumanObservational studyEfficacy outcome

    In nonrandomized recipients, ganirelix donor cycles were linked to higher biochemical pregnancy rates than MPA donor cycles.

    In plain wordsIn recipients, ganirelix donor cycles were linked to higher biochemical pregnancy rates than MPA cycles.

    Peptide
    Ganirelix
    Outcome
    IncreaseBiochemical pregnancy rate
    Study

    n: not reported in source

    Comparator
    Medroxyprogesterone acetate
    Analysis
    Secondary
    Outcome group
    Sex hormones and fertility · Reproductive and sexual health
    Studied dose
    0.25 mg/dayAs given in this study (human).

    Measurements

    Biochemical pregnancy rate
    57%
    ganirelix
    Biochemical pregnancy rate
    44%
    MPA

    Source sentences

    Summary
    Biochemical pregnancy rate was 44 versus 57% (P = 0.023)
    4 context sentences
    Summary · context
    In spite of similar recipients and cycle characteristics, reproductive outcomes were unexpectedly lower with MPA.
    Summary · context
    Although oocyte recipient and ET characteristics are similar among groups, this RCT has been designed under a hypothesis of non-inferiority in the number of MII obtained and recipients were not randomized; therefore, the reproductive outcomes in recipients should be evaluated with extreme caution.
    Summary · context
    Randomized clinical trial, open-label, single center, to assess the non-inferiority of MPA (10 mg/day) versus ganirelix (0.25 mg/day) from Day 7, in ovarian stimulation cycles triggered with triptoreline acetate.
    Summary · context
    Overall, 252 oocyte donors were selected (eligible), 216 were randomized and 173 reached OPU: 86 under MPA and 87 under ganirelix.
  7. 07HumanObservational studyEfficacy outcome

    In nonrandomized recipients, ganirelix donor cycles were linked to higher clinical pregnancy rates than MPA donor cycles.

    In plain wordsIn recipients, ganirelix donor cycles were linked to higher clinical pregnancy rates than MPA cycles.

    Peptide
    Ganirelix
    Outcome
    IncreaseClinical pregnancy rate
    Study

    n: not reported in source

    Comparator
    Medroxyprogesterone acetate
    Analysis
    Secondary
    Outcome group
    Sex hormones and fertility · Reproductive and sexual health
    Studied dose
    0.25 mg/dayAs given in this study (human).

    Measurements

    Clinical pregnancy rate
    46%
    ganirelix
    Clinical pregnancy rate
    31%
    MPA

    Source sentences

    Summary
    clinical pregnancy rate 31 versus 46% (P = 0.006)
    4 context sentences
    Summary · context
    In spite of similar recipients and cycle characteristics, reproductive outcomes were unexpectedly lower with MPA.
    Summary · context
    Although oocyte recipient and ET characteristics are similar among groups, this RCT has been designed under a hypothesis of non-inferiority in the number of MII obtained and recipients were not randomized; therefore, the reproductive outcomes in recipients should be evaluated with extreme caution.
    Summary · context
    Randomized clinical trial, open-label, single center, to assess the non-inferiority of MPA (10 mg/day) versus ganirelix (0.25 mg/day) from Day 7, in ovarian stimulation cycles triggered with triptoreline acetate.
    Summary · context
    Overall, 252 oocyte donors were selected (eligible), 216 were randomized and 173 reached OPU: 86 under MPA and 87 under ganirelix.
  8. 08HumanObservational studyEfficacy outcome

    In nonrandomized recipients, ganirelix donor cycles were linked to higher ongoing pregnancy rates than MPA donor cycles.

    In plain wordsIn recipients, ganirelix donor cycles were linked to higher ongoing pregnancy rates than MPA cycles.

    Peptide
    Ganirelix
    Outcome
    IncreaseOngoing pregnancy rate
    Study

    n: not reported in source

    Comparator
    Medroxyprogesterone acetate
    Analysis
    Secondary
    Outcome group
    Sex hormones and fertility · Reproductive and sexual health
    Studied dose
    0.25 mg/dayAs given in this study (human).

    Measurements

    Ongoing pregnancy rate
    40%
    ganirelix
    Ongoing pregnancy rate
    27%
    MPA

    Source sentences

    Summary
    ongoing pregnancy rate 27 versus 40%, (P = 0.015)
    4 context sentences
    Summary · context
    In spite of similar recipients and cycle characteristics, reproductive outcomes were unexpectedly lower with MPA.
    Summary · context
    Although oocyte recipient and ET characteristics are similar among groups, this RCT has been designed under a hypothesis of non-inferiority in the number of MII obtained and recipients were not randomized; therefore, the reproductive outcomes in recipients should be evaluated with extreme caution.
    Summary · context
    Randomized clinical trial, open-label, single center, to assess the non-inferiority of MPA (10 mg/day) versus ganirelix (0.25 mg/day) from Day 7, in ovarian stimulation cycles triggered with triptoreline acetate.
    Summary · context
    Overall, 252 oocyte donors were selected (eligible), 216 were randomized and 173 reached OPU: 86 under MPA and 87 under ganirelix.
  9. 09HumanObservational studyEfficacy outcome

    In nonrandomized recipients, live birth rates did not differ significantly between ganirelix and MPA donor cycles.

    In plain wordsIn recipients, live birth rates did not differ significantly between ganirelix and MPA donor cycles.

    Peptide
    Ganirelix
    Outcome
    No significant changeLive birth rate
    Study

    n: not reported in source

    Comparator
    Medroxyprogesterone acetate
    Analysis
    Secondary
    Outcome group
    Sex hormones and fertility · Reproductive and sexual health
    Studied dose
    0.25 mg/dayAs given in this study (human).

    Measurements

    Live birth rate
    31%
    ganirelix
    Live birth rate
    22%
    MPA

    Source sentences

    Summary
    live birth rate 22 versus 31%, (P = 0.10).
    4 context sentences
    Summary · context
    In spite of similar recipients and cycle characteristics, reproductive outcomes were unexpectedly lower with MPA.
    Summary · context
    Although oocyte recipient and ET characteristics are similar among groups, this RCT has been designed under a hypothesis of non-inferiority in the number of MII obtained and recipients were not randomized; therefore, the reproductive outcomes in recipients should be evaluated with extreme caution.
    Summary · context
    Randomized clinical trial, open-label, single center, to assess the non-inferiority of MPA (10 mg/day) versus ganirelix (0.25 mg/day) from Day 7, in ovarian stimulation cycles triggered with triptoreline acetate.
    Summary · context
    Overall, 252 oocyte donors were selected (eligible), 216 were randomized and 173 reached OPU: 86 under MPA and 87 under ganirelix.

AI wrote and checked these results. AI can make mistakes, so check important results against the source.

Registered trials7

Trials this study reports on, or that list this study as a reference. Registry data from ClinicalTrials.gov.

7 trials · 1 not yet recruiting · 5 completed · source ClinicalTrials.gov (opens in a new tab)

Not yet recruitingPhase 3NCT05326087

Comparison of the Euploid Rate of Blastocyst Between PPOS and GnRH Antagonist Protocol in Women With PCOS Undergoing PGT-A

ShangHai Ji Ai Genetics & IVF Instituten = 204est. 1 Jun 2026 to est. 1 Dec 2028

Preimplantation Genetic Testing · Progestin-primed Ovarian Stimulation · Polycystic Ovarian Syndrome · GnRH Antagonist

Status unknownPhase 4NCT06637189

Protocol with Progestin-primed Ovarian Stimulation (PPOS) from the Beginning of Stimulation Versus Protocol with GnRH Antagonists for Ovarian Stimulation in Patients Undergoing DUOSTIM with Embryo Accumulation for PGT-A.

Ginefivn = 144est. 15 Oct 2024 to est. 31 Dec 2025

Stimulation in the Ovary · Embryo · Oocyte · Oocyte Retrieval · Fertilization in Vitro · Blastocyst · PGT-A

Trial pageClinicalTrials.govUpdated 15 Oct 2024
CompletedPhase 4NCT05954962

Efficacy of Micronized Natural Progesterone vs GnRH Antagonist in the Prevention of LH Peak During Ovarian Stimulation.

Instituto Bernabeun = 15023 Dec 2023 to 30 Aug 2025

IVF

Trial pageClinicalTrials.govUpdated 27 Mar 2026
CompletedNot applicableNCT05767086

Comparison of 3 Different Protocols for Preventing Premature Ovulation in Ovarian Stimulation Cycles

Bezmialem Vakif Universityn = 29715 Mar 2023 to 30 Sept 2024

Infertility

Trial pageClinicalTrials.govUpdated 15 Oct 2024
CompletedNot applicableNCT04989348

Euploid Rate of Blastocyst Derived From PPOS VS Antagonist Protocol

Shanghai First Maternity and Infant Hospitaln = 2404 Aug 2021 to 20 Feb 2024

IVF

Trial pageClinicalTrials.govUpdated 28 Feb 2024
CompletedPhase 3NCT04414748

Comparison of the Euploid Rate of Blastocyst Between PPOS and GnRH Antagonist Protocol in Patients Undergoing PGT-A

ShangHai Ji Ai Genetics & IVF Instituten = 40010 Jun 2020 to 27 May 2025

Preimplantation Genetic Testing · Progestin-primed Ovarian Stimulation · Euploid Rate · GnRH Antagonist

Trial pageClinicalTrials.govUpdated 31 May 2025
CompletedPhase 3NCT04414761

Live Birth Rate Between PPOS and GnRH Antagonist Protocol in Patients With Anticipated High Ovarian Response

ShangHai Ji Ai Genetics & IVF Instituten = 7844 Jun 2020 to 10 Oct 2022

IVF · GnRH Antagonist · PPOS

Trial pageClinicalTrials.govUpdated 30 Aug 2023

Version history

PepBank keeps every version of the data on this study. Status changes from Retraction Watch, Europe PMC and Crossref are listed with their source.

  1. Version 2Current

    28 Oct 2026, 02:03 UTC

    Study results updated

  2. Version 1

    27 Oct 2026, 16:35 UTC

    First added · source update from Europe PMC

Subjects

Terms as the source lists them.

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