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. 2016 Nov 30;2016(11):CD008605. doi: 10.1002/14651858.CD008605.pub3
Methods Parallel, single‐centre randomised controlled trial
Computer‐based randomisation
Cabergoline vs no intervention
Setting: Brazil
Participants 166 women undergoing IVF and ICSI treatment and at risk of developing OHSS, defined as serum E2 > 4000 pg/mL on the day of hCG administration
Exclusion criteria: not stated
Cabergoline group: 83 women
Control group: 83 women, 3 women were withdrawn for not completing the follow‐up tests
No differences between groups in age or BMI
Did not report the duration of infertility and causes of infertility
Interventions All participants received routine preventive IV HA 20 g on the day of oocyte retrieval
Cabergoline group: cabergoline 0.5 mg/day for 3 weeks from the day after oocyte retrieval
Control group: no intervention
Outcomes Moderate and severe OHSS identified by the modified classification of Golan and colleagues (Golan 1989)
  • Severe OHSS (cabergoline group vs control group): 2/83 vs 1/83

  • Moderate OHSS (cabergoline group vs control group): 7/83 vs 14/83


Live birth rate: not stated
Miscarriage rate (cabergoline group vs control group): 1/83 vs 3/83
Clinical pregnancy rate (cabergoline group vs control group): 33/83 vs 32/83
Multiple pregnancy rate (cabergoline group vs control group): multiple pregnancies were documented in all the severe cases of OHSS in both groups (2/83 vs 1/83)
Any other adverse effects of the treatment: not stated
Notes Authors reported no financial or commercial conflicts of interest
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐based randomisation
Allocation concealment (selection bias) Unclear risk Lack of sufficient information to permit judgement
Blinding (performance bias and detection bias) All outcomes Unclear risk Lack of sufficient information to permit judgement
Incomplete outcome data (attrition bias) All outcomes Low risk 3/200 women in control group could not complete their follow‐up
Selective reporting (reporting bias) Unclear risk No exclusions (no live birth rated mentioned)
Other bias Unclear risk Lack of sufficient information to permit judgement