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. 2016 Nov 30;2016(11):CD008605. doi: 10.1002/14651858.CD008605.pub3
Methods Single‐centre randomised controlled trial
Computer‐based randomisation by independent research assistant
Cabergoline vs coasting
Setting: India
Participants 60 women undergoing IVF or ICSI cycles and at risk of developing OHSS, defined as the presence of preovulatory follicles ≥ 20 in both ovaries and the E2 level ≥ 2500 pg/mL
Exclusion criteria: not stated
Cabergoline group: 30 women
Coasting group: 30 women
Interventions Cabergoline group: cabergoline 0.5 mg/day orally from the day of hCG for 8 days
Coasting group: gonadotropins were withheld (while GnRHa was maintained), until the serum level of E2 started to decline in each group. 1 woman needed ascites tapped, and the remaining 29 women received 6% HES infusion
Outcomes Moderate and severe OHSS: classification not described but according to Golan (Golan 1989) criteria (from private correspondence with author)
  • Severe OHSS (cabergoline group vs coasting group): 5/30 vs 4/30

  • Moderate OHSS: not stated

  • Total OHSS: not stated


Live birth rate: not stated
Miscarriage rate (cabergoline group vs coasting group): 0/30 vs 2/30
Clinical pregnancy rate (defined as presence of gestational sac or cardiac activity 3 weeks after transfer) (cabergoline group vs coasting group): 8/30 vs 4/30
Multiple pregnancy rate (cabergoline group vs coasting group): 2/30 vs 0/30
Any other adverse effects of the treatment: cancelling of ET due to poor embryo quality (cabergoline group vs coasting group): 1/30 vs 1/30. Other adverse events not stated
Notes Received draft of full‐text article in peer review currently per private email; additional information per private correspondence with first author.
58 women received fluid of 6% HES and the remaining included woman received an ascites tap instead of HES.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Use of randomisation software (www.randomizer.org/)
Allocation concealment (selection bias) Unclear risk Independent research assistant allocated; concealment unclear
Blinding (performance bias and detection bias) All outcomes High risk No blinding involved. The participants and clinicians were aware in which arm of the study they were
Incomplete outcome data (attrition bias) All outcomes Low risk No dropouts/loss of follow‐up in the 2 groups
Selective reporting (reporting bias) Unclear risk No exclusions (no live birth rated mentioned)
Other bias High risk OHSS identified/classification not described. 29 participants in both groups also received HES infusion, 1 participant from each group had ascites tap, unclear which participant was involved