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. 2021 Apr 14;2021(4):CD008605. doi: 10.1002/14651858.CD008605.pub4

Amir 2015.

Study characteristics
Methods Parallel design, single‐centre, randomised controlled trial
Computer‐based randomisation
Cabergoline vs no intervention
Setting: Israel
Participants 40 high‐risk women undergoing IVF/ET or IVF‐PGD, aged 18–40 years, serum E2 > 4000 pg/mL or the development of > 20 follicles > 12 mm in diameter
Exclusion criteria: systemic disease and participating in other research studies
Cabergoline group: 20 women
Control group: 20 women
Interventions Cabergoline group: cabergoline tablet 0.5 mg/day for 8 days from the day of hCG injection
Control group: no cabergoline
Outcomes Moderate and severe OHSS identified by the modified classification of Golan and colleagues (Golan 1989) assessed at day of ET, ET+7, ET+12
  • Severe OHSS (cabergoline group vs control group): 0/20 vs 2/20

  • Moderate OHSS (cabergoline group vs control group): 3/20 vs 10/20


Live birth rate: not reported
Miscarriage rate (cabergoline group vs control group): 0/20 vs 1/20
Clinical pregnancy rate (fetal heartbeat) (cabergoline group vs control group): 2/20 vs 5/20
Multiple pregnancy rate (cabergoline group vs control group): 0/20 vs 1/20
Any other adverse effects of the treatment: not stated
Notes Did apply coasting to both groups in about 50% of women if serum E2 > 5000 pg/mL
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated random numbers.
Allocation concealment (selection bias) Unclear risk Lack of sufficient data to permit judgement.
Blinding of participants and personnel (performance bias)
All outcomes High risk Neither participants nor physicians blinded.
Blinding of outcome assessment (detection bias)
All outcomes Low risk Ultrasound experts were blinded.
Incomplete outcome data (attrition bias)
All outcomes Low risk No missing data.
Selective reporting (reporting bias) Unclear risk No exclusions (no live birth rate mentioned).
Other bias Unclear risk Lack of sufficient data to permit judgement.