Evidence map›Paper›PMID 31399916›Full record

ArticleJournal of assisted reproduction and genetics2019

Biphasic in vitro maturation (CAPA-IVM) specifically improves the developmental capacity of oocytes from small antral follicles.

Flor Sanchez, Anh H Le, Vu N A Ho, Sergio Romero, Heidi Van Ranst, Michel De Vos, Robert B Gilchrist, Tuong M Ho, Lan N Vuong, Johan Smitz

4 registry-linked trialsAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04285892 nacompletednot on this mapstarted 2020, after this paper: background citation

Trial Investigating the Developmental Potential of Embryos Obtained After Biphasic in Vitro Oocyte Maturation (IVM) of Oocytes Including a Pre Maturation Culture Step ('capacitation Step') Compared with Standard IVM.

TypeinterventionalSponsorUniversitair Ziekenhuis BrusselRan2020 to 2023Enrolled23ConditionsIn Vitro Maturation of OocytesArmsCAPA-IVM
NCT04562883 nacompletednot on this mapstarted 2020, after this paper: background citation

Effect of Single vs. Group CAPA-IVM Culture of Human Cumulus-oocyte Complexes From Small Antral Follicles in a SIBLING Oocyte Study Design

TypeinterventionalSponsorMỹ Đức HospitalRan2020 to 2021Enrolled15ConditionsIVF, PCOS, IVMArmsThe way of Cumulus-oocyte complexes (COC) culture
NCT06087354 nacompletednot on this mapstarted 2023, after this paper: background citation

Effect of Low Versus Air Oxygen Concentration in In-vitro Maturation With Biphasic Capacitation-IVM (CAPA-IVM) Culture of Human Cumulus-oocyte Complexes in PCOS Patients: a Sibling Oocyte Pilot Study

TypeinterventionalSponsorMỹ Đức HospitalRan2023 to 2024Enrolled20ConditionsIVM, PCOS (Polycystic Ovary Syndrome)ArmsThe way of Cumulus-oocyte complexes (COC) CAPA-IVM culture condition
NCT06157619 unknown statusnot on this mapstarted 2023, after this paper: background citation

Vitrification of In Vitro Matured Oocytes Following the CAPA-IVM Methodology

Typeobservational_patient_registrySponsorCentro de Fertilidad y Reproducción Asistida, PeruRan2023 to 2025Enrolled20ConditionsFertility PreservationArmsOocyte Vitrification /Warming
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. A Comparative Analysis ofLife (Basel, Switzerland) · 2025
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  19. Minimising OHSS in women with PCOS.Frontiers in endocrinology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Flor SanchezFollicle Biology Laboratory, UZ Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussel, Belgium.
Anh H LeIVFMD, My Duc Hospital, Ho Chi Minh City, Vietnam.
Vu N A HoIVFMD, My Duc Hospital, Ho Chi Minh City, Vietnam.
Sergio RomeroFollicle Biology Laboratory, UZ Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussel, Belgium.
Heidi Van RanstFollicle Biology Laboratory, UZ Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussel, Belgium.
Michel De VosFollicle Biology Laboratory, UZ Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussel, Belgium.
Robert B GilchristFertility and Research Centre, School of Women's and Children's Health, University of New South Wales, Sydney, NSW, Australia.
Tuong M HoIVFMD, My Duc Hospital, Ho Chi Minh City, Vietnam.
Lan N VuongIVFMD, My Duc Hospital, Ho Chi Minh City, Vietnam.
Johan SmitzFollicle Biology Laboratory, UZ Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussel, Belgium. johan.smitz@uzbrussel.be.ORCID http://orcid.org/0000-0002-5857-6542

Funding

Fonds Wetenschappelijk Onderzoek-Vlaanderen - FWO Project nr AL895Industrial Research Fund of the Vrije Universiteit Brussel (Industrieel onderzoeksfonds, IOF) IOF 2042
6 · The paper itself

Abstract

purposeTo investigate the effectiveness of a biphasic IVM culture strategy at improving IVM outcomes in oocytes from small follicles (< 6 mm) compared with routine Standard IVM in patients with polycystic ovaries.

methodsThis prospective pilot study was performed in 40 women with polycystic ovaries whose oocytes were randomized to two IVM culture methods. Patients received a total stimulation dose of 450 IU rFSH. Cumulus-oocyte complexes (COCs) from follicles < 6 mm and ≥ 6 mm were retrieved and cultured separately in either a prematuration medium with c-type natriuretic peptide followed by IVM (CAPA-IVM), or STD-IVM. Primary outcomes were maturation rate, embryo quality, and the number of vitrified day 3 embryos per patient.

resultsUse of the CAPA-IVM system led to a significant improvement in oocyte maturation (p < 0.05), to a doubling in percentage of good and top-quality day 3 embryos per COC, and to an increased number of vitrified day 3 embryos (p < 0.001), compared to STD IVM. Oocytes from follicles < 6 mm benefited most from CAPA-IVM, showing a significant increase in the amount of good and top-quality embryos compared to STD IVM. CAPA-IVM yielded significantly (p < 0.0001) less GV-arrested oocytes and larger oocyte diameters (p < 0.05) than STD IVM.

conclusionsCAPA-IVM brings significant improvements in maturation and embryological outcomes, most notably to oocytes from small antral follicles (< 6 mm), which can be easily retrieved from patients with a minimal ovarian stimulation. The study demonstrates the robustness and transferability of the CAPA-IVM method across laboratories and populations.

Indexed as

In Vitro Oocyte Maturation TechniquesAdultAnimalsCumulus CellsFemaleHumansMeiosisNatriuretic Peptide, C-TypeOocyte RetrievalOocytesOogenesisOvarian FolliclePilot ProjectsPolycystic Ovary SyndromeYoung AdultNatriuretic Peptide, C-TypeC-type natriuretic peptideEmbryoIVFIVMOocyte prematuration

Identifiers

PMID31399916
PMCPMC6823411

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.