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E-Freeze 试验:一项随机对照临床试验,旨在评估在体外受精中,对胚胎进行冷冻,解冻后移植(冻融胚胎移植)与新鲜胚胎移植相比,在临床和成本效果方面的优劣:统计分析计划。

E-Freeze - a randomised controlled trial evaluating the clinical and cost effectiveness of a policy of freezing embryos followed by thawed frozen embryo transfer compared with a policy of fresh embryo transfer, in women undergoing in vitro fertilisation: a statistical analysis plan.

机构信息

University of Oxford, Oxford, UK.

University of Birmingham, Birmingham, UK.

出版信息

Trials. 2020 Jun 30;21(1):596. doi: 10.1186/s13063-020-04441-9.

Abstract

BACKGROUND

The E-Freeze trial is a multi-centre randomised controlled trial of fresh versus frozen embryo transfer for women undergoing in vitro fertilisation. This paper describes the statistical analysis plan for the E-Freeze trial.

METHODS AND DESIGN

E-Freeze is a two-arm parallel-group, multi-centre, individually randomised controlled trial to determine if a policy of freezing embryos, followed by thawed frozen embryo transfer, results in a higher healthy baby rate when compared with the current policy of transferring fresh embryos. Couples undergoing their first, second or third cycle of in vitro fertilisation at fertility centres in the UK were randomised to either fresh or frozen embryo transfer. The primary outcome is a healthy baby, defined as a live singleton baby born at term with an appropriate weight for gestation. This paper describes the statistical analysis plan for the trial, including the analysis principles, definitions of outcomes, methods for primary analysis, pre-specified subgroup analysis and sensitivity analysis. This plan was finalised prior to completion of recruitment to the trial.

TRIAL REGISTRATION

ISRCTN registry: ISRCTN61225414 . Registered on 29 December 2015.

摘要

背景

E-Freeze 试验是一项多中心随机对照试验,比较了体外受精中新鲜胚胎与冷冻胚胎移植的效果。本文介绍了 E-Freeze 试验的统计分析计划。

方法与设计

E-Freeze 是一项两臂平行组、多中心、个体随机对照试验,旨在确定冷冻胚胎、解冻后进行冷冻胚胎移植的策略是否比目前的新鲜胚胎移植策略产生更高的健康婴儿率。在英国的生育中心进行第一次、第二次或第三次体外受精的夫妇被随机分配到新鲜胚胎移植或冷冻胚胎移植组。主要结局是健康婴儿,定义为足月出生、体重适合胎龄的单胎活产婴儿。本文描述了试验的统计分析计划,包括分析原则、结局定义、主要分析方法、预设亚组分析和敏感性分析。该计划在试验完成招募之前最终确定。

试验注册

ISRCTN 注册:ISRCTN61225414。于 2015 年 12 月 29 日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fca/7329511/710b8a67076e/13063_2020_4441_Fig1_HTML.jpg

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