Clinical trial • Endocrinology

metformin for Polycystic ovary syndrome

Clinical trial of metformin for Polycystic ovary syndrome. Randomised, metformin 1500 mg per day versus metformin 2250 mg per day-controlled.

Overview

Trial Therapeutic Area
Endocrinology
Trial Disease
Polycystic ovary syndrome
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
23-10-2024
First CTIS Authorization Date
06-02-2025

Trial design

Randomised, metformin 1500 mg per day versus metformin 2250 mg per day-controlled trial across 1 site in Finland.

Randomised
Yes
Comparator
Metformin 1500 mg per day versus Metformin 2250 mg per day
Target Sample Size
184

Eligibility

Recruits 184 No vulnerable populations selected; participants are adult women (aged 18-37). Signed informed consent is required from each participant. Subject information and informed consent forms are provided (documents available in Finnish, Swedish and English). No assent process described..

Pregnancy Exclusion
Women that are pregnant or breastfeeding
Vulnerable Population
No vulnerable populations selected; participants are adult women (aged 18-37). Signed informed consent is required from each participant. Subject information and informed consent forms are provided (documents available in Finnish, Swedish and English). No assent process described.

Inclusion criteria

  • {"criterion_text":"- Women aged 18-37 years of age\n- A diagnosis of PCOS according to the updated 2023 International PCOS guideline\n- BMI ≥ 25 kg/m2 and <40 kg/m2\n- Signed informed consent and willingness to comply with the trial procedures"}

Exclusion criteria

  • {"criterion_text":"- Females not meeting the 2003 Rotterdam criteria for PCOS\n- Investigator site staff directly involved in the conduct of the study and their family members\n- Females with hormonal contraceptive during the last 3 months\n- Women that are pregnant or breastfeeding\n- Females with an untreated diabetes, hypothyroidism or hyperprolactinemia\n- Use of medications for diabetes, high cholesterol, obesity and cortisone (per oral)\n- Serious mental illness\n- Females with contraindication for use of metformin (hypersensitivity to metformin, acute metabolic acidosis, severe renal failure, hepatic insufficiency, heart- or respiratory failure)\n- Alcoholism\n- A planned surgical intervention during the next 26 weeks"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Anthropometrics (weight)\n- Androgenicity (hirsutism and testosterone)\n- Metabolic (HOMA-IR)\n- Gastrointestinal side-effects (nausea, vomiting, abdominal pain)\n- Polycystic ovary morphology: AMH","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Androgenicity: FAI, SHBG, DHEAS, androstenedione, free testosterone, acne and alopecia\n- Menstrual cyclicity (questionnaire where asking how long the two previous cycles were (days)\n- Quality of life and weight stigma: anxiety, weight stigma\n- Metabolic: fasting glucose, fasting insulin, HbA1C, lipids, CRP, ALAT, GGT, OGTT, FLI, Matsuda Index, TyG index\n- Polycystic ovary morphology: ultrasound (follicle number per ovary, ovarian volume)\n- Anthropometric (BMI, waist-hip-ratio, WC, BAI, body composition, bloodpressure, pulse)","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
184
Recruitment Window Months
115
Consent Approach
Signed informed consent is required from each participant (inclusion criterion: 'Signed informed consent and willingness to comply with the trial procedures'). Subject information and informed consent form documents are provided; available language versions include Finnish, Swedish and English. Participants are adults (18-37 years); no assent process described.

Geography

Total Number Of Sites
1
Total Number Of Participants
184

Finland

Earliest CTIS Part Ii Submission Date
11-01-2025
Latest Decision Or Authorization Date
09-02-2025
Processing Time Days
29
Number Of Sites
1
Number Of Participants
184

Sites

Site Name
Reproductive Medicine Unit, HUS
Department Name
Reproductive Medicine Unit
Principal Investigator Name
Johanna Maria Melin
Principal Investigator Email
johanna.melin@hus.fi
Contact Person Name
Johanna Maria Melin
Contact Person Email
johanna.melin@hus.fi

Sponsor

Primary sponsor

Full Name
HUS-yhtymae
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Finland

Third parties

  • {"country":"","full_name":"Finska Läkaresällskapet","duties_or_roles":"Source of monetary support","organisation_type":""}
  • {"country":"","full_name":"Valtion tutkimusraha (VTR)","duties_or_roles":"Source of monetary support","organisation_type":""}

Investigational products

Investigational Product Name
METFORMIN
Active Substance
metformin
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Dose Levels
1500 mg per day | 2250 mg per day
Frequency
Per day
Maximum Dose
2500 mg
Investigational Product Name
METFORMIN HYDROCHLORIDE
Active Substance
metformin hydrochloride
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Dose Levels
1500 mg per day | 2250 mg per day
Frequency
Per day
Maximum Dose
2500 mg

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