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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