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Randomized Study of the Effect of Decreased Hyperinsulinemia on the Ovulatory Response to Clomiphene Citrate in Obese Women With Polycystic Ovary Syndrome
This study has been completed.
First Received: May 2, 2000   Last Updated: June 23, 2005   History of Changes
Sponsors and Collaborators: National Center for Research Resources (NCRR)
University of Virginia
Information provided by: Office of Rare Diseases (ORD)
ClinicalTrials.gov Identifier: NCT00005654
  Purpose

OBJECTIVES:

I. Determine whether reduction of serum insulin levels by metformin increases ovulatory response to clomiphene or spontaneous ovulation in obese women with polycystic ovary syndrome.


Condition Intervention
Hyperinsulinism
Polycystic Ovary Syndrome
Drug: clomiphene citrate
Drug: metformin

MedlinePlus related topics: Obesity
Drug Information available for: Clomiphene citrate Zuclomiphene Enclomiphene Citric acid Metformin Clomiphene Sodium Citrate trans-Clomifene citrate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control

Further study details as provided by Office of Rare Diseases (ORD):

Estimated Enrollment: 88
Study Start Date: January 2000
Detailed Description:

PROTOCOL OUTLINE: This is a randomized, double blind, placebo controlled, multicenter study. Patients are randomized to one of two treatment arms.

Patients receive oral metformin (arm I) or oral placebo (arm II) three times daily for 8 weeks. All patients who do not ovulate by day 28 receive oral clomiphene citrate daily on days 36-40.

  Eligibility

Ages Eligible for Study:   18 Years to 40 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics--

Obese women with chronic anovulation due to polycystic ovary syndrome (PCOS)

Must have oligoamenorrhea and hyperandrogenemia

--Prior/Concurrent Therapy--

At least 2 months since prior standard therapy (including over the counter drugs) At least 2 months since prior investigational agents

--Patient Characteristics--

Hematopoietic: Hematocrit greater than 38%

Hepatic: Liver function normal No clinically significant hepatic disease

Renal: No clinically significant renal disease Creatinine less than 1.4 mg/dL No proteinuria

Cardiovascular: No clinically significant cardiac disease

Pulmonary: No clinically significant pulmonary disease

Hormonal: Thyroid function normal Prolactin normal Fasting 17 alpha-hydroxy progesterone less than 200 mg/dL OR No late onset adrenal hyperplasia 21 alpha-hydroxylase deficiency

Other: Not pregnant Negative pregnancy test Fertile patients must use effective contraception No diabetes mellitus No clinically significant neurologic, psychiatric, infectious, neoplastic, or metabolic disease No clinically significant malignant disease except nonmelanomatous skin cancer At least 1 year since any prior drug abuse or alcoholism

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00005654

Sponsors and Collaborators
University of Virginia
Investigators
Study Chair: William S. Evans University of Virginia
  More Information

No publications provided

Study ID Numbers: 199/14914, UVA-WSE023
Study First Received: May 2, 2000
Last Updated: June 23, 2005
ClinicalTrials.gov Identifier: NCT00005654     History of Changes
Health Authority: United States: Federal Government

Keywords provided by Office of Rare Diseases (ORD):
endocrine disorders
hyperinsulinism
polycystic ovarian syndrome
rare disease

Study placed in the following topic categories:
Gonadal Disorders
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Clomiphene
Ovarian Diseases
Selective Estrogen Receptor Modulators
Hormones
Polycystic Ovarian Syndrome
Genital Diseases, Female
Hyperinsulinism
Estrogen Receptor Modulators
Metabolic Disorder
Obesity
Estrogens
Estrogen Antagonists
Metabolic Diseases
Metformin
Citric Acid
Rare Diseases
Endocrine System Diseases
Cysts
Polycystic Ovary Syndrome
Endocrinopathy
Glucose Metabolism Disorders
Ovarian Cysts

Additional relevant MeSH terms:
Gonadal Disorders
Hormone Antagonists
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Clomiphene
Ovarian Diseases
Reproductive Control Agents
Selective Estrogen Receptor Modulators
Genital Diseases, Female
Hyperinsulinism
Estrogen Receptor Modulators
Pathologic Processes
Therapeutic Uses
Syndrome
Estrogen Antagonists
Metabolic Diseases
Disease
Endocrine System Diseases
Cysts
Pharmacologic Actions
Adnexal Diseases
Neoplasms
Fertility Agents, Female
Polycystic Ovary Syndrome
Fertility Agents
Glucose Metabolism Disorders
Ovarian Cysts

ClinicalTrials.gov processed this record on May 07, 2009