Trial Outcomes & Findings for Treatment of Adolescent Polycystic Ovary Syndrome (PCOS) (NCT NCT00714233)

NCT ID: NCT00714233

Last Updated: 2015-05-15

Results Overview

The measure is to determine a number of successfully recruited overweight or obese adolescents to a randomized trial of lifestyle therapy in the community of Rochester, NY

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

43 participants

Primary outcome timeframe

24 week

Results posted on

2015-05-15

Participant Flow

Participant milestones

Participant milestones
Measure
Metformin
Randomized to Metformin 1700mg daily for 24 weeks
Oral Contraceptive
Randomized to Oral Contraceptive Pills for 24 weeks. Monitored monthly for compliance
Lifestyle Counseling
lifestyle modification program consisting of nutritional counseling and dietary counseling meeting weekly
Placebo to Metformin
randomized to placebo pill identical to active metformin arm
Overall Study
STARTED
10
11
11
10
Overall Study
COMPLETED
6
10
10
6
Overall Study
NOT COMPLETED
4
1
1
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Treatment of Adolescent Polycystic Ovary Syndrome (PCOS)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Metformin
n=10 Participants
Randomized to Metformin 1700mg daily for 24 weeks
Oral Contraceptive
n=11 Participants
Randomized to Oral Contraceptive Pills for 24 weeks. Monitored monthly for compliance
Lifestyle Counseling
n=11 Participants
lifestyle modification program consisting of nutritional counseling and dietary counseling meeting weekly
Placebo to Metformin
n=10 Participants
randomized to placebo pill identical to active metformin arm
Total
n=42 Participants
Total of all reporting groups
Age, Categorical
<=18 years
10 Participants
n=5 Participants
11 Participants
n=7 Participants
11 Participants
n=5 Participants
10 Participants
n=4 Participants
42 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Continuous
16 years
STANDARD_DEVIATION 1.7 • n=5 Participants
15.4 years
STANDARD_DEVIATION 1.4 • n=7 Participants
15.4 years
STANDARD_DEVIATION 1.2 • n=5 Participants
15.4 years
STANDARD_DEVIATION 1.7 • n=4 Participants
15.6 years
STANDARD_DEVIATION 1.4 • n=21 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
11 Participants
n=7 Participants
11 Participants
n=5 Participants
10 Participants
n=4 Participants
42 Participants
n=21 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
11 participants
n=7 Participants
11 participants
n=5 Participants
10 participants
n=4 Participants
42 participants
n=21 Participants

PRIMARY outcome

Timeframe: 24 week

Population: Analysis was a description of number of recruited subjects.

The measure is to determine a number of successfully recruited overweight or obese adolescents to a randomized trial of lifestyle therapy in the community of Rochester, NY

Outcome measures

Outcome measures
Measure
Metformin
n=10 Participants
Randomized to Metformin 1700mg daily for 24 weeks
Oral Contraceptive
n=11 Participants
Randomized to Oral Contraceptive Pills for 24 weeks. Monitored monthly for compliance
Lifestyle Counseling
n=11 Participants
lifestyle modification program consisting of nutritional counseling and dietary counseling meeting weekly
Placebo to Metformin
n=10 Participants
randomized to placebo pill identical to active metformin arm
Measure Number of Adolescent Girls With PCOS Who Can be Successfully Recruited Into a Randomized Clinical Trial That Includes Lifestyle Modification
10 participants
11 participants
11 participants
10 participants

SECONDARY outcome

Timeframe: baseline and 24 weeks

Population: Analysis per protocol

In the adolescent women assigned to the lifestyle program, did the intervention program obtain weight reduction as measured by change in BMI

Outcome measures

Outcome measures
Measure
Metformin
n=8 Participants
Randomized to Metformin 1700mg daily for 24 weeks
Oral Contraceptive
Randomized to Oral Contraceptive Pills for 24 weeks. Monitored monthly for compliance
Lifestyle Counseling
lifestyle modification program consisting of nutritional counseling and dietary counseling meeting weekly
Placebo to Metformin
randomized to placebo pill identical to active metformin arm
Weight Loss in Lifestyle Intervention Group
-1.1 kg/m^2
Standard Deviation 6.6

SECONDARY outcome

Timeframe: baseline and 24 weeks

Population: analysis per protocol

Secondary measures of reduction in androgen measures of the different treatment arms. This is a ratio of total testosterone to sex hormone binding globulin (SHBG). The lower values correlate with lower amount of free testosterone. FAI \<4 is consistent with a normal range.

Outcome measures

Outcome measures
Measure
Metformin
n=6 Participants
Randomized to Metformin 1700mg daily for 24 weeks
Oral Contraceptive
n=10 Participants
Randomized to Oral Contraceptive Pills for 24 weeks. Monitored monthly for compliance
Lifestyle Counseling
n=8 Participants
lifestyle modification program consisting of nutritional counseling and dietary counseling meeting weekly
Placebo to Metformin
n=10 Participants
randomized to placebo pill identical to active metformin arm
Change in Free Androgen Index (FAI)
-0.1 total T/SHBG
Standard Deviation 3.2
-16.7 total T/SHBG
Standard Deviation 8
-13.7 total T/SHBG
Standard Deviation 10.9
1.2 total T/SHBG
Standard Deviation 12.3

SECONDARY outcome

Timeframe: baseline and 24 weeks

Measurement of SHBG by treatment group pre and post intervention

Outcome measures

Outcome measures
Measure
Metformin
n=6 Participants
Randomized to Metformin 1700mg daily for 24 weeks
Oral Contraceptive
n=10 Participants
Randomized to Oral Contraceptive Pills for 24 weeks. Monitored monthly for compliance
Lifestyle Counseling
n=8 Participants
lifestyle modification program consisting of nutritional counseling and dietary counseling meeting weekly
Placebo to Metformin
n=10 Participants
randomized to placebo pill identical to active metformin arm
Change in SHBG
2.6 ratio
Standard Deviation 8.6
77 ratio
Standard Deviation 38.4
17.6 ratio
Standard Deviation 18.3
2 ratio
Standard Deviation 8.4

SECONDARY outcome

Timeframe: baseline and 24 weeks

Change in triglyceride measures pre and post intervention as representative of lipid changes by treatment group; metformin, lifestyle intervention, oral contraceptive or placebo

Outcome measures

Outcome measures
Measure
Metformin
n=6 Participants
Randomized to Metformin 1700mg daily for 24 weeks
Oral Contraceptive
n=10 Participants
Randomized to Oral Contraceptive Pills for 24 weeks. Monitored monthly for compliance
Lifestyle Counseling
n=8 Participants
lifestyle modification program consisting of nutritional counseling and dietary counseling meeting weekly
Placebo to Metformin
n=10 Participants
randomized to placebo pill identical to active metformin arm
Triglyceride Concentration by Treatment Group
-22.3 mg/dL
Standard Deviation 24.1
4.6 mg/dL
Standard Deviation 41
2.2 mg/dL
Standard Deviation 36.4
-6.6 mg/dL
Standard Deviation 27.8

SECONDARY outcome

Timeframe: baseline and 24 weeks

Change in fasting glucose concentration by treatment group pre to post intervention

Outcome measures

Outcome measures
Measure
Metformin
n=6 Participants
Randomized to Metformin 1700mg daily for 24 weeks
Oral Contraceptive
n=10 Participants
Randomized to Oral Contraceptive Pills for 24 weeks. Monitored monthly for compliance
Lifestyle Counseling
n=8 Participants
lifestyle modification program consisting of nutritional counseling and dietary counseling meeting weekly
Placebo to Metformin
n=10 Participants
randomized to placebo pill identical to active metformin arm
Change in Fasting Glucose
-6.7 mg/dL
Standard Deviation 10.3
6.9 mg/dL
Standard Deviation 8.7
0.4 mg/dL
Standard Deviation 7.2
-1.1 mg/dL
Standard Deviation 7.2

Adverse Events

Metformin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Oral Contraceptive

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Lifestyle Counseling

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo to Metformin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Kathleen M Hoeger MD MPH

University of Rochester

Phone: 5852757891

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place