Metformin to Prevent Late Miscarriage and Preterm Delivery in Women With Polycystic Ovary Syndrome

NCT ID: NCT01587378

Last Updated: 2019-02-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

489 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2017-10-31

Brief Summary

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The overall aim of the PregMet 2 Study is to investigate whether metformin prevents late miscarriages and preterm deliveries in PCOS women treated with metformin from first trimester of pregnancy to delivery in a large, randomized, controlled, multi-centre trial setting.

The investigators hypothesis is that metformin compared to placebo treatment from the first trimester to term, reduces the prevalence of late miscarriage (gestational week 13-22) and preterm birth (gestational week \< 37) in PCOS women diagnosed according to Rotterdam 2003 consensus criteria, with singleton pregnancy.

Detailed Description

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Conditions

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Pregnancy Polycystic Ovary Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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metformin

Group Type EXPERIMENTAL

Metformin

Intervention Type DRUG

Metformin 500 mg tablets, 1 tablet x 2 daily the first week and then 2 tablets x 2 daily from the second week to delivery

placebo

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

identical placebo tablets, 1 tablet x 2 daily the first week and then 2 tablets x 2 daily from the second week to delivery

Interventions

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Metformin

Metformin 500 mg tablets, 1 tablet x 2 daily the first week and then 2 tablets x 2 daily from the second week to delivery

Intervention Type DRUG

placebo

identical placebo tablets, 1 tablet x 2 daily the first week and then 2 tablets x 2 daily from the second week to delivery

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age: 18-45 years
* PCOS diagnosed or reconfirmed according to Rotterdam 2003 criteria, not more than 5 years prior to inclusion
* Mode of conception: Any
* Single, viable fetus, diagnosed by vaginal ultrasound
* Gestational week at inclusion: week 6 + 0 to 12 + 0
* Wash out for metformin: at least 7 days
* Able to communicate fluently in the official language at the study cite or English

Exclusion Criteria

* Any type of diabetes (except GDM in former pregnancy)
* Known liver disease or ALAT \> 100 IU/L
* Known kidney disease or creatinine \> 110 μmol/L
* Known alcohol or drug abuse
* Use of drugs interfering with metformin: erytromycin (or other macrolides), cimetidine, anticoagulation therapy
* Unsuitable for participation of other reasons
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Vestre Viken Hospital Trust

OTHER

Sponsor Role collaborator

Landspitali University Hospital

OTHER

Sponsor Role collaborator

Uppsala University Hospital

OTHER

Sponsor Role collaborator

Haukeland University Hospital

OTHER

Sponsor Role collaborator

Karolinska University Hospital

OTHER

Sponsor Role collaborator

St. Olavs Hospital

OTHER

Sponsor Role collaborator

Sykehuset Telemark

OTHER_GOV

Sponsor Role collaborator

Alesund Hospital

OTHER

Sponsor Role collaborator

The Hospital of Vestfold

OTHER

Sponsor Role collaborator

Nordlandssykehuset HF

OTHER

Sponsor Role collaborator

Norrlands universitetssjukhus Umeå

UNKNOWN

Sponsor Role collaborator

Sykehuset Innlandet HF

OTHER

Sponsor Role collaborator

Vestre Viken Ringerike Sykehus

OTHER

Sponsor Role collaborator

Norwegian University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eszter I Vanky, md phd

Role: STUDY_DIRECTOR

Norwegian University of Science and Technology

Locations

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Landspital University Hospital

Reykjavik, , Iceland

Site Status

Sykehuset Ålesund

Ålesund, , Norway

Site Status

Haukeland University Hospital

Bergen, , Norway

Site Status

Nordlandssykehuset HF

Bodø, , Norway

Site Status

Sykehuset Innlandet

Brumunddal, , Norway

Site Status

Vestre Viken Hospital Trust

Drammen, , Norway

Site Status

Vestre Viken Ringerike sykehus

Hønefoss, , Norway

Site Status

Sykehuset Telemark

Skien, , Norway

Site Status

St Olavs Hospital

Trondheim, , Norway

Site Status

Sentralsykehuset i Vestfold

Tønsberg, , Norway

Site Status

Karolinska Universitetssjukhus

Stockholm, , Sweden

Site Status

Norrlands universitetssjukhus

Umeå, , Sweden

Site Status

Uppsala University Hospital

Uppsala, , Sweden

Site Status

Countries

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Iceland Norway Sweden

References

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Lovvik TS, Carlsen SM, Salvesen O, Steffensen B, Bixo M, Gomez-Real F, Lonnebotn M, Hestvold KV, Zabielska R, Hirschberg AL, Trouva A, Thorarinsdottir S, Hjelle S, Berg AH, Andrae F, Poromaa IS, Mohlin J, Underdal M, Vanky E. Use of metformin to treat pregnant women with polycystic ovary syndrome (PregMet2): a randomised, double-blind, placebo-controlled trial. Lancet Diabetes Endocrinol. 2019 Apr;7(4):256-266. doi: 10.1016/S2213-8587(19)30002-6. Epub 2019 Feb 18.

Reference Type RESULT
PMID: 30792154 (View on PubMed)

Ryssdal M, Skage JE, Jarmund AH, Hanem LGE, Lovvik TS, Giskeodegard GF, Iversen AC, Vanky E. Metformin Treatment in PCOS Pregnancies Reduces Maternal Infections and Increases the Risk of Allergies and Eczema in the Offspring: Post Hoc Analyses of Two Randomised Controlled Trials and One Follow-Up Study. BJOG. 2025 Nov;132(12):1823-1832. doi: 10.1111/1471-0528.18320. Epub 2025 Aug 11.

Reference Type DERIVED
PMID: 40785326 (View on PubMed)

Nordtvedt E, Kessler J, Ebbing C, Acharya G, Lovvik TS, Salvesen KA, Salvesen O, Vanky E, Kahrs BH. Placental and cerebral circulation in fetuses of mothers with polycystic ovary syndrome and the effect of Metformin exposure. BMC Pregnancy Childbirth. 2025 Jul 10;25(1):749. doi: 10.1186/s12884-025-07866-9.

Reference Type DERIVED
PMID: 40640743 (View on PubMed)

Husby AE, Simpson MR, Dalbye R, Larsen M, Vanky E, Lovvik TS. Childbirth experiences in women with polycystic ovary syndrome: A cohort study. Acta Obstet Gynecol Scand. 2024 Jun;103(6):1092-1100. doi: 10.1111/aogs.14800. Epub 2024 Feb 17.

Reference Type DERIVED
PMID: 38366810 (View on PubMed)

Stokkeland LMT, Giskeodegard GF, Ryssdal M, Jarmund AH, Steinkjer B, Madssen TS, Stafne SN, Stridsklev S, Lovvik TS, Iversen AC, Vanky E. Changes in Serum Cytokines Throughout Pregnancy in Women With Polycystic Ovary Syndrome. J Clin Endocrinol Metab. 2022 Jan 1;107(1):39-52. doi: 10.1210/clinem/dgab684.

Reference Type DERIVED
PMID: 34529073 (View on PubMed)

Other Identifiers

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2011-002203-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2011/1434

Identifier Type: -

Identifier Source: org_study_id

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