Comparison of Myoinositol and Metformin in PCO

NCT ID: NCT04204044

Last Updated: 2020-10-27

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

UNKNOWN

Clinical Phase

EARLY_PHASE1

Total Enrollment

126 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-01

Study Completion Date

2021-07-25

Brief Summary

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Aim of the study is to compare the effect of myoinositol and metformin in the resumption of the spontaneous menstrual cycle in patients diagnosed with PCOS or having oligo/amenorrhea, reduction in weight and BMI, Improvement in the biochemical and clinical profile of patients with the polycystic syndrome.

The secondary outcome measured will be the rate of pregnancy, miscarriage and term pregnancy among these patients inducted in the study.

It will be a Three-arm prospective double-blind study. this clinical trial will be registered in Public registry. this RCT will be based on CONSORT statement. The patient coming to Gynecology OPD will be randomized into 3 groups GROUP A ( metformin 500 mg TDS), GROUP B( myoinositol 2mg x BD ), GROUP C.(both metformin,\& myoinositol).each group will take folic acid and will be asked for lifestyle modifications.

Detailed Description

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PCOS is a common endocrine disorder in women of reproductive age associated with insulin resistance. Metformin and Myo-inositol being insulin sensitizers improve biochemical parameters. it is aimed to compare the effect of myoinositol and metformin in the resumption of the spontaneous menstrual cycle in patients diagnosed with PCOS or having oligo/amenorrhea, reduction in weight and BMI, Improvement in the biochemical and clinical profile of patients with the polycystic syndrome.

Inclusion criteria: will be based on the Rotterdam criteria of diagnosing PCO. Patients presenting with a history of secondary amenorrhea, irregular menstrual cycle, oligomenorrhea, weight gain, hirsutism, and already diagnosed cases of PCO will be included in this group.

Patients with history of Hyperprolactinemia, Cushing's disease, Hypothyroidism/ Hyperthyroidism, Pregnancy and nursing, Established type 1 or type 2 diabetes mellitus, Any history of drug intake e.g. anti-diabetic or estrogen and progesterone, History of treatment for the same complaint taken in the last 3 months, Unable to come for regular follow-ups, Any pathological cause of bleeding e.g. Fibroid, Polyp, Cervical pathology and known allergic to these drugs would be excluded.

Conditions

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PCOS

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

GROUP A ( Metformin 500 mg TDS), GROUP B( Myoinositol 2000 mg x BD ), GROUP C.(both metformin,\& myoinositol)
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
Treatment will be assigned to each participant using lottery method

Study Groups

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GROUP A ( metformin 500 mg TDS)

Life style modifications, Weight reduction and folic acid will be prescribed with metformin 500 mg three times a day

Group Type EXPERIMENTAL

Metformin Hydrochloride

Intervention Type DRUG

Metformin Hydrochloride is used in PCO

GROUP B( myoinositol 2000mg x BD )

Life style modifications, Weight reduction and folic acid will be prescribed with myoinositol 2000 mg two times a day

Group Type EXPERIMENTAL

Myo-inositol

Intervention Type DRUG

Myo inositol used in PCO

GROUP C.(both metformin,& myoinositol)

Life style modifications, Weight reduction and folic acid will be prescribed with both metformin,\& myoinositol three and two times a day respectively

Group Type EXPERIMENTAL

Metformin Hydrochloride

Intervention Type DRUG

Metformin Hydrochloride is used in PCO

Myo-inositol

Intervention Type DRUG

Myo inositol used in PCO

Interventions

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Metformin Hydrochloride

Metformin Hydrochloride is used in PCO

Intervention Type DRUG

Myo-inositol

Myo inositol used in PCO

Intervention Type DRUG

Other Intervention Names

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Folic acid Folic Acid

Eligibility Criteria

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Inclusion Criteria

It will be based on the Rotterdam criteria of diagnosing PCO. Patients presenting with a history of secondary amenorrhea, irregular menstrual cycle, oligomenorrhea, weight gain, hirsutism, and already diagnosed cases of PCO will be included in this group.

Exclusion Criteria

* Hyperprolactinemia
* Cushing's disease
* Hypothyroidism/ Hyperthyroidism
* Pregnancy and nursing
* Established type 1 or type 2 diabetes mellitus
* Any history of drug intake e.g. anti-diabetic or estrogen and progesterone
* History of treatment for the same complaint taken in the last 3 months
* Unable to come for regular follow-ups
* Any pathological cause of bleeding e.g. Fibroid, Polyp, Cervical pathology
* Known allergic to these drugs
Minimum Eligible Age

16 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Rashid Latif Medical College

OTHER

Sponsor Role lead

Responsible Party

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Lamia yusuf

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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LAMIA YUSUF, FCPS,MHPE

Role: PRINCIPAL_INVESTIGATOR

rlmc lahore

Locations

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Rashid Latif Medical College

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

Central Contacts

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LAMIA YUSUF, FCPS,MHPE

Role: CONTACT

00923214549179

Arslan Saleem, Masters

Role: CONTACT

00923334585339

Facility Contacts

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Musarrat ul.Hasnain, FCPS,MHPE

Role: primary

00923006509943

LAMIA YUSUF, FCPS,MHPE

Role: backup

00923214549179

Other Identifiers

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IRB/2019/027

Identifier Type: -

Identifier Source: org_study_id