A Treatment Legacy Effect of Metformin in Obese Women With PCOS

NCT ID: NCT04566718

Last Updated: 2020-11-05

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

Total Enrollment

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-03-25

Study Completion Date

2020-02-01

Brief Summary

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Metformin has multiple health promoting effects and it may serve as a preventive measure for individuals who are at high risk for metabolic complications.

According to the latest international guidelines it should be considered as an adjunct therapy to lifestyle intervention in all overweight/obese women with PCOS, independently of their glucose homeostasis and menstrual regularity. However, there is no clear answer for how long metformin should be prescribed in this subset of women with PCOS and for how long the beneficial impact would sustain after treatment cessation.

The investigators compared the consequences of metformin withdrawal after long-term therapy as opposed to the consequences of metformin suspension after short term therapy in overweight/obese women with PCOS that had previously responded to metformin by means of moderate weight loss, improved menstrual frequency and sustained normal glucose homeostasis.

Detailed Description

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Conditions

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PCOS

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Group A

Obese women who have been treated with metformin for one year prior to the study.

Metformin

Intervention Type DRUG

metformin cessation

Group B

Obese women who have been treated with metformin for at least three years prior to the study.

Metformin

Intervention Type DRUG

metformin cessation

Interventions

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Metformin

metformin cessation

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* PCOS defined by the National Institute of Child Health and Human Development (NICHD) criteria
* obesity with body mass index ≥ 30 kg/m2
* normal glucose homeostasis at metformin treatment

Exclusion Criteria

* known type 1 or type 2 diabetes mellitus
* heart failure
* renal insufficiency with serum creatinine more than 125 umol/L
* arterial hypertension
* pregnancy
* BMI below 25 kg/m2
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University Medical Centre Ljubljana

OTHER

Sponsor Role lead

Responsible Party

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Andrej Janez

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University Medical Center Ljubljana

Ljubljana, , Slovenia

Site Status

Countries

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Slovenia

References

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Kravos NA, Janez A, Goricar K, Dolzan V, Jensterle M. Effects of metformin withdrawal after long and short term treatment in PCOS: observational longitudinal study. Diabetol Metab Syndr. 2021 Apr 12;13(1):43. doi: 10.1186/s13098-021-00660-5.

Reference Type DERIVED
PMID: 33845893 (View on PubMed)

Other Identifiers

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MET prosp

Identifier Type: -

Identifier Source: org_study_id