Novel Subtypes of Polycystic Ovary Syndrome

NCT ID: NCT06124391

Last Updated: 2023-11-30

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

RECRUITING

Total Enrollment

50000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-01-01

Study Completion Date

2025-12-30

Brief Summary

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To classify subtypes of Polycystic Ovary Syndrome (PCOS) using machine-learning algorithms, and compare the reproductive and metabolic characteristics and IVF outcomes across these identified subtypes.

Detailed Description

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In this study, we've developed a machine-learning model to classify PCOS patients into four subtypes based on nine clinical characteristics.

The goal of this observational study is to:

* Learn about different PCOS subtypes using our classification model.
* Compare the reproductive and metabolic features of these subtypes.
* Assess the outcomes of IVF among different PCOS subtypes.
* Prospective 6.5-year follow-up data will be collected.

Participants will:

* Undergo a telephone interview to gather details on:

1. Current physical stats like height and weight.
2. Reproductive history, including pregnancies and childbirths in recent years.
3. Details about any IVF treatments.
4. Current status of conditions such as PCOS, Type 2 Diabetes, hypertension, and dyslipidemia.
* Be invited for a physical examination that includes:

1. Measurements such as height, weight, blood pressure, and body circumferences.
2. Laboratory tests for endocrine and metabolic conditions.
3. Ultrasound scans of the ovaries and liver.

Conditions

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Polycystic Ovary Syndrome

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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HA-PCOS

Patients were classified into each PCOS subtype based on our machine-learning classification model. The feature of the HA-PCOS group is hyperandrogenism.

Long-term follow-up

Intervention Type OTHER

Participants diagnosed with PCOS were not subjected to any specific intervention post-diagnosis. Instead, they were followed up after 6.5 years to assess various outcomes related to PCOS and associated conditions.

OB-PCOS

Patients were classified into each PCOS subtype based on our machine-learning classification model. The feature of the OB-PCOS group is overweight/obesity.

Long-term follow-up

Intervention Type OTHER

Participants diagnosed with PCOS were not subjected to any specific intervention post-diagnosis. Instead, they were followed up after 6.5 years to assess various outcomes related to PCOS and associated conditions.

SHBG-PCOS

Patients were classified into each PCOS subtype based on our machine-learning classification model. The feature of the SHBG-PCOS group is the high level of serum SHBG.

Long-term follow-up

Intervention Type OTHER

Participants diagnosed with PCOS were not subjected to any specific intervention post-diagnosis. Instead, they were followed up after 6.5 years to assess various outcomes related to PCOS and associated conditions.

LH-PCOS

Patients were classified into each PCOS subtype based on our machine-learning classification model. The feature of the LH-PCOS group is the high level of LH and AMH.

Long-term follow-up

Intervention Type OTHER

Participants diagnosed with PCOS were not subjected to any specific intervention post-diagnosis. Instead, they were followed up after 6.5 years to assess various outcomes related to PCOS and associated conditions.

Interventions

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Long-term follow-up

Participants diagnosed with PCOS were not subjected to any specific intervention post-diagnosis. Instead, they were followed up after 6.5 years to assess various outcomes related to PCOS and associated conditions.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* PCOS patients diagnosed using the Rotterdam criteria, which requires the presence of at least two of the following:

1. Menstrual Irregularities: A menstrual cycle length of fewer than 21 days or more than 35 days, and/or fewer than eight cycles per year.
2. Hyperandrogenism: Defined either by an elevated total testosterone level (as per local laboratory criteria) or by a modified Ferriman-Gallwey (mFG) score of 5 or higher.
3. Polycystic Ovaries on Ultrasound: Presence of 12 or more follicles measuring 2-9 mm in diameter in each ovary and/or an ovarian volume exceeding 10 mL.

Exclusion Criteria

Patients with congenital adrenal hyperplasias, androgen-secreting tumours, or Cushing's syndrome) will be excluded.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Shandong University

OTHER

Sponsor Role lead

Responsible Party

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Chen Zi-Jiang

Academician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zi-jiang Chen

Role: STUDY_CHAIR

Center for Reproductive Medicine, Shandong University

Locations

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Penn State College of Medicine

Hershey, Pennsylvania, United States

Site Status RECRUITING

Hospital de Clinicas de Porto Alegre

Porto Alegre, , Brazil

Site Status RECRUITING

Chengdu Jinjiang Maternity and Child Health Hospital

Chengdu, , China

Site Status RECRUITING

Guangdong Second Provincial General Hospital

Guangzhou, , China

Site Status RECRUITING

Shandong University

Jinan, , China

Site Status RECRUITING

Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University

Shanghai, , China

Site Status RECRUITING

Tianjin Medical University General Hospital

Tianjin, , China

Site Status RECRUITING

General Hospital of Ningxia Medical University

Yinchuan, , China

Site Status RECRUITING

National University Hospital, National University of Singapore

Singapore, , Singapore

Site Status RECRUITING

Karolinska Institutet

Solna, , Sweden

Site Status RECRUITING

Hacettepe University School of Medicine Hacettepe

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Finland United States Brazil China Singapore Sweden Turkey (Türkiye)

Central Contacts

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Zi-jiang Chen

Role: CONTACT

Phone: 86-531-85187856

Email: [email protected]

Facility Contacts

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Richard Legro

Role: primary

Poli Spritzer

Role: primary

Lin Zhou

Role: primary

Xianghong Ou

Role: primary

Zi-jiang Chen

Role: primary

Yun Sun

Role: primary

Ye Tian

Role: primary

Junli Zhao

Role: primary

Eu-Leong Yong

Role: primary

Elisabet Stener-Victorin

Role: primary

Bulent Yildiz

Role: primary

Other Identifiers

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PCOS-Subtypes

Identifier Type: -

Identifier Source: org_study_id