Steroid Profiles in PCOS and Effect of OCP Treatment

NCT ID: NCT07161440

Last Updated: 2025-09-08

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

56 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-01-02

Study Completion Date

2025-08-04

Brief Summary

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This prospective observational study investigates the changes in serum steroid intermediates assessed by liquid chromatography-mass spectrometry (LC-MS/MS) in adolescents and young women with polycystic ovary syndrome (PCOS), before and after oral contraceptive (OCP) treatment.

Detailed Description

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The study enrolled 56 female patients aged 13-21 years with a diagnosis of PCOS according to Rotterdam criteria. At baseline, all participants underwent LC-MS/MS steroid profiling. A subgroup of 15 patients received oral contraceptive therapy based on clinical indication, independent of the study protocol. A second LC-MS/MS steroid analysis was performed at 6 months in this subgroup. The primary aim was to investigate the effect of OCP on the steroid biosynthesis profile. The study was approved by the Istanbul University Ethics Committee (Approval ID: 2019/822) and conducted between January 2020 and December 2021.

Conditions

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Polycystic Ovary Syndrome (PCOS)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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PCOS patients without treatment

This cohort included adolescent patients diagnosed with polycystic ovary syndrome (PCOS) who did not receive any medical treatment during the study period. Steroid hormone levels were measured using LC-MS/MS at baseline for all participants to evaluate the endogenous steroid profile in untreated PCOS.

No interventions assigned to this group

PCOS patients treated with OCP

This cohort consisted of adolescent patients with polycystic ovary syndrome (PCOS) who were prescribed oral contraceptive pills (OCP) due to clinical indications. A total of 15 patients from the untreated PCOS group received OCP treatment and were followed for 6 months. Baseline and 6-month serum samples were analyzed using liquid chromatography-tandem mass spectrometry (LC-MS/MS) to evaluate changes in steroid hormone profiles after treatment.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of PCOS based on Rotterdam criteria
* Age between 13 and 21 years
* No hormonal treatment in the 3 months prior to study enrollment
* Consent provided

Exclusion Criteria

* Congenital adrenal hyperplasia
* Cushing's syndrome
* Pregnancy
* Use of hormonal medications within 1 year prior to baseline
Minimum Eligible Age

13 Years

Maximum Eligible Age

21 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Istanbul University

OTHER

Sponsor Role lead

Responsible Party

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Ozge Bayrak Demirel

Pediatric Endocrinologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Melek Yildiz, Associate Professor

Role: PRINCIPAL_INVESTIGATOR

Istanbul University

Locations

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Istanbul University

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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PEDENDO-ITF-PCOS-LCMS

Identifier Type: -

Identifier Source: org_study_id

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