Melatonin & Metformin on Clinical & Biochemical Parameters in Insulin Resistant PCOS Compared to Metformin

NCT ID: NCT07307677

Last Updated: 2025-12-29

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

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-11

Study Completion Date

2026-08-10

Brief Summary

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Women with polycystic ovary syndrome with HOMA-IR \>2.6 fulfilling inclusion and exclusion criteria will be randomly allocated into two groups:experimental group: A (Melatonin 3mg and Metformin 500mg) and control group: B (Metformin 500mg). Each group will be contained 30 selected patients.

Group B:Tab. Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks.

Outcome variables will be measured after three months, will be meticulously recorded for analysis and comparison.

Detailed Description

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After obtaining approval of the Institutional Review Board (IRB), this randomized controlled trial will be conducted at Bangabandhu Sheikh Mujib Medical University (BSMMU). Already diagnosed patients of polycystic ovary syndrome with subfertility with HOMA-IR \>2.6 attending in the OPD of Reproductive Endocrinology and Infertility department at BSMMU will be the study population. Women with PCOS fulfilling inclusion and exclusion criteria will be explained in details regarding the objectives, rationality, procedure and potential benefits of the study. The patients will be counselled regarding the drugs and side effects and Informed written consent will be obtained before enrollment.Random allocation will be done using serially numbered closed opaque envelopes. Eligible women will be randomly allocated into two groups:experimental group: A and control group: B. Each group will be contained 30 selected patients.

Group A:Tab. Melatonin (3mg) 3 tablet once daily at night for 12 weeks with Tab. Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks.

Group B:Tab. Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks.

Data will be collected through interviews, physical examinations and laboratory investigations. Prior to commencement of treatment, full assessments including demographic and clinical information and the result of baseline investigations will be undertaken.

Follow up: Participants will come after one month to assess compliance with the regimen and monitor for any potential side effects. A third visit will be scheduled at the end of the third month for a comprehensive assessment. Any adverse events experienced by participants will be carefully noted and documented throughout the study duration. Outcome variables will be measured after three months, will be meticulously recorded for analysis and comparison.

Conditions

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PCOS(Insulin Resistant)

Keywords

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Melatonin in PCOS

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Open label parallel design randomized clinical trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental arm: Melatonin and Metformin

Participants will receive Melatonin (3mg) 3 tablet single dose at night for 12 weeks and Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks

Group Type EXPERIMENTAL

Melatonin 3mg

Intervention Type COMBINATION_PRODUCT

Melatonin (3mg) 3 tablet single dose at night for 12 weeks and Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks

Comparator arm: Metformin

Participants will receive Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks

Group Type ACTIVE_COMPARATOR

Metformin 500mg

Intervention Type DRUG

Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks

Interventions

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Metformin 500mg

Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks

Intervention Type DRUG

Melatonin 3mg

Melatonin (3mg) 3 tablet single dose at night for 12 weeks and Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

* 1\. Diagnosed case of PCOS according to Rotterdam criteria 2.Women of age 18-35 year 3.Insulin resistance (HOMA-IR \>2.6)(Bhowmik et al., 2016)

Exclusion Criteria

-1.BMI: ≤ 18.5 and ≥ 30 kg/m2 2. Uncontrolled endocrine disorders (Diabetis mellitus,Hypothyroidism,Hyperprolactinemia) 3. Known case of any medical disease (Renal, hepatic or cardiac disease) 4. Any medication which would affect insulin resistance (Metformin, Myo- inositol,Pioglitazone) in last three months.

5\. Hypersensitivity to melatonin.
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Mst.Sumyara Khatun

OTHER

Sponsor Role lead

Responsible Party

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Mst.Sumyara Khatun

Medical Officer

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jesmine Banu, MS

Role: STUDY_CHAIR

Bangladesh Medical University

Farzana Rahman, MBBS

Role: PRINCIPAL_INVESTIGATOR

Bangladesh Medical University

Locations

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Bangladesh Medical University

Dhaka, Shahbag, Bangladesh

Site Status RECRUITING

Countries

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Bangladesh

Central Contacts

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Mst.Sumyara Khatun, MS

Role: CONTACT

Phone: +8801746046581

Email: [email protected]

Farzana Rahman, MBBS

Role: CONTACT

Phone: +8801914229346

Email: [email protected]

Facility Contacts

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Mst Sumyara Medical officer, MS

Role: primary

Farzana Rahman, MBBS

Role: backup

References

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Chen W, Zhang H, Guo B, Tao Y, Zhang J, Wang J, Chen G, Cheng M, Hong Q, Cao Y, Xie F. Melatonin refines ovarian mitochondrial dysfunction in PCOS by regulating the circadian rhythm gene Clock. Cell Mol Life Sci. 2025 Mar 6;82(1):104. doi: 10.1007/s00018-025-05609-9.

Reference Type BACKGROUND
PMID: 40047877 (View on PubMed)

Ziaei S, Hasani M, Malekahmadi M, Daneshzad E, Kadkhodazadeh K, Heshmati J. Effect of melatonin supplementation on cardiometabolic risk factors, oxidative stress and hormonal profile in PCOS patients: a systematic review and meta-analysis of randomized clinical trials. J Ovarian Res. 2024 Jul 4;17(1):138. doi: 10.1186/s13048-024-01450-z.

Reference Type BACKGROUND
PMID: 38965577 (View on PubMed)

Other Identifiers

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5498

Identifier Type: -

Identifier Source: org_study_id