Effects of Metformin vs Oral Contraceptives on CV Risk Markers in PCOS

Overview[ - collapse ][ - ]

Purpose Cardiovascular risk factors cluster in hyperandrogenic women - including those presenting with the polycystic ovary syndrome - in association with insulin resistance, obesity, and other metabolic disorders. The present clinical trial intends to compare the effects of oral contraceptives and metformin on PCOS patients, focusing on classic and non-classic cardiovascular risk markers and indexes of cardiovascular performance, in order to whether or not, as suspected by previous data obtained in non-hyperandrogenic women, oral contraceptives worsen the cardiovascular risk profile of PCOS women, favoring the use of metformin if the latter actually ameliorates such a risk.
ConditionPolycystic Ovary Syndrome
InterventionDrug: Metformin
Drug: Ethynyl-estradiol plus cyproterone acetate
PhasePhase 4
SponsorHospital Universitario Ramon y Cajal
Responsible PartyHospital Universitario Ramon y Cajal
ClinicalTrials.gov IdentifierNCT00428311
First ReceivedJanuary 29, 2007
Last UpdatedJanuary 30, 2007
Last verifiedJanuary 2007

Tracking Information[ + expand ][ + ]

First Received DateJanuary 29, 2007
Last Updated DateJanuary 30, 2007
Start DateApril 2004
Estimated Primary Completion DateOctober 2006
Current Primary Outcome Measures
  • Serum androgen levels
  • Lipid profiles
  • Blood pressure
  • Cardiovascular performance
  • Non-classic cardiovascular risk markers
  • Indexes of insulin secretion and sensitivity
Current Secondary Outcome MeasuresNot Provided

Descriptive Information[ + expand ][ + ]

Brief TitleEffects of Metformin vs Oral Contraceptives on CV Risk Markers in PCOS
Official TitleThe Cardiovascular Risk Profile Associated With The Polycystic Ovary Syndrome And With Ovulatory Hyperandrogenism, And Its Changes During Treatment With Metformin Or Oral Contraceptives
Brief Summary
Cardiovascular risk factors cluster in hyperandrogenic women - including those presenting
with the polycystic ovary syndrome - in association with insulin resistance, obesity, and
other metabolic disorders.

The present clinical trial intends to compare the effects of oral contraceptives and
metformin on PCOS patients, focusing on classic and non-classic cardiovascular risk markers
and indexes of cardiovascular performance, in order to whether or not, as suspected by
previous data obtained in non-hyperandrogenic women, oral contraceptives worsen the
cardiovascular risk profile of PCOS women, favoring the use of metformin if the latter
actually ameliorates such a risk.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionPolycystic Ovary Syndrome
InterventionDrug: Metformin
Drug: Ethynyl-estradiol plus cyproterone acetate
Study Arm (s)Not Provided

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment50
Estimated Completion DateOctober 2006
Estimated Primary Completion DateNot Provided
Eligibility Criteria
Inclusion Criteria:

- Women of fertile age presenting with PCOS

- Non-hyperandrogenic women of fertile age (these women will not receive the
interventions and will serve only to obtain normative data for some variables)

Exclusion Criteria:

- Severe disease not related to the condition under study

- Pregnancy

- Medical or surgical treatment of PCOS during the previous 3 months

- Contraindication for the use of oral contraceptives or metformin

- Inability to understand the proposal of the study precluding effective informed
consent

- Minors who are not accompanied by their legal representative
GenderFemale
Ages12 Years
Accepts Healthy VolunteersAccepts Healthy Volunteers
ContactsNot Provided
Location CountriesSpain

Administrative Information[ + expand ][ + ]

NCT Number NCT00428311
Other Study ID NumbersENDOPCOS 01/2003
Has Data Monitoring CommitteeNot Provided
Information Provided ByHospital Universitario Ramon y Cajal
Study SponsorHospital Universitario Ramon y Cajal
CollaboratorsNot Provided
Investigators Principal Investigator: Héctor F Escobar-Morreale, MD, PhD Hospital Universitario Ramón y Cajal
Verification DateJanuary 2007

Locations[ + expand ][ + ]

Department of Endocrinology, Hospital Ramón y Cajal
Madrid, Spain, E-28034