Lifestyle Intervention and Metformin for Women With Polycystic Ovary Syndrome (PCOS)

Overview[ - collapse ][ - ]

Purpose The purpose of this study is to determine if the combination therapy of lifestyle intervention and use of Metformin together will improve ovulation induction and hyperandrogenemia in women with polycystic ovary syndrome, by gathering data from adult and adolescent females.
ConditionPolycystic Ovary Syndrome
InterventionDrug: Metformin
Drug: Placebo
PhasePhase 2
SponsorMilton S. Hershey Medical Center
Responsible PartyMilton S. Hershey Medical Center
ClinicalTrials.gov IdentifierNCT00151411
First ReceivedSeptember 8, 2005
Last UpdatedDecember 20, 2012
Last verifiedDecember 2012

Tracking Information[ + expand ][ + ]

First Received DateSeptember 8, 2005
Last Updated DateDecember 20, 2012
Start DateOctober 2004
Estimated Primary Completion DateMarch 2008
Current Primary Outcome MeasuresChange in Testosterone After 6 Months of Treatment [Time Frame: baseline and 6 months] [Designated as safety issue: No]The investigators hypothesize that combination therapy will result in a greater improvement in hyperandrogenemia than single agent therapy.
Current Secondary Outcome MeasuresThe Investigators Hypothesize That Combination Therapy Will Result in a Greater Improvement in Ovulatory Frequency and Insulin Sensitivity That Single Agent Therapy. [Time Frame: baseline and monthly, up to six months post-randomization] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleLifestyle Intervention and Metformin for Women With Polycystic Ovary Syndrome (PCOS)
Official TitleThe Effect of Combination Therapy With Lifestyle Intervention and Metformin in Females With Polycystic Ovary Syndrome
Brief Summary
The purpose of this study is to determine if the combination therapy of lifestyle
intervention and use of Metformin together will improve ovulation induction and
hyperandrogenemia in women with polycystic ovary syndrome, by gathering data from adult and
adolescent females.
Detailed Description
PCOS is characterized by excess circulating androgen levels and chronic anovulation. PCOS is
also characterized by insulin resistance and hyperinsulinemia. Several recent studies in a
variety of non-hospital based populations have provided evidence that the incidence of
hyperandrogenic chronic anovulation is in the range of 4-6% of the female population.
Improvements in insulin sensitivity in women with PCOS, either through lifestyle changes or
through pharmaceutical intervention, have consistently resulted in a marked improvement in
the reproductive and metabolic abnormalities in PCOS. The primary objective in the adult
female population is to determine that combination therapy will improve ovulatory frequency.
Secondary objective is to improve circulating hyperandrogenemia and insulin sensitivity then
single agent therapy. The primary objective of the adolescent population is to determine
that the combination therapy will improve hyperandrogenemia. Secondary objective is to
improve ovulatory frequency and insulin sensitivity than just the use of a single agent
therapy.
Study TypeInterventional
Study PhasePhase 2
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
ConditionPolycystic Ovary Syndrome
InterventionDrug: Metformin
Medication was initiated in a step-up fashion every five days, from one tablet per day to four (500 mg per tablet).
Drug: Placebo
Placebo
Study Arm (s)
  • Experimental: Metformin
    Metformin
  • Placebo Comparator: Placebo
    Placebo

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment114
Estimated Completion DateMarch 2008
Estimated Primary Completion DateMarch 2008
Eligibility Criteria
Inclusion Criteria:

- Spontaneous intermenstrual periods of greater than or equal to 45 days or a total of
8 or less periods per year

- Elevated testosterone levels

- General good health

- Off of current medications which may confound response to study medications

Exclusion Criteria:

- Pregnancy

- Lactose Intolerance

- Medical Contraindications

- Elevated Prolactin, 17hydroxyprogesterone, or Follicle stimulating hormone blood
tests

- Diabetes, liver, heart, kidney or uncorrected thyroid disease
GenderFemale
Ages12 Years
Accepts Healthy VolunteersAccepts Healthy Volunteers
ContactsNot Provided
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT00151411
Other Study ID Numbers2003-172
Has Data Monitoring CommitteeNo
Information Provided ByMilton S. Hershey Medical Center
Study SponsorMilton S. Hershey Medical Center
CollaboratorsEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Investigators Principal Investigator: Richard Legro, M.D. Milton S. Hershey Medical Center
Verification DateDecember 2012

Locations[ + expand ][ + ]

Penn State Milton S. Hershey Medical Center
Hershey, Pennsylvania, United States, 17033