Metformin to Prevent Late Miscarriage and Preterm Delivery in Women With Polycystic Ovary Syndrome: an Randomized Control Trial

Overview[ - collapse ][ - ]

Purpose The overall aim of the PregMet 2 Study is to investigate whether metformin prevents late miscarriages and preterm deliveries in PCOS women treated with metformin from first trimester of pregnancy to delivery in a large, randomized, controlled, multi-centre trial setting. The investigators hypothesis is that metformin compared to placebo treatment from the first trimester to term, reduces the prevalence of late miscarriage (gestational week 13-22) and preterm birth (gestational week < 37) in PCOS women diagnosed according to Rotterdam 2003 consensus criteria, with singleton pregnancy.
ConditionPregnancy
Polycystic Ovary Syndrome
InterventionDrug: Metformin
Drug: placebo
PhaseN/A
SponsorNorwegian University of Science and Technology
Responsible PartyNorwegian University of Science and Technology
ClinicalTrials.gov IdentifierNCT01587378
First ReceivedApril 26, 2012
Last UpdatedApril 3, 2014
Last verifiedApril 2014

Tracking Information[ + expand ][ + ]

First Received DateApril 26, 2012
Last Updated DateApril 3, 2014
Start DateOctober 2012
Estimated Primary Completion DateMarch 2016
Current Primary Outcome Measurescombined incidence of late miscarriages and preterm births [Time Frame: at delivery] [Designated as safety issue: No]This includes spontaneous births, induced vaginal deliveries and operative deliveries on medical indications.
Current Secondary Outcome Measures
  • NICU admissions and total number of days in NICU/baby [Time Frame: 2 months] [Designated as safety issue: No]
  • number of patients hospitalized [Time Frame: at delivery] [Designated as safety issue: No]
  • Total number of hospitalization days/ hospitalized participant [Time Frame: 2 months] [Designated as safety issue: No]
  • Prevalence of gestational diabetes [Time Frame: up to delivery] [Designated as safety issue: No]
  • Prevalence of preeclampsia [Time Frame: up to delivery] [Designated as safety issue: No]
  • SNP [Time Frame: at delivery] [Designated as safety issue: No]SNP analysis (genetic analysis)

Descriptive Information[ + expand ][ + ]

Brief TitleMetformin to Prevent Late Miscarriage and Preterm Delivery in Women With Polycystic Ovary Syndrome: an Randomized Control Trial
Official TitleA Prospective, Randomized, Double-blind, Multi-centre Study, Where the Possible Effect of Metformin to Prevent Late Miscarriage and Preterm Delivery is Studied in Women With Polycystic Ovary Syndrome (PCOS)
Brief Summary
The overall aim of the PregMet 2 Study is to investigate whether metformin prevents late
miscarriages and preterm deliveries in PCOS women treated with metformin from first
trimester of pregnancy to delivery in a large, randomized, controlled, multi-centre trial
setting.

The investigators hypothesis is that metformin compared to placebo treatment from the first
trimester to term, reduces the prevalence of late miscarriage (gestational week 13-22) and
preterm birth (gestational week < 37) in PCOS women diagnosed according to Rotterdam 2003
consensus criteria, with singleton pregnancy.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhaseN/A
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention
Condition
  • Pregnancy
  • Polycystic Ovary Syndrome
InterventionDrug: Metformin
Metformin 500 mg tablets, 1 tablet x 2 daily the first week and then 2 tablets x 2 daily from the second week to delivery
Drug: placebo
identical placebo tablets, 1 tablet x 2 daily the first week and then 2 tablets x 2 daily from the second week to delivery
Study Arm (s)
  • Experimental: metformin
  • Placebo Comparator: placebo

Recruitment Information[ + expand ][ + ]

Recruitment StatusRecruiting
Estimated Enrollment1000
Estimated Completion DateMarch 2016
Estimated Primary Completion DateSeptember 2015
Eligibility Criteria
Inclusion Criteria:

- Age: 18-45 years

- PCOS diagnosed or reconfirmed according to Rotterdam 2003 criteria, not more than 5
years prior to inclusion

- Mode of conception: Any

- Single, viable fetus, diagnosed by vaginal ultrasound

- Gestational week at inclusion: week 6 + 0 to 12 + 0

- Wash out for metformin: at least 7 days

- Able to communicate fluently in the official language at the study cite or English

Exclusion Criteria:

- Any type of diabetes (except GDM in former pregnancy)

- Known liver disease or ALAT > 100 IU/L

- Known kidney disease or creatinine > 110 μmol/L

- Known alcohol or drug abuse

- Use of drugs interfering with metformin: erytromycin (or other macrolides),
cimetidine, anticoagulation therapy

- Unsuitable for participation of other reasons
GenderFemale
Ages18 Years
Accepts Healthy VolunteersNo
ContactsContact: Tone S Løvvik, md
004772575715
tone.shetelig.lovvik@stolav.no
Location CountriesIceland, Norway, Sweden

Administrative Information[ + expand ][ + ]

NCT Number NCT01587378
Other Study ID Numbers2011/1434
Has Data Monitoring CommitteeNo
Information Provided ByNorwegian University of Science and Technology
Study SponsorNorwegian University of Science and Technology
CollaboratorsVestre Viken Hospital Trust
Landspitali University Hospital
Uppsala University Hospital
Haukeland University Hospital
Karolinska University Hospital
St. Olavs Hospital
Sykehuset Telemark
Stockholm South General Hospital
Alesund Hospital
University Hospital Orebro
Vestfold Central Hospital
Investigators Study Director: Eszter I Vanky, md phd Norwegian University of Science and Technology
Verification DateApril 2014

Locations[ + expand ][ + ]

Landspital University Hospital
Reykjavik, Iceland, 101
Contact: Berglind Steffensen, md | +35 46955366 | berglins@landspitali.is
Recruiting
Haukeland University Hospital
Bergen, Norway, 5000
Contact: Francisco Gomez Real, MD | +47 915 611 46 | francisco.real@med.uib.no
Recruiting
Vestre Viken Hospital Trust
Drammen, Norway
Contact: Kristin Voss Hestvold, md
Recruiting
Sykehuset Telemark
Skien, Norway, 3710
Contact: Birgitte M Mork, md | +47 911 49 108 | birgitte.mork@sthf.no
Recruiting
St Olavs Hospital
Trondheim, Norway, 7006
Contact: Tone S Løvvik, md | +47 97798745 | tone.shetelig.lovvik@stolav.no
Recruiting
Sentralsykehuset i Vestfold
Tønsberg, Norway, 3116
Contact: Renata Zabielska, md | +47 45881525 | dzabielski@yahoo.com
Recruiting
Sykehuset Ålesund
Ålesund, Norway, 6026
Contact: Sissel Hjelle, md | +47 70105825 | sissel.hjelle@helse-mr.no
Recruiting
South General Hospital
Stockholm, Sweden, 11883
Contact: Marie Bixo, md phd | +46 8-616 15 32 | marie.bixo@sodersjukhuset.se
Recruiting
Karolinska Universitetssjukhus
Stockholm, Sweden, 17176
Contact: Angelica L Hirschberg, md | +46 8 517 733 26 | angelica.linden-hirschberg@karolinska.se
Recruiting
Uppsala University Hospital
Uppsala, Sweden, 75185
Contact: Inger S Poromaa, md | inger.sundstrom@kbh.uu.se
Recruiting
Universitetssjukhuset Örebro
Örebro, Sweden, 701 85
Contact: Izabella Jawad, md | izabella.jawad@orebroll.se
Recruiting