PDE-4 Inhibitor Roflumilast and Polycystic Ovary Syndrome

Overview[ - collapse ][ - ]

Purpose The purpose of this study was to determine whether combined treatment with phosphodiesterase-4 (PDE-4) inhibitor roflumilast and metformin is more effective than metformin as monotherapy in the treatment of obese women with polycystic ovary syndrome (PCOS) who had been previously poor responders regarding weight reduction on metformin monotherapy. The investigators anticipated greater changes in body weight in patients on combined treatment than in those on monotherapy with metformin.
ConditionPCOS
Obesity
InterventionDrug: metformin
Drug: metformin and roflumilast
PhasePhase 4
SponsorUniversity Medical Centre Ljubljana
Responsible PartyUniversity Medical Centre Ljubljana
ClinicalTrials.gov IdentifierNCT02037672
First ReceivedJanuary 14, 2014
Last UpdatedJanuary 21, 2014
Last verifiedJanuary 2014

Tracking Information[ + expand ][ + ]

First Received DateJanuary 14, 2014
Last Updated DateJanuary 21, 2014
Start DateSeptember 2013
Estimated Primary Completion DateJanuary 2014
Current Primary Outcome MeasuresThe main outcome was change in body weight. [Time Frame: Patient's body weight was mesured at the base point and every four weeks during 12 weeks of clinical trial.] [Designated as safety issue: No]The patient's body weight was measured in kilograms.
Current Secondary Outcome Measures
  • The secondary outcome was change in body mass index (BMI). [Time Frame: Patient's body weight were measured at the basepoint and every four weeks during the 12 weeks of clinical trial. Patient's height was measured at the basepoint.] [Designated as safety issue: No]Patient's BMI was defined as the patient's body mass in kilograms divided by the square of their height in meters.
  • The secondary outcome was change in waist circumference. [Time Frame: Patient's waist circumference was measured at the basepoint and every four weeks during 12 weeks of clinical trial.] [Designated as safety issue: No]Patient's waist circumference was measured in centimeters.

Descriptive Information[ + expand ][ + ]

Brief TitlePDE-4 Inhibitor Roflumilast and Polycystic Ovary Syndrome
Official TitleCombined Treatment With PDE-4 Inhibitor Roflumilast and Metformin Leads to Significant Weight Loss in Obese Women With Polycystic Ovary Syndrome
Brief Summary
The purpose of this study was to determine whether combined treatment with
phosphodiesterase-4 (PDE-4) inhibitor roflumilast and metformin is more effective than
metformin as monotherapy in the treatment of obese women with polycystic ovary syndrome
(PCOS) who had been previously poor responders regarding weight reduction on metformin
monotherapy. The investigators anticipated greater changes in body weight in patients on
combined treatment than in those on monotherapy with metformin.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Condition
  • PCOS
  • Obesity
InterventionDrug: metformin
Other Names:
Glucophage tabletsDrug: metformin and roflumilast
Other Names:
Glucophage tablets and Daxas 500 micrograms film-coated tablets
Study Arm (s)
  • Active Comparator: metformin
    In the metformin group metformin was initiated at a dose of 500 mg once per day and increased by 500 mg every 3 days up to 1000 mg BID per os.
  • Active Comparator: metformin and roflumilast
    In the metformin group metformin was initiated at a dose of 500 mg once per day and increased by 500 mg every 3 days up to 1000 mg BID per os. At the same time roflumilast was initiated at a dose of 500 mg BID per os.

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment36
Estimated Completion DateJanuary 2014
Estimated Primary Completion DateDecember 2013
Eligibility Criteria
Inclusion Criteria:

- 18 years old to menopause

- polycystic ovary syndrome (NICHD criteria)

- BMI of 30 kg/m² or higher

Exclusion Criteria:

- depression

- type 1 or type 2 diabetes mellitus

- history of carcinoma

- Cushing's syndrome or congenital (non-classic) adrenal hyperplasia

- significant cardiovascular, kidney or hepatic disease

- the use of medications other than metformin known or suspected to affect reproductive
or metabolic functions

- the use of statins, within 90 days prior to study entry
GenderFemale
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesSlovenia

Administrative Information[ + expand ][ + ]

NCT Number NCT02037672
Other Study ID NumbersDAXAS
Has Data Monitoring CommitteeNo
Information Provided ByUniversity Medical Centre Ljubljana
Study SponsorUniversity Medical Centre Ljubljana
CollaboratorsNot Provided
Investigators Principal Investigator: Andrej Janez, MD, PhD University Medical Centre Ljubljana
Verification DateJanuary 2014

Locations[ + expand ][ + ]

University Medical Center Ljubljana
Ljubljana, Slovenia, 1000