Treatment of Hyperandrogenism Versus Insulin Resistance in Infertile Polycystic Ovary Syndrome (PCOS) Women
NCT00704912 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 217
Last updated 2016-11-07
Summary
The goal of this three-armed randomized controlled trial is to establish the relative roles of treatment of hyperandrogenism versus obesity (as the largest modifiable factor contributing to insulin resistance) in treating infertility and improving pregnancy outcomes among obese PCOS women. The investigators hypothesize that the key to restoring ovulation leading to live birth is to correct hyperandrogenism with oral contraceptive pills, but the key to avoiding later pregnancy complications is to improve insulin sensitivity with weight loss.
Conditions
- Polycystic Ovary Syndrome
Interventions
- DRUG
-
Orlistat/Meal Replacement/Lifestyle Modification
Orlistat will be given at 60 mg three times per day (1 tablet 3 times a day) before meals, i.e., breakfast, lunch, and dinner.
- DRUG
-
Loestrin 1/20
Patients will be started on a low dose containing OCP for a continuous 4 month period.
- DRUG
-
Combination of treatments
Medications will be administered as described for the other 2 arms.
Sponsors & Collaborators
- collaborator OTHER
-
Milton S. Hershey Medical Center
lead OTHER
Principal Investigators
-
Richard S Legro, M.D. · Penn State College of Medicine, Penn State Milton S. Hershey Medical Center
-
Christos Coutifaris, M.D., Ph.D. · Universtiy of Pennsylvania, Department of Obstetrics and Gynecology
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 40 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2008-09-30
- Primary Completion
- 2014-03-31
- Completion
- 2014-03-31
Countries
- United States
Study Locations
More Related Trials
-
Phase II Study of the Effect of Leuprolide Acetate and Spironolactone on Insulin Resistance in Hyperandrogenic Women With Polycystic Ovarian Disease or Hyperandrogenism Insulin Resistance Acanthosis Nigricans Syndrome
NCT00004311 ·Status: COMPLETED ·Phase: PHASE2
-
Treatment of Infertility in Women With Polycystic Ovary Syndrome
NCT00068861 ·Status: COMPLETED ·Phase: PHASE3
-
LOD vs Gn in Anovulatory PCOs Resistant to First Line Agents
NCT04325295 ·Status: UNKNOWN ·Phase: NA
-
Ovulation Induction in Clomiphene Citrate Resistant PCO Women
NCT02341703 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Comparison Between Laparoscopic Ovarian Diathermy and Urinary Purified FSH in Women With Clomiphene Citrate Resistant Polycystic Ovarian Syndrome.
NCT02304536 ·Status: UNKNOWN ·Phase: PHASE3
-
Comparison Between Letrozole and Urinary Purified FSH in Women With Clomiphene Citrate Resistant Polycystic Ovarian Syndrome.
NCT02304107 ·Status: COMPLETED ·Phase: PHASE3
-
Lifestyle Intervention and Metformin for Women With Polycystic Ovary Syndrome (PCOS)
NCT00151411 ·Status: COMPLETED ·Phase: PHASE2
-
Metformin Versus Orlistat in Obese Polycystic Ovary Syndrome (PCOS) Patients
NCT01003483 ·Status: COMPLETED ·Phase: PHASE2
-
Insulin Resistance, Polycystic Ovary Syndrome, and Bone Research Study
NCT00640224 ·Status: COMPLETED ·Phase: PHASE4
-
Combined Metformin and Clomiphene Citrate (CC) or Laparoscopic Ovarian Diathermy for Women With CC Resistant Polycystic Ovary Syndrome (PCOS)
NCT00969631 ·Status: COMPLETED ·Phase: NA
-
Effects of Flutamide on Insulin and Glucose Metabolism in Women With Polycystic Ovary Syndrome
NCT00729560 ·Status: TERMINATED ·Phase: NA
-
Efficacy of Metformin in Lean Women With Polycystic Ovary Syndrome
NCT00319293 ·Status: UNKNOWN ·Phase: NA
-
Combination Metformin and Oral Contraception for Polycystic Ovary Syndrome (PCOS)
NCT00682890 ·Status: TERMINATED ·Phase: PHASE4
-
Combined Letrozole and Clomid in Women With Infertility and PCOS
NCT02802865 ·Status: COMPLETED ·Phase: PHASE4
-
Myo-Inositol- Based Co-treatment in Women With PCOS Undergoing Assisted Reproductive Technology
NCT03177122 ·Status: UNKNOWN ·Phase: PHASE4
-
A Clincial Study Testing Tirzepatide on Reproductive Function and Metabolic Health in Women With PCOS Who Are Overweight or Obese
NCT07326111 ·Status: RECRUITING ·Phase: PHASE4
-
Randomized Study of Decreased Hyperinsulinemia on the Ovulatory Response to Clomiphene Citrate in Women With Polycystic Ovary Syndrome
NCT00005104 ·Status: COMPLETED ·Phase: NA
-
Cortisol Regulation in Polycystic Ovary Syndrome (PCOS)
NCT00694759 ·Status: COMPLETED ·Phase: NA
-
Unilateral vs Bilateral Laparoscopic Ovarian Drilling In Clomiphene Citrate Resistant Cases of Polycystic Ovarian Syndrome
NCT06537102 ·Status: COMPLETED ·Phase: NA
-
Letrozole or Combined Metformin Clomiphene Citrate (CC) for Women With CC Resistant Polycystic Ovary Syndrome
NCT00911313 ·Status: COMPLETED ·Phase: NA
-
Randomized Study of the Effect of Decreased Hyperinsulinemia on the Ovulatory Response to Clomiphene Citrate in Obese Women With Polycystic Ovary Syndrome
NCT00005654 ·Status: COMPLETED ·Phase: NA
-
PCOSMIC Trial - PolyCystic Ovary Syndrome, Metformin for Infertility With Clomiphene
NCT00795808 ·Status: COMPLETED ·Phase: PHASE4
-
Endometrial Effects of Metformin Action in Women With Polycystic Ovarian Syndrome (PCOS)
NCT01070160 ·Status: COMPLETED
-
Clomiphene Citrate Plus uFSH Versus Aromatase Inhibitor Plus uFSH in Clomiphene Resistant Infertile PCOS Women
NCT01793038 ·Status: UNKNOWN ·Phase: NA
-
Trial With Metformin in Women With Polycystic Ovary Syndrome
NCT02280057 ·Status: COMPLETED ·Phase: PHASE4