Steroid and Behaviour Changes Under Metformin
NCT04930471 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 45
Last updated 2021-06-18
Summary
Background
Based on various suggestions, social behavior is mediated by a change in steroid hormones. These have diverse effects on the (neuro-)development during critical stages, whereby especially androgen and insulin metabolism seem to play a key role. Various lines of evidence indicate that metformin could influence and improve the symptoms of social withdrawal. Therefore, the investigators will analyze urinary samples of patients before and after treatment with metformin to elucidate the changes in steroid hormone profiles and measure changes in social behavior to examine a potential correlation.
Material \& Methods
Steroid hormone analysis including the most prominent androgen, estrogen, progesterone, aldosterone, corticosterone, cortisone and cortisol metabolites analyzed with gas chromatography mass spectrometry and a questionnaire (Autism-Spectrum Quotient) will be performed prior to and after 12-weeks metformin treatment.
Discussion
It is likely, that due to different pathophysiological mechanisms such as an effect on respiratory chain in mitochondria or via AMP activated protein kinase a general reduction of total androgens will be detected prior versus post metformin treatment. The encompassing measurement of steroid hormones will allow to detect influences on different metabolites and in consequence enzyme activities. The potential changes prior versus post shall give hints concerning the involvement of specific cascades involved, with potential pharmacological targets for future research.
Conditions
- Autistic Disorder
Interventions
- DRUG
-
Treatment with Metformin as prescribed by the treating physician.
Sponsors & Collaborators
-
Lindenhofstiftung
collaborator UNKNOWN -
Insel Gruppe AG, University Hospital Bern
lead OTHER
Principal Investigators
-
Markus G Mohaupt, Professor · Lindenhofgruppe Berne and Inselspital Berne, Department of Nephrology
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-06-30
- Primary Completion
- 2023-08-31
- Completion
- 2023-12-31
Countries
- Switzerland
Study Locations
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