Pharmacogenetics of Metformin Action in PCOS
2 other identifiers
interventional
55
1 country
2
Brief Summary
- 1.The polycystic ovary syndrome is the major cause of infertility in the United States. Metformin has been shown to increase frequency of ovulations in PCOS, and is used in clinical practice to treat infertility, but some women with PCOS do not respond to metformin treatment.
- 2.Knowing that a specific gene predicts the effect of metformin on ovulation would facilitate more efficient and effective treatment of infertility in PCOS.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jul 2008
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 20, 2008
CompletedFirst Posted
Study publicly available on registry
June 23, 2008
CompletedStudy Start
First participant enrolled
July 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2014
CompletedResults Posted
Study results publicly available
April 25, 2017
CompletedJune 14, 2017
June 1, 2017
5.2 years
June 20, 2008
January 5, 2017
June 9, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Number of Responders/Non-responders for Each STK11 rs8111699 Genotype (C/G, C/C, G/G)
Responders were defined as those that had a doubling of baseline ovulation rate estimated by self-report of menstrual history.
9 months
Ovulation Rate Over Study Duration for STK11 Genotypes CC, CG and GG
Ovulations were determined by measurement of daily urine pregnanediol-3-glucuronide or weekly progesterone levels over 6-9 months of study duration for each participant. The ovulation rate was calculated as the number of confirmed ovulation events per months of study participation.
9 months
Secondary Outcomes (1)
Determine in Which Genotype(s) Frequency of Ovulation Correlates With Improvement in Reduction in Total Testosterone and Insulin Sensitivity as Measured by the Matsuda Index.
9 months
Study Arms (1)
Metformin
EXPERIMENTALMetformin tablet, 500 mg/tablet, 2 tablets every twelve hours, 9 months duration
Interventions
Metformin 500 mg tablets; two tablets every 12 hours for 9 months
Eligibility Criteria
You may qualify if:
- Premenopausal women between 18-45 years of age and BMI less than 42
You may not qualify if:
- Diabetes mellitus by fasting glucose or OGTT, or clinically significant pulmonary, cardiac,renal,hepatic,neurologic,psychiatric,infectious,neoplastic and malignant disease (other than non-melanoma skin cancer) -Current use of oral contraceptives; use of fertility drugs within 6 months of study -Current or recent use (within 3 months prior to study entry) of metformin -Documented or suspected recent (within one year)history of drug abuse or alcoholism -Ingestion of any investigational drug within two months prior to study onset.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
University Of Virginia General Clinical Research Center
Charlottesville, Virginia, 22908, United States
Virginia Commonwealth University
Richmond, Virginia, 23298, United States
Related Publications (1)
Cheang KI, Bhavi Modi, Maria Shulleeta, William S. Evans, Lubna Pal, Jerome F. Strauss and John E. Nestler: Genetic Polymorphisms and Ovulatory Responsiveness to Metformin in Women with Polycystic Ovary Syndrome. Endo Reviews 36 (2): Supplement THR-109, Apr. 2015.
RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
Interpretations of our findings are limited by our small sample size.
Results Point of Contact
- Title
- Dr. Kai Cheang
- Organization
- Virginia Commonwealth University
Study Officials
- PRINCIPAL INVESTIGATOR
John E. Nestler, M.D.
Virginia Commonwealth University
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 20, 2008
First Posted
June 23, 2008
Study Start
July 1, 2008
Primary Completion
September 1, 2013
Study Completion
March 1, 2014
Last Updated
June 14, 2017
Results First Posted
April 25, 2017
Record last verified: 2017-06