NCT02803476

Brief Summary

The primary aim of the current study is to clarify whether serum vitamin D levels \[25(OH)D3\] have a temporal association with insulin resistance and/or insulin sensitivity in PCOS women versus healthy ones. To achieve this aim, the investigators will conduct a prospective observational study involving obese and lean PCOS women in comparison to obese and lean healthy subjects living in Cairo, Egypt.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
166

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Mar 2016

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2016

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

June 10, 2016

Completed
7 days until next milestone

First Posted

Study publicly available on registry

June 17, 2016

Completed
14 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2016

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2016

Completed
Last Updated

June 17, 2016

Status Verified

June 1, 2016

Enrollment Period

4 months

First QC Date

June 10, 2016

Last Update Submit

June 16, 2016

Conditions

Keywords

PCOVitamin DInsulin resistance

Outcome Measures

Primary Outcomes (1)

  • Quantitative Insulin Sensitivity Check Index (QUICKI)

    A validated measure of Insulin sensitivity based on fasting Insulin (uIU/mL) and Glucose (mg/dL).

    After sample collection and analysis, through study completion, an average of 20 weeks.

Secondary Outcomes (3)

  • Fasting Plasma Insulin

    12 hours of fasting.

  • Fasting Plasma Glucose

    12 hours of fasting.

  • Homeostasis Model Assessment of Insulin Resistance (HOMA-IR)

    After sample collection and analysis, through study completion, an average of 20 weeks.

Study Arms (2)

Cases

Polycystic ovary syndrome (PCOS) female patients. 20-35 years of age.

Controls

Non-PCOs female subjects. 20-35 years of age.

Eligibility Criteria

Age20 Years - 35 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

In this study, a total of 166 consenting women with and without PCOS will be asked to participate and divided into two groups; 83 female patients will represent PCOS recruited from the outpatient clinics of Ain Shams university maternity hospital, along with 83 non-PCOS women who will represent controls recruited after fulfilling specific criteria.

You may qualify if:

  • PCOS will be diagnosed in accordance with Rotterdam criteria.
  • No relevant systemic diseases e.g. hypertension, DM.

You may not qualify if:

  • Androgen secreting tumor.
  • Cushing syndrome.
  • Congenital adrenal hyperplasia.
  • Hyperprolactinemia.
  • Virilism.
  • Pregnant or nursing.
  • Conditions known to affect Vitamin D deficiency like renal disease, liver disease, gastrointestinal problems and malnutrition.
  • Taking vitamin D or calcium supplements.
  • Untreated hypothyroidism or hyperthyroidism.
  • Non-PCOS female subjects criteria:
  • Regular menstrual cycles
  • Not suffering from any conditions known to affect Vitamin D deficiency like renal disease, liver disease, gastro-Intestinal problems and malnutrition.
  • Not taking vitamin D or calcium supplements.
  • No relevant systemic diseases e.g. hypertension, DM.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ain Shams University Maternity Hospital

Cairo, Abbasseya District., 11566, Egypt

RECRUITING

Related Publications (31)

  • Yildizhan R, Kurdoglu M, Adali E, Kolusari A, Yildizhan B, Sahin HG, Kamaci M. Serum 25-hydroxyvitamin D concentrations in obese and non-obese women with polycystic ovary syndrome. Arch Gynecol Obstet. 2009 Oct;280(4):559-63. doi: 10.1007/s00404-009-0958-7. Epub 2009 Feb 13.

    PMID: 19214546BACKGROUND
  • Boucher BJ, Mannan N, Noonan K, Hales CN, Evans SJ. Glucose intolerance and impairment of insulin secretion in relation to vitamin D deficiency in east London Asians. Diabetologia. 1995 Oct;38(10):1239-45. doi: 10.1007/BF00422375.

    PMID: 8690178BACKGROUND
  • Orwoll E, Riddle M, Prince M. Effects of vitamin D on insulin and glucagon secretion in non-insulin-dependent diabetes mellitus. Am J Clin Nutr. 1994 May;59(5):1083-7. doi: 10.1093/ajcn/59.5.1083.

    PMID: 8172095BACKGROUND
  • Thomson RL, Spedding S, Buckley JD. Vitamin D in the aetiology and management of polycystic ovary syndrome. Clin Endocrinol (Oxf). 2012 Sep;77(3):343-50. doi: 10.1111/j.1365-2265.2012.04434.x.

    PMID: 22574874BACKGROUND
  • Dunaif A. Insulin resistance and the polycystic ovary syndrome: mechanism and implications for pathogenesis. Endocr Rev. 1997 Dec;18(6):774-800. doi: 10.1210/edrv.18.6.0318.

    PMID: 9408743BACKGROUND
  • Selimoglu H, Duran C, Kiyici S, Ersoy C, Guclu M, Ozkaya G, Tuncel E, Erturk E, Imamoglu S. The effect of vitamin D replacement therapy on insulin resistance and androgen levels in women with polycystic ovary syndrome. J Endocrinol Invest. 2010 Apr;33(4):234-8. doi: 10.1007/BF03345785. Epub 2009 Oct 9.

    PMID: 19820295BACKGROUND
  • Ardabili HR, Gargari BP, Farzadi L. Vitamin D supplementation has no effect on insulin resistance assessment in women with polycystic ovary syndrome and vitamin D deficiency. Nutr Res. 2012 Mar;32(3):195-201. doi: 10.1016/j.nutres.2012.02.001.

    PMID: 22464806BACKGROUND
  • Lobo RA, Carmina E. The importance of diagnosing the polycystic ovary syndrome. Ann Intern Med. 2000 Jun 20;132(12):989-93. doi: 10.7326/0003-4819-132-12-200006200-00010.

    PMID: 10858183BACKGROUND
  • Carmina E. Genetic and environmental aspect of polycystic ovary syndrome. J Endocrinol Invest. 2003 Nov;26(11):1151-9. doi: 10.1007/BF03345266.

    PMID: 15008257BACKGROUND
  • Rosenfield RL. Clinical review: Identifying children at risk for polycystic ovary syndrome. J Clin Endocrinol Metab. 2007 Mar;92(3):787-96. doi: 10.1210/jc.2006-2012. Epub 2006 Dec 19.

    PMID: 17179197BACKGROUND
  • Azziz R, Woods KS, Reyna R, Key TJ, Knochenhauer ES, Yildiz BO. The prevalence and features of the polycystic ovary syndrome in an unselected population. J Clin Endocrinol Metab. 2004 Jun;89(6):2745-9. doi: 10.1210/jc.2003-032046.

  • Gluckman PD, Hanson MA, Cooper C, Thornburg KL. Effect of in utero and early-life conditions on adult health and disease. N Engl J Med. 2008 Jul 3;359(1):61-73. doi: 10.1056/NEJMra0708473. No abstract available.

  • Barber TM, Dimitriadis GK, Andreou A, Franks S. Polycystic ovary syndrome: insight into pathogenesis and a common association with insulin resistance. Clin Med (Lond). 2016 Jun;16(3):262-6. doi: 10.7861/clinmedicine.16-3-262.

  • Franks S, Stark J, Hardy K. Follicle dynamics and anovulation in polycystic ovary syndrome. Hum Reprod Update. 2008 Jul-Aug;14(4):367-78. doi: 10.1093/humupd/dmn015. Epub 2008 May 22.

  • Rotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod. 2004 Jan;19(1):41-7. doi: 10.1093/humrep/deh098.

  • Wehr E, Pilz S, Schweighofer N, Giuliani A, Kopera D, Pieber TR, Obermayer-Pietsch B. Association of hypovitaminosis D with metabolic disturbances in polycystic ovary syndrome. Eur J Endocrinol. 2009 Oct;161(4):575-82. doi: 10.1530/EJE-09-0432. Epub 2009 Jul 23.

  • Hahn S, Haselhorst U, Tan S, Quadbeck B, Schmidt M, Roesler S, Kimmig R, Mann K, Janssen OE. Low serum 25-hydroxyvitamin D concentrations are associated with insulin resistance and obesity in women with polycystic ovary syndrome. Exp Clin Endocrinol Diabetes. 2006 Nov;114(10):577-83. doi: 10.1055/s-2006-948308.

  • Ramagopalan SV, Heger A, Berlanga AJ, Maugeri NJ, Lincoln MR, Burrell A, Handunnetthi L, Handel AE, Disanto G, Orton SM, Watson CT, Morahan JM, Giovannoni G, Ponting CP, Ebers GC, Knight JC. A ChIP-seq defined genome-wide map of vitamin D receptor binding: associations with disease and evolution. Genome Res. 2010 Oct;20(10):1352-60. doi: 10.1101/gr.107920.110. Epub 2010 Aug 24.

  • Kumar S, Davies M, Zakaria Y, Mawer EB, Gordon C, Olukoga AO, Boulton AJ. Improvement in glucose tolerance and beta-cell function in a patient with vitamin D deficiency during treatment with vitamin D. Postgrad Med J. 1994 Jun;70(824):440-3. doi: 10.1136/pgmj.70.824.440.

  • He C, Lin Z, Robb SW, Ezeamama AE. Serum Vitamin D Levels and Polycystic Ovary syndrome: A Systematic Review and Meta-Analysis. Nutrients. 2015 Jun 8;7(6):4555-77. doi: 10.3390/nu7064555.

  • Lin MW, Wu MH. The role of vitamin D in polycystic ovary syndrome. Indian J Med Res. 2015 Sep;142(3):238-40. doi: 10.4103/0971-5916.166527. No abstract available.

  • Pal L, Berry A, Coraluzzi L, Kustan E, Danton C, Shaw J, Taylor H. Therapeutic implications of vitamin D and calcium in overweight women with polycystic ovary syndrome. Gynecol Endocrinol. 2012 Dec;28(12):965-8. doi: 10.3109/09513590.2012.696753. Epub 2012 Jul 11.

  • Nestler JE, Reilly ER, Cheang KI, Bachmann LM, Downs RW Jr. A pilot study: effects of decreasing serum insulin with diazoxide on vitamin D levels in obese women with polycystic ovary syndrome. Trans Am Clin Climatol Assoc. 2012;123:209-19; discussion 219-20.

  • Raja-Khan N, Shah J, Stetter CM, Lott ME, Kunselman AR, Dodson WC, Legro RS. High-dose vitamin D supplementation and measures of insulin sensitivity in polycystic ovary syndrome: a randomized, controlled pilot trial. Fertil Steril. 2014 Jun;101(6):1740-6. doi: 10.1016/j.fertnstert.2014.02.021. Epub 2014 Mar 14.

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  • Hollis BW. Assessment and interpretation of circulating 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D in the clinical environment. Endocrinol Metab Clin North Am. 2010 Jun;39(2):271-86, table of contents. doi: 10.1016/j.ecl.2010.02.012.

  • Johnstone EB, Rosen MP, Neril R, Trevithick D, Sternfeld B, Murphy R, Addauan-Andersen C, McConnell D, Pera RR, Cedars MI. The polycystic ovary post-rotterdam: a common, age-dependent finding in ovulatory women without metabolic significance. J Clin Endocrinol Metab. 2010 Nov;95(11):4965-72. doi: 10.1210/jc.2010-0202. Epub 2010 Aug 18.

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Biospecimen

Retention: SAMPLES WITHOUT DNA

Overnight fasting venous blood samples will be withdrawn between the 2nd and 3rd day of menstruation, and withdrawal bleeding following progesterone therapy for 5 days in amenorheic women, centrifuged and frozen to -80 C until analyzed for the assessment of vitamin D levels, Androgen levels, plasma Glucose and plasma Insulin, FSH and LH analogues.

MeSH Terms

Conditions

Polycystic Ovary SyndromeInsulin ResistanceVitamin D Deficiency

Condition Hierarchy (Ancestors)

Ovarian CystsCystsNeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesGonadal DisordersEndocrine System DiseasesHyperinsulinismGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesAvitaminosisDeficiency DiseasesMalnutritionNutrition Disorders

Study Officials

  • Hisham M Fathi, Phd, MD

    Professor of Obstetrics & Gynecology. Faculty of Medicine - Ain Shams University.

    STUDY CHAIR
  • Sherif A Ashoush, Phd, MD

    Professor of Obstetrics & Gynecology. Faculty of Medicine - Ain Shams University.

    STUDY DIRECTOR
  • Sara S Youssef, MD

    MD, Obstetrics and Gynecology. Faculty of Medicine - Ain Shams University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Sara S Youssef, MD

CONTACT

Sherif A Ashoush, Phd, MD

CONTACT

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD

Study Record Dates

First Submitted

June 10, 2016

First Posted

June 17, 2016

Study Start

March 1, 2016

Primary Completion

July 1, 2016

Study Completion

August 1, 2016

Last Updated

June 17, 2016

Record last verified: 2016-06

Data Sharing

IPD Sharing
Will share

Locations