NCT03383484

Brief Summary

The overall goals of this project are to assess the efficacy of non-pharmacological, complementary therapies to improve outcomes in the treatment of women with polycystic ovary syndrome (PCOS). The studies proposed herein are designed to assess the efficacy of osteopathic manipulative medicine (OMM) in the assessment of sympathetic tone in these women, and the effectiveness of non-pharmacologic therapeutic interventions in improving participant metabolic, endocrine, reproductive, and psychological health.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
45

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Oct 2016

Status
completed

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

October 1, 2016

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2017

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2017

Completed
11 days until next milestone

First Submitted

Initial submission to the registry

December 12, 2017

Completed
14 days until next milestone

First Posted

Study publicly available on registry

December 26, 2017

Completed
Last Updated

December 26, 2017

Status Verified

December 1, 2017

Enrollment Period

11 months

First QC Date

December 12, 2017

Last Update Submit

December 19, 2017

Conditions

Keywords

polycystic ovary syndromehyperandrogenismnonpharmacologicalyogaosteopathic manipulative medicine

Outcome Measures

Primary Outcomes (1)

  • Change in androgens

    Change in serum androgen levels with intervention

    After 3 month intervention (immediately after 3 month intervention) compared with pre intervention (initial = 0 months)

Secondary Outcomes (11)

  • Change in menstrual cycle length

    After 3 month intervention (immediately after 3 month intervention) compared with pre intervention (initial = 0 months)

  • Change in acne

    After 3 month intervention (immediately after 3 month intervention) compared with pre intervention (initial = 0 months)

  • Change in BMI

    After 3 month intervention (immediately after 3 month intervention) compared with pre intervention (initial = 0 months)

  • Change in waist:hip ratio

    After 3 month intervention (immediately after 3 month intervention) compared with pre intervention (initial = 0 months)

  • Change in fasting blood glucose

    After 3 month intervention (immediately after 3 month intervention) compared with pre intervention (initial = 0 months)

  • +6 more secondary outcomes

Study Arms (3)

No intervention

NO INTERVENTION

No OMT, yoga, acupuncture, or other interventions.

OMT intervention

EXPERIMENTAL

Weekly OMT for 3 months

Other: OMT

Yoga intervention

EXPERIMENTAL

Yoga 3 times per week for 3 months

Other: Yoga

Interventions

OMTOTHER

Weekly manipulation of Chapman points and rib raising techniques (osteopathic manipulative treatment)

OMT intervention
YogaOTHER

Yoga practice 3 times per week for 1 hour each time; hatha yoga poses, asanas, and breathing techniques

Yoga intervention

Eligibility Criteria

Age20 Years - 44 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Females between the ages of 20-44, with a body mass index (BMI) of 20-48, who had a confirmed diagnosis of PCOS from their provider, and exhibited the 2003 Rotterdam criteria for PCOS diagnosis, defined as at least two out of the following three features: clinical or biochemical hyperandrogenism (moderate acne or a modified Ferriman-Gallwey score \> 6 or free testosterone \> 5 pg/mL), polycystic ovaries (\> 12 cysts on one ovary by ultrasound or ovarian volume \> 10 mL for one ovary), and menstrual irregularity (defined as \< 8 menstrual periods per year or cycles averaging \> 35 days in length).

You may not qualify if:

  • Females who were smokers, had used hormone-based medications within the last 3 months (hormonal contraception, ovulation inducers, anti-androgens) or who were on insulin-sensitizing agents, had another endocrine disorder diagnosis, were pregnant or breastfed within the last 6 months, were diagnosed with a major psychiatric disorder or were on anti-psychotic medication, or who were currently practicing yoga or receiving osteopathic manipulative treatment or acupuncture on a regular basis.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (3)

  • Davis SE, Hendryx J, Menezes C, Bouwer S, Menezes H, Patel V, Bostick Smith CA, Speelman DL. Weekly Osteopathic Manipulative Treatment to Improve Measures of Sympathetic Tone in Women With Polycystic Ovary Syndrome: A Randomized, Controlled Pilot Study. J Am Osteopath Assoc. 2020 May 1;120(5):310-321. doi: 10.7556/jaoa.2020.051.

  • Patel V, Menezes H, Menezes C, Bouwer S, Bostick-Smith CA, Speelman DL. Regular Mindful Yoga Practice as a Method to Improve Androgen Levels in Women With Polycystic Ovary Syndrome: A Randomized, Controlled Trial. J Am Osteopath Assoc. 2020 Apr 14. doi: 10.7556/jaoa.2020.050. Online ahead of print.

  • Davis SE, Hendryx J, Bouwer S, Menezes C, Menezes H, Patel V, Speelman DL. Correlation Between Physiologic and Osteopathic Measures of Sympathetic Activity in Women With Polycystic Ovary Syndrome. J Am Osteopath Assoc. 2019 Jan 1;119(1):7-17. doi: 10.7556/jaoa.2019.004.

MeSH Terms

Conditions

Polycystic Ovary SyndromeHyperandrogenism

Interventions

Yoga

Condition Hierarchy (Ancestors)

Ovarian CystsCystsNeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesGonadal DisordersEndocrine System Diseases46, XX Disorders of Sex DevelopmentDisorders of Sex DevelopmentUrogenital AbnormalitiesAdrenogenital SyndromeMale Urogenital DiseasesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

Mind-Body TherapiesComplementary TherapiesTherapeuticsSpiritual TherapiesExercise Movement TechniquesPhysical Therapy Modalities

Study Officials

  • Diana Speelman, Ph.D.

    Lake Erie College of Osteopathic Medicine

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

December 12, 2017

First Posted

December 26, 2017

Study Start

October 1, 2016

Primary Completion

September 1, 2017

Study Completion

December 1, 2017

Last Updated

December 26, 2017

Record last verified: 2017-12

Data Sharing

IPD Sharing
Will not share