NCT04175964

Brief Summary

For the fact of PCOS symptoms could be improved with weight loss and improving insulin resistance, the investigators will do this study to evaluate the role of the ketogenic diet in overweight and obese women with PCOS.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
240

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2022

Shorter than P25 for not_applicable

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

First Submitted

Initial submission to the registry

November 15, 2019

Completed
10 days until next milestone

First Posted

Study publicly available on registry

November 25, 2019

Completed
3 years until next milestone

Study Start

First participant enrolled

December 1, 2022

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2023

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2023

Completed
Last Updated

October 4, 2022

Status Verified

October 1, 2022

Enrollment Period

5 months

First QC Date

November 15, 2019

Last Update Submit

October 2, 2022

Conditions

Outcome Measures

Primary Outcomes (2)

  • Role of the ketogenic diet in restoring normal ovulation that will be assessed by serial transvaginal ultrasound.

    To evaluate the role of the ketogenic diet in overweight and obese women with PCOS regarding ovulation that will be assessed by serial transvaginal ultrasound.

    8 weeks

  • comparison between ketogenic diet, caloric diet and caloric diet with Metformin regarding ovulation that will be assessed by serial transvaginal ultrasound.

    comparison between ketogenic diet, caloric diet and caloric diet with Metformin regarding ovulation that will be assessed by serial transvaginal ultrasound.

    8 weeks

Secondary Outcomes (2)

  • Role of the ketogenic diet in the affection of testosterone level

    8 weeks

  • comparison between ketogenic diet, caloric diet and caloric diet with Metformin regarding testosterone level

    8 weeks

Study Arms (3)

Group 1

EXPERIMENTAL

PCO patients that will receive ketogenic diet only

Behavioral: ketogenic diet

Group 2

EXPERIMENTAL

PCO patients that will receive caloric diet with Metformin

Combination Product: caloric diet with Metformin

Group 3

EXPERIMENTAL

PCO patients that will receive caloric diet only

Behavioral: caloric diet

Interventions

ketogenic dietBEHAVIORAL

The ketogenic diet will be designed according to the BMI for each participant by a consultant nutritionist. All participants will be prescribed this diet for 8 weeks.

Group 1
caloric diet with MetforminCOMBINATION_PRODUCT

The caloric diet will be designed according to the BMI for each participant by a consultant nutritionist. All participants will be prescribed this diet with Metformin for 8 weeks.

Group 2
caloric dietBEHAVIORAL

The caloric diet will be designed according to the BMI for each participant by a consultant nutritionist. All participants will be prescribed this diet for 8 weeks.

Group 3

Eligibility Criteria

Age16 Years - 35 Years
Sexfemale
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Age range between 16-35 years.
  • BMI ≥ 27.
  • Normal Renal Function.
  • Rotterdam criteria for the diagnosis of polycystic ovary syndrome:
  • Oligo/anovulation
  • Hyperandrogenism
  • Polycystic ovaries on ultrasound.

You may not qualify if:

  • Age \<16 or \>35 years.
  • BMI \< 27.
  • Pregnancy.
  • Major medical disorders or other concurrent medical illnesses e.g. DM, other causes of androgen excess and hypercholesteremia
  • Current or previous use of hormonal, anti-diabetic or anti-obesity drugs, or other drugs that affect hormone levels, carbohydrate metabolism or appetite.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (3)

  • Mavropoulos JC, Yancy WS, Hepburn J, Westman EC. The effects of a low-carbohydrate, ketogenic diet on the polycystic ovary syndrome: a pilot study. Nutr Metab (Lond). 2005 Dec 16;2:35. doi: 10.1186/1743-7075-2-35.

    PMID: 16359551BACKGROUND
  • Palomba S, Giallauria F, Falbo A, Russo T, Oppedisano R, Tolino A, Colao A, Vigorito C, Zullo F, Orio F. Structured exercise training programme versus hypocaloric hyperproteic diet in obese polycystic ovary syndrome patients with anovulatory infertility: a 24-week pilot study. Hum Reprod. 2008 Mar;23(3):642-50. doi: 10.1093/humrep/dem391. Epub 2007 Dec 23.

    PMID: 18158291BACKGROUND
  • Moran LJ, Noakes M, Clifton PM, Tomlinson L, Galletly C, Norman RJ. Dietary composition in restoring reproductive and metabolic physiology in overweight women with polycystic ovary syndrome. J Clin Endocrinol Metab. 2003 Feb;88(2):812-9. doi: 10.1210/jc.2002-020815.

    PMID: 12574218BACKGROUND

MeSH Terms

Conditions

Polycystic Ovary Syndrome

Interventions

Diet, KetogenicMetforminCaloric Restriction

Condition Hierarchy (Ancestors)

Ovarian CystsCystsNeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesGonadal DisordersEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Diet, Carbohydrate-RestrictedDiet TherapyNutrition TherapyTherapeuticsDietNutritional Physiological PhenomenaDiet, Food, and NutritionPhysiological PhenomenaBiguanidesGuanidinesAmidinesOrganic ChemicalsEnergy Intake

Study Officials

  • Amr Abbassy, MD

    National Research Centre, Egypt

    STUDY DIRECTOR

Central Study Contacts

Mazen Abdel Rasheed, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Researcher, Principal Investigator

Study Record Dates

First Submitted

November 15, 2019

First Posted

November 25, 2019

Study Start

December 1, 2022

Primary Completion

April 30, 2023

Study Completion

June 30, 2023

Last Updated

October 4, 2022

Record last verified: 2022-10