Therapeutic Effect of Vitamin C Supplementation in Patients With Ovarian Aging
Therapeutic Effect of Vitamin C Supplementation in Patients With Ovarian Aging:a Multicenter, Double-blind, Randomized Controlled Trial
The goal of this clinical trial is to learn if Vitamin C works to improve ovarian reserve in women with ovarian aging. It will also learn about the safety of Vitamin C. The main questions it aims to answer are:
- Does Vitamin C supplementation improve the ovarian reserve prediction score?
- What medical problems do participants have when taking Vitamin C supplementation?
Researchers will compare Vitamin C to a placebo (a look-alike substance that contains no drug) to see if drug Vitamin C works to improve ovarian reserve in women with ovarian aging. Participants will:
- Take Vitamin C or a placebo every day for 12 months
- Visit the clinic once every 4 weeks for follow-up and drug distribution.
- Return the Vitamin C box at each visit.
- Report any adverse effects of treatment to the doctor.
- Fill out a questionnaire at each visit.
- After 6 months and 12 months of intervention, take blood test and ultrasonic examination.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Tian Tian
- Phone Number: +8601082266355
- Email: tiantianpku@126.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Regularity of menstruation changed for less than one year.
- 10U/L≤ FSH<25 U/L in two tests more than 4weeks aprt.
- AMH < 1.1 ng/mL.
- Bilateral ovarian AFC <7.
- Signed informed consent and can participate in regular follow-ups.
Exclusion Criteria:
- Ovarian aging caused by TUNER (X deletion) syndrome or gene mutation.
- Ovarian aging caused by ovarian surgery or chemotherapy.
- Patients with severe endocrine system diseases (diabetes, thyroid disease), digestive system diseases (affecting VC absorption), cardiovascular system diseases, renal insufficiency (abnormal urine, imaging diagnosis, blood, pathological analysis confirms that kidney damage does exist, or glomerular filtration rate GFR <60mL/min), nervous system diseases such as dementia and epilepsy; patients with infectious diseases such as HIV, hepatitis, tuberculosis; patients with severe autoimmune diseases.
- Continuous alcohol or drug abuse (to avoid adverse reactions caused by drinking).
- Allergic to vitamin C or any component of the preparation.
- Patients who have already started large-dose (greater than 500mg/day) vitamin C supplementation.
- Unwilling to or stop taking supplements not provided by this project.
- Those who have participated in other ovarian aging clinical intervention projects.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
Participants will take tablets with the same texture, flavor, and appearance as the experimental group twice a day, 500mg per time.
|
Participants swallow tablets with the same texture, flavor, and appearance as the experimental group 500mg with water, twice a day.
|
|
Experimental: Synthetic vitamin C
Participants will take the synthetic vitamin C twice a day, 500mg per time.
|
Participants swallow synthetic vitamin C tablets 500mg with water, twice a day.
Participants swallow naturral vitamin C tablets 500mg with water, twice a day.
|
|
Experimental: Natural vitamin C
Participants will take the natural vitamin C twice a day, 500mg per time.
|
Participants swallow synthetic vitamin C tablets 500mg with water, twice a day.
Participants swallow naturral vitamin C tablets 500mg with water, twice a day.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
ovarian reserve prediction score
Time Frame: 1 year
|
The ovarian reserve prediction score was calculated using the Ovarian Reserve Prediction Tool, OvaRePred.
This tool evaluates the current ovarian reserve status and predicts the future age at which diminished ovarian reserve (DOR) and perimenopause may occur.
The score ranges from 0 to 100, with higher scores indicating better ovarian function.
|
1 year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
FSH level
Time Frame: 1 year
|
Follicle-stimulating hormone (FSH): Test the blood FSH level of women.
|
1 year
|
|
AMH level
Time Frame: 12 months
|
Anti-Müllerian Hormone (AMH) is a hormone produced by the granulosa cells of ovarian follicles.
It serves as a key indicator of a woman's ovarian reserve, which refers to the number of viable eggs remaining in the ovaries.
|
12 months
|
|
AFC
Time Frame: 12 months
|
Antral Follicle Count (AFC), is a measure used in reproductive medicine to assess a woman's ovarian reserve, that can be seen and counted via transvaginal ultrasound.
|
12 months
|
|
Clinical pregnancy rate
Time Frame: 12 months
|
A clinical pregnancy is a pregnancy that is confirmed by ultrasound.
|
12 months
|
|
Time to pregnancy
Time Frame: 12 months
|
Time to pregnancy (TTP) refers to the duration it takes for a couple to conceive, starting from the time they begin trying to achieve a pregnancy.
|
12 months
|
|
Livebirth rate
Time Frame: 12 months
|
A live birth refers to the delivery of a baby who shows any signs of life after being born, regardless of the pregnancy's duration.
|
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Genital Diseases, Female
- Ovarian Diseases
- Adnexal Diseases
- Gonadal Disorders
- Menopause, Premature
- Primary Ovarian Insufficiency
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Micronutrients
- Antioxidants
- Protective Agents
- Ascorbic Acid
- Vitamins
Other Study ID Numbers
Other Study ID Numbers
- M2024647
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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