Efficacy of Alpha Lipoic Acid Combined With Myo-Inositol in Non-Diabetic PCOS Patients (ALA-MYO-PCOS)
A Randomized Controlled Trial Evaluating the Efficacy of Alpha Lipoic Acid Combined With Myo-Inositol With or Without Metformin in Non-Diabetic Women With Polycystic Ovary Syndrome
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
This is a prospective randomized controlled parallel-group clinical trial evaluating the effects of alpha-lipoic acid combined with myo-inositol, with or without metformin, in women with polycystic ovary syndrome (PCOS).
A total of 180 patients will be randomized into three groups:
Myo-inositol with folic acid Myo-inositol + alpha-lipoic acid Myo-inositol + alpha-lipoic acid + metformin
The study duration is 6 months. Outcomes include menstrual regularity, ovulation rate, hormonal parameters, metabolic markers, and clinical signs of hyperandrogenism.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Ahmed A Abdelkader, Lecturer Assistant
- Telefonnummer: +201050095206
- E-mail: ahmed.abdelkader@hu.edu.eg
Undersøgelse Kontakt Backup
- Navn: Marwa Mohsen Mahmoud, Lecturer
- Telefonnummer: +201202203223
- E-mail: Marwa.Mohsen@pharm.bsu.edu.eg
Studiesteder
-
-
Cairo Governorate
-
Cairo, Cairo Governorate, Egypten
- Rekruttering
- Faculty of medicine, Cairo University
-
Kontakt:
- Hesham ElShaer, Professor
- Telefonnummer: +0201223130881
- E-mail: dr.heshamelshaer@hotmail.com
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Women aged 21 to 40 years
- Diagnosed with polycystic ovary syndrome (PCOS) according to Rotterdam criteria
- Not currently pregnant or lactating
- No hormonal therapy within the last 3 months
- Willing and able to provide informed consent
Exclusion Criteria:
- - History of diabetes mellitus, hypertension, or thyroid disorders
- History of cardiovascular, renal, or hepatic disease
- Use of hormonal contraceptives or insulin sensitizers within the last 3 months
- Known hypersensitivity or allergy to study medications (myo-inositol, alpha-lipoic acid, or metformin)
- Non-Egyptian ethnicity
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Myo-Inositol + Folic Acid
Participants receive myo-inositol 2 g twice daily combined with folic acid 200 µg twice daily for 6 months.
|
Myo-inositol administered orally at a dose of 2 g twice daily for 6 months.
Folic acid administered orally at a dose of 200 micrograms twice daily for 6 months.
|
|
Eksperimentel: Myo-Inositol + Folic Acid + Alpha-Lipoic Acid
Participants receive myo-inositol 2 g twice daily and folic acid 200 µg twice daily combined with alpha-lipoic acid 600 mg once daily for 6 months.
|
Myo-inositol administered orally at a dose of 2 g twice daily for 6 months.
Folic acid administered orally at a dose of 200 micrograms twice daily for 6 months.
Alpha-lipoic acid administered orally at a dose of 600 mg once daily for 6 months.
|
|
Eksperimentel: Myo-Inositol + Folic Acid + Alpha-Lipoic Acid + Metformin
Participants receive myo-inositol 2 g twice daily and folic acid 200 µg twice daily combined with alpha-lipoic acid 600 mg once daily and metformin titrated up to 1500 mg/day over 2 weeks for 6 months.
|
Myo-inositol administered orally at a dose of 2 g twice daily for 6 months.
Folic acid administered orally at a dose of 200 micrograms twice daily for 6 months.
Alpha-lipoic acid administered orally at a dose of 600 mg once daily for 6 months.
Metformin administered orally starting at 500 mg once daily and titrated over two weeks to a maximum dose of 1500 mg/day (500 mg three times daily), taken after meals for 6 months.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Ovulation Rate
Tidsramme: From baseline to 6 months
|
Ovulation confirmed by mid-luteal serum progesterone level greater than 3 ng/mL or ultrasound-confirmed follicular rupture.
|
From baseline to 6 months
|
|
Menstrual Cycle Regularity
Tidsramme: From baseline to 6 months
|
Proportion of participants achieving menstrual cycle regularity, defined as cycle length between 21 and 35 days for at least two consecutive cycles during the study period.
|
From baseline to 6 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Serum Prolactin Levels
Tidsramme: Baseline, 3 months, and 6 months
|
Change in serum prolactin levels measured in ng/mL using standard laboratory assays.
|
Baseline, 3 months, and 6 months
|
|
Body Mass Index (BMI)
Tidsramme: Baseline, 3 months, and 6 months
|
Change in body mass index calculated as weight in kilograms divided by height in meters squared (kg/m²).
|
Baseline, 3 months, and 6 months
|
|
Serum Triglycerides
Tidsramme: Baseline, 3 months, and 6 months
|
Change in fasting serum triglyceride levels measured in mg/dL.
|
Baseline, 3 months, and 6 months
|
|
Low-Density Lipoprotein (LDL) Cholesterol
Tidsramme: Baseline, 3 months, and 6 months
|
Change in serum LDL cholesterol levels measured in mg/dL.
|
Baseline, 3 months, and 6 months
|
|
High-Density Lipoprotein (HDL) Cholesterol
Tidsramme: Baseline, 3 months, and 6 months
|
Change in serum HDL cholesterol levels measured in mg/dL.
|
Baseline, 3 months, and 6 months
|
|
Fasting Blood Glucose
Tidsramme: Baseline, 3 months, and 6 months
|
Change in fasting blood glucose levels measured in mg/dL after an overnight fast.
|
Baseline, 3 months, and 6 months
|
|
Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)
Tidsramme: Baseline, 3 months, and 6 months
|
Change in insulin resistance calculated using the HOMA-IR index based on fasting glucose and insulin levels.
|
Baseline, 3 months, and 6 months
|
|
Testosterone
Tidsramme: Baseline, 3 months, and 6 months
|
Change in serum testosterone levels measured in ng/dL.
|
Baseline, 3 months, and 6 months
|
|
Serum Luteinizing Hormone (LH)
Tidsramme: Baseline, 3 months, and 6 months
|
Change in serum luteinizing hormone levels measured in mIU/mL using standard laboratory assays.
|
Baseline, 3 months, and 6 months
|
|
Serum Follicle-Stimulating Hormone (FSH)
Tidsramme: Baseline, 3 months, and 6 months
|
Change in serum follicle-stimulating hormone levels measured in mIU/mL using standard laboratory assays.
|
Baseline, 3 months, and 6 months
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Svovlforbindelser
- Organiske kemikalier
- Heterocykliske forbindelser
- Heterocykliske forbindelser, 2-ring
- Heterocykliske forbindelser, smeltet ring
- Fedtsyrer
- Lipider
- Kulhydrater
- Carboxylsyrer
- Enzymer og coenzymer
- Alkoholer
- Pterins
- Pteridiner
- Coenzymer
- Thiophener
- Sukkeralkoholer
- Thioctic syre
- Folinsyre
- Inositol
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- N-52-2026
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
IPD-delingsadgangskriterier
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
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