- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT07630779
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
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Beräknad)
Fas
- Fas 3
Kontakter och platser
Studiekontakt
- Namn: Ahmed A Abdelkader, Lecturer Assistant
- Telefonnummer: +201050095206
- E-post: ahmed.abdelkader@hu.edu.eg
Studera Kontakt Backup
- Namn: Marwa Mohsen Mahmoud, Lecturer
- Telefonnummer: +201202203223
- E-post: Marwa.Mohsen@pharm.bsu.edu.eg
Studieorter
-
-
Cairo Governorate
-
Cairo, Cairo Governorate, Egypten
- Rekrytering
- Faculty of medicine, Cairo University
-
Kontakt:
- Hesham ElShaer, Professor
- Telefonnummer: +0201223130881
- E-post: dr.heshamelshaer@hotmail.com
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Vuxen
Tar emot friska volontärer
Beskrivning
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
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: 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.
|
|
Experimentell: 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.
|
|
Experimentell: 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.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Ovulation Rate
Tidsram: 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
Tidsram: 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
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Serum Prolactin Levels
Tidsram: 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)
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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
Tidsram: 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)
Tidsram: 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)
Tidsram: 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
|
Samarbetspartners och utredare
Sponsor
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- N-52-2026
Plan för individuella deltagardata (IPD)
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Kriterier för IPD Sharing Access
IPD-delning som stöder informationstyp
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