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Vitamin D for the Treatment of Women With Polycystic Ovary Syndrome (PCOS)

2017年11月20日 更新者:Nazia Raja-Khan、Milton S. Hershey Medical Center

Vitamin D Supplementation in Polycystic Ovary Syndrome: a Randomized Controlled Trial.

The purpose of this study is to determine if vitamin D will improve insulin resistance, inflammation, and overall well-being in women with PCOS.

研究概览

详细说明

As many cells throughout the body possess the vitamin D receptor, adequate vitamin D levels may be essential for multiple physiologic functions. In recent years, vitamin D insufficiency has been linked to insulin resistance, inflammation, poor psychological health, obesity, type 2 diabetes, and cardiovascular disease - these are also commonly found in women with Polycystic Ovary syndrome (PCOS). We believe that vitamin D insufficiency contributes to insulin resistance, inflammation, and psychological distress in women with PCOS. These adverse effects may ultimately increase the risk for serious long-term complications in PCOS, including type 2 diabetes and cardiovascular disease. The key objectives of this research study are to determine the effects of vitamin D supplementation on insulin resistance, inflammation, mood and overall well-being in women with PCOS.

The protocol has been modified by adding the following specific aim: To compare vascular function in healthy age and BMI similar matched women to PCOS women pre-treatment. Our hypothesis is that PCOS women will have greater attenuations in retinal vascular reactivity compared to healthy control women, demonstrating poorer endothelial function. We are currently recruiting healthy women who are age and BMI similar to the PCOS women and measure their retinal vascular reactivity for comparisons to the PCOS women's pre-treatment vascular reactivity. These healthy women will only have a baseline visit in which retinal vascular reactivity will be measured. They will not be enrolled in the placebo or Vitamin D randomization process as described above.

研究类型

介入性

注册 (实际的)

36

阶段

  • 阶段2
  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Pennsylvania
      • Hershey、Pennsylvania、美国、17033
        • Penn State College of Medicine, Penn State Milton S Hershey Medical Center

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 45年 (成人)

接受健康志愿者

有资格学习的性别

女性

描述

Inclusion Criteria:

  • Diagnosis of PCOS based on:

    • Eight or fewer menstrual periods per year or spontaneous intermenstrual periods of greater than or equal to 45 days, and
    • Elevated testosterone levels

Exclusion Criteria:

  • Current Pregnancy or Nursing
  • Elevated calcium
  • Kidney Stones or kidney disease
  • Current use of vitamin D (other than a multivitamin)
  • Use of metformin or other insulin sensitizing drugs in the last 3 months
  • Elevated prolactin or untreated thyroid disease
  • Diabetes, Liver disease, Heart disease, or other serious medical condition

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:双倍的

武器和干预

参与者组/臂
干预/治疗
安慰剂比较:安慰剂
Placebo by mouth once daily for 12 weeks
实验性的:维生素D
Vitamin D 300 mcg by mouth once daily for 12 weeks

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Change From Baseline in Mean Quantitative Insulin Sensitivity Check Index (QUICKI)
大体时间:Baseline and 12 weeks
Quantitative insulin sensitivity check index (QUICKI) is a validated measure of insulin sensitivity based on fasting insulin and glucose. Quantitative insulin sensitivity check index (QUICKI) = 1/[log(I(0)) + log(G(0))]).
Baseline and 12 weeks

次要结果测量

结果测量
措施说明
大体时间
Change From Baseline in Mean High Sensitive C-reactive Protein (hsCRP)
大体时间:Baseline and 12 weeks
High sensitive C-reactive protein (hsCRP) was assessed as a measure of inflammation.
Baseline and 12 weeks
Change From Baseline in Mean Systolic Blood Pressure
大体时间:Baseline and 12 weeks
Blood pressure was measured in the right arm in the sitting position after a 15-minute rest.
Baseline and 12 weeks
Change From Baseline in Mean Diastolic Blood Pressure
大体时间:Baseline and 12 weeks
Blood pressure was measured in the right arm in the sitting position after a 15-minute rest.
Baseline and 12 weeks
Change From Baseline in Mean Fasting Glucose
大体时间:Baseline and 12 weeks
Glucose was assessed after 12 hours of fasting.
Baseline and 12 weeks
Change From Baseline in Mean Fasting Insulin
大体时间:Baseline and 12 weeks
Insulin was assessed after 12 hours of fasting.
Baseline and 12 weeks
Change From Baseline in Mean 2-hour Glucose
大体时间:Baseline and 12 weeks
Participants underwent a 75-gram oral glucose tolerance test, in which blood samples for glucose and insulin were obtained at 0 and 2 hours and used to calculate the insulin sensitivity index (ISI 0,120).
Baseline and 12 weeks
Change From Baseline in Mean 2-hour Insulin
大体时间:Baseline and 12 weeks
Participants underwent a 75-gram oral glucose tolerance test, in which blood samples for glucose and insulin were obtained at 0 and 2 hours and used to calculate the insulin sensitivity index (ISI 0,120).
Baseline and 12 weeks
Change From Baseline in Mean Insulin Sensitivity Index (ISI 0,120)
大体时间:Baseline and 12 weeks
Participants underwent a 75-g oral glucose tolerance test, in which blood samples for glucose and insulin were obtained at 0 and 120 minutes and used to calculate the insulin sensitivity index (ISI0,120). The ISI 0,120 = the glucose uptake rate divided by the mean plasma glucose divided by the log(mean serum insulin).
Baseline and 12 weeks
Change From Baseline in Mean Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)
大体时间:Baseline and 12 weeks
Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) is a validated measure of insulin resistance based on fasting insulin and glucose. HOMA-IR is calculated as the product of fasting glucose and insulin divided by 22.5.
Baseline and 12 weeks
Change From Baseline in Mean Total Cholesterol
大体时间:Baseline and 12 weeks
Lipid profile was assessed after 12 hours of fasting.
Baseline and 12 weeks
Change From Baseline in Mean HDL Cholesterol
大体时间:Baseline and 12 weeks
Lipid profile was assessed after 12 hours of fasting.
Baseline and 12 weeks
Change From Baseline in Mean LDL Cholesterol
大体时间:Baseline and 12 weeks
Lipid profile was assessed after 12 hours of fasting.
Baseline and 12 weeks
Change From Baseline in Mean Triglycerides
大体时间:Baseline and 12 weeks
Lipid profile was assessed after 12 hours of fasting.
Baseline and 12 weeks
Change From Baseline in Mean Total Testosterone
大体时间:Baseline and 12 weeks
Total and free testosterone levels were assessed from blood samples to evaluate effects on hyperandrogenemia in PCOS.
Baseline and 12 weeks
Change From Baseline in Mean Free Testosterone
大体时间:Baseline and 12 weeks
Total and free testosterone levels were assessed from blood samples to evaluate effects on hyperandrogenemia in PCOS.
Baseline and 12 weeks

其他结果措施

结果测量
措施说明
大体时间
Change From Baseline in Mean 25-hydroxyvitamin D
大体时间:Baseline and 12 weeks
Total 25-hydroxyvitamin D was assayed by the Immunodiagnostic Systems radioimmunoassay.
Baseline and 12 weeks
Change From Baseline in Mean Vitamin D Binding Protein
大体时间:Baseline and 12 weeks
Vitamin D binding protein levels were assessed as it has been linked with insulin resistance and type 2 diabetes.
Baseline and 12 weeks
Change From Baseline in Mean Intact Parathyroid Hormone (i-PTH)
大体时间:Baseline and 12 weeks
Intact parathyroid hormone levels were assessed as they have been linked with obesity and insulin resistance.
Baseline and 12 weeks

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Nazia Raja-Khan, M.D.、Penn State College of Medicine, Penn State Milton S. Hershey Medical Center

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2009年5月1日

初级完成 (实际的)

2014年2月1日

研究完成 (实际的)

2014年9月1日

研究注册日期

首次提交

2009年5月21日

首先提交符合 QC 标准的

2009年5月21日

首次发布 (估计)

2009年5月22日

研究记录更新

最后更新发布 (实际的)

2017年12月19日

上次提交的符合 QC 标准的更新

2017年11月20日

最后验证

2017年11月1日

更多信息

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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Vitamin D的临床试验

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