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CompletedNCT02086526Updated Mar 19, 2018

Targeting Pathways in Polycystic Ovary Syndrome (PCOS) Using Metformin (MET)

A Phase 1 interventional study of Metformin in Polycystic Ovary Syndrome, sponsored by Mayo Clinic. Completed at 1 site in United States. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2018-03-19.

Sponsored by Mayo Clinic · Phase 1, Interventional, and Basic science

From the registry’s dates

  • Primary completion was Nov 2016, 9 years 10 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
68
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
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Study summary

The investigator's global hypothesis is that women with Polycystic Ovary Syndrome (PCOS) can be separated into subtypes based on their response to metformin. The investigators propose here to use both targeted and non-targeted metabolomic approach to identify pathways associated with metformin's effect on insulin sensitivity and endothelial function. This pilot project will be the foundation for developing tailored therapeutic approaches to Polycystic Ovary Syndrome and identifying novel drug targets.

Read the detailed description

The investigators propose to use both targeted and non-targeted metabolomic approaches to identify pathways associated with metformin's effect on insulin sensitivity, weight, androgens and endothelial function. This project will be the foundation for developing tailored therapeutic approaches to Polycystic Ovary Syndrome and identifying novel drug targets. This pilot project is intended to inform the development of hypothesis and specific aims for a future grant application to National Institutes of Health (NIH).

02

Conditions studied

  • Polycystic Ovary Syndrome
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In context

Polycystic Ovary Syndrome

944 studies on the registry are indexed under Polycystic Ovary Syndrome; 174 are open to participants now.

This study's enrollment of 68 is close to the median of 70 across 685 interventional studies indexed under Polycystic Ovary Syndrome.

Browse Polycystic Ovary Syndrome studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,218 studies on the registry; 670 are open to participants now.

Of its 445 completed or terminated interventional studies of FDA-regulated products, 313 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Body mass index (BMI) greater than or equal to 25
  • Polycystic Ovary Syndrome criteria of both oligomenorrhea (\<9 menses per year) and androgen excess [clinical hirsutism (Ferriman-Gallway score >8 or severe acne) or elevated testosterone].
  • Taking no medications for the treatment of insulin resistance.

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of Cushing's syndrome
  • Untreated hypo/hyperthyroidism
  • Elevated prolactin
  • Congenital adrenal hyperplasia
  • Renal insufficiency (creatinine > 1.5)
  • Diabetes
  • Medications that can significantly affect endothelial function
  • Pregnancy
  • Breast Feeding
  • Taking oral contraceptives
  • Currently smoking
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Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
68 participants (actual)

Study arms

  • Experimental
    Metformin

    Metformin 500 mg. extended release (taken orally) one tablet with evening meal for one week, one tablet with morning and evening meal for one week, and one tablet at all three meals for the next three months.

    Drug: Metformin

  • Other
    Delayed Start Metformin

    After baseline study visit, this arm will return after three months without metformin for a repeat of the baseline study visit prior to initiating metformin 500 mg. extended release (taken orally) one tablet with evening meal for one week, one tablet with morning and evening meal for one week, and one tablet at all three meals for the next three months.

    Drug: Metformin

Interventions

  • DrugMetformin

    Approximately 37 patients will start metformin therapy 3 months after their visit 2. All other patients will receive metformin therapy at their visit 2.

    Also known as: Glucophage, Glucophage XR, Glumetza, Fortamet, Riomet

06

What researchers measure

Primary outcomes

  1. Change in Insulin Sensitivity (SI) after 3 Months of Metformin Therapy

    Insulin sensitivity will be calculated using an oral glucose minimal model. Insulin under the curve will be calculated geometrically with the trapezoidal rule.

    Time frame: Baseline, 3 months

Secondary outcomes

  1. Change in Peripheral Flow-Mediated Vasodilatation after 3 Months of Metformin Therapy

    The ratio of Peripheral Digital Arterial Tonometry (PAT) signal after cuff release compared with baseline is calculated through a computer algorithm normalizing for baseline measurements and indexing to measurements in the contra-lateral arm. The calculated ratio reflects the reactive hyperemia index (RHI).

    Time frame: baseline, 3 months

Other outcomes

  1. Change in Weight

    Time frame: baseline, 3 months

  2. Change in Testosterone

    Time frame: baseline, 3 months

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Study locations

1 site
  • Mayo Clinic in Rochester
    Rochester, Minnesota 55905, United States
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References and documents

Publications

  • Heidari B, Lerman A, Lalia AZ, Lerman LO, Chang AY. Effect of Metformin on Microvascular Endothelial Function in Polycystic Ovary Syndrome. Mayo Clin Proc. 2019 Dec;94(12):2455-2466. doi: 10.1016/j.mayocp.2019.06.015. PubMed 31806099 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 19, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02086526
Lead sponsor
Mayo Clinic
Collaborators
Abbott Medical Devices
Responsible party
Alice Y Chang (MD, Mayo Clinic) — Principal investigator
First posted
Mar 13, 2014
Start date
Mar 2014
Primary completion
Nov 20, 2016
Completion
Nov 20, 2016
Last update
Mar 19, 2018

Study contacts

Alice Chang, MD
principal investigator · Mayo Clinic

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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