ClinicalTrials.gg
TerminatedNCT03380091MINDDUpdated Feb 9, 2021Results posted

Metformin, Vitamin D, and Depression in Polycystic Ovary Syndrome (PCOS) Trial

A Phase 4 interventional study of Metformin and Vitamin D in PCOS, Depression and Vitamin D Deficiency, sponsored by University of California, San Francisco. Terminated at 1 site in United States. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-02-09.

Sponsored by University of California, San Francisco · Phase 4, Interventional, and Treatment

Why this study was terminated
Recruitment challenges
Phase
Phase 4
Study type
Interventional
Enrollment
5
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies testing metformin in Depression — 3 open to participants now, 3 under way, none of them phase 3. Metformin · Depression.

Enrollment
9th of 10
5 · median 71
Started
2017
the only one that year
Phase 4
6 of 10
2 open now
Registered
5th of 10
by date
Lead sponsor
1 of 10
University of California, San Francisco

Among the 10 studies testing metformin in Depression, this one is the 9th largest by enrollment, is the only one that started in 2017, is one of 6 in phase 4, and was the 5th registered.

Depression

8,577 studies on the registry are indexed under Depression; 1,720 are open to participants now.

Browse Depression studies →

Open to participants now

3 of the 10 studies testing metformin in Depression are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

About metformin

Metformin: first FDA approval 1995 (GLUCOPHAGE), first EMA approval 2003. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 1,088 Depression studies recruiting now, 469 (43%) set no upper age limit and 519 (48%) stop at 75 or younger; 203 take children under 18; 310 take healthy volunteers.

This study: 18 Years to 45 Years · female · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 10 studies testing metformin in Depression, or all of them as a file.
02

Study summary

Open-label randomized clinical trial assessing the efficacy of Metformin versus Vitamin D in improving symptoms of depressed mood in polycystic ovary syndrome.

Read the detailed description

This is a single center, open-label, randomized, pilot clinical trial. Women with polycystic ovary syndrome and depressed mood, who are insulin resistant and vitamin D insufficient are eligible. Subjects are randomly assigned to one of two interventions: Vitamin D versus metformin. Subjects are followed with questionnaires and a final wrap-up clinic visit with a physician. The study duration is 12 weeks.

03

Conditions studied

  • PCOS
  • Depression
  • Vitamin D Deficiency
  • Insulin Resistance

Keywords

  • PCOS
  • Depression
  • Vitamin D
  • Insulin Resistance
  • Anxiety
  • Quality of life
  • Mood disorders
04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Polycystic Ovary Syndrome diagnosis (Rotterdam Criteria)
  • Vitamin D insufficiency (serum Vitamin D \<30 ng/mL)
  • Insulin resistance
  • Mild or greater severity of depression by Beck Depression Inventory-II

Exclusion criteria

Exclusion Criteria:

  • Current metformin use
  • Vitamin D supplementation of > 50,000 IU following confirmation of Vitamin D insufficiency
  • Insulin-dependent diabetes mellitus
  • Pregnancy or breastfeeding
  • Untreated hypothyroidism
  • Current active substance abuse
  • Other major medical comorbidity: renal or hepatic dysfunction, severe pulmonary
  • Presence of a condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Metformin

    Metformin 1000 mg PO bid

    Drug: Metformin

  • Experimental
    Vitamin D (Cholecalciferol)

    Cholecalciferol 5,000 IU PO daily

    Drug: Vitamin D

Interventions

  • Oral medication daily

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

  • Oral medication daily

    Also known as: Cholecalciferol

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Depression Score on the Beck Depression Inventory (BDI-II) at 12 Weeks

    BDI-II is a validated self-reported instrument of 21 questions which are each scored 0-3. Total scores range from 0-63, with higher score totals indicating more severe depression symptoms. {0-9: indicates minimal depression; 0-18: indicates mild depression; 19-29: indicates moderate depression; 30-63: indicates severe depression}. Change = Week 12 total score - Baseline week score

    Time frame: Baseline & 12 weeks

Secondary outcomes

  1. Changes From Baseline Week in Insulin Resistance Score at Week 12.

    Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) will be used to calculate Insulin Resistance based on fasting glucose (mg/dL) and fasting insulin (μIU/mL) blood serum assays tested at Quest Diagnostics. HOMA-IR = Fasting Insulin (uIU/mL) x Fasting Glucose (mg/dL). Healthy range is between 0.5-1.4. Values below 1.0 indicate insulin sensitivity and are optimal. Values greater than 1.9 indicate clinically significant insulin resistance.

    Time frame: Baseline week & week 12

  2. Change From Baseline in State-Trait Anxiety Inventory Score (STAI-S) at 12 Weeks

    STAI-S is a validated self-reported instrument of 20 questions. Range of scores for the State Anxiety (STAI-S) subtest is 20-80, the higher score indicating greater anxiety. A threshold point score of 39-40 has been suggested by recent literature to detect clinically significant symptoms. Change = Week 12 total score - Baseline week score

    Time frame: Baseline week & Week 12

  3. Changes From Baseline Week in Vitamin D 25-hydroxy Levels at Week 12.

    Vitamin D, 25-hydroxy blood serum assays will be tested at Quest Diagnostics. Changes in values from baseline week to week 12 will be calculated. Reference ranges: optimal 30-100 ng/mL Insufficient 20-29 ng/mL deficient \<20ng/mL

    Time frame: Baseline week & week 12

07

Results

Posted Feb 9, 2021
Limitations and caveats
Feasibility of recruitment and participant completion determined to be too low to continue the study and the trial was terminated early, resulting in only 2 of the 5 enrolled participants completing the trial. This lead to only two subjects will full data and one subject with partial data being analyzed.

Participant flow

Participant flow — Overall Study
MilestoneVitamin D (Cholecalciferol)Metformin
Started32
Began arm treatment11
Completed11
Not completed21
Withdrew: Withdrawal by subject21

Outcome measures

PrimaryChange From Baseline in Depression Score on the Beck Depression Inventory (BDI-II) at 12 Weeks

BDI-II is a validated self-reported instrument of 21 questions which are each scored 0-3. Total scores range from 0-63, with higher score totals indicating more severe depression symptoms. {0-9: indicates minimal depression; 0-18: indicates mild depression; 19-29: indicates moderate depression; 30-63: indicates severe depression}. Change = Week 12 total score - Baseline week score

Time frame:
Baseline & 12 weeks
Reported as:
Mean · score on a scale
Change From Baseline in Depression Score on the Beck Depression Inventory (BDI-II) at 12 Weeks
score on a scaleVitamin D (Cholecalciferol)Metformin
Change From Baseline in Depression Score on the Beck Depression Inventory (BDI-II) at 12 Weeks-8 ± 07 ± 0
SecondaryChanges From Baseline Week in Insulin Resistance Score at Week 12.

Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) will be used to calculate Insulin Resistance based on fasting glucose (mg/dL) and fasting insulin (μIU/mL) blood serum assays tested at Quest Diagnostics. HOMA-IR = Fasting Insulin (uIU/mL) x Fasting Glucose (mg/dL). Healthy range is between 0.5-1.4. Values below 1.0 indicate insulin sensitivity and are optimal. Values greater than 1.9 indicate clinically significant insulin resistance.

Time frame:
Baseline week & week 12
Reported as:
Mean · units on a scale
Changes From Baseline Week in Insulin Resistance Score at Week 12.
units on a scaleVitamin D (Cholecalciferol)Metformin
Changes From Baseline Week in Insulin Resistance Score at Week 12.0.81 ± 0-1.2 ± 0
SecondaryChange From Baseline in State-Trait Anxiety Inventory Score (STAI-S) at 12 Weeks

STAI-S is a validated self-reported instrument of 20 questions. Range of scores for the State Anxiety (STAI-S) subtest is 20-80, the higher score indicating greater anxiety. A threshold point score of 39-40 has been suggested by recent literature to detect clinically significant symptoms. Change = Week 12 total score - Baseline week score

Time frame:
Baseline week & Week 12
Reported as:
Mean · score on a scale
Change From Baseline in State-Trait Anxiety Inventory Score (STAI-S) at 12 Weeks
score on a scaleMetforminVitamin D (Cholecalciferol)
Change From Baseline in State-Trait Anxiety Inventory Score (STAI-S) at 12 Weeks0 ± 010 ± 0
SecondaryChanges From Baseline Week in Vitamin D 25-hydroxy Levels at Week 12.

Vitamin D, 25-hydroxy blood serum assays will be tested at Quest Diagnostics. Changes in values from baseline week to week 12 will be calculated. Reference ranges: optimal 30-100 ng/mL Insufficient 20-29 ng/mL deficient \<20ng/mL

Time frame:
Baseline week & week 12
Reported as:
Mean · mg/dL
Changes From Baseline Week in Vitamin D 25-hydroxy Levels at Week 12.
mg/dLVitamin D (Cholecalciferol)Metformin
Changes From Baseline Week in Vitamin D 25-hydroxy Levels at Week 12.11 ± 0-5 ± 0

Adverse events

Collected over Study activity participation window of 12 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Vitamin D (Cholecalciferol)0/3 (0%)0/3 (0%)0/3 (0%)
Metformin0/2 (0%)0/2 (0%)0/2 (0%)

Baseline characteristics

Although 3 participants were assigned to Vitamin D, one dropped out just after enrollment and arm assigment and another dropped out after completing baseline time point measures, thus only one participant in the Vitamin D arm had data available for outcome measures analysis. Although 2 participants were assigned to Metformin, one dropped out just after enrollment and arm assignment, thus only one participant in the Metformin arm had data available for outcome measures analysis.

Age, Categorical
Age, Categorical(Participants)Vitamin D (Cholecalciferol)MetforminTotal
<=18 years000
Between 18 and 65 years213
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Vitamin D (Cholecalciferol)MetforminTotal
Female213
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Vitamin D (Cholecalciferol)MetforminTotal
Hispanic or Latino112
Not Hispanic or Latino101
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Vitamin D (Cholecalciferol)MetforminTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White112
More than one race101
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Vitamin D (Cholecalciferol)MetforminTotal
United States325
Fasting Insulin
Fasting Insulin(μIU/mL)Vitamin D (Cholecalciferol)MetforminTotal
Mean14.2 ± 4.632 ± 020.13 ± 9.19
Fasting Glucose
Fasting Glucose(mg/dL)Vitamin D (Cholecalciferol)MetforminTotal
Mean90.5 ± 3.583 ± 088 ± 4.54
Fasting Insulin Resistance
Fasting Insulin Resistance(units on a scale)Vitamin D (Cholecalciferol)MetforminTotal
Mean3.12 ± 0.926.6 ± 04.28 ± 1.80

3 further baseline measures are reported on the registry.

08

Study locations

1 site
  • UCSF Center for Reproductive Health
    San Francisco, California 94158, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2017 to primary completion in Sep 2019, 20 months.

Results were first posted in Feb 2021, 1 year 5 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 15, 2017
First posted
Dec 20, 2017
StartActual
Dec 12, 2017
Primary completionActual
Sep 1, 2019
CompletionActual
Sep 1, 2019
Results first posted
Feb 9, 2021
Last update
Feb 9, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 9, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03380091
Responsible party
Sponsor
First posted
Dec 20, 2017
Start date
Dec 12, 2017
Primary completion
Sep 1, 2019
Completion
Sep 1, 2019
Results posted
Feb 9, 2021
Last update
Feb 9, 2021

Study contacts

Heather Huddleston, MD
principal investigator · University of California, San Francisco

Oversight

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

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This study is terminated, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Metformin · Vitamin D

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