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CompletedNCT03422289Updated Feb 6, 2018

Improved Effects of MI Plus Alpha-LA in PCOS

An interventional study of myo-inositol plus folic acid and myo-inositol plus folic acid plus alpha-lactalbumin in Polycystic Ovary Syndrome, sponsored by Lo.Li.Pharma s.r.l. Completed at 1 site in Italy. Open to female participants aged 20 Years to 35 Years. Per ClinicalTrials.gov, last updated 2018-02-06.

Sponsored by Lo.Li.Pharma s.r.l · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 2 months after the study started (first participant enrolled Nov 2016, registered Jan 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
37
Allocation
Non-randomized
Ages
20 Years to 35 Years
Sex
Female
01

Study summary

PCOS patients are initially treated with 2 g myo-inositol and 0.2 mg folic acid, two times per day by oral route, for three months. Among them, the subjects who have not ovulated despite this treatment are administered with 2g myo-inositol and 0.2 mg folic acid plus 50 mg α-lactalbumin for three months. Most of them improve and achieve ovulation. Therefore, the combination of α-lactalbumin with myo-inositol allows to get a significant result in the treatment of PCOS patients.

Read the detailed description

Polycystic ovary syndrome is a complex chronic condition inducing several related disorders, such as subfertility and pregnancy complications. So far myo-inositol, successfully used in PCOS, has not been always effective in all patients. Aiming at overcoming this drawback, we tested a new formulation with myo-inositol and α-lactalbumin, in consideration of the effects exerted by α-lactalbumin in favoring molecule passage among body compartments, and also in consideration of its anti-inflammatory activity.

Only PCOS patients, according to Rotterdam ESHRE-ASRM criteria, with anovulation and infertility > 1 year, were included in the study. Following a treatment with 2 g myo-inositol and 0.2 mg folic acid, a part of them are resistant and do not ovulate.

These non-responders to myo-inositol alone undergo the second phase of the study, receiving 2g myo-inositol and 0.2 mg folic acid plus 50 mg α-lactalbumin for three months. After this combined treatment, the majority of them ovulate, showing a hormone and lipid profile improvement. In addition, myo-inositol plasma levels at the end of the treatment are significantly higher than at baseline and comparable to those patients who respond positively to myo-inositol alone.

02

Conditions studied

  • Polycystic Ovary Syndrome

Keywords

  • myo-inositol
  • alpha-lactalbumin
  • anovulation
  • infertility
03

In context

Polycystic Ovary Syndrome

956 studies on the registry are indexed under Polycystic Ovary Syndrome; 176 are open to participants now.

This study's enrollment of 37 is below the median of 70 across 697 interventional studies indexed under Polycystic Ovary Syndrome.

Browse Polycystic Ovary Syndrome studies →

Lead sponsor

Lo.Li.Pharma s.r.l is the lead sponsor of 30 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
No

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

  • patients affected by PCOS according to Rotterdam ESHRE-ASRM criteria, with anovulation and infertility > 1 year

Exclusion criteria

Exclusion Criteria:

  • presence of other conditions causing ovulatory dysfunction, such as hyperprolactinemia or hypothyroidism, or androgen excess, such as adrenal hyperplasia or Cushing's syndrome, and also in the case of intake of other drugs that can potentially influence the ovulation.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
37 participants (actual)

Study arms

  • Experimental
    Myo-inositol + folic acid

    2 g myo-inositol and 0.2 mg folic acid orally twice a day for three months, in order to induce ovulation.

    Dietary Supplement: myo-inositol plus folic acid

  • Experimental
    Myo-inositol + folic a. + α-lactalbumin

    2 g myo-inositol and 0.2 mg folic acid plus 50 mg α-lactalbumin, twice a day for three months in order to test if α-lactalbumin addition allows to induce ovulation

    Dietary Supplement: myo-inositol plus folic acid plus alpha-lactalbumin

Interventions

  • Dietary supplementmyo-inositol plus folic acid

    Drug pages: Inositol · Folic Acid

    this treatment is made in the first phase of the study for three months

  • Dietary supplementmyo-inositol plus folic acid plus alpha-lactalbumin

    Drug pages: Inositol · Folic Acid · Lactalbumin

    this treatment is made in the second phase of the study and it has a new molecule added to the previous ones administered in the first phase of the study

06

What researchers measure

Primary outcomes

  1. Restoration of ovulation

    Ovulation was assessed using ultrasound examination on days 12, 14 and 20 of the cycle.

    Time frame: after three months of treatment

Secondary outcomes

  1. Increase of myo-inositol plasma levels after the treatment with myo-inositol plus alpha-lactalbumin compared to the levels at the baseline

    Myo-inositol was dosed in plasma by means of gas chromatography-mass spectrometry

    Time frame: after three months of treatment

07

Study locations

1 site
  • Department of Woman Health and Reproductive Medicine of Santo Spirito Hospital
    Rome, Italy
08

References and documents

Publications

  • Montanino Oliva M, Buonomo G, Calcagno M, Unfer V. Effects of myo-inositol plus alpha-lactalbumin in myo-inositol-resistant PCOS women. J Ovarian Res. 2018 May 10;11(1):38. doi: 10.1186/s13048-018-0411-2. PubMed 29747700 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2016 to primary completion in Oct 2017, 11 months.

Of 217 interventional studies with no phase under Polycystic Ovary Syndrome, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 39. This study's 11 months is below that.

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

Registered
Jan 10, 2018
First posted
Feb 5, 2018
StartActual
Nov 2, 2016
Primary completionActual
Oct 12, 2017
CompletionActual
Dec 15, 2017
Last update
Feb 6, 2018
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 6, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03422289
Lead sponsor
Lo.Li.Pharma s.r.l
Responsible party
Sponsor
First posted
Feb 5, 2018
Start date
Nov 2, 2016
Primary completion
Oct 12, 2017
Completion
Dec 15, 2017
Last update
Feb 6, 2018

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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Studies of the drugs tested here: Inositol · Folic Acid · Lactalbumin

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