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Status unknownNCT04831151Updated May 19, 2022

The Effect of Polycystic Ovary Syndrome Treatment on Metabolomics

An interventional study of Yasmin and Diane-35 in Polycystic Ovary Syndrome, sponsored by Inonu University. Status unknown at 1 site in Turkey (Türkiye). Open to female participants aged 15 Years to 35 Years. Per ClinicalTrials.gov, last updated 2022-05-19.

Sponsored by Inonu University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified May 2022), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
15 Years to 35 Years
Sex
Female
01

Study summary

The aim of this study is to determine the effect of the treatment of polycystic ovary syndrome with two different oral contraceptives that contain cyproterone acetate and drospirenone

Read the detailed description

Polycystic ovary syndrome (PCOS), is the most common endocrinological disorder that affects the reproductive aged women. In addition to causing problems such as menstrual irregularity, hirsutism, acne, it is also an important health problem that can cause infertility, insulin resistance, impaired glucose metabolism, diabetes, high blood pressure, heart disease, dyslipidemia in advanced ages. Diagnostic criteria also vary widely in these patients. These patients are often overweight or obese, and abdominal adiposity is common in these patients. The patients also suffer from insulin resistance and hyperinsulinemia in this syndrome. All of this is probably the result of a vicious cycle that starts in the antenatal period. Combined oral contraceptives (COCs), are the first-choice treatment option for many patients by improving both menstrual irregularity, hyperandrogenism, and insulin resistance through sex hormone binding globulin (SHBG). They reduce the risk of endometrial hyperplasia and endometrial cancer by providing regular menstruation.

Nowadays, the use of metabolomics is increasing in understanding the pathophysiology of diseases. Metabolomics technology examines low molecular weight substrates used in intracellular enzymatic reactions, intermediates and end products resulting from these reactions. Metabolomic examinations are gaining momentum in terms of understanding the pathophysiology of diseases, especially endometrial cancer and ovarian cancer, in the field of Obstetrics and Gynecology. Metabolomics continue to be investigated in understanding the pathophysiology of PCOS, but there are not enough studies yet on the effects of treatment on the disease in terms of metabolomics.

02

Conditions studied

  • Polycystic Ovary Syndrome

Keywords

  • hirsutism
  • combined oral contraceptives
  • amenorrhea
03

In context

Polycystic Ovary Syndrome

975 studies on the registry are indexed under Polycystic Ovary Syndrome; 177 are open to participants now.

This study's planned enrollment of 42 is below the median of 70 across 710 interventional studies indexed under Polycystic Ovary Syndrome.

Browse Polycystic Ovary Syndrome studies →

Lead sponsor

Inonu University is the lead sponsor of 384 studies on the registry; 90 are open to participants now.

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

04

Who can participate

Ages eligible
15 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 who are diagnosed with polycystic ovary syndrome according to Rotterdam criteria and who do not have any additional chronic systemic disease

Exclusion criteria

Exclusion Criteria:

  • The presence of any diseases that cause hormonal disorders and any chronic systemic diseases, the patients who are already under any treatment for polycystic ovary syndrome
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
42 participants (estimated)

Study arms

  • Active comparator
    Drospirenone group: 0,03 mg ethinylestradiol + 3 mg drospirenone

    generic name:yasmin dosage form:oral dosage: 0,03 mg ethinylestradiol + 3 mg drospirenone frequency: once a day duration: 3 months

    Drug: Yasmin

  • Active comparator
    cyproterone acetate group: 0,035 mg ethinylestradiol + 2 mg cyproterone acetate

    generic name:diane 35 dosage form:oral dosage: 0,035 mg ethinylestradiol + 2 mg cyproterone acetate frequency: once a day duration: 3 months

    Drug: Diane-35

Interventions

  • DrugYasmin

    Yasmin: 0,03 mg ethinylestradiol + 3 mg drospirenone

  • DrugDiane-35

    Diane 35: 0,035 mg ethinylestradiol + 2 mg cyproterone acetate

06

What researchers measure

Primary outcomes

  1. Metabolomics

    measured by H1 nuclear magnetic resonance spectroscopy

    Time frame: 3 months

Secondary outcomes

  1. hirsutism score

    Measured by modified Ferriman Gallwey scoring system ranges between 0-36 points. Higher scores means worse outcome.

    Time frame: 3 months

  2. fasting serum insulin levels

    measured on the 3rd day of menstrual cycle, before before 10 am, after 8-hour-night fasting. The lower levels means better outcome.

    Time frame: 3 months

  3. low density lipoprotein

    measured on the 3rd day of menstrual cycle, before before 10 am, after 8-hour-night fasting. The lower levels means better outcome.

    Time frame: 3 months

  4. body mass index

    weight and height will be combined to report BMI in kg/m\^2. The lower index means better results.

    Time frame: 3 months

  5. clinical findings

    Rising the number of participants with menstrual periods shorter than 35 days means better outcome.

    Time frame: 3 months

07

Study locations

1 of 1 sites recruiting
  • Inonu University
    Malatya, 44280, Turkey (Türkiye)
    • Senem Arda Düz, Assistant Professor · Contact · senem_arda@yahoo.com · +905332776401
    • Erdinç Sarıdoğan, Assistant professor · Sub investigator
    • Görkem Tuncay, Associate professor · Sub investigator
    • Abdullah Karaer, Professor · Sub investigator
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 19, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04831151
Lead sponsor
Inonu University
Responsible party
Senem Arda Düz (Assistant professor, Inonu University) — Principal investigator
First posted
Apr 5, 2021
Start date
Mar 1, 2021
Primary completion
Mar 2023 (estimated)
Completion
Jun 2023 (estimated)
Last update
May 19, 2022

Study contacts

Senem Arda Düz, Asisstant professor
Contact
senem_arda@yahoo.com
+905332776401

Oversight

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

Not currently enrolling

This study is status unknown, as verified in May 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Drospirenone and ethinyl estradiol combination

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