CClinicalTrials.gg
RecruitingNCT05706922GuVaPCOSUpdated Sep 19, 2024

Gut- and Vaginal Microbiome Composition in Association With PCOS

An observational study in Polycystic Ovary Syndrome, sponsored by Erasmus Medical Center. Recruiting at 1 site in Netherlands. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Erasmus Medical Center · Observational

From the registry’s dates

  • Started Nov 2023; still recruiting 2 years 10 months later.
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
200
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

Polycystic ovary syndrome (PCOS) is an endocrine disorder that affects up to 10% of the reproductive-aged women worldwide. The etiology is still unknown and treatment therefore remains symptomatic. Studies indicate a possible role of the gut microbiome in the pathology of PCOS. PCOS women have a disturbed gut microbiome, with certain species associated with the PCOS characteristics:hyperandrogenism, ovarian dysfunction, obesity, glucose intolerance and insulin resistance. Although differences have been found in gut microbiome composition between PCOS and healthy women, the literature is inconclusive regarding the difference in gut microbiome biodiversity. Studies examining the vaginal microbiome in PCOS women show consistent results with specific species in the vaginal microbiome. However, there are only few studies on the vaginal microbiome in PCOS women and no studies have yet investigated the correlation between sex-specific hormones and PCOS characteristics. More research is needed to understand the function of the microbiome in the pathophysiology of PCOS, so that this can offer perspectives in future therapies.

02

Conditions studied

  • Polycystic Ovary Syndrome

Keywords

  • gut microbiome
  • vaginal microbiome
  • polycystic ovary syndrome
03

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 planned enrollment of 200 is above the median of 118 across 223 observational studies indexed under Polycystic Ovary Syndrome.

Browse Polycystic Ovary Syndrome studies →

Lead sponsor

Erasmus Medical Center is the lead sponsor of 466 studies on the registry; 179 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Patients at the outpatient clinic of Reproductive Medicine.

Inclusion criteria

  • Caucasian
  • Willing to provide vaginal swab and stool sample
  • Willing to provide informed consent
  • Sufficient command of the Dutch language
  • Diagnosed with PCOS at Erasmus MC using the Rotterdam criteria by the presence of at least two of the following criteria
  • Clinical or biochemical hyperandrogenism (modified Ferriman-Gallway score >5; testosterone level >2nmol/L, Free Androgen Index > 2.9)
  • Oligomenorrorrhea or amenorrhea
  • Polycystic ovaries.

Exclusion criteria

Exclusion criteria

  • BMI \<18
  • Smoking
  • Diabetes Mellitus or use of insulin sensitizer
  • Chronic and acute infection diseases
  • Endometriosis (American Fertility Score (AFS) III/IV)
  • Elevated prolactin levels, thyroid disease, Cushing disease or gastro-intestinal disease
  • The use of hormonal contraceptives, and other steroid hormones in the last 3 months
  • Use of antibiotics, probiotics or laxatives in the last 3 months
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
200 participants (estimated)
Patient registry
No

Groups and cohorts

  • Polycystic ovary syndrome (PCOS)

    * Hormonal screening * Vaginal swab * Fecal sample * Blood samples * Food Frequency Questionnaire

    Other: Venous blood sample, vaginal swab

  • Control group

    * Hormonal screening * Vaginal swab * Fecal sample * Blood samples * Food Frequency Questionnaire

    Other: Venous blood sample, vaginal swab

Interventions

  • OtherVenous blood sample, vaginal swab

    Venous blood samples and vaginal swab will be obtained on the same day.

06

What researchers measure

Primary outcomes

  1. Bacterial composition of the gut in women with PCOS and control group

    Bacterial composition in the gut is analysed using 16S rRNA gene sequencing

    Time frame: 1 week

Secondary outcomes

  1. Bacterial composition of the vagina in women with PCOS and control group

    Bacterial composition in the vagina is analysed using 16S rRNA gene sequencing

    Time frame: 1 week

  2. Difference in bacterial composition of the vagina and gut in women with PCOS

    Relative abundance of bacterial communities

    Time frame: 1 week

  3. Difference in bacterial composition of the vagina and gut between overweight/obese and lean patients (with/without PCOS)

    Relative abundance of bacterial communities

    Time frame: 1 week

  4. To analyse potential metabolic profiles characterizing different phenotypes of PCOS

    Expression of metabolic indicators (metabolomics)

    Time frame: 1 week

07

Study locations

1 of 1 sites recruiting
  • Erasmus University Medical Center
    Rotterdam, South-Holland 3015GD, Netherlands
    Recruiting
08

References and documents

Study documents

  • Study protocol · Sep 23, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05706922
Lead sponsor
Erasmus Medical Center
Responsible party
Sam Schoenmakers (Principal Investigator, Erasmus Medical Center) — Principal investigator
First posted
Jan 31, 2023
Start date
Nov 16, 2023
Primary completion
Jul 31, 2024
Completion
Dec 2024 (estimated)
Last update
Sep 19, 2024

Study contacts

Xu Shan Gao, drs.
Contact
x.gao@erasmusmc.nl
+31631016348
Sam Schoenmakers, Dr. drs.
Contact
s.schoenmakers@erasmusmc.nl
Sam Schoenmakers, Dr. drs.
principal investigator · Division of Obstetrics and Fetal Medicine, Department of Obstetrics and Gynecology
Joop S.E. Laven, Prof. dr.
study director · Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology

Oversight

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

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