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RecruitingNCT07307677Updated Jan 7, 2026

Melatonin & Metformin on Clinical & Biochemical Parameters in Insulin Resistant PCOS Compared to Metformin

An interventional study of Metformin 500mg and Melatonin 3mg in PCOS(Insulin Resistant), sponsored by Mst.Sumyara Khatun. Recruiting at 1 site in Bangladesh. Open to female participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2026-01-07.

Sponsored by Mst.Sumyara Khatun · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Mar 2026, 6 months ago, but the record still lists the study as recruiting.
  • Registered 9 months after the study started (first participant enrolled Mar 2025, registered Dec 2025).
  • Started Mar 2025; still recruiting 1 year 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
Female
01

Study summary

Women with polycystic ovary syndrome with HOMA-IR >2.6 fulfilling inclusion and exclusion criteria will be randomly allocated into two groups:experimental group: A (Melatonin 3mg and Metformin 500mg) and control group: B (Metformin 500mg). Each group will be contained 30 selected patients.

Group B:Tab. Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks.

Outcome variables will be measured after three months, will be meticulously recorded for analysis and comparison.

Read the detailed description

After obtaining approval of the Institutional Review Board (IRB), this randomized controlled trial will be conducted at Bangabandhu Sheikh Mujib Medical University (BSMMU). Already diagnosed patients of polycystic ovary syndrome with subfertility with HOMA-IR >2.6 attending in the OPD of Reproductive Endocrinology and Infertility department at BSMMU will be the study population. Women with PCOS fulfilling inclusion and exclusion criteria will be explained in details regarding the objectives, rationality, procedure and potential benefits of the study. The patients will be counselled regarding the drugs and side effects and Informed written consent will be obtained before enrollment.Random allocation will be done using serially numbered closed opaque envelopes. Eligible women will be randomly allocated into two groups:experimental group: A and control group: B. Each group will be contained 30 selected patients.

Group A:Tab. Melatonin (3mg) 3 tablet once daily at night for 12 weeks with Tab. Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks.

Group B:Tab. Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks.

Data will be collected through interviews, physical examinations and laboratory investigations. Prior to commencement of treatment, full assessments including demographic and clinical information and the result of baseline investigations will be undertaken.

Follow up: Participants will come after one month to assess compliance with the regimen and monitor for any potential side effects. A third visit will be scheduled at the end of the third month for a comprehensive assessment. Any adverse events experienced by participants will be carefully noted and documented throughout the study duration. Outcome variables will be measured after three months, will be meticulously recorded for analysis and comparison.

02

Conditions studied

  • PCOS(Insulin Resistant)

Keywords

  • Melatonin in PCOS
03

In context

Lead sponsor

Mst.Sumyara Khatun is the lead sponsor of 14 studies on the registry; 4 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Diagnosed case of PCOS according to Rotterdam criteria
  • Women of age 18-35 years
  • Insulin resistance (HOMA-IR >2.6)

Exclusion criteria

Exclusion Criteria:

  • BMI: ≤ 18.5 and ≥ 30 kg/m2
  • Uncontrolled endocrine disorders (Diabetis melitus, Hypothyroidism, Hyperprolactinemia)
  • Known case of any medical disease (Renal, hepatic or cardiac disease)
  • Any medication which would affect insulin resistance (Metformin, Myo- inositol, Pioglitazone) in last three months.
  • Hypersensitivity to melatonin.
05

Study design

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

Study arms

  • Experimental
    Experimental arm: Melatonin and Metformin

    Participants will receive Melatonin (3mg) 3 tablet single dose at night for 12 weeks and Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks

    Combination Product: Melatonin 3mg

  • Active comparator
    Comparator arm: Metformin

    Participants will receive Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks

    Drug: Metformin 500mg

Interventions

  • DrugMetformin 500mg

    Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks

  • Combination productMelatonin 3mg

    Melatonin (3mg) 3 tablet single dose at night for 12 weeks and Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks

06

What researchers measure

Primary outcomes

  1. Change in Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)

    HOMA-IR calculated by the following formula: HOMA-IR= Fasting glucose (mmol/L) x Fasting insulin mIU/ml divided by 22.5. For the present study HOMA-IR \>2.6 can be considered as insulin resistance

    Time frame: Baseline to 12 weeks

Secondary outcomes

  1. Change in Body Mass Index (BMI)

    Body mass index is calculated by dividing the weight in kg by the height in meter square to assess obesity

    Time frame: Baseline to 12 weeks

  2. Change in Waist Circumference

    Waist Circumference is measured in centimeter by placing a tape horizontally midway between the lower border of ribs and iliac crest on the mid axillary line.

    Time frame: Baseline to 12 weeks

07

Study locations

1 of 1 sites recruiting
  • Bangladesh Medical University
    Dhaka, Shahbag 1000, Bangladesh
    • Mst Sumyara Medical officer, MS · Contact · sumirmc09@gmail.com · +8801746046581
    • Farzana Rahman, MBBS · Contact · farzana47arshi91@gmail.com · +8801914229346
    • Farzana Rahman, MBBS · Principal investigator
    • Jesmine Banu, MS · Sub investigator
    Recruiting
08

References and documents

Publications

  • Chen W, Zhang H, Guo B, Tao Y, Zhang J, Wang J, Chen G, Cheng M, Hong Q, Cao Y, Xie F. Melatonin refines ovarian mitochondrial dysfunction in PCOS by regulating the circadian rhythm gene Clock. Cell Mol Life Sci. 2025 Mar 6;82(1):104. doi: 10.1007/s00018-025-05609-9. PubMed 40047877 ↗
  • Ziaei S, Hasani M, Malekahmadi M, Daneshzad E, Kadkhodazadeh K, Heshmati J. Effect of melatonin supplementation on cardiometabolic risk factors, oxidative stress and hormonal profile in PCOS patients: a systematic review and meta-analysis of randomized clinical trials. J Ovarian Res. 2024 Jul 4;17(1):138. doi: 10.1186/s13048-024-01450-z. PubMed 38965577 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07307677
Lead sponsor
Mst.Sumyara Khatun
Collaborators
Bangladesh Medical University
Responsible party
Mst.Sumyara Khatun (Medical Officer, Bangladesh Medical University) — Sponsor-investigator
First posted
Dec 29, 2025
Start date
Mar 11, 2025
Primary completion
Mar 10, 2026 (estimated)
Completion
Aug 10, 2026 (estimated)
Last update
Jan 7, 2026

Study contacts

Mst.Sumyara Khatun, MS
Contact
sumirmc09@gmail.com
+8801746046581
Farzana Rahman, MBBS
Contact
farzana47arshi91@gmail.com
+8801914229346
Jesmine Banu, MS
study chair · Bangladesh Medical University
Farzana Rahman, MBBS
principal investigator · Bangladesh Medical University

Oversight

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

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