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CompletedNCT07701525Updated Jul 14, 2026

Myo-Inositol and D-Chiro-Inositol for Menstrual Irregularities and Hormone Changes in Women With Polycystic Ovarian Syndrome

A Phase 4 interventional study of Myo-Inositol and D-Chiro-Inositol Combination Therapy and placebo (folic acid) in Polycystic Ovary Syndrome (PCOS), Myo-inositol and D-chiro-inositol, sponsored by Nishtar Medical University. Completed at 1 site in Pakistan. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-07-14.

Sponsored by Nishtar Medical University · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Jun 2025, registered Jul 2026).
Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

The goal of this clinical trial is to determine whether a combination of myo-inositol (MI) and D-chiro-inositol (DCI) with folic acid is more effective than placebo (Folic acid alone) in improving menstrual irregularities and hormone levels in women with polycystic ovarian syndrome (PCOS).

The main questions this study aims to answer are:

  1. Does treatment with myo-inositol and D-chiro-inositol improve menstrual regularity in women with PCOS compared with placebo?
  2. Does the treatment improve biochemical characteristics, including luteinizing hormone (LH), follicle-stimulating hormone (FSH), and testosterone levels, compared with placebo?

Researchers will compare a combination of myo-inositol and D-chiro-inositol with a placebo (folic acid alone) to determine whether the combination therapy is more effective in treating PCOS-related menstrual and hormonal abnormalities.

Participants will:

  • Be randomly assigned to receive either a myo-inositol and D-chiro-inositol combination tablet (40:1 ratio) or placebo twice daily for 3 months.
  • Have blood samples collected before starting treatment and after 3 months to measure LH, FSH, and testosterone levels.
  • Attend monthly follow-up visits during the 3-month treatment period to assess changes in menstrual regularity and monitor their progress.

The study will enroll 60 women aged 18-45 years with PCOS at the Department of Obstetrics and Gynecology, Nishtar Hospital Multan. The results may help determine whether myo-inositol and D-chiro-inositol combination therapy is an effective treatment for improving menstrual function and hormonal abnormalities in women with PCOS.

02

Conditions studied

  • Polycystic Ovary Syndrome (PCOS)
  • Myo-inositol
  • D-chiro-inositol

Keywords

  • Menstrual Irregularities
  • Oligomenorrhea
  • Amenorrhea
  • Menorrhagia
  • Hyperandrogenism
  • Testosterone
  • Luteinizing Hormone
  • Follicle-Stimulating Hormone
  • PCOS
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 60 is below the median of 70 across 697 interventional studies indexed under Polycystic Ovary Syndrome.

Browse Polycystic Ovary Syndrome studies →

Lead sponsor

Nishtar Medical University is the lead sponsor of 29 studies on the registry; 9 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
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

  • diagnosed case of PCOS, ≥ 6-months

Exclusion criteria

Exclusion Criteria:

  • Hyperprolactinemia, hypothyroidism, adrenal hyperplasia or Cushing's syndrome (on history \& medical record review)
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Myo-Inositol and D-Chiro-Inositol Combination Therapy

    Participants will receive a combination tablet containing myo-inositol, D-chiro-inositol, and folic acid

    Drug: Myo-Inositol and D-Chiro-Inositol Combination Therapy

  • Placebo comparator
    Placebo

    Participants will receive folic acid tablets orally

    Drug: placebo (folic acid)

Interventions

  • DrugMyo-Inositol and D-Chiro-Inositol Combination Therapy

    Drug pages: Inositol · Chiro-inositol, (+)-

    Participants will receive an oral combination tablet containing myo-inositol (550 mg), D-chiro-inositol (13.8 mg) in a 40:1 ratio, and folic acid (200 µg), taken twice daily for 3 months.

  • Drugplacebo (folic acid)

    Participants will receive oral folic acid (200 µg) tablets twice daily for 3 months.

06

What researchers measure

Primary outcomes

  1. Improvement in Menstrual Irregularity

    The proportion of participants achieving improvement in menstrual irregularity after treatment. Improvement is defined as restoration of a regular menstrual cycle with an average cycle length of 24-32 days and menstrual blood loss of 21-50 mL per cycle. Menstrual irregularity includes amenorrhea, oligomenorrhea, or menorrhagia assessed through participant menstrual history.

    Time frame: From enrollment to the end of treatment at 3 months

Other outcomes

  1. Serum LH, FSH, and Testosterone levels

    Serum FSH, LH, and testosterone concentration measured using venous blood samples collected before treatment and after 3 months of therapy.

    Time frame: At baseline at enrollment to the end of treatment at 3 months

07

Study locations

1 site
  • Nishtar Medical University and Hospital Multan
    Multan, Punjab Province 60000, Pakistan
08

References and documents

Individual participant data

Plan to share: No

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 Jul 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07701525
Lead sponsor
Nishtar Medical University
Responsible party
Dr. Amna Razzaq (Principal Investigator, Nishtar Medical University) — Principal investigator
First posted
Jul 14, 2026
Start date
Jun 1, 2025
Primary completion
Nov 30, 2025
Completion
Nov 30, 2025
Last update
Jul 14, 2026

Study contacts

Mehnaz K Professor, FCPS
study chair · Nishtar Medical University and Hospital Multan

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 completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Inositol · Chiro-inositol, (+)-

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