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Phase 4 N=46 Randomized Quadruple-blind Treatment

Insulin Resistance, Polycystic Ovary Syndrome, and Bone Research Study

Polycystic Ovary Syndrome

Enrolled (actual)
46
Serious AEs
0.0%
Results posted
Nov 2017
Primary outcome: Primary: Peripheral Insulin Sensitivity at Baseline and 6 Months. — 2.2; 2.1; 3.2; 2.0 mg/kg/min per uU/mL

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
rosiglitazone (Drug); drospirenone/ethinyl estradiol (Drug)
Age
Pediatric, Adult · 10+ yrs
Sex
Female
Sponsor
Silva Arslanian
Primary completion
Jul 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Peripheral Insulin Sensitivity at Baseline and 6 Months.
2.2; 2.1; 3.2; 2.0
PRIMARY
Hepatic Insulin Sensitivity at Baseline and 6 Months.
17.3; 17.4; 24.1; 16.8
PRIMARY
Glucose Tolerance Status at Baseline and 6 Months.
15; 12; 2; 8; 15; 13
SECONDARY
Total Fat Mass at Baseline and 6 Months
44.5; 48.0; 45.4; 49.1
SECONDARY
Total Testosterone at Baseline and 6 Months
45.7; 34.5; 36.9; 30.6
SECONDARY
Percent Body Fat at Baseline and 6 Months
46.2; 47.3; 46.6; 48.2
SECONDARY
Free Testosterone at Baseline and 6 Months
10.7; 7.5; 7.7; 1.9
SECONDARY
SHBG at Baseline and 6 Months
28.1; 22.7; 37.0; 154.5
SECONDARY
DHEAS at Baseline and 6 Months
165.4; 212.2; 160.9; 197.5
SECONDARY
Delta Androstenedione at Baseline and 6 Months
79.2; 82.6; 58.4; 117.0
SECONDARY
Delta DHEA at Baseline and 6 Months
817.4; 1001.6; 643.4; 1092.1
SECONDARY
Delta 17-OHProg at Baseline and 6 Months
207.0; 169.8; 178.0; 175.4
SECONDARY
Delta 17-OHPreg at Baseline and 6 Months
912.8; 1024.3; 914.7; 1088.9
SECONDARY
Cholesterol at Baseline and 6 Months
149.5; 156.5; 146.2; 185.2
SECONDARY
HDL at Baseline and 6 Months
42.7; 40.9; 46.1; 55.0
SECONDARY
LDL at Baseline and 6 Months
85.4; 85.9; 84.3; 97.7
SECONDARY
Triglycerides at Baseline and 6 Months
106.7; 148.4; 79.2; 163.5
SECONDARY
Non-HDL Cholesterol at Baseline and 6 Months
65.3; 70.6; 62.3; 87.6
SECONDARY
Adiponectin at Baseline and 6 Months
6.5; 5.9; 11.6; 6.7
SECONDARY
Leptin at Baseline and 6 Months
43.8; 40.6; 42.7; 46.8
SECONDARY
Hs-CRP at Baseline and 6 Months
2.1; 1.7; 2.2; 3.8
SECONDARY
Morning Blood Pressure at Baseline and 6 Months
108.2; 108.5; 58.1; 58.1; 107.5; 112.2
SECONDARY
Night Blood Pressure at Baseline and 6 Months
117.5; 112.9; 63.0; 58.6; 115.2; 116.9

Summary

The purpose is to investigate the effects of 2 different treatments (drospirenone/ethinyl estradiol versus rosiglitazone) on insulin sensitivity and androgen levels, inflammatory markers, vascular markers and bone development in overweight adolescent females with polycystic ovary syndrome (PCOS).

Eligibility Criteria

Inclusion Criteria

  • Age 10 - 20 years
  • Pubertal level of Tanner stage III-V and menarchal
  • BMI percentile for age and sex greater than or equal to 85%ile

Exclusion Criteria

  • Oral medications for PCOS, or that have impact on bone (i.e. anti-epileptics)
  • Presence of other diseases, systemic or psychiatric, or chronic medications which could interfere with endocrine function
  • Established diagnosis of diabetes
  • Prior bone surgery, prior osteoporotic fracture, or fracture in the past 12 months
  • Prior thromboembolic event, such as a deep venous thrombosis or pulmonary embolism (PCOS subjects only)
  • Vitamin D deficiency ( 5.0 meq/L)
  • Positive pregnancy test (serum)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00640224). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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