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N/A N=23 Randomized Quadruple-blind Treatment

Oral Amino Acid Nutrition to Improve Glucose Excursions in PCOS

Polycystic Ovarian Syndrome · Obesity · Hepatic Steatosis

Enrolled (actual)
23
Serious AEs
0.0%
Results posted
Mar 2025
Primary outcome: Primary: Hepatic Fat Fraction — 8; 7.3 percent hepatic fat

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Essential Amino Acid (EAA) Supplement (Dietary_supplement); Placebo (Other)
Age
Pediatric, Adult · 12+ yrs
Sex
Female
Sponsor
University of Colorado, Denver
Primary completion
Jan 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Hepatic Fat Fraction
8; 7.3
SECONDARY
Rate of De Novo Lipogenesis
9.60; 6.55
SECONDARY
Evaluation of Mitochondrial Function
82.4; 82.5
SECONDARY
Hepatic Phosphate Profile After EAA and Placebo Supplement
0.19670949; 0.186460069; 0.073640887; 0.074795509; 0.561426026; 0.564456782
SECONDARY
Whole Body Insulin Sensitivity
0.00026; 0.00025
SECONDARY
Change in Adipose Insulin Sensitivity
91.15; 91.11
SECONDARY
Sleep Duration
390; 340.7
SECONDARY
Apnea Hypopnea Index (AHI)
14.99; 17.04
SECONDARY
Amino Acid Metabolomics: Alanine, Glutamate, Leucine, Valine Levels After 4 Weeks of Placebo and 4 Weeks of EAAs
420; 49; 91; 303; 385; 54
SECONDARY
Lipid Metabolomics: 16n1
87; 88
SECONDARY
Bile Acid Metabolomics: Sphingosine-1-phospate After 4 Weeks of Placebo and 4 Weeks of EAAs
1334; 1294

Summary

The Investigators will measure hepatic glucose and fat metabolism in obese girls with Polycystic Ovarian Syndrome (PCOS) and hepatic steatosis (HS) after taking 4 weeks of an essential amino acid (EAA) supplement or placebo and test whether the EAA supplement can improve hepatic glucose metabolism in these girls.

Eligibility Criteria

Inclusion Criteria

  • Females
  • Ages 12-21
  • Sedentary- less than 2 hours of moderate (jogging, swimming etc) exercise a week.
  • BMI equal or greater than the 90th percentile for age and gender
  • PCOS per the most stringent NIH criteria adapted for adolescents (irregular menses >24 months post-menarche and clinical or biochemical hypertestosteronemia)
  • HS per FibroScan ultrasound, with CAP score of >225 (will be measured at screening visit)

Exclusion Criteria

  • Use of medications known to affect insulin sensitivity: metformin, oral glucocorticoids within 10 days, atypical antipsychotics, immunosuppressant agents, HIV medications, hormonal contraception. Dermal patch or vaginal ring contraception methods.
  • Currently pregnant or breastfeeding women. Development of pregnancy during the study period will necessitate withdrawal from the study.
  • Severe illness requiring hospitalization within 60 days
  • Diabetes, defined as Hemoglobin A1C > 6.4%
  • BMI percentile less than the 90th percentile for age and sex. Weight >325 lbs or 125 IU/L
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03717935). 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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