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CTRI Number  CTRI/2025/02/080001 [Registered on: 06/02/2025] Trial Registered Prospectively
Last Modified On: 21/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   This clinical trial will study how metformin and orlistat influence gut bacteria in women with Polycystic Ovarian Syndrome (PCOS)and track gut bacteria changes and investigate their effects on PCOS symptoms, including weight, insulin resistance, and hormone levels. 
Scientific Title of Study   Orlistat Versus Metformin induced Gut micro-organisms modification in Polycystic ovarian syndrome patients -A Randomized controlled study  
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Divyabharathi 
Designation  Postgraduate 
Affiliation  SRM university 
Address  SRM INSTITUTE OF SCIENCE AND TECHNOLOGY KATTANKULATHUR CAMPUs CHENGALPET

Kancheepuram
TAMIL NADU
603203
India 
Phone  9677364713  
Fax    
Email  divyabharathi1297@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Saswati Tripathy 
Designation  Proffesor 
Affiliation  SRM INSTITUTE OF SCIENCE AND TECHNOLOGY  
Address  SRM INSTITUTE OF SCIENCE AND TECHNOLOGY KATTANKULATHUR CAMPUs CHENGALPET

Kancheepuram
TAMIL NADU
603203
India 
Phone  9677364713  
Fax    
Email  saswatit@srmist.edu.in  
 
Details of Contact Person
Public Query
 
Name  Divyabharathi 
Designation  Postgraduate 
Affiliation  SRM university 
Address  No.12 Department of OBG SRM Medical College hospital and research centre SRM Institute of science and technology Katankulathur campus

Kancheepuram
TAMIL NADU
603203
India 
Phone  9677364713  
Fax    
Email  divyabharathi1297@gmail.com  
 
Source of Monetary or Material Support  
No.12, Department of OBG SRM medical college hospital and research centre. SRM Institute of medical science and Technology Kattankulathur campus Chengalpattu district ,Tamil nadu. India 603203 
 
Primary Sponsor  
Name  Dr Saswati tripathy 
Address  No.12, Department of OBG SRM medical college hospital and research centre. SRM Institute of medical science and Technology Kattankulathur campus Chengalpattu district ,Tamil nadu. India 603203 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrDivyabharathi  SRM Medical college Hospital and Research centre  No.12, Department of OBG SRM medical college hospital and research centre. SRM Institute of medical science and Technology Kattankulathur campus Chengalpattu district ,Tamil nadu. India 603203
Kancheepuram
TAMIL NADU 
9677364713

divyabharathi1297@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM Medical college hospital and reserch centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E282||Polycystic ovarian syndrome,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  METFORMIN   500 MG ONCE DAILY FOR 3 MONTHS 
Intervention  ORLISTAT  60 MG TWICE DAILY FOR 3 MONTHS 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Patients diagnosed as PCOS according to ROTTERDAM CRITERIA
With at least two of the following features :
Oligo-amenorrhea or chronic anovulation
Clinical and/or biochemical hyperandrogenism
Ultrasound appearance of polycystic ovaries
Able and willing to comply with the interventions and follow-up evaluations 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Gut bacterial diversity before and after the treatment with metformin and orlistat in PCOS

 
3 months  
 
Secondary Outcome  
Outcome  TimePoints 
Effects of Orlistat and Metformin in improvement of clinical and metabolic profile in PCOS patients
 
6 moths 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   07/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

PCOS being a heterogenous disorder with diverse features, obesity influences the phenotypic expression of PCOS, exacerbating metabolic, reproductive, and psychological features.

Weight loss reduces abdominal fat and insulin resistance and improves clinical features of PCOS.

Endotoxemia, a persistent inflammatory response, short-chain fatty acids and bile acid metabolism are all linked to the development of insulin resistance.

Moreover, people with PCOS have been found to have a major imbalance in their gut flora.

Reducing the insulin resistance and improving the gut flora, improves the various clinical features in PCOS

Orlistat helps to  improve this heterogeneous symptoms of PCOS by altering abnormal gut microbiota to normal gut microbiota

 


 
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