| CTRI Number |
CTRI/2018/03/012643 [Registered on: 19/03/2018] Trial Registered Prospectively |
| Last Modified On: |
16/03/2018 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
To compare Inositol with oral contraceptive pills on menstrual regulation in young girls with PCOS. |
|
Scientific Title of Study
|
To study the role of Myo-inositol-D-chiro-inositol Combination Versus Combined Oral Contraceptives on Clinico-hormonal and Metabolic Parameters in Young Asian-Indian Girls with Polycystic Ovary Syndrome |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Garima Kachhawa |
| Designation |
Associate Professor |
| Affiliation |
All India Institute of Medical Sciences |
| Address |
3086, Teaching Block,
AIIMS
New Delhi DELHI 110029 India |
| Phone |
01126594941 |
| Fax |
|
| Email |
garimakachhawa2012@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Garima Kachhawa |
| Designation |
Associate Professor |
| Affiliation |
All India Institute of Medical Sciences |
| Address |
3086, Teaching Block,
AIIMS
New Delhi DELHI 110029 India |
| Phone |
01126594941 |
| Fax |
|
| Email |
garimakachhawa2012@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Krithika V S |
| Designation |
Resident |
| Affiliation |
All India Institute of Medical Sciences |
| Address |
3086, Teaching Block,
AIIMS
New Delhi DELHI 110029 India |
| Phone |
09994887983 |
| Fax |
|
| Email |
drkrithi30@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
Department of Obstetrics Gynaecology |
| Address |
3086, Teaching block, AIIMS, New delhi-110029 |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Garima Kachhawa |
Department of Obstetrics and Gynaecology |
Room no.3086, 3rd Floor, Teaching block, All India Institute of Medical Sciences, New Delhi New Delhi DELHI |
01126594941
garimakachhawa2012@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
Polycystic Ovary Syndrome (PCOS), |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Combined Oral Contraceptive |
Combined Oral Contraceptive containing ethinyl estradiol 20 mcg and drospirenone 3 mg from day 1 of menstrual cycle for 6 cycles. |
| Intervention |
Myo-inositol-D-chiro-inositol |
Myo-inositol 550 mg + D-chiro-inositol 150 mg BD for 6 months |
|
|
Inclusion Criteria
|
| Age From |
15.00 Year(s) |
| Age To |
24.00 Year(s) |
| Gender |
Female |
| Details |
1) Young girls in the age-group of 15-24 years (or atleast 2 years after the onset of menarche) with PCOS diagnosed by two out of the following criteria
a) Hyperandrogenism - Clinical(hirsutism
diagnosed by modified Ferriman -Gallwey
score more than or equal to 8/36) or
Biochemical (serum testosterone >0.5 ng/L)
b) Persistent oligo/anovulation characterized
by irregular menstrual cycles (19-90 days)
or absent menstrual cycles ( for a period
equivalent to previous 3 menstrual cycles)
c) Polycystic ovaries on ultrasound diagnosed
when ovarian volume more than 10 cu.cm.
d) Insulin resistance
2) Patients who are willing to give consent for
the study and willing for follow-up.
|
|
| ExclusionCriteria |
| Details |
1) Pregnancy.
2) A known case of diabetes mellitus.
3) Patients who are taking or had taken any
hormonal treatment including contraceptives
over the past 3 months.
4) Patients who are taking or who had used
glucocorticoids, lipid-lowering drugs,
glucose-lowering drugs or anti-obesity drugs
within 3 months of the study.
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
1.Menstrual cycle length
expressed as average of
days between cycles.
2.Modified Ferriman- Gallwey
score and Acne scoring
|
6 months and 3 months after stopping treatment. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1.Ovarian volume–lxbxw (cc)
2.Change in Serum AMH, FSH,
LH, Testosterone
3.Changes in blood sugar
profile, lipid profile
4.Homeostatic Model
Assessment (HOMA-IR)
5.Compliance
6.Body Weight
|
6 months and 3 months after stopping treatment |
|
|
Target Sample Size
|
Total Sample Size="70" Sample Size from India="70"
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
|
Post Marketing Surveillance |
|
Date of First Enrollment (India)
|
23/03/2018 |
| 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="2" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
Not yet |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
|
Brief Summary
|
Polysystic Ovary Syndrome (PCOS) is the most common endocrine cause of menstrual irregularity, hyper androgenism and infertility. In young girls, menstrual irregularity creates anxiety and traditionally combined oral contraceptives(COC) form the first line of management. But, COCs are associated with wide range of side effects and prescribing contraceptives to young girls creates anxiety among parents. This open labelled randomized clinical study aims to compare the efficacy of nutritional supplements Myo-Inositol-D-Chiro-Inositol Combination versus Combined Oral Contraceptives on Clinico-hormonal and Metabolic Parameters in 70 young girls with PCOS. The primary outcome measures will be regularization of menstrual cycles and effect on acne and hirsutism. |