Effect of Two Different Dosages of Ethinyl-estradiol in Association With Drospirenone in Women With Polycystic Ovary Syndrome.
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Purpose
The estrogenic component of estro-progestin (EP) is responsible for a negative impact on the metabolic and lipid assessment in women with polycystic ovary syndrome (PCOS).
The objective of this study is to compare the effects of a long term administration of two EP combinations, containing the same progestin (3 mg drospirenone) and a different dose of ethinyl-estradiol (EE) (20 vs 30 μg ) on the clinical and endocrine-metabolic parameters in normal weight PCOS women. The investigators enrolled 30 patients, randomly allocated to group A (20 µg EE - 3 mg DRSP) and 15 to group B (30 µg EE - 3 mg DRSP). Hirsutism score evaluation, hormonal assays, oral glucose tolerance test, euglycaemic hyperinsulinaemic clamp and lipid profile were performed at baseline and after 6 and 12 months of therapy.
| Condition | Intervention |
|---|---|
|
Polycystic Ovary Syndrome Estro-progestin Drugs |
Drug: 3 mg drospirenone and 20 µg ethinyl-estradiol Drug: 3 mg drospirenone and 30 µg ethinyl-estradiol |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Clinical Efficacy and Metabolic Impact of Two Different Dosages of Ethinyl-estradiol in Association With Drospirenone in Normal-weight Women With Polycystic Ovary Syndrome: a Randomized Study. |
- To compare the effects of two EP combinations on endocrine-metabolic parameters in normal weight PCOS women [ Time Frame: twelve months ] [ Designated as safety issue: Yes ]hormonal assays, oral glucose tolerance test, euglycaemic hyperinsulinaemic clamp and lipid profile
| Study Start Date: | February 2010 |
| Study Completion Date: | July 2011 |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: 3 mg drospirenone and 20 µg ethinyl-estradiol | Drug: 3 mg drospirenone and 20 µg ethinyl-estradiol |
| Active Comparator: 3 mg drospirenone and 30 µg ethinyl-estradiol | Drug: 3 mg drospirenone and 30 µg ethinyl-estradiol |
Eligibility| Ages Eligible for Study: | 18 Years to 35 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- normal weight women with Polycystic ovary syndrome, diagnosed in accordance with Rotterdam Consensus Conference Criteria 2003.
Exclusion Criteria:
- pregnancy
- past history of cardiovascular disease, diabetes mellitus (or impaired glucose tolerance as determined by a standard 75 g oral glucose tolerance test), hypertension
- significant liver or renal impairment
- other hormonal dysfunction (hypothalamic, pituitary, thyroidal or adrenal causes for the clinical signs)
- neoplasms
- unstable mental illness
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Maurizio Guido, medical doctor, Catholic University of the Sacred Heart |
| ClinicalTrials.gov Identifier: | NCT01519401 History of Changes |
| Other Study ID Numbers: | 000102010 |
| Study First Received: | January 23, 2012 |
| Last Updated: | January 23, 2012 |
| Health Authority: | Italy: Catholic University of Sacred Heart |
Keywords provided by Catholic University of the Sacred Heart:
|
PCOS drospirenone ethinylestradiol androgens metabolism |
Additional relevant MeSH terms:
|
Polycystic Ovary Syndrome Ovarian Cysts Cysts Neoplasms Ovarian Diseases Adnexal Diseases Genital Diseases, Female Gonadal Disorders Endocrine System Diseases Estradiol Polyestradiol phosphate Ethinyl Estradiol Drospirenone Estradiol valerate |
Estradiol 3-benzoate Estradiol 17 beta-cypionate Drospirenone and ethinyl estradiol combination Estrogens Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Contraceptive Agents Reproductive Control Agents Therapeutic Uses Contraceptive Agents, Female Aldosterone Antagonists Hormone Antagonists |
ClinicalTrials.gov processed this record on May 23, 2013