AzTrials
AzTrials

PCOSNCT02992093

A Metabolomic Study of Polycystic Ovary Syndrome With Insulin Resistance and Its Relationship With TCM Syndrome Types

An observational study of PCOS, run by Fujian Maternity and Child Health Hospital at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

The type-2 diabetes mellitus(T2DM), metabolic syndrome, cardiovascular disease complications induced by polycystic ovary syndrome(PCOS) with insulin resistance(IR), which become serious threat to public health. Read more about this study

Who is it for?
Ages 18 to 40 years, women onlyHealthy volunteers can take part
Conditions the study is for
PCOS
What is being tested?
all the indicators
How many people
300 participants
Where
1 siteChina
Study dates
Dec 2016to Aug 2020
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 40 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Study population: The selection of research subjects: PCOS non obese patients, PCOS obese patients,PCOS with IGT patients,PCOS with T2DM patients,and body mass index matched healthy volunteers collect from Fujian Maternity and Child Health Hosptial

Who may be able to join

  • The diagnosis of polycystic ovary syndrome (PCOS) according to the Rotterdam consensus criteria recommended by European Society of Human Reproduction and Embryology and American Society for Reproductive Medicine in 2003(2 out of 3):Oligo-and/or anovulation;Clinical and/or biochemical signs of hyperandrogenism;Polycystic ovaries.
  • Diagnostic criteria for insulin resistance: use the HOMA model to evaluate insulin resistance. The HOMA index of insulin resistance (HOMA-IR) = (fasting blood glucose (mmol/L)× fasting insulin (mIU/L) /22.5.
  • voluntary subjects

Who cannot join

  • the exclusion of other causes of Kaohsiung hormones, such as congenital adrenal hyperplasia, Cushing syndrome, androgen secreting tumors, and other diseases caused by ovulation disorders, such as hyperprolactinemia, premature ovarian failure, pituitary or hypothalamus closed by etc;
  • exclusion of organic disease or other endocrine diseases;
  • with liver and kidney, cerebral blood vessels, cardiovascular and hematopoietic disorders, such as primary disease, mental patients;
  • patients who had been treated with steroids in nearly three months , such as the birth control pill, and corticosteroids.

Trial locations and contacts

1 site in 1 country.

Jingjing Dun contact

18520124299

409381572@qq.com

China1 site
  • Fujian Maternity and Child Health Hosptial

    Fuzhou, Fujian, 350000

    Jinbang Xu, 13559958096, 13559958096@126.com

Other trials in China

About this study

Official title: Fujian Maternity and Child Health Hospital

The type-2 diabetes mellitus(T2DM), metabolic syndrome, cardiovascular disease complications induced by polycystic ovary syndrome(PCOS) with insulin resistance(IR), which become serious threat to public health. In this observational study, obese patients with PCOS,nonobese patients with PCOS, PCOS patients with impaired glucose tolerance(IGT), PCOS patients with type-2 diabetes mellitus(T2DM), and healthy volunteers would enrolled into this study, through the Liquid Chromatography-Mass Spectrometry coupled to Mass Spectrometry( LC-MS/MS)and Rapid Resolution Liquid Chromatography(RRLC) and Quadrupole Linear Trap(QTRAP)Mass Spectrometry coupled to Mass Spectrometry (MS/MS)analysis of serum samples collected from PCOS patients and healthy volunteers to screen the biomarker of diagnosis for PCOS with insulin resistance, to explore the correlation between traditional chinese medicine (TCM) syndrome(phlegm, kidney yin deficiency, kidney yang deficiency, qi stagnation and blood stasis,dampness-heat of liver channel)and metabolites of PCOS.

Read the detailed description
  1. The selection of research subjects: All the subjects collect from Fujian Maternity and Child Health Hospital.
  2. The participants will be divided into five groups:obese with PCOS,nonobese with PCOS,PCOS with IGT,PCOS with T2DM,healthy volunteers.the syndrome type of PCOS will be divided into five types: phlegm, kidney yin deficiency, kidney yang deficiency, liver qi stagnation and blood stasis syndrome, dampness-heat of liver channel.
  3. Ethical requirements and subjects' informed consent Before clinical trials begin, the program needs to be approved by the ethics committee to approve and sign the approval.The subjects need fully aware of the clinical trial and are given sufficient time to consider whether they are willing to participate in the trial, and to sign the informed consent form.
  4. Indicator test (the cost of all health volunteers are paid by the research) (1)Physical examination: blood pressure, height, body weight,waist circumference,hip circumference,body mass index(BMI),waist-hip ratio(WHR). (2)Endocrine hormones: collect serum from all the subjects,use the enzyme linked immunosorbent assay (ELISA) method to detect the level of serum follicle-stimulating hormone(FSH),luteinizing hormone(LH),prolactin(PRL),estradiol(E2),testosterone(T). Blood lipid: glycerin three vinegar (TG), cholesterol (CHOL) detect by enzymatic method, low density lipoprotein (LDL-C), high density lipoprotein (HDL-C) detect by the turbidity method. Glucose tolerance and insulin release test after glucose loading: all subjects were fasting for 8 to 10 h, check the fasting blood glucose(FBG)and fasting insulin (FINS).The oral glucose tolerance test(OGTT)and insulin release test were performed in the next morning.

5.Study on the characteristics of metabolism

(1)Through the sample pretreatment method, analyzes the optimization of the condition of mass spectrometry, according to the requirements of the metabolism to establish the blood sample LC-MS/MS metabolism analysis method.(2)Carry out the analysis of metabolism and data collection.(3)Model building and data analysis(4)Use RRLC and QTRAP type MS/MS with positive and negative ion detection mode with the combination of hyphenated techniques, combined with the method of data statistics,to establish multiple reaction monitoring(MRM) detection, to verify the precision and sensitivity of the method.

6.Statistical methods: All data use statistical product and service solutions18.0(SPSS18.0)software package for statistical analysis. According to the character of clinical trial data (measurement, classification and grade data), select the appropriate statistical analysis method.receiver operating characteristic curve(ROC) analysis of the potential metabolites selected from the targeting metabolic biomarker.

Conditions
PCOS
Being tested
all the indicators
Keywords
Polycystic ovary syndrome, Metabonomics, Traditional Chinese medicine syndromes
Medical subject headings
Polycystic Ovary Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • all the indicatorsOther

    BMI、WHR、FSH、LH、PRL、T、E2、TG、CHOL、LDL-C、HDL-C、FBG、OGTT、FINS、insulin release test、HOMA index、identification of metabolites

Study groups in NCT02992093
Study groupRoleWhat they receive
obese with PCOSall the indicators
Receives: Other: all the indicators
nonobese with PCOSall the indicators
Receives: Other: all the indicators
PCOS with IGTall the indicators
Receives: Other: all the indicators
PCOS with T2DMall the indicators
Receives: Other: all the indicators
Healthy volunteersall the indicators
Receives: Other: all the indicators

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. metabolites

    Collect serum from all the subjects , through the sample pretreatment method,the metabolic features are first scanned by using Liquid Chromatography-Mass Spectrometry coupled w ith Mass Spectrometry,extracted ion-pairs were fetched to type RRLC and QTRAP(MS/MS) for multiple reaction monitoring(MRM) detection,Peak detection and alignment from the raw date use Analyst Quantitation software ,use SIMCA-P11.0 to conduct principle component analysis(PCA) and partial least squares-discriminant analysis(PLS-DA) model,use SPSS18.0 software package for statistical analysis

    Measured: six months

Secondary outcomes (16)
  1. BMI

    weight(kg)/ the square of height(m2)

    Measured: day 1

  2. WHR

    Measured: day 1

  3. FSH

    use the ELISA method to detect the levels of serum FSH

    Measured: day 2 to 5 in menstrual period

  4. LH

    use the ELISA method to detect the levels of serum LH

    Measured: day 2 to 5 in menstrual period

  5. PRL

    use the ELISA method to detect the levels of serum PRL

    Measured: day 2 to 5 in menstrual period

  6. T

    use the ELISA method to detect the levels of serum T

    Measured: day 2 to 5 in menstrual period

  7. E2

    use the ELISA method to detect the levels of serum E2

    Measured: day 2 to 5 in menstrual period

  8. TG

    use the enzymatic method to detect the levels of serum TG

    Measured: day 1

  9. CHOL

    use the enzymatic method to detect the levels of serum CHOL

    Measured: day 1

  10. LDL-C

    use turbidity method to detect the levels of serum LDL-C

    Measured: day 1

  11. HDL-C

    use turbidity method to detect the levels of serum HDL-C

    Measured: day 1

  12. FBG

    use glucose oxidase method to detect the levels of serum FBG

    Measured: day 1

  13. OGTT

    The levels of blood glucose about 1, 2, 3 hours after glucose loading

    Measured: day 1

  14. FINS

    use radioimmunoassay to detect the levels of serum FINS

    Measured: day 1

  15. insulin release test

    The levels of Insulin about 1, 2, 3 hours after glucose loading

    Measured: day 1

  16. HOMA index

    Measured: day 1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Dec 2016 (estimated)
  2. Study startDec 2016
  3. Primary completionMay 2020 (estimated)
  4. Study completionAug 2020 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Time perspective
Prospective
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02992093
Sponsor's protocol ID
Dunjingjing
Status last verified
Dec 2016
First submitted
1 Dec 2016
Last updated
15 Dec 2016
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Suvarna Y, Maity N, Kalra P, Shivamurthy MC. Comparison of efficacy of metformin and oral contraceptive combination of ethinyl estradiol and drospirenone in polycystic ovary syndrome. J Turk Ger Gynecol Assoc. 2016 Jan 12;17(1):6-9. doi: 10.5152/jtgga.2016.16129. eCollection 2016.

    PubMed 27026772
  • Victor VM, Rovira-Llopis S, Banuls C, Diaz-Morales N, Martinez de Maranon A, Rios-Navarro C, Alvarez A, Gomez M, Rocha M, Hernandez-Mijares A. Insulin Resistance in PCOS Patients Enhances Oxidative Stress and Leukocyte Adhesion: Role of Myeloperoxidase. PLoS One. 2016 Mar 23;11(3):e0151960. doi: 10.1371/journal.pone.0151960. eCollection 2016.

    PubMed 27007571
  • Sathyapalan T, Atkin SL. Recent advances in cardiovascular aspects of polycystic ovary syndrome. Eur J Endocrinol. 2012 Apr;166(4):575-83. doi: 10.1530/EJE-11-0755. Epub 2011 Nov 17.

    PubMed 22096112
  • Chen L, Xu WM, Zhang D. Association of abdominal obesity, insulin resistance, and oxidative stress in adipose tissue in women with polycystic ovary syndrome. Fertil Steril. 2014 Oct;102(4):1167-1174.e4. doi: 10.1016/j.fertnstert.2014.06.027. Epub 2014 Jul 23.

    PubMed 25064406
  • Wehr E, Gruber HJ, Giuliani A, Moller R, Pieber TR, Obermayer-Pietsch B. The lipid accumulation product is associated with impaired glucose tolerance in PCOS women. J Clin Endocrinol Metab. 2011 Jun;96(6):E986-90. doi: 10.1210/jc.2011-0031. Epub 2011 Apr 6.

    PubMed 21470992
  • Zhao Y, Fu L, Li R, Wang LN, Yang Y, Liu NN, Zhang CM, Wang Y, Liu P, Tu BB, Zhang X, Qiao J. Metabolic profiles characterizing different phenotypes of polycystic ovary syndrome: plasma metabolomics analysis. BMC Med. 2012 Nov 30;10:153. doi: 10.1186/1741-7015-10-153.

    PubMed 23198915
  • Collins FS, Green ED, Guttmacher AE, Guyer MS; US National Human Genome Research Institute. A vision for the future of genomics research. Nature. 2003 Apr 24;422(6934):835-47. doi: 10.1038/nature01626. Epub 2003 Apr 14. No abstract available.

    PubMed 12695777
  • Azziz R, Carmina E, Dewailly D, Diamanti-Kandarakis E, Escobar-Morreale HF, Futterweit W, Janssen OE, Legro RS, Norman RJ, Taylor AE, Witchel SF; Task Force on the Phenotype of the Polycystic Ovary Syndrome of The Androgen Excess and PCOS Society. The Androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force report. Fertil Steril. 2009 Feb;91(2):456-88. doi: 10.1016/j.fertnstert.2008.06.035. Epub 2008 Oct 23.

    PubMed 18950759
  • Sun L, Hu W, Liu Q, Hao Q, Sun B, Zhang Q, Mao S, Qiao J, Yan X. Metabonomics reveals plasma metabolic changes and inflammatory marker in polycystic ovary syndrome patients. J Proteome Res. 2012 May 4;11(5):2937-46. doi: 10.1021/pr3000317. Epub 2012 Apr 13.

    PubMed 22428626
  • Atiomo W, Daykin CA. Metabolomic biomarkers in women with polycystic ovary syndrome: a pilot study. Mol Hum Reprod. 2012 Nov;18(11):546-53. doi: 10.1093/molehr/gas029. Epub 2012 Jul 18.

    PubMed 22809877
  • Escobar-Morreale HF, Samino S, Insenser M, Vinaixa M, Luque-Ramirez M, Lasuncion MA, Correig X. Metabolic heterogeneity in polycystic ovary syndrome is determined by obesity: plasma metabolomic approach using GC-MS. Clin Chem. 2012 Jun;58(6):999-1009. doi: 10.1373/clinchem.2011.176396. Epub 2012 Mar 16.

    PubMed 22427353
  • Zhao X, Xu F, Qi B, Hao S, Li Y, Li Y, Zou L, Lu C, Xu G, Hou L. Serum metabolomics study of polycystic ovary syndrome based on liquid chromatography-mass spectrometry. J Proteome Res. 2014 Feb 7;13(2):1101-11. doi: 10.1021/pr401130w. Epub 2014 Jan 24.

    PubMed 24428203
  • Wild RA, Rizzo M, Clifton S, Carmina E. Lipid levels in polycystic ovary syndrome: systematic review and meta-analysis. Fertil Steril. 2011 Mar 1;95(3):1073-9.e1-11. doi: 10.1016/j.fertnstert.2010.12.027. Epub 2011 Jan 17.

    PubMed 21247558
  • Gaster M, Nehlin JO, Minet AD. Impaired TCA cycle flux in mitochondria in skeletal muscle from type 2 diabetic subjects: marker or maker of the diabetic phenotype? Arch Physiol Biochem. 2012 Jul;118(3):156-89. doi: 10.3109/13813455.2012.656653. Epub 2012 Mar 5.

    PubMed 22385297

Questions about this trial

What is this clinical trial studying?

An observational study of PCOS, run by Fujian Maternity and Child Health Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 15 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jinbang Xu (13559958096, 13559958096@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

metabolites (time frame: six months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02992093, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Dec 2016.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in