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Comparison of the effects of an oral contraceptive with those of a combined therapy with insulin sensitizers and anti-androgens in young girls with ovarian androgen excess and without pregnancy risk, on markers of cardiometabolic health

Phase 3
Completed
Conditions
Hyperinsulinemic androgen excess in adolescent girls
Nutritional, Metabolic, Endocrine
Androgen excess
Registration Number
ISRCTN11062950
Lead Sponsor
Hospital Sant Joan de Deu, University of Barcelona
Brief Summary

2020 Results article in https://pubmed.ncbi.nlm.nih.gov/32342022/ results (added 07/10/2020) 2021 Results article in https://pubmed.ncbi.nlm.nih.gov/33782413/ (added 31/03/2021) 2017 Results article in https://pubmed.ncbi.nlm.nih.gov/28712591/ Primary results (added 12/08/2022)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
41
Inclusion Criteria

1. Hyperinsulinemia, defined as fasting insulinemia >15 IU/mL and/or a peak insulinemia >150 IU/mL and/or mean insulinemia >84 IU/mL on a 2-hour oral glucose tolerance test (oGTT)
2. Presence of both clinical and endocrine androgen excess, as defined by hirsutism score >8 (Ferriman-Gallwey scale), amenorrhea (no menses for more than 3 months) or oligomenorrhea (menstrual intervals >45 days), and high circulating concentrations of testosterone in the follicular phase (cycle day 3-7) or after 2 months of amenorrhea

Exclusion Criteria

1. Pregnancy risk (throughout the study)
2. Anemia or bleeding disorder
3. Evidence of thyroid, liver or kidney dysfunction; abnormal electrolytes
4. Hyperprolactinemia
5. 21-hydroxylase deficiency (17-hydroxyprogesterone levels = 200 ng/dL in the follicular phase or after two months of amenorrhea)
6. Glucose intolerance or diabetes mellitus
7. Use of medication affecting gonadal or adrenal function, or carbohydrate or lipid metabolism

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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