Polycystic Ovary Syndrome Clinical Trial
Official title:
Treatment of Polycystic Ovary Syndrome (POS) in Overweight Adolescents
A 24 week study to compare the use of Metformin, birth control pills and a carefully planned
intensive lifestyle program that includes weight loss and exercise. These approaches will be
compared to placebo (a pill that contains no active substances. Metformin, birth control
pills and the lifestyle management program will be used on this research study to compare
their ability to:
1. reduce fasting glucose levels
2. reduce androgen hormone levels
3. improve sex steroid binding, and
4. improve lipids (fatty substances in the blood)
Polycystic ovary syndrome (PCOS) is a condition associated with irregular menstrual cycles,
(due to lack of regular ovulation), and evidence of elevated androgen (male hormone) levels,
such as unwanted hair growth or acne. This condition often becomes recognized at the time of
puberty. The standard treatment for this condition is oral contraceptive pills, which are
used not for contraception, but to cause a regular, monthly bleeding pattern.
Many adolescents with PCOS have increased levels of insulin, a hormone that controls the
body's sugar balance. These increased insulin levels may play a role in the development of
polycystic ovary syndrome. There are several medications now available, which can decrease
the insulin levels by improving the action of insulin in the body. Metformin is one of these
drugs. Metformin is a drug currently used in the management of diabetes to control blood
sugar. It is hoped that by lowering the insulin levels some of the symptoms of polycystic
ovary syndrome, such as the lack of regular periods and unwanted hair growth, can be
reversed or diminished.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
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