PCOS, Therapy and Markers of Cardiovascular Risk
Study Details
Study Description
Brief Summary
In addition to chronic anovulation and hyperandrogenemia, polycystic ovary syndrome (PCOS) is also characterized by peripheral insulin resistance and hyperinsulinaemia, which in turn lead to the development of diabetes, hypertension, atherosclerosis and coronary heart disease. Serum markers of inflammation are being increasingly recognized as predictors of atherosclerosis and cardiovascular risk, and chronic low-grade inflammation has been recently proposed to play a role in the pathogenesis of metabolic syndrome and type 2 diabetes mellitus. Therefore, the aim of the present study is to evaluate the effects of commonly used non-pharmacologic (diet and lifestyle change) and pharmacologic (oral contraceptives, metformin, anti-androgens) treatment strategies on classical and surrogate cardiovascular risk markers in women with PCOS. The study hypothesis is that some of the commonly used therapies of women with PCOS may have more favorable effects on classical and surrogate markers of cardiovascular risk then others or some of them may even confer a higher risk of cardiovascular events
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Metformin oral metformin at a dose of 850mg twice daily |
Drug: oral metformin
|
Active Comparator: Oral contraceptive oral contraceptive containing 35ug of ethynylestradiol and 2mg of cyproterone acetate (21 day regimen) |
Drug: oral contraceptive
|
Outcome Measures
Primary Outcome Measures
- serum C-reactive protein (CRP) levels [6 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
- PCOS
Exclusion Criteria:
-
diabetes
-
pregnancy
-
contraindications to oral contraceptives
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Clinical and Experimental Endocrinology, Medical University of Gdansk | Gdansk | Poland |
Sponsors and Collaborators
- Medical University of Gdansk
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- POLovaRIS