MYOPK: Interest of Myo-inositol Supplementation in Women With Polycystic Ovarian Syndrome
Study Details
Study Description
Brief Summary
The main objective will be to check if MyoInositol (MYO) reduces the total resistance rate to Clomiphene Citrate (CC). For this, our study will be controlled, randomized and double blinded. It will include patients with PCOS (polycystic ovary syndrome, defined by the Rotterdam criteria) who wish to become pregnant and are eligible to simple ovulation induction by CC. Half of them will receive MYO + levomefolic acid (5-MTHF) in addition to the CC, while the other half will receive a placebo containing only 5-MTHF in addition to the CC. The MYO supplementation will be initiated at least one month before taking CC and will be continued throughout this treatment until pregnancy or before switching to another type of treatment for ovulation induction if no pregnancy is obtained after 6 ovulatory cycles.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Myo-Inositol + Levomefolic acid The experimental group will receive the dietary supplement: 4 g of MYO + 0.736 mg of 5-MTHF, glucosamine salts per day per os (in 2 bags per day) in addition to the standard therapy (Clomiphene Citrate). |
Dietary Supplement: Myo-Inositol + Levomefolic acid
Dietary supplement Gynositol® MTHF containing myo-inositol (4 g) and Levomefolic acid on glucosamine salts(0.736 mg) in a same bags Supplementation started on average one month before treatment with Clomiphene citrate and continued throughout cycles of Clomiphene citrate (maximum 9 cycles). Treatment will be delivered during ultrasound visit at D12 of each cycle.
Other Names:
Drug: Clomiphene Citrate
Clomiphene citrate 50 mg. taking D2 to D6 of each cycle (maximum 9 cycles). Treatment will be delivered during ultrasound visit at D12 of each cycle and the dose will be increased if necessary.
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Placebo Comparator: Placebo The control group will receive the standard therapy ( Clomiphene Citrate) and a placebo containing only 0.736 mg of 5-MTHF, glucosamine salts |
Drug: Clomiphene Citrate
Clomiphene citrate 50 mg. taking D2 to D6 of each cycle (maximum 9 cycles). Treatment will be delivered during ultrasound visit at D12 of each cycle and the dose will be increased if necessary.
Dietary Supplement: placebo
a placebo containing only 0.736 mg of 5-MTHF, glucosamine salts
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Outcome Measures
Primary Outcome Measures
- Total resistance rate under CC for ovulation induction in patients with PCOS. [At each cycle during 4 months]
The total resistance to CC is defined by failure to ovulate at least one time during 4 subsequent cycles in women requiring 150 mg/day from D2 to D6.
Secondary Outcome Measures
- Rate of responders (i.e., 100% cycles with ovulation and/or occurrence of a pregnancy) at doses of 50 and 100mg of CC [At each cycle during one year]
- Rate of drop out [at each cycle during one year]
- Cumulative incidence of clinical pregnancy (cardiac activity on ultrasound at 6 weeks of amenorrhea) [During one year]
- Rate of patients switched to a 2nd line treatment with exogenous gonadotropins over the whole period of the study [At each cycle during one year]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Wishing pregnancy,
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Having PCOS defined by the Rotterdam criteria: high antral follicle count (AFC) (> 19 per ovary) and/or a disorder of the cycle and/or hyperandrogenism (at least two of the three criteria),
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Having never been treated with CC (or previous treatment with CC interrupted for > 3 months).
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Having received complete information and having signed consent.
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Covered by social security
Exclusion Criteria:
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Intolerance to CC in previous treatment,
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BMI > 35,
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Other associated cause of oligoanovulation requiring specific treatment (eg., Hyperprolactinemia or functional hypothalamic anovulation),
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Ongoing pregnancy at the time of CC initiation,
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Other male or female cause of hypo-fertility,
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History of ovarian drilling,
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Negative rubella serology.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University Hospital, Lille
- Ministry of Health, France
- Laboratoires Besins International
Investigators
- Principal Investigator: Goeffrey Robin, MD, University Hospital, Lille
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2015_68
- 2016-A01246-45
- PHRC_N_15-0116