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Trial · Interventional

Status unknownPhase 3Registry data

Liraglutide and Metformin Combination on Weight Loss, Metabolic - Endocrine Parameters and Pregnancy Rate in Women With PCOS, Obesity and Infertility

Overview

Status
Status unknown
Phase
Phase 3
Enrollment
188 participants (estimated)
Sponsor
Mỹ Đức Hospital · Other
Design
Randomized · Open label (no masking)
Countries
Not stated
Start
1 Nov 2023 (estimated)
Primary completion
31 Dec 2025 (estimated)
Completion
31 Dec 2025 (estimated)
First posted
19 Jul 2023
Last update posted
23 Oct 2023
Conditions
Polycystic Ovary Syndrome · Obesity · Infertility, Female

Timeline

1 trial

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2023202420252026
  1. Ph 3

    Liraglutide and Metformin Combination on Weight Loss, Metabolic - Endocrine Parameters and Pregnancy Rate in Women With PCOS, Obesity and Infertility

    NCT05952882

    est. 1 Nov 2023 to est. 31 Dec 2025

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of reproductive age and one of the leading causes of infertility. PCOS and obesity affect up to 12.5% - 48.3% Asian women, increase incidence of impaired glucose tolerance, type 2 diabetes and aggravate insulin resistance, cause ovulatory dysfunction and menstrual disorders, and negatively impact outcomes of Assited Reproductive Technology (ART), with higher miscarriage rate when receiving ART. Weight loss decrease insulin resistance and hyperandrogenism, improve ovulation rate and menstrual cycle, significantly higher conception and live birth rates. Weight loss prior to IVF procedures has been associated with significantly improved pregnancy rates (PR) and live birth rates. Furthermore, a decreased number of IVF cycles required to achieve a pregnancy has also been reported after weight loss interventions. Based on the principles of fetal programming, improving a lifestyle before conception might lead to improved longterm health of the offspring. Studies on the effect of anti-obesity medication combined with lifestyle changes on body weight and composition and metabolic - endocrine parameters and pregnancy rate in obese women diagnosed with PCOS are lacking. There is a growing need to develop pharmacologic interventions to improve metabolic function in women with polycystic ovary syndrome (PCOS).

Interventions

  • Liraglutide + MetforminDrug
  • MetforminDrug

Arms2

  • Experimental

    LIME 3mg/1500mg

    Metformin XR (extended-release) was initiated with a dose of 750 mg once per day for 2 week and increased to 1500 mg once per day for up to 12 weeks. Start injection liraglutide 0.6 mg subcutaneously (SC) 1week daily (QD), then titrated in increments of 0.6 mg once daily every 1 to 3 weeks to a final dose of 3.0 mg liraglutide SC daily for up to 12 weeks.

  • Active comparator

    MET 1500mg

    Metformin XR (extended-release) was initiated with a dose of 750 mg once per day for 2 week and increased to 1500 mg once per day for up to 12 weeks

Primary outcomes2

Outcomes the sponsor listed as primary.

  1. Absolute Body Weight (BW)

    Time frame · 12 weeks of treatment

    Registry description

    Treatment impact on change in body weight after 12 weeks of treatment.

  2. Change in Percent Body Weight

    Time frame · 12 weeks of treatment

    Registry description

    Treatment effect on reducing body weight expressed as percent body weight loss from baseline

Secondary outcomes(20)
  1. Body Mass Index (BMI)

    Time frame · 12 weeks of treatment

    Registry description

    Treatment effect in reducing body mass

  2. Abdominal Adiposity (Waist Circumference [WC])

    Time frame · 12 weeks of treatment

    Registry description

    Treatment effect on loss of waist circumference (abdominal adiposity) with drug treatment

  3. Waist-to-Hip Ratio (WHR)

    Time frame · 12 weeks of treatment

    Registry description

    Change in central adiposity with treatment as measured by waist-to-hip ratio. A reduction in ratio indicates a decrease in truncal fat.

  4. Waist-to Height Ratio [WHtR]

    Time frame · 12 weeks of treatment

    Registry description

    Treatment effect on loss of central adiposity as determined by Waist-to Height Ratio. The lower the ratio indicates less abdominal adiposity.

  5. Total Fat Mass Evaluated by BIA

    Time frame · 12 weeks of treatment

    Registry description

    Treatment effect on reduction of fat mass (kg)

  6. Total Body Fat (%) by BIA (Bioelectrical Impedance Analysis) machine

    Time frame · 12 weeks of treatment

    Registry description

    Treatment effect on reduction of percent body fat by BIA

  7. Visceral Fat Level (VFL)

    Time frame · 12 weeks of treatment

    Registry description

    Treatment effect on reduction of visceral fat level by BIA

  8. Total lean body mass

    Time frame · 12 weeks of treatment

    Registry description

    Treatment impact on total lean body mass

  9. Glucose OGTT 0 min

    Time frame · 12 weeks of treatment

    Registry description

    Treatment effect on fasting glucose prior to an oral glucose tolerance test (OGTT)

  10. Glucose OGTT 120 min

    Time frame · 12 weeks of treatment

    Registry description

    Treatment effect on glucose measured at 120 minutes of an oral glucose tolerance test (OGTT)

  11. Insulin OGTT 0 min

    Time frame · 12 weeks of treatment

    Registry description

    Treatment effect on fasting insulin prior to an oral glucose tolerance test (OGTT)

  12. Insulin OGTT 120 min

    Time frame · 12 weeks of treatment

    Registry description

    Treatment effect on insulin measured at 120 minutes of an oral glucose tolerance test (OGTT)

  13. Fasting Insulin Sensitivity (HOMA-IR)

    Time frame · 12 weeks of treatment

    Registry description

    Treatment effect on the HOMA-IR which is an insulin resistance measured derived from fasting blood glucose and insulin . The higher the number the more insulin resistant.

  14. Matsuda Insulin Sensitivity Index Derived From the OGTT (SI OGTT)

    Time frame · 12 weeks of treatment

    Registry description

    The SI OGTT is a measure of peripheral insulin sensitivity derived from the insulin and glucoses measured during an OGTT. A increase in SI OGTTindicates greater insulin sensitivity

  15. Total Cholesterol Levels

    Time frame · 12 weeks of treatment

    Registry description

    Treatment impact on improving total cholesterol levels

  16. High Density Lipoprotein Cholesterol (HDL-C)

    Time frame · 12 weeks of treatment

    Registry description

    Impact of treatment on HDL levels after 12 weeks of treatment

  17. Triglyceride Levels (TRG)

    Time frame · 12 weeks of treatment

    Registry description

    Drug effect of TRG levels after treatment

  18. Low Density Lipoprotein Cholesterol (LDL-C)

    Time frame · 12 weeks of treatment

    Registry description

    Treatment impact on improving LDL-C after treatment

  19. Systolic Blood Pressure

    Time frame · 12 weeks of treatment

    Registry description

    Treatment impact on systolic blood pressure

  20. Diastolic Blood Pressure

    Time frame · 12 weeks of treatment

    Registry description

    Treatment impact on reducing diastolic blood pressure

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

No results are posted for this trial.

A trial that is still running, or that stopped early, may post results later.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies7

Studies that cite this trial.

Studies with results

4 studies on this page

Indexing hint: Randomized controlled trial · 2018

12 results

Effect of liraglutide on ectopic fat in polycystic ovary syndrome: A randomized clinical trial.

Frøssing et al. 2018Diabetes, obesity & metabolismcited by 137

PMID 28681988DOI 10.1111/dom.13053PUB-28681988

Full text at the publisher12 results

Indexing hint: Randomized controlled trial · 2018

3 results

Liraglutide increases IVF pregnancy rates in obese PCOS women with poor response to first-line reproductive treatments: a pilot randomized study.

Salamun et al. 2018European journal of endocrinologycited by 155

PMID 29703793DOI 10.1530/eje-18-0175PUB-29703793

Full text at the publisher3 results

Indexing hint: Randomized controlled trial · 2017

7 results

Effects of liraglutide on ovarian dysfunction in polycystic ovary syndrome: a randomized clinical trial.

Nylander et al. 2017Reproductive biomedicine onlinecited by 109

PMID 28479118DOI 10.1016/j.rbmo.2017.03.023PUB-28479118

Rights unknown7 results

Indexing hint: Randomized controlled trial · 2014

15 results

Short-term combined treatment with liraglutide and metformin leads to significant weight loss in obese women with polycystic ovary syndrome and previous poor response to metformin.

Jensterle Sever et al. 2014European journal of endocrinologycited by 124

PMID 24362411PMC3922503DOI 10.1530/eje-13-0797PUB-24362411

CC BY15 results

More studies

3 studies on this page

Indexing hint: Review · 2021

The potential role of incretin-based therapies for polycystic ovary syndrome: a narrative review of the current evidence.

Abdalla et al. 2021Therapeutic advances in endocrinology and metabolismcited by 45

PMID 33552465PMC7844452DOI 10.1177/2042018821989238PUB-33552465

Free to read · publisher termsCC BY-NC
Read at source

Indexing hint: Review · 2020

Obesity, Polycystic Ovary Syndrome, and Infertility: A New Avenue for GLP-1 Receptor Agonists.

Cena et al. 2020The Journal of clinical endocrinology and metabolismcited by 217

PMID 32442310PMC7457958DOI 10.1210/clinem/dgaa285PUB-32442310

CC BY
Download PDF

Indexing hint: Review · 2019

The Discovery and Development of Liraglutide and Semaglutide.

Knudsen et al. 2019Frontiers in endocrinologycited by 700

PMID 31031702PMC6474072DOI 10.3389/fendo.2019.00155PUB-31031702

CC BY
Download PDF

Other registry references

References listed at the registry that are not in PepBank. They link to PubMed.

  • ResultRosenfield RL, Ehrmann DA. The Pathogenesis of Polycystic Ovary Syndrome (PCOS): The Hypothesis of PCOS as Functional Ovarian Hyperandrogenism Revisited. Endocr Rev. 2016 Oct;37(5):467-520. doi: 10.1210/er.2015-1104. Epub 2016 Jul 26. PMID 27459230
  • ResultRotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod. 2004 Jan;19(1):41-7. doi: 10.1093/humrep/deh098. PMID 14688154
  • ResultLim SS, Davies MJ, Norman RJ, Moran LJ. Overweight, obesity and central obesity in women with polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod Update. 2012 Nov-Dec;18(6):618-37. doi: 10.1093/humupd/dms030. Epub 2012 Jul 4. PMID 22767467
  • ResultZeng X, Xie YJ, Liu YT, Long SL, Mo ZC. Polycystic ovarian syndrome: Correlation between hyperandrogenism, insulin resistance and obesity. Clin Chim Acta. 2020 Mar;502:214-221. doi: 10.1016/j.cca.2019.11.003. Epub 2019 Nov 13. PMID 31733195
  • ResultNorman RJ, Masters L, Milner CR, Wang JX, Davies MJ. Relative risk of conversion from normoglycaemia to impaired glucose tolerance or non-insulin dependent diabetes mellitus in polycystic ovarian syndrome. Hum Reprod. 2001 Sep;16(9):1995-8. doi: 10.1093/humrep/16.9.1995. PMID 11527911
  • ResultDunaif A, Segal KR, Futterweit W, Dobrjansky A. Profound peripheral insulin resistance, independent of obesity, in polycystic ovary syndrome. Diabetes. 1989 Sep;38(9):1165-74. doi: 10.2337/diab.38.9.1165. PMID 2670645
  • ResultPractice Committee of the American Society for Reproductive Medicine. Electronic address: asrm@asrm.org; Practice Committee of the American Society for Reproductive Medicine. Obesity and reproduction: a committee opinion. Fertil Steril. 2021 Nov;116(5):1266-1285. doi: 10.1016/j.fertnstert.2021.08.018. Epub 2021 Sep 25. PMID 34583840
  • ResultZhang J, Liu H, Mao X, Chen Q, Fan Y, Xiao Y, Wang Y, Kuang Y. Effect of body mass index on pregnancy outcomes in a freeze-all policy: an analysis of 22,043 first autologous frozen-thawed embryo transfer cycles in China. BMC Med. 2019 Jun 26;17(1):114. doi: 10.1186/s12916-019-1354-1. PMID 31238940
  • ResultMetwally M, Ong KJ, Ledger WL, Li TC. Does high body mass index increase the risk of miscarriage after spontaneous and assisted conception? A meta-analysis of the evidence. Fertil Steril. 2008 Sep;90(3):714-26. doi: 10.1016/j.fertnstert.2007.07.1290. Epub 2008 Feb 6. PMID 18068166
  • ResultPanidis D, Farmakiotis D, Rousso D, Kourtis A, Katsikis I, Krassas G. Obesity, weight loss, and the polycystic ovary syndrome: effect of treatment with diet and orlistat for 24 weeks on insulin resistance and androgen levels. Fertil Steril. 2008 Apr;89(4):899-906. doi: 10.1016/j.fertnstert.2007.04.043. Epub 2007 Nov 5. PMID 17980364
  • ResultLegro RS, Dodson WC, Kris-Etherton PM, Kunselman AR, Stetter CM, Williams NI, Gnatuk CL, Estes SJ, Fleming J, Allison KC, Sarwer DB, Coutifaris C, Dokras A. Randomized Controlled Trial of Preconception Interventions in Infertile Women With Polycystic Ovary Syndrome. J Clin Endocrinol Metab. 2015 Nov;100(11):4048-58. doi: 10.1210/jc.2015-2778. Epub 2015 Sep 24. PMID 26401593
  • ResultBest D, Avenell A, Bhattacharya S. How effective are weight-loss interventions for improving fertility in women and men who are overweight or obese? A systematic review and meta-analysis of the evidence. Hum Reprod Update. 2017 Nov 1;23(6):681-705. doi: 10.1093/humupd/dmx027. PMID 28961722
  • ResultKort JD, Winget C, Kim SH, Lathi RB. A retrospective cohort study to evaluate the impact of meaningful weight loss on fertility outcomes in an overweight population with infertility. Fertil Steril. 2014 May;101(5):1400-3. doi: 10.1016/j.fertnstert.2014.01.036. Epub 2014 Feb 26. PMID 24581574
  • ResultTeede HJ, Misso ML, Costello MF, Dokras A, Laven J, Moran L, Piltonen T, Norman RJ; International PCOS Network. Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Fertil Steril. 2018 Aug;110(3):364-379. doi: 10.1016/j.fertnstert.2018.05.004. Epub 2018 Jul 19. PMID 30033227
  • ResultLegro RS, Arslanian SA, Ehrmann DA, Hoeger KM, Murad MH, Pasquali R, Welt CK; Endocrine Society. Diagnosis and treatment of polycystic ovary syndrome: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2013 Dec;98(12):4565-92. doi: 10.1210/jc.2013-2350. Epub 2013 Oct 22. PMID 24151290
  • ResultPalomba S, Falbo A, Zullo F, Orio F Jr. Evidence-based and potential benefits of metformin in the polycystic ovary syndrome: a comprehensive review. Endocr Rev. 2009 Feb;30(1):1-50. doi: 10.1210/er.2008-0030. Epub 2008 Dec 4. PMID 19056992
  • ResultDunaif A. Drug insight: insulin-sensitizing drugs in the treatment of polycystic ovary syndrome--a reappraisal. Nat Clin Pract Endocrinol Metab. 2008 May;4(5):272-83. doi: 10.1038/ncpendmet0787. Epub 2008 Mar 25. PMID 18364705
  • ResultDiamanti-Kandarakis E, Christakou CD, Kandaraki E, Economou FN. Metformin: an old medication of new fashion: evolving new molecular mechanisms and clinical implications in polycystic ovary syndrome. Eur J Endocrinol. 2010 Feb;162(2):193-212. doi: 10.1530/EJE-09-0733. Epub 2009 Oct 19. PMID 19841045

Eligibility

Who could join, as posted.

Sex
Female
Age
from 18 Years up to 65 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Female gender * 18-65 years of age * Diagnosis of polycystic ovary syndrome according to the revised Rotterdam criteria (2003) * BMI ≥ 27 kg/m2 * Infertility * Agree to participate in the study Exclusion Criteria: * Type 1 or type 2 diabetes. * History of acute or chronic pancreatitis. * Family or individual history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2 * Known hypersensitivity or contraindication to the use of GLP-1 receptor agonists. * Used of hormonal drugs, drugs causing clinically significant weight changes and drugs affecting glucose tolerance for at least 8 weeks. * Used a anti-androgen drugs for at least 4 weeks. * History of malignancy requiring chemotherapy. * History of taking antidiabetic drugs other than gestational diabetes or weight-loss drugs discontinued for at least 4 weeks. * History of gastrectomy or device-based intervention to manage obesity * Eating disorders (anorexia or bulimia) or digestive disorders. * Substance abuse (Tobacco or alcohol) * History of major depression or other serious mental disorder. * Inability or refusal to adhere treatment regimens.

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