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Tanshinone in Polycystic Ovary Syndrome

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Heilongjiang University of Chinese Medicine

Mots clés

Abstrait

Tanshinone was originally isolated from dried roots of Salvia miltiorrhiza bunge. In Chinese medicine, this herb has been widely prescribed for several pathologies, including diabetes, acne, cardiovascular disease.It has been demonstrated that the therapeutic benefit of cryptotanshinone on prenatally androgenized rats may be mediated by its dual regulation of key molecules during both insulin signaling and androgen synthesis.The purpose of this study is to determine whether tanshinone may prove effective in eradicating Polycystic Ovary Syndrome (PCOS) symptomatology.

Rendez-vous

Dernière vérification: 08/31/2013
Première soumission: 10/05/2011
Inscription estimée soumise: 10/11/2011
Première publication: 10/13/2011
Dernière mise à jour soumise: 09/02/2013
Dernière mise à jour publiée: 09/03/2013
Date de début réelle de l'étude: 09/30/2011
Date d'achèvement primaire estimée: 11/30/2013
Date estimée d'achèvement de l'étude: 06/30/2014

Condition ou maladie

Polycystic Ovary Syndrome

Intervention / traitement

Drug: tanshinone

Drug: tanshinone placebo

Phase

-

Groupes d'armes

BrasIntervention / traitement
Active Comparator: tanshinone
tanshinone 1.0g / time, 3 times / day orally, continuous treatment for 12 weeks.
Drug: tanshinone
tanshinone 1.0g / time, 3 times / day orally, continuous treatment for 12 weeks.
Placebo Comparator: tanshinone placebo
placebo 1.0g / time, 3 times / day orally, continuous treatment for 12 weeks.
Drug: tanshinone placebo
placebo 1.0g / time, 3 times / day orally, continuous treatment for 12 weeks.

Critère d'éligibilité

Âges éligibles aux études 18 Years À 18 Years
Sexes éligibles à l'étudeFemale
Accepte les bénévoles en santéOui
Critères

Inclusion Criteria:

- Presence of PCOS diagnosed based on the Androgen Excess Society criteria. All subjects must have hyperandrogenism (hirsutism and/or hyperandrogenemia), ovarian dysfunction (oligoanovulation and/or polycystic ovaries), and exclusion of other androgen excess related disorders. Oligomenorrhea is defined as an intermenstrual interval >35 days or <8 menstrual bleedings in the past year. Amenorrhea is defined as an intermenstrual interval >90 days. Clinical hyperandrogenism is defined as a Ferriman-Gallwey (FG) score ≥5

- Age of women from 18 to 35 years;

- No desire of children within 6 month and use condoms for contraception.

Exclusion Criteria:

- Use of hormonal drugs or other medications, which can affect the results of the study especially Chinese herbal prescriptions in the past 12 weeks;

- Patients with other androgen excess endocrine disorders including 21-hydroxylase deficiency, hyperprolactinemia, Cushing syndrome, severe insulin resistance, thyroid dysfunction;

- Patients with history of sever cardiac , pulmonary, hepatic, renal, neurologic disease or mental illness;

- Pregnancy or lactation.

Résultat

Mesures des résultats primaires

1. basal testosterone [3 months]

The primary outcome measure is a decrease in basal testosterone.

Mesures des résultats secondaires

1. Ovarian androgen biosynthesis [3 months]

Human chorionic gonadotropin (HCG) induced response of androgens including 17-hydroxyprogesterone (17-OHP), androstenedione (A2), testosterone (T)

2. Whole body insulin action [3 months]

Insulin resistance by the glucose disposal rate (GDR) with hyperinsulinemic euglycemic clamp test

3. Oral glucose tolerance test (OGTT) [3 months]

All the participants will undergo an overnight fast. After ingestion of a 75-g glucose load, blood samples will be obtained at 0, 30, 60, 90, and 120min for glucose and insulin level determination.

4. Reproductive hormones [3 months]

estradiol (E2), 17-α-hydroxyprogesterone (17-OHP), follicle stimulation hormone (FSH), leutinizing hormone (LH), sex hormone binding globulin and dehydroepiandrosterone sulphate.

5. Fasting gluco-lipid metabolic profiles [3 months]

6. quality of life [3 months]

the quality of life will be assessed by the Polycystic Ovary Syndrome Questionnaire (PCOS-QOL)and the Chinese Quality of Life (ChQOL).

7. Weight, waist/hip circumference, blood pressure, F-G score and acne before and after treatment [3 months]

8. Adverse events [3 months]

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