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Tanshinone in Polycystic Ovary Syndrome

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Heilongjiang University of Chinese Medicine

Kľúčové slová

Abstrakt

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.

Termíny

Naposledy overené: 08/31/2013
Prvý príspevok: 10/05/2011
Odhadovaná registrácia bola odoslaná: 10/11/2011
Prvý príspevok: 10/13/2011
Posledná aktualizácia bola odoslaná: 09/02/2013
Posledná aktualizácia bola zverejnená: 09/03/2013
Aktuálny dátum začatia štúdie: 09/30/2011
Odhadovaný dátum dokončenia primárneho okruhu: 11/30/2013
Odhadovaný dátum dokončenia štúdie: 06/30/2014

Stav alebo choroba

Polycystic Ovary Syndrome

Intervencia / liečba

Drug: tanshinone

Drug: tanshinone placebo

Fáza

-

Skupiny zbraní

ArmIntervencia / liečba
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.

Kritériá oprávnenosti

Vek vhodný na štúdium 18 Years To 18 Years
Pohlavia vhodné na štúdiumFemale
Prijíma zdravých dobrovoľníkovÁno
Kritériá

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.

Výsledok

Primárne výstupné opatrenia

1. basal testosterone [3 months]

The primary outcome measure is a decrease in basal testosterone.

Opatrenia sekundárnych výsledkov

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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