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Trial Title: Evaluation of the Effects of Diosmin/Hespiridin Combination on the Clinical Outcomes in Patients With Polycystic Ovary Syndrome

NCT ID: NCT06083935

Condition: Poly Cystic Ovary Syndrome

Conditions: Official terms:
Polycystic Ovary Syndrome
Syndrome
Metformin
Contraceptive Agents
Contraceptives, Oral
Contraceptives, Oral, Combined

Study type: Interventional

Study phase: Phase 4

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Double (Participant, Care Provider)

Intervention:

Intervention type: Drug
Intervention name: Daflon
Description: Daflon; two film coated tablets 500 mg daily
Arm group label: Diosmin /Hesperidin + Combined oral contraceptive
Arm group label: Diosmin /Hesperidin +Metformin + Combined oral contraceptive combination

Intervention type: Drug
Intervention name: Combined oral contraceptive
Description: Yassmin ® film-coated tablets 3 mg of drospirenone and 0.03 mg of ethinyl estradiol once daily daily
Arm group label: Diosmin /Hesperidin + Combined oral contraceptive
Arm group label: Diosmin /Hesperidin +Metformin + Combined oral contraceptive combination
Arm group label: Metformin + Combined oral contraceptive

Intervention type: Drug
Intervention name: Metformin
Description: Glucophage ® 500 tablets twice daily
Arm group label: Diosmin /Hesperidin +Metformin + Combined oral contraceptive combination
Arm group label: Metformin + Combined oral contraceptive

Summary: Polycystic ovary syndrome (PCOS) is one of the most prevalent disorders worldwide. Insulin resistance, inflammation and disturbance in sex hormone levels are the main contributing factors of this disease.The majority of studies addressing the status of chronic low-grade inflammation in PCOS have focused on the measurement of C-reactive protein (CRP) followed by stimulation of interleukin 6 (IL-6) and tumor necrosis factor (TNF-alpha). Daflon 500 mg tablets (containing 90% of diosmin and 10% of hesperidin) is used in patients to treat varicose veins, venous ulcers, hemorrhoids and lymphatic insufficiency. It has anti-diabetic, anti-inflammatory, microcirculatory, and antioxidant effects. So the aim of the work is to investigate the effect of Diosmin/Hesperidin in the management of PCOS through evaluation of Oxidative stress and inflammation, improvement of signs and symptoms through patients' follow-up, improvement of PCOS status by sonography and hormonal levels, measuring of anti-diabetic effect by measuring, fasting insulin, HOMA-IR and measuring the improvement of patient's quality of life by using the women health questionnaire (WHQ).

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Patients with confirmed diagnosis of PCOS aged in the range from18-40 (premenopausal adults) diagnosed with PCOS according to Rotterdam criteria by an expert gynecologist; (1) oligo-ovulation and/or anovulation (2) Clinical and biochemical hyperandrogenism and (3) polycystic ovaries on ultrasonography Exclusion Criteria: - 1-Pregnant and nursing women 2-Menopause women 3-Diabetic patients 4-Adrenal hyperplasia 5-Adrenal Tumor 6-Thyroid dysfunction 7-Women on confounding medications which affect ovarian function

Gender: Female

Minimum age: 18 Years

Maximum age: 40 Years

Healthy volunteers: No

Start date: November 1, 2023

Completion date: December 1, 2024

Lead sponsor:
Agency: Ain Shams University
Agency class: Other

Source: Ain Shams University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06083935

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