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Trial Title: Myoinositol, L-arginine and Chromium With Letrozole for Ovulation Induction in Polycystic Ovarian Syndrome Patients

NCT ID: NCT06405243

Condition: Polycystic Ovary Syndrome

Conditions: Official terms:
Polycystic Ovary Syndrome
Syndrome
Chromium
Inositol
Letrozole

Conditions: Keywords:
Polycystic Ovary Syndrome
letrazole
myoinositol
L-arginine
Chromium

Study type: Interventional

Study phase: Phase 3

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Single (Participant)

Intervention:

Intervention type: Drug
Intervention name: Myoinositol
Description: Myoinositol decreases insulin resistance and consequently increased intracellular glucose uptake, restore the metabolic profile and induce ovulation in PCOS patients with infertility, in addition to its good safety profile
Arm group label: myoinositol

Other name: femtonex

Intervention type: Drug
Intervention name: Chromium
Description: chromium picolinate may potentiates the therapeutic effect of letrozol on pituitary hormones (FSH and LH), improvement of ovulation, normalization of Estrogen level, improvement of endometrial thickness related to ovulation
Arm group label: chromium

Other name: chromax

Intervention type: Drug
Intervention name: l-arginine
Description: new antioxidant that minimizes the inflammatory reaction, the hormonal imbalance, and the metabolic disturbances in PCO
Arm group label: L-arginine

Other name: Blue ox

Intervention type: Drug
Intervention name: Letrozole 2.5mg
Description: selective aromatase inhibitor
Arm group label: L-arginine
Arm group label: chromium
Arm group label: myoinositol

Other name: femara

Summary: The aim of the study is to compare and assess the efficacy of combined letrozole with myoinositol, chromium, or L-arginine in infertile women with PCOS. This study will help in the investigation of alternative therapeutic modalities for fertility improvement in polycystic ovarian syndrome

Detailed description: d prospective Study Trial. We will recruit patients diagnosed with PCOS according to Rotterdam criteria of PCOS and who present to outpatient clinics at Beni-Suef University Hospital. Infertile women will be randomized to receive letrozole (2.5 mg for 5 days from 3rd day of patients' menstrual cycle) combination with myoinositol, chromium or L-arginine

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Primary or secondary infertility associated with PCOS as defined by the revised Rotterdam criteria - Normal values of the following laboratory tests: thyroid function, prolactin level, and husband's sperm analysis and hysterosalpingography Exclusion Criteria: 1. Patients with a history of systemic diseases such as liver, kidney, cardiovascular, diabetes (type I or II) or malignancy. 2. Patients who consumed myoinositol, metformin, SGLT2 or drugs effecting insulin secretion or clomiphene citrate in the previous 2 months. 3. Use of hormonal medications, lipid-lowering agents (statins, etc.), anti-obesity drugs or medications for weight loss in the previous 2 months. 4. Patients with hormonal disorders such as hyperprolactinemia, hypo or hyperthyroidism or Cushing syndrome. 5. Presence of hypersensitivity to any of the study medications.

Gender: Female

Minimum age: 20 Years

Maximum age: 40 Years

Healthy volunteers: No

Locations:

Facility:
Name: Beni-suef university Hospital

Address:
City: Banī Suwayf
Zip: 62511
Country: Egypt

Facility:
Name: Beni-suef university

Address:
City: Banī Suwayf
Zip: 62511
Country: Egypt

Contact:
Last name: Beni Suef University

Phone: 0020822318605

Phone ext: 2
Email: fom@med.bsu.edu.eg

Start date: June 30, 2024

Completion date: December 31, 2024

Lead sponsor:
Agency: Beni-Suef University
Agency class: Other

Source: Beni-Suef University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06405243

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