Polycystic Ovary SyndromeNCT02106676
Androgen Metabolism and Reproductive Outcome
An observational study of Polycystic Ovary Syndrome and Healthy Pregnant Women, run by Medical University of Graz at 1 site in Austria.
Trial summary
The aim of this study is to determine maternal androgen metabolism during pregnancy and the impact of androgen disorders on mothers and infants. Read more about this study
- Who is it for?
- Ages 18 to 45 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Polycystic Ovary Syndrome, Healthy Pregnant Women
- How many people
- 400 participants
- Where
- 1 siteAustria
- Study dates
- Mar 2012to Sep 2015
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 45 years
- Women only
- Healthy volunteers accepted
- Adult
Study population: Polycystic ovary Syndrome (PCOS): According to ethnicity and the criteria used for diagnosis, polycystic ovary syndrome (PCOS) affects between 2-13% of women of reproductive age (Asunción et al., 2000; Azziz et al., 2009; ESHRE/ASRM, 2004; Wang and Alvero, 2013).
Who may be able to join
- pregnant women with and without PCOS
Who cannot join
- unable to consent
Trial locations and contacts
1 site in 1 country.
About this study
The aim of this study is to determine maternal androgen metabolism during pregnancy and the impact of androgen disorders on mothers and infants.
Read the detailed description
Women with polycystic ovary syndrome (PCOS) have an impaired fertility and significant higher complication rates during infertility treatment, pregnancy and the perinatal period. Complications include the occurrence of multiple gestations, ovarian hyper stimulation syndrome, early pregnancy loss, gestational diabetes, pregnancy-induced hypertension, pre-eclampsia and need for caesarean section. Moreover, their infants are more frequently born preterm, have higher perinatal mortality rates and are more often admitted to a neonatal intensive care unit. The etiology of PCOS is not particularly mapped, but a genetic background can be assumed by analyzing PCOS families. In utero androgen excess has also been suspected to be an important risk factor. Animal studies have demonstrated that intrauterine hyperandrogenic environment affects the offspring by leading to biochemical and morphological features of PCOS. Sex differences in prenatal androgen levels have been observed and testosterone levels in umbilical cord blood and in amniotic fluid are higher in healthy male babies than in healthy female babies. There are just a few reporting on the relation between maternal androgen levels during pregnancy and the respective offspring. The aim of this clinical study is to determine maternal androgen metabolism and the impact of androgen disorders on mothers and infants.
- Conditions
- Polycystic Ovary Syndrome, Healthy Pregnant Women
- Keywords
- polycystic ovary Syndrome, hyperandrogenism, cordblood, androgens
- Medical subject headings
- Polycystic Ovary Syndrome, Hyperandrogenism
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Pregnant women with PCOS and offspring | Exposures of interest: Polycystic ovary Syndrome (PCOS) according to Rotterdam | |
| Pregnant women without PCOS and offspring | Exposures of interest: Pregnant women without polycystic ovary Syndrome (PCOS) according to Rotterdam |
What is being measured
The primary outcome is the main question the study is designed to answer.
correlation of testosterone between mother and offspring
Measured: day of birth (within average 24 hours)
Secondary outcomes (31)
correlation of sexual hormon binding globulin between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of thyroid-stimulating hormone between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of androstendione between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of anti muellerian hormon between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of progesterone between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of dehydroepiandrosteron between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of Vitamin D levels between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of prolactin between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of insulin between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of human growth hormon between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of c-peptide between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of cortisol between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of luteinizing hormon between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of follicle stimulating hormone between mother and offspring
Measured: day of birth (within average 24 hours)
correlation of estrogen levels between mother and offspring
Measured: day of birth (within average 24 hours)
maternal testosterone
Measured: six weeks after birth
maternal sexual hormon binding globulin
Measured: six weeks after birth
maternal thyroid-stimulating hormone
Measured: six weeks after birth
maternal androstendione
Measured: six weeks after birth
maternal anti muellerian hormon
Measured: six weeks after birth
maternal progesterone
Measured: six weeks after birth
maternal dehydroepiandrosteron
Measured: six weeks after birth
maternal Vitamin D levels
Measured: six weeks after birth
maternal prolactin
Measured: six weeks after birth
maternal insulin
Measured: six weeks after birth
maternal human growth hormon
Measured: six weeks after birth
maternal c-peptide
Measured: six weeks after birth
maternal cortisol
Measured: six weeks after birth
maternal luteinizing hormon
Measured: six weeks after birth
maternal follicle stimulating hormone
Measured: six weeks after birth
maternal estrogen levels
Measured: six weeks after birth
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Apr 2014 (estimated)
- Study startMar 2012
- Primary completionSep 2015
- Study completionSep 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Polycystic Ovary SyndromeStudies of the same condition, open and under way.
- More trials run by Medical University of GrazThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case-control
- Time perspective
- Prospective
- Enrolment
- 400 participants (actual)
Sponsor and investigators
- Lead sponsor
- Medical University of Graz
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02106676
- Sponsor's protocol ID
- 03
- Status last verified
- Nov 2015
- First submitted
- 3 Apr 2014
- Last updated
- 25 Nov 2015
- Results posted
- No
- Data monitoring committee
- No
Publications
Barry JA, Kay AR, Navaratnarajah R, Iqbal S, Bamfo JE, David AL, Hines M, Hardiman PJ. Umbilical vein testosterone in female infants born to mothers with polycystic ovary syndrome is elevated to male levels. J Obstet Gynaecol. 2010;30(5):444-6. doi: 10.3109/01443615.2010.485254.
PubMed 20604643Anderson H, Fogel N, Grebe SK, Singh RJ, Taylor RL, Dunaif A. Infants of women with polycystic ovary syndrome have lower cord blood androstenedione and estradiol levels. J Clin Endocrinol Metab. 2010 May;95(5):2180-6. doi: 10.1210/jc.2009-2651. Epub 2010 Mar 12.
PubMed 20228162Abbott DH, Barnett DK, Bruns CM, Dumesic DA. Androgen excess fetal programming of female reproduction: a developmental aetiology for polycystic ovary syndrome? Hum Reprod Update. 2005 Jul-Aug;11(4):357-74. doi: 10.1093/humupd/dmi013.
PubMed 15941725van de Beek C, Thijssen JH, Cohen-Kettenis PT, van Goozen SH, Buitelaar JK. Relationships between sex hormones assessed in amniotic fluid, and maternal and umbilical cord serum: what is the best source of information to investigate the effects of fetal hormonal exposure? Horm Behav. 2004 Dec;46(5):663-9. doi: 10.1016/j.yhbeh.2004.06.010.
PubMed 15555509Hickey M, Sloboda DM, Atkinson HC, Doherty DA, Franks S, Norman RJ, Newnham JP, Hart R. The relationship between maternal and umbilical cord androgen levels and polycystic ovary syndrome in adolescence: a prospective cohort study. J Clin Endocrinol Metab. 2009 Oct;94(10):3714-20. doi: 10.1210/jc.2009-0544. Epub 2009 Jun 30.
PubMed 19567524Norman RJ, Dewailly D, Legro RS, Hickey TE. Polycystic ovary syndrome. Lancet. 2007 Aug 25;370(9588):685-97. doi: 10.1016/S0140-6736(07)61345-2.
PubMed 17720020Goodarzi MO, Guo X, Yildiz BO, Stanczyk FZ, Azziz R. Correlation of adrenocorticotropin steroid levels between women with polycystic ovary syndrome and their sisters. Am J Obstet Gynecol. 2007 Apr;196(4):398.e1-5; discussion 398.e5-6. doi: 10.1016/j.ajog.2006.12.009.
PubMed 17403434
Study at a glance
From the registry record, last updated by the sponsor on 25 Nov 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Androgen Metabolism and Reproductive Outcome
- ClinicalTrials.gov ID
- NCT02106676
- Acronym / sponsor ID
- 03
- Conditions
- Polycystic Ovary Syndrome, Healthy Pregnant Women
- Keywords
- polycystic ovary Syndrome, hyperandrogenism, cordblood, androgens
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 400 participants (actual)
- Lead sponsor
- Medical University of GrazUniversity, hospital or other
- Study start
- Mar 2012
- Primary completion
- Sep 2015 (actual)
- Study completion
- Sep 2015 (actual)
- First posted
- 8 Apr 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to determine maternal androgen metabolism during pregnancy and the impact of androgen disorders on mothers and infants.
Detailed description
Women with polycystic ovary syndrome (PCOS) have an impaired fertility and significant higher complication rates during infertility treatment, pregnancy and the perinatal period. Complications include the occurrence of multiple gestations, ovarian hyper stimulation syndrome, early pregnancy loss, gestational diabetes, pregnancy-induced hypertension, pre-eclampsia and need for caesarean section. Moreover, their infants are more frequently born preterm, have higher perinatal mortality rates and are more often admitted to a neonatal intensive care unit. The etiology of PCOS is not particularly mapped, but a genetic background can be assumed by analyzing PCOS families. In utero androgen excess has also been suspected to be an important risk factor. Animal studies have demonstrated that intrauterine hyperandrogenic environment affects the offspring by leading to biochemical and morphological features of PCOS. Sex differences in prenatal androgen levels have been observed and testosterone levels in umbilical cord blood and in amniotic fluid are higher in healthy male babies than in healthy female babies. There are just a few reporting on the relation between maternal androgen levels during pregnancy and the respective offspring. The aim of this clinical study is to determine maternal androgen metabolism and the impact of androgen disorders on mothers and infants.
Study design
- Observational model
- Case-control
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Pregnant women with PCOS and offspring | – | –Exposures of interest: Polycystic ovary Syndrome (PCOS) according to Rotterdam |
| Pregnant women without PCOS and offspring | – | –Exposures of interest: Pregnant women without polycystic ovary Syndrome (PCOS) according to Rotterdam |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
- Study population
- Polycystic ovary Syndrome (PCOS): According to ethnicity and the criteria used for diagnosis, polycystic ovary syndrome (PCOS) affects between 2-13% of women of reproductive age (Asunción et al., 2000; Azziz et al., 2009; ESHRE/ASRM, 2004; Wang and Alvero, 2013).
Key inclusion criteria (1 listed)
- pregnant women with and without PCOS
Key exclusion criteria (1 listed)
- unable to consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
correlation of testosterone between mother and offspring
Time frame: day of birth (within average 24 hours)
31 secondary outcomes
correlation of sexual hormon binding globulin between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of thyroid-stimulating hormone between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of androstendione between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of anti muellerian hormon between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of progesterone between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of dehydroepiandrosteron between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of Vitamin D levels between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of prolactin between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of insulin between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of human growth hormon between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of c-peptide between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of cortisol between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of luteinizing hormon between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of follicle stimulating hormone between mother and offspring
Time frame: day of birth (within average 24 hours)
correlation of estrogen levels between mother and offspring
Time frame: day of birth (within average 24 hours)
maternal testosterone
Time frame: six weeks after birth
maternal sexual hormon binding globulin
Time frame: six weeks after birth
maternal thyroid-stimulating hormone
Time frame: six weeks after birth
maternal androstendione
Time frame: six weeks after birth
maternal anti muellerian hormon
Time frame: six weeks after birth
maternal progesterone
Time frame: six weeks after birth
maternal dehydroepiandrosteron
Time frame: six weeks after birth
maternal Vitamin D levels
Time frame: six weeks after birth
maternal prolactin
Time frame: six weeks after birth
maternal insulin
Time frame: six weeks after birth
maternal human growth hormon
Time frame: six weeks after birth
maternal c-peptide
Time frame: six weeks after birth
maternal cortisol
Time frame: six weeks after birth
maternal luteinizing hormon
Time frame: six weeks after birth
maternal follicle stimulating hormone
Time frame: six weeks after birth
maternal estrogen levels
Time frame: six weeks after birth
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Nov 2015.
- Background: PubMed 20604643Barry JA, Kay AR, Navaratnarajah R, Iqbal S, Bamfo JE, David AL, Hines M, Hardiman PJ. Umbilical vein testosterone in female infants born to mothers with polycystic ovary syndrome is elevated to male levels. J Obstet Gynaecol. 2010;30(5):444-6. doi: 10.3109/01443615.2010.485254.
- Background: PubMed 20228162Anderson H, Fogel N, Grebe SK, Singh RJ, Taylor RL, Dunaif A. Infants of women with polycystic ovary syndrome have lower cord blood androstenedione and estradiol levels. J Clin Endocrinol Metab. 2010 May;95(5):2180-6. doi: 10.1210/jc.2009-2651. Epub 2010 Mar 12.
- Background: PubMed 15941725Abbott DH, Barnett DK, Bruns CM, Dumesic DA. Androgen excess fetal programming of female reproduction: a developmental aetiology for polycystic ovary syndrome? Hum Reprod Update. 2005 Jul-Aug;11(4):357-74. doi: 10.1093/humupd/dmi013.
- Background: PubMed 15555509van de Beek C, Thijssen JH, Cohen-Kettenis PT, van Goozen SH, Buitelaar JK. Relationships between sex hormones assessed in amniotic fluid, and maternal and umbilical cord serum: what is the best source of information to investigate the effects of fetal hormonal exposure? Horm Behav. 2004 Dec;46(5):663-9. doi: 10.1016/j.yhbeh.2004.06.010.
- Background: PubMed 19567524Hickey M, Sloboda DM, Atkinson HC, Doherty DA, Franks S, Norman RJ, Newnham JP, Hart R. The relationship between maternal and umbilical cord androgen levels and polycystic ovary syndrome in adolescence: a prospective cohort study. J Clin Endocrinol Metab. 2009 Oct;94(10):3714-20. doi: 10.1210/jc.2009-0544. Epub 2009 Jun 30.
- Background: PubMed 17720020Norman RJ, Dewailly D, Legro RS, Hickey TE. Polycystic ovary syndrome. Lancet. 2007 Aug 25;370(9588):685-97. doi: 10.1016/S0140-6736(07)61345-2.
- Background: PubMed 17403434Goodarzi MO, Guo X, Yildiz BO, Stanczyk FZ, Azziz R. Correlation of adrenocorticotropin steroid levels between women with polycystic ovary syndrome and their sisters. Am J Obstet Gynecol. 2007 Apr;196(4):398.e1-5; discussion 398.e5-6. doi: 10.1016/j.ajog.2006.12.009.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Polycystic Ovary Syndrome and Healthy Pregnant Women, run by Medical University of Graz at 1 site in Austria.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Nov 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Austria. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
correlation of testosterone between mother and offspring (time frame: day of birth (within average 24 hours)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02106676, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Nov 2015.