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Polycystic Ovary Syndrome (PCOS)NCT07896642

Brown Adipose Tissue Modulation in Polycystic Ovary Syndrome Using Infrared Thermography

A study testing inositol in people with Polycystic Ovary Syndrome (PCOS), run by Istanbul Health and Technology University at 2 sites in Turkey (Türkiye).

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study will investigate brown adipose tissue-related physiological responses in women with polycystic ovary syndrome (PCOS). Women with PCOS who have normal body mass index, women with PCOS who are overweight or have obesity, and healthy women will be compared. Read more about this study

Who is it for?
Ages 18 to 40 years, women onlyHealthy volunteers can take part
Conditions the study is for
Polycystic Ovary Syndrome (PCOS)
What is being tested?
inositol
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
2 sitesTurkey (Türkiye)
Study dates
Sep 2026to Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 40 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Female participants aged 18-40 years
  • Premenopausal status
  • Ability and willingness to provide written informed consent
  • For the Overweight/Obesity PCOS - Inositol and Normal-BMI PCOS Reference Group arms:
  • Diagnosis of polycystic ovary syndrome (PCOS) established by an obstetrician and gynecologist according to the Rotterdam criteria
  • For the Normal-BMI PCOS Reference Group arm:
Show all 14Show fewer
  • BMI 18.5-24.9 kg/m²
  • For the Overweight/Obesity PCOS - Inositol arm:
  • BMI ≥25 kg/m²
  • For the Healthy Control Group arm:
  • BMI 18.5-24.9 kg/m²
  • Regular menstrual cycles
  • Normal ovarian morphology
  • No diagnosis of PCOS

Who cannot join

  • Male sex
  • Age ≤17 years or ≥41 years
  • Menopausal status
  • BMI <18.5 kg/m²
  • Pregnancy or breastfeeding
  • Regular smoking or alcohol consumption
Show all 21Show fewer
  • Being highly physically active, defined as regular exercise during the previous 6 months or being a professional athlete
  • Presence of endocrine disorders that may affect the diagnosis of PCOS, including thyroid disease, congenital adrenal hyperplasia, androgen-secreting tumors, or Cushing syndrome
  • Any intervention for PCOS treatment within the previous 6 months, including pharmacological treatment or alternative approaches such as acupuncture
  • History of ovarian surgery
  • Presence of any of the following conditions:
  • Secondary hypertension
  • Cardiovascular, cerebrovascular, renal, hepatic, thyroid, or pulmonary disease
  • Any type of cancer
  • Acute infection
  • Autoimmune disease
  • Severe psychological or neurological disease
  • Following a special diet that may affect metabolic rate, including vegetarian, vegan, diabetic, or low-calorie diets
  • Regular use of dietary supplements such as probiotics or prebiotics
  • History of obesity-specific treatment, including bariatric surgery or anti-obesity medication
  • Regular medication use within the previous 3 months or currently, particularly oral contraceptives, hormonal medications, or medications affecting metabolism

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Turkey (Türkiye)2 sites, 2 recruiting
  • Bezmialem Vakif University Faculty of Medicine Hospital

    Istanbul

    Seda Ateş, MD, +90 505 392 92 74, drsedaates@yahoo.com

    Recruiting
  • Istanbul Health and Technology University

    Istanbul

    Hayrettin Mutlu, PhD, +90 505 353 55 36, hayrettin.mutlu@istun.edu.tr

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: Investigation of Brown Adipose Tissue Modulation in Polycystic Ovary Syndrome Using Infrared Thermography

This study will investigate brown adipose tissue-related physiological responses in women with polycystic ovary syndrome (PCOS). Women with PCOS who have normal body mass index, women with PCOS who are overweight or have obesity, and healthy women will be compared. Brown adipose tissue-related heat responses will be evaluated using non-invasive infrared thermography of the supraclavicular region, together with serum UCP-1 levels and metabolic measurements. Participants in the overweight/obesity PCOS group will receive an inositol supplement for 12 weeks, and measurements will be repeated after supplementation. The study will also examine possible relationships between surface temperature responses, dietary intake, physical activity, body measurements, and metabolic and hormonal markers.

Read the detailed description

Polycystic ovary syndrome (PCOS) is a common endocrine-metabolic disorder associated with reproductive and metabolic abnormalities, including insulin resistance and excess body weight. Brown adipose tissue is involved in thermogenesis and energy metabolism, and previous studies have reported reduced brown adipose tissue-related activity in women with PCOS. This study aims to further characterize brown adipose tissue-related physiological responses in women with PCOS and to examine whether these responses differ according to body mass index.

Brown adipose tissue-related heat responses will be assessed using infrared thermography of the supraclavicular region. Infrared thermography is a non-invasive, radiation-free method that allows evaluation of surface temperature changes associated with thermogenic responses. Serum UCP-1, a protein associated with brown adipose tissue, will also be measured. These assessments will be considered together with anthropometric measurements, hormonal and metabolic laboratory parameters, 24-hour dietary recall, thermogenic food consumption, and physical activity.

The study includes three groups: women with PCOS and normal body mass index, women with PCOS who are overweight or have obesity, and healthy women without PCOS. Participants in the overweight/obesity PCOS group will receive oral inositol supplementation for 12 weeks. In this group, brown adipose tissue-related thermal responses and relevant laboratory measures will be reassessed after the supplementation period to examine within-group changes.

Infrared thermography assessments will be performed after an overnight fast and during days 4-8 of the menstrual cycle to reduce variability related to hormonal fluctuations and body temperature. Participants will first rest in a thermoneutral environment. A standardized mild cold exposure will then be applied by immersing the hands in cold water for 5 minutes. Thermal images of the supraclavicular region will be obtained using a FLIR E5 Pro thermal imaging system and analyzed using FLIR Thermal Studio software.

The study is expected to provide additional information on the relationship between PCOS, body weight status, and brown adipose tissue-related physiological responses and to explore whether inositol supplementation is associated with changes in these responses.

Being tested
inositol
Keywords
Polycystic Ovary Syndrome, Brown Adipose Tissue, Infrared Thermography, Inositol, Thermogenesis, Uncoupling Protein 1 (UCP-1), Nutrition
Medical subject headings
Polycystic Ovary Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • inositolDietary supplement

    Participants in the overweight/obesity PCOS arm (BMI ≥25 kg/m²; n=20) will receive an orally administered inositol dietary supplement for 12 weeks. The supplement will provide 700 mg of inositol twice daily (total daily dose: 1,400 mg). The intervention is based on the use of myo-inositol and D-chiro-inositol, which are commonly used in PCOS management. The product will be selected from commercially available dietary supplements approved by the Republic of Türkiye Ministry of Agriculture and Forestry and will comply with applicable national regulations. Participants will be monitored throughout the supplementation period for tolerability and adverse effects. If an adverse effect or intolerance considered related to inositol occurs, the participant will be withdrawn from the study. Study assessments in this arm will be performed at baseline and after the 12-week supplementation period.

Study groups in NCT07896642
Study groupRoleWhat they receive
Healthy Control GroupNo interventionHealthy women without PCOS who will undergo the study assessments and serve as a reference group.
Normal-BMI PCOS Reference GroupNo interventionWomen with PCOS and BMI 18.5-24.9 kg/m² who will undergo the study assessments without receiving inositol supplementation.
Overweight/Obesity PCOS - InositolExperimentalWomen with PCOS and BMI ≥25 kg/m² who will receive oral inositol supplementation at a dose of 700 mg twice daily (1,400 mg/day) for 12 weeks. Study assessments will be performed before and after the supplementation period.
Receives: Dietary Supplement: inositol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Supraclavicular Skin Temperature (Tscv)

    Supraclavicular skin temperature (Tscv) will be measured with a FLIR E5 Pro infrared thermal imaging camera after a standardized mild cold exposure protocol (hand immersion in cold water for 5 minutes). Mean temperatures of the right and left supraclavicular regions of interest will be averaged to obtain a single Tscv value, reported in degrees Celsius (°C), as an indicator of brown adipose tissue activity.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  2. Serum Uncoupling Protein 1 (UCP-1) Level

    Serum UCP-1 concentration will be measured using a commercial human sandwich ELISA kit as a biochemical marker of brown adipose tissue activity and thermogenesis, and reported in ng/L.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

Secondary outcomes (24)
  1. Relative Supraclavicular Skin Temperature (Trel)

    Relative supraclavicular skin temperature (Trel) will be calculated as the difference between Tscv and the reference skin temperature (Tref) measured over the sternal region (corpus sterni), a region without brown adipose tissue, on the same thermal image (Trel = Tscv - Tref). Values from the right and left sides will be averaged to obtain a single Trel value, reported in degrees Celsius (°C).

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  2. Body Temperature

    Body temperature will be measured and reported in degrees Celsius (°C).

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  3. Body Weight

    Body weight will be measured and reported in kilograms (kg).

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  4. Waist Circumference

    Waist circumference will be measured and reported in centimeters (cm).

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  5. Body Mass Index (BMI)

    BMI will be calculated as body weight in kilograms divided by the square of height in meters and reported in kg/m².

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  6. Body Fat Percentage

    Body fat percentage will be measured using a household-type Tanita body composition scale (bioelectrical impedance) and reported as a percentage (%) of total body weight.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  7. Basal Metabolic Rate

    Basal metabolic rate will be estimated using a household-type Tanita body composition scale (bioelectrical impedance) and reported in kilocalories per day (kcal/day).

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  8. Systolic Blood Pressure

    Systolic blood pressure will be measured and reported in millimeters of mercury (mmHg).

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  9. Diastolic Blood Pressure

    Diastolic blood pressure will be measured and reported in millimeters of mercury (mmHg).

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  10. Serum Follicle-Stimulating Hormone (FSH)

    Serum FSH concentration will be measured and reported in mIU/mL.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  11. Serum Luteinizing Hormone (LH)

    Serum LH concentration will be measured and reported in mIU/mL.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  12. LH/FSH Ratio

    The LH/FSH ratio will be calculated by dividing serum LH (mIU/mL) by serum FSH (mIU/mL) and reported as a unitless ratio.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  13. Serum Estradiol (E2)

    Serum estradiol concentration will be measured and reported in pg/mL.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  14. Serum Thyroid-Stimulating Hormone (TSH)

    Serum TSH concentration will be measured and reported in µIU/mL.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  15. Serum Dehydroepiandrosterone Sulfate (DHEA-S)

    Serum DHEA-S concentration will be measured and reported in µg/dL.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  16. Serum Total Testosterone

    Serum total testosterone concentration will be measured and reported in ng/mL.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  17. Modified Ferriman-Gallwey (mFG) Hirsutism Score

    Hirsutism will be assessed using the modified Ferriman-Gallwey (mFG) scoring system, in which nine androgen-sensitive body areas are each scored from 0 (no terminal hair) to 4 (maximal terminal hair growth). Item scores will be summed to obtain a total score (units on a scale). The minimum score is 0 and the maximum score is 36; higher scores indicate more severe hirsutism (worse outcome).

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  18. Fasting Serum Glucose

    Fasting serum glucose will be measured after an overnight fast and reported in mg/dL.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  19. Hemoglobin A1c (HbA1c)

    HbA1c will be measured and reported as a percentage (%) of total hemoglobin.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  20. Fasting Serum Insulin

    Fasting serum insulin concentration will be measured and reported in µIU/mL.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  21. Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)

    HOMA-IR will be calculated as fasting insulin (µIU/mL) × fasting glucose (mg/dL) / 405 and reported as a unitless index.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  22. Serum C-Reactive Protein (CRP)

    Serum CRP concentration will be measured and reported in mg/L.

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  23. Dietary Intake: Daily Energy Intake

    Dietary intake will be assessed using a 24-hour dietary recall, and total daily energy intake will be reported in kilocalories per day (kcal/day).

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

  24. Physical Activity Level Assessed by the International Physical Activity Questionnaire-Short Form (IPAQ-SF)

    Physical activity will be assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Total physical activity will be calculated by multiplying the minutes per week spent in walking, moderate-intensity, and vigorous-intensity activities by their metabolic equivalent (MET) values (3.3, 4.0, and 8.0, respectively) and summing them, and will be reported in MET-minutes per week. The minimum value is 0, with no fixed maximum; higher values indicate greater physical activity (better outcome).

    Measured: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Oct 2026
  2. Study startSep 2026 (estimated)
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Three parallel study groups will be evaluated: women with PCOS and normal body mass index, women with PCOS who are overweight or have obesity and receive inositol supplementation, and healthy women without PCOS as a reference group. Participants will remain in their assigned group throughout the study.
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07896642
Sponsor's protocol ID
IstanbulHealthTU
Other IDs
25-AKD-358
Status last verified
Oct 2026
First submitted
8 Oct 2026
Last updated
27 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: Individual participant data are not planned to be shared because the study involves sensitive clinical and health-related information, and no formal data-sharing framework has been established.

Publications

  • Oliveira FR, Mamede M, Bizzi MF, Rocha ALL, Ferreira CN, Gomes KB, Candido AL, Reis FM. Brown adipose tissue activity is reduced in women with polycystic ovary syndrome. Eur J Endocrinol. 2019 Nov;181(5):473-480. doi: 10.1530/EJE-19-0505.

    PubMed 31491743
  • Haq T, Crane JD, Kanji S, Gunn E, Tarnopolsky MA, Gerstein HC, Steinberg GR, Morrison KM. Optimizing the methodology for measuring supraclavicular skin temperature using infrared thermography; implications for measuring brown adipose tissue activity in humans. Sci Rep. 2017 Sep 20;7(1):11934. doi: 10.1038/s41598-017-11537-x.

    PubMed 28931855
  • Tienforti D, Puocci G, Venditti C, Gizzi V, Pisano C, Cocci E, Perfetto E, D'Alessandro F, Spagnolo L, Baroni MG, Barbonetti A. Metabolic Phenotype Predicts Biochemical Response to Inositol Supplementation in Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis. Clin Endocrinol (Oxf). 2026 Aug;105(2):237-244. doi: 10.1111/cen.70140. Epub 2026 Apr 7.

    PubMed 41947399
  • Fitz V, Graca S, Mahalingaiah S, Liu J, Lai L, Butt A, Armour M, Rao V, Naidoo D, Maunder A, Yang G, Vaddiparthi V, Witchel SF, Pena A, Spritzer PM, Li R, Tay C, Mousa A, Teede H, Ee C. Inositol for Polycystic Ovary Syndrome: A Systematic Review and Meta-analysis to Inform the 2023 Update of the International Evidence-based PCOS Guidelines. J Clin Endocrinol Metab. 2024 May 17;109(6):1630-1655. doi: 10.1210/clinem/dgad762.

    PubMed 38163998

Questions about this trial

What is this clinical trial studying?

A study testing inositol in people with Polycystic Ovary Syndrome (PCOS), run by Istanbul Health and Technology University at 2 sites in Turkey (Türkiye).

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 14 inclusion and 21 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: looking for participants now, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Turkey (Türkiye). 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact RANA TURGUT YAMAN (+90 506 775 72 28, ranaturgut8@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Supraclavicular Skin Temperature (Tscv) (time frame: At baseline for all participants and repeated after the 12-week supplementation period in the inositol arm.). The study lists 2 primary outcomes in all. 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 NCT07896642, which also lists 4 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 27 Oct 2026.

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