Polycystic Ovary Syndrome Non-alcoholic Steatohepatitis MedDRA version: 12.0 Level: LLT Classification code 10065161 Term: Polycystic ovarian syndrome MedDRA version: 12.0 Level: LLT Classification code 10053219 Term: Non-alcoholic steatohepatitis
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: For PCOS: Polycystic ovary syndrome (defined by the Rotterdam criteria as 2 out of 3 of: 1. oligo/anovulation 2. clinical or biochemical evidence of hirsuitism, and/or 3. polycystic ovaries on ultrasound. and exclusion of other disorders Age 18-45 years For NASH: Patients with confirmed NASH Female Age 18-45 years Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Ketoacidosis Severe gastrointestinal disease Hypothyroidism Subjects taking regular prescribed medication Not using a reliable method on contraception (eg barrier/oral contraceptive pill) Patients not allowing disclosure to their GP’s. History of pancreatitis Heart Failure Chronic renal failure (creatinine clearance less than 60 ml/min or plasma creatinine >150 umol/L) Pregnancy or breastfeeding women Liver function tests >300% reference range normal (eg ALT>90 u/mL) Type 2 Diabetes Mellitus Acute conditions with the potential to alter renal function such as: a. dehydration b. severe infection c. shock d. intravascular administration of iodinated contrast
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: 1. To show that intervention with Liraglutide significantly improves insulin resistance (an adverse cardiovascular risk marker) 2. To determine if Metformin therapy maintains insulin resistance and markers of PCOS after treatment with Liraglutide. ; Secondary Objective: 1. To show that intervention with Liraglutide significantly improves endothelial function (Early manifestation of cardiovascular disease) in subjects with Polycystic Ovary Syndrome (PCOS) and Nonalcoholic Steatohepatitis (NASH) 2. To determine if Liraglutide therapy significantly improves fibrin clot structure and function (Late manifestation of cardiovascular disease) in subjects with PCOS and NASH. 3. To determine if Liraglutide is effective in reducing steatohepatitis by Fibroscan and reduces the markers of liver fibrosis ;Primary end point(s): This study will demonstrate if the combination of PCO and NASH are additive for cardiovascular risk and whether Liraglutide may modify this. The study will demonstrate if Metformin maintains the modification of the cardiovascular risk after 6 months treatment of Liragltuide. | — |
Countries
United Kingdom