Body Weight, Polycystic Ovary Syndrome
Conditions
Keywords
DPP4-inhibitors
Brief summary
Weight reduction is the most important treatment target in obese women with polycystic ovary syndrome (PCOS), yet it is usually hardly achievable with lifestyle intervention alone. Glucagon-like peptide 1 (GLP-1) receptor agonist (RA) liraglutide was recently approved as an anti-obesity drug but with some limitations, which include high cost and the lack of long-term efficacy and safety data regarding weight reduction. In addition, weight loss achieved with liraglutide is often non-sustainable after treatment cessation. Although DPP-4 inhibitors are weight neutral, they reduced weight regain in animals previously treated with GLP-1 RAs if they were switched to DPP-4 inhibitor rather than placebo. The aim is to evaluate whether DPP-4 inhibitor sitagliptin in combination with metformin reduce body weight regain more effectively than metformin alone in obese PCOS who had been previously treated with liraglutide.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years old to menopause * polycystic ovary syndrome (NICHD criteria) * BMI of 30kg/m2 or higher
Exclusion criteria
* type 1 or type 2 diabetes mellitus * history of carcinoma * Cushing's syndrome or congenital (non-classic) adrenal hyperplasia * personal or family history of multiple endocrine neoplasia type 2 * significant cardiovascular, kidney or hepatic disease * the use of statins, within 90 days prior to study entry
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in body weight. | Patient's body weight was measured at the baseline and after 12 weeks of clinical trial. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in body mass indey (BMI). | Patient's body height was measured at the baseline. Body weight was measured at the baseline and after 12 weeks of clinical trial. | The BMI was calculated as the body mass divided by the square of the body height (kg/m2) |