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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00795808
Registration number
NCT00795808
Ethics application status
Date submitted
20/11/2008
Date registered
21/11/2008
Date last updated
21/11/2008
Titles & IDs
Public title
PCOSMIC Trial - PolyCystic Ovary Syndrome, Metformin for Infertility With Clomiphene
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Scientific title
Multi-Centre Randomised Controlled Trial of the Effectiveness of Metformin and Clomiphene Citrate for Treating Anovulatory Infertility in Women With Polycystic Ovary Syndrome
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Secondary ID [1]
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UAuckland
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Universal Trial Number (UTN)
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Trial acronym
PCOSMIC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Polycystic Ovary Syndrome
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Condition category
Condition code
Reproductive Health and Childbirth
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Other reproductive health and childbirth disorders
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Metabolic and Endocrine
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Other endocrine disorders
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Metformin
Treatment: Drugs - Placebo
Treatment: Drugs - Metformin + Clomiphene
Treatment: Drugs - Metformin
Treatment: Drugs - Clomiphene
Experimental: BMI > 32 - Women with BMI \> 32
Experimental: BMI </= 32 - Women with BMI \</= 32
Treatment: Drugs: Metformin
500mg tds for 6 months
Treatment: Drugs: Placebo
One tablet tds for 6 months
Treatment: Drugs: Metformin + Clomiphene
500mg tds + Ovulatory dose for 6 months
Treatment: Drugs: Metformin
500mg tds for 6 months
Treatment: Drugs: Clomiphene
Ovulatory dose for 6 months
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Clinical pregnancy
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Assessment method [1]
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Timepoint [1]
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within 6 calendar months of randomisation
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Secondary outcome [1]
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Live birth
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [2]
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Adverse events
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Assessment method [2]
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Timepoint [2]
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Eligibility
Key inclusion criteria
* Women between the age of 18 and 39 years inclusive.
* Anovulatory infertility of duration at least 12 months.
* Polycystic ovary syndrome, based on Rotterdam consensus criteria.
* Normal serum prolactin, thyroid function and 17-hydroxyprogesterone.
* Normal serum prolactin, thyroid function and 17-hydroxyprogesterone;
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Minimum age
18
Years
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Maximum age
39
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Presence of any other significant infertility factor including male factor, known tubal disease or history of an ectopic pregnancy, known endometriosis affecting the fallopian tubes or ovaries.
* Already taking oral hypoglycaemics.
* Diabetics receiving treatment.
* Renal impairment
* Chronic hepatic disease
* Cardiac Disease
* Alcohol dependency
* Pre-disposition to lactic acidosis
* Previous ovarian drilling procedure, gonadotrophin injection therapy, IUI (intrauterine insemination) or IVF ( in vitro fertilisation).
* For those women who have had previous fertility treatment, the following would be excluded:
* Women who have had > 5 cycles of clomiphene citrate
* Women who have had > 5 months metformin treatment previously
* Women who have proven to be resistant to 100mg or more of clomiphene citrate.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/08/2003
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/10/2008
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Sample size
Target
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Accrual to date
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Final
171
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Auckland, New Zealand
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Auckland Medical Research Foundation
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Mercia Barnes Trust of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
1. Metformin increases the pregnancy rate when added to the standard treatment of anovulatory polycystic ovary syndrome (PCOS). 2. Metformin in combination with clomiphene, is more effective than clomiphene alone or metformin alone improves fertility outcomes in women with PCOS of reasonably healthy body weight (BMI \</= 32). 3. Metformin improves fertility outcomes in women with BMI \> 32 with PCOS.
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Trial website
https://clinicaltrials.gov/study/NCT00795808
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Trial related presentations / publications
Johnson NP, Stewart AW, Falkiner J, Farquhar CM, Milsom S, Singh VP, Okonkwo QL, Buckingham KL; REACT-NZ (REproduction And Collaborative Trials in New Zealand), a multi-centre fertility trials group. PCOSMIC: a multi-centre randomized trial in women with PolyCystic Ovary Syndrome evaluating Metformin for Infertility with Clomiphene. Hum Reprod. 2010 Jul;25(7):1675-83. doi: 10.1093/humrep/deq100. Epub 2010 Apr 30.
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Public notes
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Contacts
Principal investigator
Name
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Neil P Johnson, FRANZCOG
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Address
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University of Auckland, fertility Plus & Repromed Auckland
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00795808
Download to PDF