About this trial
Women with polycystic ovary syndrome with HOMA-IR \>2.6 fulfilling inclusion and exclusion criteria will be randomly allocated into two groups:experimental group: A (Melatonin 3mg and Metformin 500mg) and control group: B (Metformin 500mg). Each group will be contained 30 selected patients.
Group B:Tab. Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks.
Outcome variables will be measured after three months, will be meticulously recorded for analysis and comparison.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed case of PCOS according to Rotterdam criteria
Women of age 18-35 years
Insulin resistance (HOMA-IR >2.6)
Disqualifiers
BMI: ≤ 18.5 and ≥ 30 kg/m2
Uncontrolled endocrine disorders (Diabetis melitus, Hypothyroidism, Hyperprolactinemia)
Known case of any medical disease (Renal, hepatic or cardiac disease)
Any medication which would affect insulin resistance (Metformin, Myo- inositol, Pioglitazone) in last three months.
Trial design
Parallel
Treatments tested in this trial
Metformin 500mg
DrugMetformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks
Melatonin 3mg
Combination productMelatonin (3mg) 3 tablet single dose at night for 12 weeks and Metformin (500mg) once daily for 7days followed by twice daily for next 7 days followed by thrice daily for next 10 weeks
Treatment groups
Trial outcomes
Primary outcomes
Change in Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)
HOMA-IR calculated by the following formula: HOMA-IR= Fasting glucose (mmol/L) x Fasting insulin mIU/ml divided by 22.5. For the present study HOMA-IR \>2.6 can be considered as insulin resistance
Secondary outcomes
Change in Body Mass Index (BMI)
Body mass index is calculated by dividing the weight in kg by the height in meter square to assess obesity
Change in Waist Circumference
Waist Circumference is measured in centimeter by placing a tape horizontally midway between the lower border of ribs and iliac crest on the mid axillary line.
Sponsors and contacts
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Mst.Sumyara Khatun
Lead sponsor
Bangladesh Medical University
Sponsor institution
Bangladesh Medical University
Collaborator