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Corticosteroid

Spironolactone for Polycystic Ovary Syndrome

N/A
Recruiting
Led By Christine Burt Solorzano, MD
Research Sponsored by University of Virginia
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Overweight(>85th BMI%) females
Be younger than 65 years old
Must not have
Morning cortisol < 3 µg/dL or history of Cushing syndrome or adrenal insufficiency
Previous diagnosis of diabetes, fasting glucose ≥126 mg/dL, or a hemoglobin A1c ≥6.5%
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights
No Placebo-Only Group
All Individual Drugs Already Approved
Approved for 10 Other Conditions

Summary

This trial will determine if spironolactone can reduce androgen production in obese girls with androgen excess.

Who is the study for?
This trial is for overweight girls aged 7-18 in early to late puberty with excess androgen levels. They must have normal lab results, except for specific hormonal imbalances related to obesity. Girls who are pregnant, lactating, or have certain medical conditions like Cushing syndrome or diabetes cannot participate.
What is being tested?
The study tests if a 12-week course of Spironolactone can lower the production of androgens (male hormones) by the ovaries and adrenal glands in pubertal girls with obesity-related hormone issues.
What are the potential side effects?
Spironolactone may cause menstrual irregularities, breast tenderness, dizziness, gastrointestinal upset, increased potassium levels in blood which could affect heart rhythm, and possible allergic reactions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am a female and my BMI is above the 85th percentile.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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My morning cortisol is low or I have had Cushing syndrome or adrenal issues.
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I have diabetes or my blood sugar or A1c levels are high.
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I haven't taken any medications that could affect my reproductive system or blood sugar levels in the last 3 months.
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I understand what the study involves and why it's being done.
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I have a serious heart or lung condition.
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My BMI is below the 5th percentile for my age.
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I am either younger than 7 or older than 18 years old.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 5 years for reporting.

Treatment Details

Side effects data

From 2022 Phase 4 trial • 79 Patients • NCT02169089
8%
Hypotension
5%
Infection
5%
Hyperkalemia
5%
Diabetes related
3%
Surgical
3%
Chest pain/discomfort
3%
Breast tenderness/Gynecomastia
100%
80%
60%
40%
20%
0%
Study treatment Arm
Spironolactone
Placebo

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
Approved for 10 Other Conditions
This treatment demonstrated efficacy for 10 other conditions.

Trial Design

1Treatment groups
Experimental Treatment
Group I: spironolactoneExperimental Treatment1 Intervention
12 weeks spironolactone with pre- and post-intervention dexamethasone, and ACTH to perform standardized adrenal stimulation testing; dexamethasone and rhCG to perform standardized ovarian stimulation testing
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Spironolactone
FDA approved

Find a Location

Who is running the clinical trial?

University of VirginiaLead Sponsor
780 Previous Clinical Trials
1,315,530 Total Patients Enrolled
Christine Burt Solorzano, MDPrincipal Investigator - University of Virginia
UVA Child Development & Rehabilitation Center, University of Virginia Medical Center
University Of Virginia School Of Medicine (Medical School)
Children'S Hosp Of L A (Residency)
7 Previous Clinical Trials
275 Total Patients Enrolled

Media Library

Spironolactone (Corticosteroid) Clinical Trial Eligibility Overview. Trial Name: NCT01422759 — N/A
Androgen Syndrome Research Study Groups: spironolactone
Androgen Syndrome Clinical Trial 2023: Spironolactone Highlights & Side Effects. Trial Name: NCT01422759 — N/A
Spironolactone (Corticosteroid) 2023 Treatment Timeline for Medical Study. Trial Name: NCT01422759 — N/A
~0 spots leftby Dec 2024