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Ovarian Innervation Study in Patients With Polycystic Ovary Syndrome (PCOS)

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ClinicalTrials.gov Identifier: NCT05966571
Recruitment Status : Recruiting
First Posted : July 28, 2023
Last Update Posted : August 1, 2023
Sponsor:
Information provided by (Responsible Party):
Elko Gliozheni, Albanian University

Brief Summary:
Polycystic Ovary Syndrome (PCOS) is a complex endocrine disorder characterized by hyperandrogenism, insulin resistance, and ovulatory dysfunction. One of the diagnostic criteria for PCOS is the presence of polycystic ovaries, which are enlarged ovaries with multiple follicles on ultrasound. However, the mechanisms that lead to the development of polycystic ovaries in PCOS are not completely understood. One potential area of investigation is the role of ovarian innervation in the pathophysiology of PCOS. Therefore, the aim of this study is to evaluate the ovarian innervation in PCOS patients through ovarian biopsy sampling.

Condition or disease Intervention/treatment
Polycystic Ovary Syndrome Procedure: Ovary Biopsie

Detailed Description:
This is a cross-sectional study that will involve the recruitment of patients diagnosed with PCOS. The study will be conducted at a tertiary care center Koco Gliozheni Maternity, Faculty of Medicine of Tirana, Department of Obstetrics and Gynecology with expertise in gynecology and endocrinology and will then be examined with the aid of the department of Biology and Physiology of the University of Perugia. The study protocol will be approved by the institutional ethics committee, and written informed consent will be obtained from all participants.

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Study Type : Observational
Estimated Enrollment : 50 participants
Observational Model: Case-Only
Time Perspective: Cross-Sectional
Official Title: Ovarian Innervation Study in Patients With Polycystic Ovary Syndrome (PCOS)
Actual Study Start Date : July 1, 2023
Estimated Primary Completion Date : July 1, 2024
Estimated Study Completion Date : December 1, 2024

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
PCOS women
Ovarian biopsy will be performed on PCOS women meeting the inclusion criteria undergoing surgery for other reasons . A sample of the ovarian tissue will be of a few millimeters in size and taken on only one of the ovaries.
Procedure: Ovary Biopsie
Ovarian biopsy will be performed on patients meeting the inclusion criteria undergoing surgery for other reasons. Ovarian biopsy will be of a few millimeters in size and taken on only one of the ovaries.




Primary Outcome Measures :
  1. Quantify nerve fibers [ Time Frame: day 0 ]
    identify and quantify the nerve fibers in the ovarian stroma and follicles

  2. Identifying nerual markers [ Time Frame: day 0 ]
    Identification of neural markers such as Protein Gene Product 9.5 (PGP 9.5), by useing antibodies (es. neurotransmitters such as tyrosine hydroxylase (TH), vasoactive intestinal peptide (VIP), and neuropeptide Y).



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 35 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
PCOS Patients who meet the inclusion criteria will undergo a detailed medical history, physical examination, and laboratory investigations including hormonal evaluation as necessary (testosterone, sex hormone-binding globulin, luteinizing hormone, follicle-stimulating hormone, prolactin, thyroid-stimulating hormone, and cortisol).
Criteria

Inclusion criteria:

  • Diagnosis of PCOS based on the Rotterdam criteria,
  • No use of hormonal contraception or medications for at least 3 months prior to the study,
  • No history of ovarian cancer.

Exclusion Criteria:

  • History of pelvic inflammatory disease or other pelvic infections,
  • Use of medications that may affect ovarian function or innervation, such as antipsychotics or antidepressants
  • Presence of ovarian cysts > 5 cm on ultrasound

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05966571


Contacts
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Contact: Elko Gliozheni, Dr +355692057185 Elkogliozheni@gmail.com
Contact: Bernard Fioretti, Prof +393282924573 bernard.fioretti@unipg.it

Locations
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Albania
University of medicine of Tirana Recruiting
Tirana, Albania, 1000
Contact: Elko Gliozheni, Dr    +355692057185    Elkogliozheni@gmail.com   
Contact: Orion Gliozheni, Prof    +355692029313    gliozheniorion@gmail.com   
Sponsors and Collaborators
Albanian University
Investigators
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Principal Investigator: Elko Gliozheni, Dr University of Medicine
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Responsible Party: Elko Gliozheni, Principal Investigator, Albanian University
ClinicalTrials.gov Identifier: NCT05966571    
Other Study ID Numbers: 1576/prot 1
First Posted: July 28, 2023    Key Record Dates
Last Update Posted: August 1, 2023
Last Verified: July 2023

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Polycystic Ovary Syndrome
Syndrome
Disease
Pathologic Processes
Ovarian Cysts
Cysts
Neoplasms
Ovarian Diseases
Adnexal Diseases
Genital Diseases, Female
Female Urogenital Diseases
Female Urogenital Diseases and Pregnancy Complications
Urogenital Diseases
Genital Diseases
Gonadal Disorders
Endocrine System Diseases