evaluation of resveratrol effect on the expression of the apoptosis-associated genes in granulosa cells of PCOS patients applicant to ART (triple-blinded randomized controlled trial)
evaluation of resveratrol effect on the expression of the apoptosis-associated genes in granulosa cells of PCOS patients applicant to artificial reproductive techniques (ART)
Design
A clinical trial with two groups of treatment and control (drug and placebo) with equal numbers in each group, triple-blind, randomized (table of random numbers) and concealed (code instead of people's names), phase 3 on a sample of 40 patients.
Settings and conduct
Admission is done in Shariati Hospital، Tehran، infertility ward. Patients participating in the experiment receive either medication or a placebo for 60 days leading up to the day of the egg pick-up operation. Both the patient and the research team only see the code or color of the drug package and do not know its content. The data analyst is also unaware of the study side of the subjects (either real drug or placebo).
Participants/Inclusion and exclusion criteria
inclusion criteria:
diagnosed with PCOS;
aged between 18 and 40 yo;
exclusion criteria:
pregnancy;
adrenal hyperplasia;
androgen-secreting tumors;
hyperprolactinemia;
thyroid malfunction;
diabetes/glucose intolerance;
male infertility factors;
BMI > 30;
taking anti-oxidant supplements, ovulation stimulating drugs and drugs with effect on hormone profile less than 6 months prior to entering the study.
Intervention groups
treatment group: containing 20 patients each taking 800mg of resveratrol in form of pills for 60 days in a row.
control group: containing 20 patients taking similar pills without resveratrol substance for 60 days in a row.
Main outcome variables
expression of caspase3, 7 and survivin genes; ART outcomes; lipid profile, insulin and glucose; sex hormones.
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20220815055705N1
Registration date:2023-11-16, 1402/08/25
Registration timing:registered_while_recruiting
Last update:2023-11-16, 1402/08/25
Update count:0
Registration date
2023-11-16, 1402/08/25
Registrant information
Name
Mohammadhosein Bagheri
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 71 3638 3391
Email address
mh-bagheri@razi.tums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-10-23, 1402/08/01
Expected recruitment end date
2024-03-20, 1403/01/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
evaluation of resveratrol effect on the expression of the apoptosis-associated genes in granulosa cells of PCOS patients applicant to ART (triple-blinded randomized controlled trial)
Public title
Resveratrol effect on ART outcome
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
patients must be infertile due to PCOS and aged between 18 and 40.
PCOS is diagnosed based on Rotterdam criteria and having 2 of 3 criteria is enough for diagnosis: amenorrhea or oligomenorrhea, clinical or biochemical hyperandrogenism manifestations, observation of cysts in ovary sonography (at least 12 follicles with diameter of 2 - 9 mm or an increase in ovary volume more than 10cm in tans-vaginal ultrasound radiography).
Exclusion criteria:
pregnancy
adrenal hyperplasia
androgen secreting tumors
hyperprolactinemia
thyroid malfunction
diabetes/glucose intolerance
male infertility factors
BMI > 30
taking anti-oxidant supplements less than 6 months prior to entering the study.
taking ovulation stimulating drugs less than 6 months prior to entering the study.
taking drugs with effect on hormone profile less than 6 months prior to entering the study.
Age
From 18 years old to 40 years old
Gender
Female
Phase
3
Groups that have been masked
Participant
Care provider
Investigator
Outcome assessor
Data analyser
Data and Safety Monitoring Board
Sample size
Target sample size:
40
Randomization (investigator's opinion)
Randomized
Randomization description
If patients meet the criteria of the study and sign an informed consent form they will be divided into two groups after referring to the infertility ward of the hospital. using the random block method and using a random number table (numbers 0 to 4 in group A and numbers 5 to 9 in group B). In this way, it is not known before the allocation of the individual of that person's group.
In this method, each of the randomly obtained sequences is written on a card and the cards are placed in sealed envelopes respectively. In order to maintain a random sequence, each envelope is numbered in the same order. Finally, the envelope is sealed and placed in a box. At the time of inclusion of eligible patients, one of the letter envelopes is opened and the allocated group of that patient is revealed.
Hiding will also be done to prevent directional selection by replacing the names of people with code (numbers).
Blinding (investigator's opinion)
Triple blinded
Blinding description
The original drug and placebo will be divided into the same dose, number, and container and then determined by someone outside of the experiment by a different code or color. (The information contained in the envelope sealed will be kept with this person until the end of the experiment.) Patients who participated in the experiment without knowing the contents of the packages (drug or placebo) will receive one of the two packages and will be given as per instructions. None of the people involved in the study will be informed of the contents of the packages until the end of the data collection and analysis.
Placebo
Used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of shari'ati hospital
Street address
shari'ati hospital, jalal al ahmad st., jalal al ahmad hwy., jamshidieh district, tehran
City
Tehran
Province
Tehran
Postal code
1411713135
Approval date
2023-10-02, 1402/07/10
Ethics committee reference number
IR.TUMS.SHARIATI.REC.1402.103
Health conditions studied
1
Description of health condition studied
polycystic ovarian syndrome
ICD-10 code
E28.2
ICD-10 code description
Polycystic ovarian syndrome
Primary outcomes
1
Description
Caspase 3 gene expression
Timepoint
after 60 days of intervention
Method of measurement
real time PCR
2
Description
Caspase 7 gene expression
Timepoint
after 60 days of intervention
Method of measurement
real time PCR
3
Description
Survivin gene expression
Timepoint
after 60 days of intervention
Method of measurement
real time PCR
4
Description
serum testosterone
Timepoint
before/after intervention (60 days)
Method of measurement
elisa
5
Description
serum insulin
Timepoint
before/after intervention (60 days)
Method of measurement
elisa
6
Description
serum glucose
Timepoint
before/after intervention (60 days)
Method of measurement
Enzyme kit
7
Description
serum sex hormone binding globulin
Timepoint
before/after intervention (60 days)
Method of measurement
elisa
8
Description
high-density lipoprotein cholesterol
Timepoint
before/after intervention (60 days)
Method of measurement
Enzyme kit
9
Description
serum low-density lipoprotein
Timepoint
before/after intervention (60 days)
Method of measurement
Enzyme kit
10
Description
total cholesterol
Timepoint
before/after intervention (60 days)
Method of measurement
Enzyme kit
11
Description
triglyceride
Timepoint
before/after intervention (60 days)
Method of measurement
Enzyme kit
Secondary outcomes
1
Description
count and quality of oocyte
Timepoint
after 60 days of intervention
Method of measurement
counting, optical microscope
2
Description
count and quality of embryo
Timepoint
48-72 hours after ICSI
Method of measurement
counting, optical microscope
3
Description
chemical pregnancy
Timepoint
14 days after embryo transfer
Method of measurement
serum beta HCG test
4
Description
Clinical pregnancy
Timepoint
4 weeks after embryo transfer
Method of measurement
ultra-sound
Intervention groups
1
Description
Intervention group: taking a daily dosage of 800mg resveratrol pills ( in 2 capsules of 400mg, one in the morning and one at noon) from mega resveratrol company for 60 days leading to puncture operation date. patients routine drug consumption like metformin is not affected.
Category
Treatment - Drugs
2
Description
Control group: taking a daily dosage of 800mg placebi pills ( in 2 capsules of 400mg, one in the morning and one at noon) for 60 days leading to puncture operation date. patients routine drug consumption like metformin is not affected.
Category
Placebo
Recruitment centers
1
Recruitment center
Name of recruitment center
Shariati hospital
Full name of responsible person
Maryam Shabani Nashtaei
Street address
Shariati hospital, Jalal Al Ahmad St., Jalal Al Ahmad Hwy., district 6, Tehran
City
Tehran
Province
Tehran
Postal code
1411713135
Phone
+98 21 8490 2413
Email
maryam.shabani.n@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Dr. Nima Rezaei
Street address
Tehran university of medical sciences, Pour Sina St., Qods St., Enghelab Blvd, district 6, Tehran
City
Tehran
Province
Tehran
Postal code
1461884513
Phone
+98 21 8163 3619
Email
tums_edu@tums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Tehran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Maryam Shabani Nashtaei
Position
Assistant professor
Latest degree
Ph.D.
Other areas of specialty/work
Reproductive Biology
Street address
School of medicine, Tehran university of medical sciences, Poursina St., Qods St., Enghelab Blvd., Tehran
City
Tehran
Province
Tehran
Postal code
1417653761
Phone
+98 21 6405 3411
Email
maryam.shabani.n@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Maryam Shabani Nashtaei
Position
assistant professor
Latest degree
Ph.D.
Other areas of specialty/work
Reproductive Biology
Street address
school of medicine, Pour Sina St., Qods St., Enghelab Blvd, Tehran
City
Tehran
Province
Tehran
Postal code
1417653761
Phone
+98 21 6405 3411
Email
maryam.shabani.n@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
mohammadhosein bagheri
Position
MSc student
Latest degree
Bachelor
Other areas of specialty/work
Anatomy
Street address
school of medicine, Pour Sina St., Qods St., Enghelab Blvd., tehran.
City
Tehran
Province
Tehran
Postal code
1417653761
Phone
+98 21 6405 3404
Email
mho3in77@yahoo.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
Title and more details about the data/document
All data obtained in the research will be published in one of the valid and related scientific journals.
When the data will become available and for how long
june 2024
To whom data/document is available
Researchers working in academic institutions
Under which criteria data/document could be used
The data of this study can be used as an adjuvant therapy in patients with polycystic ovary syndrome underwent IVF/ICSI.
What processes are involved for a request to access data/document
By sending an email to the corresponding author.
The applicant can receive the required information within one week if the information is available by specifying the affiliated scientific-educational center.