Unique ID issued by UMIN | UMIN000015470 |
---|---|
Receipt number | R000017984 |
Scientific Title | Effect of metformin on the endometrium of obese, insulin-resistant women |
Date of disclosure of the study information | 2014/10/20 |
Last modified on | 2019/04/23 09:20:28 |
Effect of metformin on the endometrium of obese, insulin-resistant women
Effect of metformin on the endometrium of obese, insulin-resistant women
Effect of metformin on the endometrium of obese, insulin-resistant women
Effect of metformin on the endometrium of obese, insulin-resistant women
Japan |
obese, insulin-resistant women
Obstetrics and Gynecology |
Others
NO
This study will investigate the antiproliferative effects of metformin on the endometrium of obese, insulin-resistant women. The changes in serum levels of insulin, insulin-like growth factor-1 (IGF-1), adipocytokines (leptin and adiponectin); body mass index (BMI); and insulin resistance will be evaluated after metformin intake.
Efficacy
Exploratory
Others
Not applicable
To evaluate the effect of metformin on phospho-ERK expression in the endometrium
1. To evaluate the effect of metformin on biomarker expression in the endometrium. Differences in Ki-67 and topoisomeraseIIa; expression will be assessed immunohistochemically.Phospho-AKT, phospho-AMPK, phospho-rpS6, cyclin D1, pRB, and p27 will be assessed using western blot analysis.
2. To evaluate the effect of metformin on serum biomarkers, such as insulin, IGF-1, and adipocytokines, such as leptin and adiponectin.
3. To evaluate the changes in BMI and insulin resistance after metformin treatment.
4. To evaluate the changes in the growth-stimulatory potential of sera after metformin treatment.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Prevention
Medicine |
1) Patients will receive a daily dose of metformin (initial dose, 500 mg/day; increasing, weekly, up to 1500 mg/day, in the absence of adverse effects) for 3 months
2) Blood samples and endometrial biopsies will be obtained at baseline and after 3 months.
20 | years-old | <= |
45 | years-old | >= |
Female
1. Normal endometrium or simple hyperplasia, without atypia.
2. BMI 25 and over and a positive test for insulin resistance
3. Menstrual irregularity
4. Aged between 20- and 45-years-old
5. Eastern Cooperative Oncology Group Performance status 0
6. Provided written informed consent
1. Prior medical history of chemical sensitivity to metformin
2. Women desiring to become pregnant during the study period
3. Serum creatinine level >1.0 mg/dL
4. History of lactic acidosis
5. Requiring dialysis
6. Shock, cardiac arrest, cardiac infarction, pulmonary thrombosis, or severe cardiovascular and/or lung damage
7. Ingestion of excessive amounts of alcohol
8. Liver dysfunction
9. History of thrombosis
10. Mental illness that may require antipsychotic therapy
11. Diabetes mellitus requiring medication
12. Concomitant malignancies
13. Ineligible, as determined by the physician-in-charge for any other reason
15
1st name | AKIRA |
Middle name | |
Last name | Mitsuhashi |
Graduate School of Medicine, Chiba University,
Reproductive Medicine
260-8670
1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan
043-222-7171
antira@faculty.chiba-u.jp
1st name | AKIRA |
Middle name | |
Last name | Mitsuhashi |
Graduate School of Medicine, Chiba University
Reproductive Medicine
260-8670
1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan
043-222-7171
antira@faculty.chbia-u.jp
Graduate School of Medicine, Chiba University
The Japan Society for Promotion
of Science
Japanese Governmental office
Chiba University Hospital
1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan
043-222-7171
hanaoka.hideki@faculty.chiba-u.jp
NO
2014 | Year | 10 | Month | 20 | Day |
Unpublished
Completed
2014 | Year | 10 | Month | 14 | Day |
2014 | Year | 10 | Month | 14 | Day |
2014 | Year | 10 | Month | 20 | Day |
2019 | Year | 03 | Month | 31 | Day |
2014 | Year | 10 | Month | 19 | Day |
2019 | Year | 04 | Month | 23 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017984