Actively Recruiting

Phase 2
Age: 18Years - 40Years
FEMALE
NCT06852365

Combined Oral Contraceptive Pill and Resistance Starch

Led by University of Pennsylvania · Updated on 2026-02-19

100

Participants Needed

1

Research Sites

146 weeks

Total Duration

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Sponsors

U

University of Pennsylvania

Lead Sponsor

N

National Heart, Lung, and Blood Institute (NHLBI)

Collaborating Sponsor

AI-Summary

What this Trial Is About

This study will enroll women with PCOS to study the effects of first line therapy, oral contraceptive pills, and then either 12 weeks of resistant starch or 12 weeks of placebo to explore if resistant starch improves cardiometabolic parameters or impacts gut dysbiosis compared to placebo.

CONDITIONS

Official Title

Combined Oral Contraceptive Pill and Resistance Starch

Who Can Participate

Age: 18Years - 40Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Women aged 18 to 40 years with a BMI between 25 and 48 kg/m2 diagnosed with PCOS by Rotterdam criteria
  • Diagnosis includes chronic anovulation (8 or fewer periods), androgen excess, hirsutism, or polycystic ovaries by ultrasound or elevated AMH
  • Women with more regular bleeding suspected of periodic anovulatory bleeding confirmed by midluteal progesterone less than 3 ng/dL
  • Women with only hyperandrogenic PCOS phenotype (hyperandrogenism plus one more criterion) included
  • Willingness to avoid pregnancy for the entire study duration
Not Eligible

You will not qualify if you...

  • Pregnancy, lactation, untreated hypothyroidism, untreated hyperprolactinemia, or premature menopause
  • Late onset adrenal hyperplasia
  • History of bariatric surgery
  • Unable to comply with study procedures due to mental illness, substance abuse, or participation in other studies
  • Taking medications affecting weight or metabolic parameters (e.g., lipid-lowering drugs)
  • History of Crohn's disease or ulcerative colitis, current use of probiotics or laxatives
  • Antibiotic use within 3 months prior to randomization
  • Dietary fiber intake over 20 g/day based on pre-screening survey
  • Medical conditions contraindicating oral contraceptive use or other conditions such as type 1 or 2 diabetes, liver or kidney disease, severe anemia, alcohol abuse, poorly controlled hypertension, high triglycerides, chronic inflammatory conditions, history of blood clots or heart disease, and certain cancers or hormone-secreting tumors

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

University of Pennsylvania

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

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Research Team

A

Anuja Dokras, MD PhD

CONTACT

A

Andrea Morley

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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