Protocol summary

Study aim
Determining and comparing the average levels of glycemic, hormonal, oxidative stress, disease symptoms between the group receiving saffron extract and vitamin E supplement and the group receiving placebo and within each group before and after the intervention.
Design
A clinical trial with a control group, with parallel groups, triple blind, randomized, phase 3 on 66 patients. SEALED ENVELOPE software was used for randomization.
Settings and conduct
In this study , patients with polycystic ovary syndrome ( pcos ) from patients referring to akbarabadi hospital under the coverage of iran university of medical sciences , whose disease has been confirmed by the doctor and have entry conditions will be selected and randomly assigned to one of the intervention and control groups. At the beginning and end of the trial, questionnaires and disease symptoms will be checked and blood samples will be taken from the participants early in the morning after a night of fasting, and the participants will not stop receiving standard treatment. The participant in the intervention group consumes a daily dose of 30 mg of saffron extract and 100 mg of vitamin E for 8 weeks, and the participants in the control group receive the same amount of placebo. Blinding is triple-blind, including the patient, the therapist, and the analyst.
Participants/Inclusion and exclusion criteria
Women with polycystic ovary syndrome in the age range of 18 to 45 and with BMI in the range of 25 to 35 are included in the study. Patients with a history of chronic diseases, taking glucose and weight reducing drugs, following a special diet do not participate in the study.
Intervention groups
The intervention group consumes 30 mg of saffron extract and 100 mg of vitamins E daily for 8 weeks. The control group consumes the same amount of placebo or lactose.
Main outcome variables
Insulin, DHEA, hirsutism

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20191105045340N4
Registration date: 2024-03-07, 1402/12/17
Registration timing: prospective

Last update: 2024-03-07, 1402/12/17
Update count: 0
Registration date
2024-03-07, 1402/12/17
Registrant information
Name
Seyedeh Tayebeh Rahideh
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 8670 4843
Email address
rahide.t@iums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-04-20, 1403/02/01
Expected recruitment end date
2025-02-19, 1403/12/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of saffron and vitamin E co-supplementation on glycemic control, hormonal, oxidative stress and disease symptom in women with polycystic ovary syndrome
Public title
Effect of saffron and vitamin E in polycystic ovary syndrome
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
Women express their satisfaction by completing a written form to participate in the study. 2- Diagnosis of polycystic ovary syndrome based on the diagnosis of a gynecologist and having PCOS diagnostic criteria according to the guidelines of the American Association for Reproduction (Rotterdam criteria, 2003 which required at least 2 of the following 3 criteria: 1) oligo and/or Absence of ovulation 2) Clinical or biochemical signs of hyperandrogenism and 3) morphology of polycystic ovary shown in ultrasound examination). Women should be between the ages of 18 and 45 People's BMI should be in the range of 25 to 35.
Exclusion criteria:
A history of chronic diseases including diabetes, liver disease, thyroid, cardiovascular and kidney diseases, and endometriosis. Having other disorders that resemble PCOS, including hyperprolactinemia, late-onset congenital adrenal hyperplasia, androgen-secreting tumors, and Cushing's syndrome. Following a special diet and exercise Use of insulin and insulin sensitizers and other glucose-lowering drugs, contraceptives, weight loss agents and anti-inflammatory drugs. Smoking and alcohol consumption in less than 1 month Using any food supplements and antioxidants in the last 1 month Pregnancy and breastfeeding
Age
From 18 years old to 45 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: 66
Randomization (investigator's opinion)
Randomized
Randomization description
Patients with entry requirements will be placed in groups A or B in order of reference based on the table of random numbers (in the simple randomization method derived from the sealed envelope computer program).They are assigned a number from 1 to 66. Then from the numbers 1 to 66, the number 33 is selected using the Random Number table, and the people in question are assigned to the drug A. The remaining 33 people then receive the drug B in such a way that people with a ratio of 1: 1 are randomly divided into two intervention and control groups, and the unit of randomization is individual. To conceal the allocation, same shape, same size, opaque, sealed and consecutively numbered medicine bottles will be used
Blinding (investigator's opinion)
Triple blinded
Blinding description
This randomized triple-blinding clinical trial (in each clinical trial plan, three groups can affect the results of the study. these three groups are 1-research participants, 2-project executives, and 3-evaluators or those who analyze the data obtained. If blindness is done for all three groups involved in the study, it is called a three-blind study. It is. The study supplement (saffron extract and vitamin E) and Placebo have a very similar coating, color, smell, and each contains 60 capsules that are in a similar bottle and are given to Group A capsule A and Group B capsule code B based on the randomized list. It should be noted that the medicinal contents of each bottle are encoded on the bottles (Group A and Group B) by someone outside the research team (pharmaceutical company), and the research team is unaware of their interpretation.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Iran University of Medical Sciences
Street address
Iran University of Medical Sciences, Hemat Highway, next to Milad Tower, Tehran
City
Tehran
Province
Tehran
Postal code
1449614535
Approval date
2024-01-27, 1402/11/07
Ethics committee reference number
IR.IUMS.REC.1402.943

Health conditions studied

1

Description of health condition studied
polycystic ovary syndrome
ICD-10 code
E28.2
ICD-10 code description
Polycystic ovarian syndrome

Primary outcomes

1

Description
insulin
Timepoint
before the start of the intervention and 8 weeks after taking the supplement of saffron extract and vitamin E
Method of measurement
Chemiluminescence immunoassay(CLIA)

2

Description
Dehydroepiandrosterone
Timepoint
before the start of the intervention and 8 weeks after taking the supplement of saffron extract and vitamin E
Method of measurement
CLIA

3

Description
hirsutism
Timepoint
before the start of the intervention and 8 weeks after taking the supplement of saffron extract and vitamin E
Method of measurement
Ferriman–Gallwey index

Secondary outcomes

1

Description
fasting blood sugar
Timepoint
before the start of the intervention and 8 weeks after taking the supplement of saffron extract and vitamin E
Method of measurement
Photometric

2

Description
Homeostatic Model Assessment
Timepoint
before the start of the intervention and 8 weeks after taking the supplement of saffron extract and vitamin E
Method of measurement
Homeostatic model assessment (HOMA) index: Serum FBG (mg/dl) × fasting serum insulin (IU mg/L in the fastingstate) divided by 405.

3

Description
quantitative insulin sensitivity check index
Timepoint
before the start of the intervention and 8 weeks after taking the supplement of saffron extract and vitamin E
Method of measurement
quantitative insulin sensitivity check index: 1/[log (fasting insulin, μU/ml) + log (fasting glucose,mg/dl)].

4

Description
Luteinizing hormone
Timepoint
before the start of the intervention and 8 weeks after taking the supplement of saffron extract and vitamin E
Method of measurement
Chemi Luminescence

5

Description
Follicle stimulating hormone
Timepoint
before the start of the intervention and 8 weeks after taking the supplement of saffron extract and vitamin E
Method of measurement
Chemiluminescence immunoassay(CLIA)

6

Description
Malondialdehyde
Timepoint
before the start of the intervention and 8 weeks after taking the supplement of saffron extract and vitamin E
Method of measurement
CLIA

7

Description
Total Antioxidant Capacity
Timepoint
before the start of the intervention and 8 weeks after taking the supplement of saffron extract and vitamin E
Method of measurement
CLIA

8

Description
Alopecia
Timepoint
before the start of the intervention and 8 weeks after taking the supplement of saffron extract and vitamin E
Method of measurement
Sinclair

9

Description
acne
Timepoint
before the start of the intervention and 8 weeks after taking the supplement of saffron extract and vitamin E
Method of measurement
Global Acne Grading system or GAGS

Intervention groups

1

Description
Intervention group: The intervention group consumes 2 capsules daily (together) of a combined supplement of saffron extract and vitamin E, each containing 15 mg of saffron extract and 50 mg of vitamin E for 8 weeks. This supplement is made by Green plant of Life Company.
Category
Treatment - Other

2

Description
Control group: The control group consumes 2 capsules daily (together) of the placebo produced by the Green Plants of life Company for 8 weeks. Each capsule contains 65 mg of lactose.
Category
Treatment - Other

Recruitment centers

1

Recruitment center
Name of recruitment center
Akbarabadi Hospital
Full name of responsible person
Dr.Seyedeh Tayebeh Rahideh
Street address
Bagh Ferdous Station, Molvi St, Tehran
City
Tehran
Province
Tehran
Postal code
1168743514
Phone
+98 21 5560 6034
Email
akbarabadihosp@yahoo.com
Web page address
https://crta.iums.ac.ir/

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
reza falak
Street address
Iran University of Medical Sciences, Hemat Highway, next to Milad Tower, Tehran
City
Tehran
Province
Tehran
Postal code
1449614535
Phone
+98 21 8670 1021
Email
rezafalak@yahoo.com
Web page address
https://iums.ac.ir/
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Iran 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
Iran University of Medical Sciences
Full name of responsible person
Dr. Seyedeh Tayebeh Rahideh
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Iran University of Medical Sciences, Hemat Highway, next to Milad Tower, Tehran
City
Tehran
Province
Tehran
Postal code
1449614535
Phone
+98 21 8670 1021
Email
tayebeh_rahideh@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Dr. Seyedeh Tayebeh Rahideh
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Iran University of Medical Sciences, Hemat Highway, next to Milad Tower, Tehran
City
Tehran
Province
Tehran
Postal code
1449614535
Phone
+98 21 8670 1021
Email
tayebeh_rahideh@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Dr. Seyedeh Tayebeh Rahideh
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Nutrition
Street address
Iran University of Medical Sciences, Hemat Highway, next to Milad Tower, Tehran
City
Tehran
Province
Tehran
Postal code
1449614535
Phone
+98 21 8670 1021
Email
tayebeh_rahideh@yahoo.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be 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
Undecided - It is not yet known if there will be 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
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