University Hospital Basel Endocrinology, Diabetes and Metabolism
Basel, 4031, Switzerland
NCT Number: NCT03578497
A prospective, interventional, open-label, single-arm, proof-of-concept study: 18 women with Polycystic Ovary Syndrome (PCOS) will be treated with 100 mg of Anakinra/Kineret® for 4 weeks. 1 week after last injection patients will have a follow-up and a dexamethasone visit after a dexamethasone suppression test. Goal of this study is to investigate the effect of the Interleukin 1( IL-1) receptor antagonist Anakinra/Kineret® on laboratory and clinical features in women with PCOS.
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Notify Me18 year and older
Female
Interventional
Phase 2
Basel, 4031, Switzerland
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
IL-1 receptor antagonist Anakinra is a recombinant, non-glycosylated form of the human IL-1Ra in a 100 mg/ 0.67 ml solution for subcutaneous injection. Standard dosage licensed by the FDA and European Medicines Agency (EMA) is 100 mg Anakinra daily. It is supplied in single use prefilled glass syringes with 27 gauge needles as a sterile, clear, colourless-to-white, preservative free solution for daily s.c. administration.
Other names: Kineret
Time frame: 7 days
Absolute change in fasting serum androstenedione level (nmol/l) from start (baseline, day 1) to one week after treatment start with Anakinra.
Time frame: Day 1 and 28
Effect of Anakinra/Kineret® on hirsutism by Ferriman-Gallwey-score (representation of hair growth in a male pattern on a woman shown in four different degrees of severity ( 0= no hair growth; 1= light hair growth; 2= moderate hair growth; 4= severe hair growth) in 11 different body parts; namely the upper lip, chin, chest, upper back, lower back, upper abdomen, lower abdomen, arm, forearm, thigh, and lower leg) will be assessed
Time frame: At day 1 and 28
Effect of Anakinra/Kineret® on sebum production will be assessed with Sebumeter® SM 815, Courage + Khazaka electronic Gesellschaft mit beschränkter Haftung (GmbH)
Time frame: At day 1 and 28
Effect of Anakinra/Kineret® on hirsutism will be assessed
Time frame: At day 1 and 28
Effect of Anakinra/Kineret® on acne severity, assessed with Plewig-Kligman score (presentation of comedonal and inflammatory acne severity, separately graded based on the number of lesions and type; lesion counting done at right side of the face, excluding other side, chest and back.
Time frame: Between day 1 and day 35
Effect of Anakinra/Kineret® on ovulation and menstruation rates will be assessed
Time frame: Day 1, 7, 14, 21, 28 and 35
Effect of Anakinra/Kineret® on peripheral (sexual) hormones will be assessed
Time frame: At day 1, 7, 14, 21, 28 and 35
Effect of Anakinra/Kineret® on glucose metabolism will be assessed
Time frame: Day 1, 7, 14, 21, 28 and 35
Effect of Anakinra/Kineret® on the pituitary-gonadal axis will be assessed
Time frame: At days 35 and 36
Dexamethasone suppression test will be evaluated as a predictor for treatment response
Time frame: Day 1, 7, 14, 21, 28 and 35
Time course of inflammatory marker white blood cell count [x109/l] will be assessed
Time frame: Day 1, 7, 14, 21, 28 and 35
Time course of inflammatory marker CRP [mg/l] will be assessed
Time frame: Day 1 and 28
Time course of inflammatory marker IL-6 [pg/ml] will be assessed
Time frame: Day 1, 7, 14, 21, 28 and 35
Time course of inflammatory marker IL-1Ra [pg/ml] will be assessed
Time frame: Days 14, 21, 28, and 35 after treatment start with Anakinra
Change in androstenedione level (nmol/l) from start (baseline, day 1) to days 14, 21, 28, and 35 after treatment start with Anakinra.
Time frame: Days 7, 14, 28, and 35 after treatment start with Anakinra
Change in 11-oxygenated androgens (e.g. 11-ketotestosterone, 11-ketoandrostenedione, 11β-hydroxytestosterone, 11β-hydroxyandrostenedione [nmol/l]) on days 7, 14, 28, and 35 after treatment start with Anakinra
University Hospital, Basel, Switzerland
Other
Effects of Interleukin-1 Receptor Antagonism on Hyperandrogenemia in Women With Polycystic Ovary Syndrome - a Prospective, Interventional, Single-arm, Open-label, Proof-of-concept Study
Acronym: FertIL
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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