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OncoMatch/Clinical Trials/NCT06842524

Dihydroartemisinin for the Treatment of Polycystic Ovary Syndrome

Is NCT06842524 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Dihydroartemisinin for polycystic ovary syndrome (pcos).

Phase 2RecruitingShanghai Zhongshan HospitalNCT06842524Data as of May 2026

Treatment: DihydroartemisininPolycystic ovarian syndrome (PCOS) is the most frequent endocrine disorder affecting women of reproductive age, with a prevalence of 10 to 13%. PCOS is characterized by irregular menstrual cylcles/ovulatory dysfunction, hyperandrogenism, and polycystic ovarian morphology. For infertile patients seeking ovulation induction, letrozole is the drug of first choice. For PCOS patients not seeking pregnancy, there exists a variety of treatments to alleviate symptoms. It has been demonstrated that artemisinin derivatives can promote energy expenditures and insulin sensitivity by activating thermogenic adipocytes, thereby protecting against diet-induced obesity and metabolic disorders in rodents. Recently, we showed in a single arm pilot study including 19 PCOS-patients, that dihydroartemisinin ameliorated hyperandrogenemia reduced antral follicle count and normalized menstrual cycles. Based on these findings, we aim to evaluate the efficacy of dihydroartemisinin in women with PCOS in a placebo controlled randomized clinical trial. The primary outcome is return of regular menstrual cycles within 6 months after start of treatment, with antral follicle count and metabolic profile being secondary outcomes. The results will potentially impact the standard of care for patients diagnosed with PCOS.

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Extracted eligibility criteria

Prior therapy

Cannot have received: oral contraceptive

Exception: two-month washout period prior to screening

Patients on oral contraceptives. A two-month washout period will be required prior to screening for patients on these agents.

Cannot have received: oral cyclic progestin

Exception: one-month washout period prior to screening

A one-month washout will be required for patients on oral cyclic progestins.

Cannot have received: depo-progestin

Patients on depo-progestins or hormonal implants are excluded.

Cannot have received: hormonal implant

Patients on depo-progestins or hormonal implants are excluded.

Cannot have received: GnRH agonist

Exception: two-month washout period prior to screening

These medications include GnRH agonists and antagonists, antiandrogens, gonadotropins, GLP-1 receptor agonist, SGLT2i, metformin and thiazolidinediones. The washout period on all these medications will be two months.

Cannot have received: GnRH antagonist

Exception: two-month washout period prior to screening

These medications include GnRH agonists and antagonists, antiandrogens, gonadotropins, GLP-1 receptor agonist, SGLT2i, metformin and thiazolidinediones. The washout period on all these medications will be two months.

Cannot have received: antiandrogen

Exception: two-month washout period prior to screening

These medications include GnRH agonists and antagonists, antiandrogens, gonadotropins, GLP-1 receptor agonist, SGLT2i, metformin and thiazolidinediones. The washout period on all these medications will be two months.

Cannot have received: gonadotropin

Exception: two-month washout period prior to screening

These medications include GnRH agonists and antagonists, antiandrogens, gonadotropins, GLP-1 receptor agonist, SGLT2i, metformin and thiazolidinediones. The washout period on all these medications will be two months.

Cannot have received: GLP-1 receptor agonist

Exception: two-month washout period prior to screening

These medications include GnRH agonists and antagonists, antiandrogens, gonadotropins, GLP-1 receptor agonist, SGLT2i, metformin and thiazolidinediones. The washout period on all these medications will be two months.

Cannot have received: SGLT2 inhibitor

Exception: two-month washout period prior to screening

These medications include GnRH agonists and antagonists, antiandrogens, gonadotropins, GLP-1 receptor agonist, SGLT2i, metformin and thiazolidinediones. The washout period on all these medications will be two months.

Cannot have received: metformin

Exception: two-month washout period prior to screening

These medications include GnRH agonists and antagonists, antiandrogens, gonadotropins, GLP-1 receptor agonist, SGLT2i, metformin and thiazolidinediones. The washout period on all these medications will be two months.

Cannot have received: thiazolidinedione

Exception: two-month washout period prior to screening

These medications include GnRH agonists and antagonists, antiandrogens, gonadotropins, GLP-1 receptor agonist, SGLT2i, metformin and thiazolidinediones. The washout period on all these medications will be two months.

Lab requirements

Blood counts

anemia (Hemoglobin <12 g/dL) or neutropenia (neutrocyte <1.8×10^9/L) excluded

Kidney function

serum creatinine >115 umol/L excluded

Liver function

ALT or AST above normal range of each participating center, or total bilirubin >30 umol/L excluded; MASLD with normal ALT and AST can be included

Patients with liver disease defined as ALT or AST above normal range... or total bilirubin>30umol/L. MASLD with normal ALT and AST can be included. Patients with anemia (Hemoglobin < 12 g/dL) or neutropenia (neutrocyte <1.8×10^9/L). Patients with renal disease defined as serum creatinine> 115umol/L.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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