Page last updated: 2024-11-02

pioglitazone and Hyperandrogenism

pioglitazone has been researched along with Hyperandrogenism in 16 studies

Pioglitazone: A thiazolidinedione and PPAR GAMMA agonist that is used in the treatment of TYPE 2 DIABETES MELLITUS.
pioglitazone : A member of the class of thiazolidenediones that is 1,3-thiazolidine-2,4-dione substituted by a benzyl group at position 5 which in turn is substituted by a 2-(5-ethylpyridin-2-yl)ethoxy group at position 4 of the phenyl ring. It exhibits hypoglycemic activity.

Hyperandrogenism: A condition caused by the excessive secretion of ANDROGENS from the ADRENAL CORTEX; the OVARIES; or the TESTES. The clinical significance in males is negligible. In women, the common manifestations are HIRSUTISM and VIRILISM as seen in patients with POLYCYSTIC OVARY SYNDROME and ADRENOCORTICAL HYPERFUNCTION.

Research Excerpts

ExcerptRelevanceReference
" PCOS women were treated with pioglitazone 30 mg/day and at the beginning and after 6 months of treatment were evaluated: menstrual cycle trend, hirsutism and acne, total cholesterolemia and HDL, triglyceridemia, fibrinogenemia, C-reactive protein, oral glucose tolerance test, glycated hemoglobin, FSH, LH, 17OH-progesterone, 17β-estradiol, free and total testosterone, SHBG, DHEA-S, Δ4-androstenedione and adiponectin."9.19Effects of the insulin sensitizer pioglitazone on menstrual irregularity, insulin resistance and hyperandrogenism in young women with polycystic ovary syndrome. ( Artenisio, AC; Benvenga, S; Borrielli, I; Bruno, LM; Giunta, L; La Marca, A; Pizzo, A; Stabile, G; Volpe, A, 2014)
"Only orlistat reduced both IR and its variability significantly, though all three drugs were effective in reducing hyperandrogenism within the 12-week period of the study."9.14Effect of metformin, orlistat and pioglitazone treatment on mean insulin resistance and its biological variability in polycystic ovary syndrome. ( Atkin, SL; Cho, LW; Coady, AM; Keevil, BG; Kilpatrick, ES, 2009)
"To study the clinical, metabolic and adverse effects of pioglitazone over a period of 6 months in obese adolescent and young adults with polycystic ovary syndrome."9.14Effects of pioglitazone on menstrual frequency, hyperandrogenism and insulin resistance in adoloscents and young adults with polycystic ovary syndrome. ( Jacob, JJ; Narsing Rao, L; Paul, TV; Rajarathinam, S; Seshadri, MS; Thomas, N, 2009)
" The purpose of this study was to evaluate whether pioglitazone decreases insulin resistance (IR) and hyperandrogenism to the same extent as metformin in obese women with PCOS who have not received any previous treatment."9.11Responses of serum androgen and insulin resistance to metformin and pioglitazone in obese, insulin-resistant women with polycystic ovary syndrome. ( Aguayo, P; Arteaga-Troncoso, G; Crespo, G; Hernández, L; Luna, S; Ortega-González, C; Parra, A, 2005)
"Treatment with pioglitazone was also associated with higher ovulation rates (P < 0."6.71Effect of the insulin sensitizer pioglitazone on insulin resistance, hyperandrogenism, and ovulatory dysfunction in women with polycystic ovary syndrome. ( Brettenthaler, N; De Geyter, C; Huber, PR; Keller, U, 2004)
"The reason why hyperinsulinemia produces hyperandrogenism and whether insulin action on the pituitary alters gonadotropin liberation remain unknown."5.33Endocrine-metabolic effects of the treatment with pioglitazone in obese patients with polycystic ovary syndrome. ( Garmes, HM; Tambascia, MA; Zantut-Wittmann, DE, 2005)
" PCOS women were treated with pioglitazone 30 mg/day and at the beginning and after 6 months of treatment were evaluated: menstrual cycle trend, hirsutism and acne, total cholesterolemia and HDL, triglyceridemia, fibrinogenemia, C-reactive protein, oral glucose tolerance test, glycated hemoglobin, FSH, LH, 17OH-progesterone, 17β-estradiol, free and total testosterone, SHBG, DHEA-S, Δ4-androstenedione and adiponectin."5.19Effects of the insulin sensitizer pioglitazone on menstrual irregularity, insulin resistance and hyperandrogenism in young women with polycystic ovary syndrome. ( Artenisio, AC; Benvenga, S; Borrielli, I; Bruno, LM; Giunta, L; La Marca, A; Pizzo, A; Stabile, G; Volpe, A, 2014)
"Only orlistat reduced both IR and its variability significantly, though all three drugs were effective in reducing hyperandrogenism within the 12-week period of the study."5.14Effect of metformin, orlistat and pioglitazone treatment on mean insulin resistance and its biological variability in polycystic ovary syndrome. ( Atkin, SL; Cho, LW; Coady, AM; Keevil, BG; Kilpatrick, ES, 2009)
"To study the clinical, metabolic and adverse effects of pioglitazone over a period of 6 months in obese adolescent and young adults with polycystic ovary syndrome."5.14Effects of pioglitazone on menstrual frequency, hyperandrogenism and insulin resistance in adoloscents and young adults with polycystic ovary syndrome. ( Jacob, JJ; Narsing Rao, L; Paul, TV; Rajarathinam, S; Seshadri, MS; Thomas, N, 2009)
"One of the treatments for hyperinsulinemic hyperandrogenism in nonobese women is combined androgen receptor blockade (with flutamide; Flu), insulin sensitization (with metformin; Met) plus an estroprogestagen contraceptive."5.12Combined low-dose pioglitazone, flutamide, and metformin for women with androgen excess. ( de Zegher, F; del Rio, L; Enríquez, G; Ibáñez, L; López-Bermejo, A; Valls, C, 2007)
" The purpose of this study was to evaluate whether pioglitazone decreases insulin resistance (IR) and hyperandrogenism to the same extent as metformin in obese women with PCOS who have not received any previous treatment."5.11Responses of serum androgen and insulin resistance to metformin and pioglitazone in obese, insulin-resistant women with polycystic ovary syndrome. ( Aguayo, P; Arteaga-Troncoso, G; Crespo, G; Hernández, L; Luna, S; Ortega-González, C; Parra, A, 2005)
", pioglitazone and metformin) used for the treatment of insulin resistance in PCOS, on androgen production."4.93Cellular and Animal Studies: Insights into Pathophysiology and Therapy of PCOS. ( Indran, IR; Lee, BH; Yong, EL, 2016)
"Female prepubertal rats were treated with equine chorionic gonadotropin (eCG) to induce folliculogenesis, together with dehydroepiandrosterone (DHEA) to induce hyperandrogenism and/or PGZ to evaluate PPARG activation."3.91Treatment with the synthetic PPARG ligand pioglitazone ameliorates early ovarian alterations induced by dehydroepiandrosterone in prepubertal rats. ( Abruzzese, GA; Ferreira, SR; Heber, MF; Motta, AB; Velez, LM, 2019)
"To evaluate the effect of metformin and pioglitazone on leutinizing hormone and follicle stimulating hormone receptor mRNA expression, hyperandrogenism and insulin resistance in high fat diet induced and letrozole induced PCOS in rats."3.88Insulin Sensitizers Modulate GnRH Receptor Expression in PCOS Rats. ( Patel, R; Shah, G, 2018)
"Treatment with pioglitazone was also associated with higher ovulation rates (P < 0."2.71Effect of the insulin sensitizer pioglitazone on insulin resistance, hyperandrogenism, and ovulatory dysfunction in women with polycystic ovary syndrome. ( Brettenthaler, N; De Geyter, C; Huber, PR; Keller, U, 2004)
"The reason why hyperinsulinemia produces hyperandrogenism and whether insulin action on the pituitary alters gonadotropin liberation remain unknown."1.33Endocrine-metabolic effects of the treatment with pioglitazone in obese patients with polycystic ovary syndrome. ( Garmes, HM; Tambascia, MA; Zantut-Wittmann, DE, 2005)

Research

Studies (16)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's7 (43.75)29.6817
2010's8 (50.00)24.3611
2020's1 (6.25)2.80

Authors

AuthorsStudies
Zeng, X1
Xie, YJ1
Liu, YT1
Long, SL1
Mo, ZC1
Patel, R1
Shah, G1
Velez, LM1
Abruzzese, GA1
Heber, MF1
Ferreira, SR1
Motta, AB1
Ibáñez, L6
Ong, KK1
López-Bermejo, A5
Dunger, DB1
de Zegher, F6
Stabile, G1
Borrielli, I1
Artenisio, AC1
Bruno, LM1
Benvenga, S1
Giunta, L1
La Marca, A1
Volpe, A1
Pizzo, A1
Díaz, M4
Gallego-Escuredo, JM1
Villarroya, F1
Indran, IR1
Lee, BH1
Yong, EL1
Cho, LW1
Kilpatrick, ES1
Keevil, BG1
Coady, AM1
Atkin, SL1
Narsing Rao, L1
Jacob, JJ1
Paul, TV1
Rajarathinam, S1
Thomas, N1
Seshadri, MS1
Sebastiani, G1
Sánchez-Infantes, D1
Salvador, C2
Chacón, MR1
Maymó-Masip, E1
Vendrell, J1
Brettenthaler, N1
De Geyter, C1
Huber, PR1
Keller, U1
Ortega-González, C1
Luna, S1
Hernández, L1
Crespo, G1
Aguayo, P1
Arteaga-Troncoso, G1
Parra, A1
Garmes, HM1
Tambascia, MA1
Zantut-Wittmann, DE1
del Rio, L1
Enríquez, G2
Valls, C2

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effectiveness of the Combination Liraglutide and Metformin on Weight Loss, Metabolic - Endocrine Parameters and Pregnancy Rate in Women With Polycystic Ovarian Syndrome, Obesity and Infertility[NCT05952882]Phase 3188 participants (Anticipated)Interventional2023-11-01Not yet recruiting
Effects of Metformin and Combination of Metformin and Pioglitazone on Plasma Interleukin-6 and Interleukin-8 Levels in Polycystic Ovarian Syndrome[NCT03117517]Early Phase 1106 participants (Actual)Interventional2017-03-20Completed
Effect of Metformin and Combination of Olive Oil Plus Nutritional Supplements on Inflammatory Markers IL-6 and IL-8 in PCOS.[NCT05952349]Phase 288 participants (Anticipated)Interventional2023-07-01Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Cytokines and Chemokines Measurements

IL-6 and IL-8 levels by ELISA method using commercially available kits. (NCT03117517)
Timeframe: Baseline and after 3 Months

,
Interventionpg/ml (Geometric Mean)
IL-6 levels at baselineIL-6 levels after 3 months of treatmentIL-8 Llevels at baselineIL-8 Llevels after treatment
Metformin14.6012.6561.9232.70
Metformin, Pioglitazone14.1211.1241.8622.00

Hormonal Profiles

Serum level of LH was measure at baseline and after 3 months of treatment (NCT03117517)
Timeframe: Baseine and after 3 Months

,
InterventionmIU/ml (Geometric Mean)
LH level at baselineLH level after treatment
Metformin5.794.92
Metformin, Pioglitazone6.6255.16

Insulin Resistance

Insulin resistance was measure by calculating HOMA-IR from the data of insulin and sugar levels. (NCT03117517)
Timeframe: Baseline and after 3 months

,
Interventionunitless (Mean)
HOMA-IR at baselineHOMA-IR after treatment
Metformin7.193.97
Metformin, Pioglitazone6.223.84

Reviews

2 reviews available for pioglitazone and Hyperandrogenism

ArticleYear
Polycystic ovarian syndrome: Correlation between hyperandrogenism, insulin resistance and obesity.
    Clinica chimica acta; international journal of clinical chemistry, 2020, Volume: 502

    Topics: Androgens; Female; Humans; Hyperandrogenism; Hypoglycemic Agents; Insulin Resistance; Metformin; Obe

2020
Cellular and Animal Studies: Insights into Pathophysiology and Therapy of PCOS.
    Best practice & research. Clinical obstetrics & gynaecology, 2016, Volume: 37

    Topics: Androgens; Animals; Death Domain Receptor Signaling Adaptor Proteins; Decanoic Acids; Disease Models

2016

Trials

10 trials available for pioglitazone and Hyperandrogenism

ArticleYear
Effects of the insulin sensitizer pioglitazone on menstrual irregularity, insulin resistance and hyperandrogenism in young women with polycystic ovary syndrome.
    Journal of pediatric and adolescent gynecology, 2014, Volume: 27, Issue:3

    Topics: Adiponectin; Adolescent; C-Reactive Protein; Female; Fibrinogen; Hirsutism; Humans; Hyperandrogenism

2014
Effects of ethinylestradiol-cyproterone acetate vs. pioglitazone-flutamide-metformin on plasma FGF21 levels in adolescent girls with androgen excess.
    Diabetes & metabolism, 2016, Volume: 42, Issue:3

    Topics: Adolescent; Cyproterone Acetate; Drug Combinations; Ethinyl Estradiol; Female; Fibroblast Growth Fac

2016
Effect of metformin, orlistat and pioglitazone treatment on mean insulin resistance and its biological variability in polycystic ovary syndrome.
    Clinical endocrinology, 2009, Volume: 70, Issue:2

    Topics: Adult; Anti-Obesity Agents; Body Mass Index; Female; Humans; Hyperandrogenism; Hypoglycemic Agents;

2009
Effects of pioglitazone on menstrual frequency, hyperandrogenism and insulin resistance in adoloscents and young adults with polycystic ovary syndrome.
    Journal of pediatric and adolescent gynecology, 2009, Volume: 22, Issue:2

    Topics: Adolescent; Adult; Female; Humans; Hyperandrogenism; Hypoglycemic Agents; Insulin Resistance; Menstr

2009
Treatment of androgen excess in adolescent girls: ethinylestradiol-cyproteroneacetate versus low-dose pioglitazone-flutamide-metformin.
    The Journal of clinical endocrinology and metabolism, 2011, Volume: 96, Issue:11

    Topics: Abdominal Fat; Adolescent; Androgen Antagonists; Body Composition; Cyproterone Acetate; Drug Combina

2011
Ethinyl estradiol-cyproterone acetate versus low-dose pioglitazone-flutamide-metformin for adolescent girls with androgen excess: divergent effects on CD163, TWEAK receptor, ANGPTL4, and LEPTIN expression in subcutaneous adipose tissue.
    The Journal of clinical endocrinology and metabolism, 2012, Volume: 97, Issue:10

    Topics: Abdominal Fat; Adolescent; Androgen Antagonists; Angiopoietin-Like Protein 4; Angiopoietins; Antigen

2012
Effect of the insulin sensitizer pioglitazone on insulin resistance, hyperandrogenism, and ovulatory dysfunction in women with polycystic ovary syndrome.
    The Journal of clinical endocrinology and metabolism, 2004, Volume: 89, Issue:8

    Topics: Adult; Double-Blind Method; Female; Glucose Intolerance; Hormones; Humans; Hyperandrogenism; Insulin

2004
Responses of serum androgen and insulin resistance to metformin and pioglitazone in obese, insulin-resistant women with polycystic ovary syndrome.
    The Journal of clinical endocrinology and metabolism, 2005, Volume: 90, Issue:3

    Topics: Adolescent; Adult; Androgens; Blood Glucose; Female; Humans; Hyperandrogenism; Hypoglycemic Agents;

2005
Responses of serum androgen and insulin resistance to metformin and pioglitazone in obese, insulin-resistant women with polycystic ovary syndrome.
    The Journal of clinical endocrinology and metabolism, 2005, Volume: 90, Issue:3

    Topics: Adolescent; Adult; Androgens; Blood Glucose; Female; Humans; Hyperandrogenism; Hypoglycemic Agents;

2005
Responses of serum androgen and insulin resistance to metformin and pioglitazone in obese, insulin-resistant women with polycystic ovary syndrome.
    The Journal of clinical endocrinology and metabolism, 2005, Volume: 90, Issue:3

    Topics: Adolescent; Adult; Androgens; Blood Glucose; Female; Humans; Hyperandrogenism; Hypoglycemic Agents;

2005
Responses of serum androgen and insulin resistance to metformin and pioglitazone in obese, insulin-resistant women with polycystic ovary syndrome.
    The Journal of clinical endocrinology and metabolism, 2005, Volume: 90, Issue:3

    Topics: Adolescent; Adult; Androgens; Blood Glucose; Female; Humans; Hyperandrogenism; Hypoglycemic Agents;

2005
Combined low-dose pioglitazone, flutamide, and metformin for women with androgen excess.
    The Journal of clinical endocrinology and metabolism, 2007, Volume: 92, Issue:5

    Topics: Adipose Tissue; Adolescent; Adult; Androgen Antagonists; Body Composition; Body Mass Index; Carotid

2007
Pioglitazone (7.5 mg/day) added to flutamide-metformin in women with androgen excess: additional increments of visfatin and high molecular weight adiponectin.
    Clinical endocrinology, 2008, Volume: 68, Issue:2

    Topics: Adiponectin; Adolescent; Adult; Double-Blind Method; Female; Flutamide; Humans; Hyperandrogenism; Hy

2008

Other Studies

4 other studies available for pioglitazone and Hyperandrogenism

ArticleYear
Insulin Sensitizers Modulate GnRH Receptor Expression in PCOS Rats.
    Archives of medical research, 2018, Volume: 49, Issue:3

    Topics: Animals; Body Weight; Carboxymethylcellulose Sodium; Diet, High-Fat; Female; Glucose Tolerance Test;

2018
Treatment with the synthetic PPARG ligand pioglitazone ameliorates early ovarian alterations induced by dehydroepiandrosterone in prepubertal rats.
    Pharmacological reports : PR, 2019, Volume: 71, Issue:1

    Topics: Animals; Co-Repressor Proteins; Dehydroepiandrosterone; Disease Models, Animal; Estradiol; Female; H

2019
Hyperinsulinaemic androgen excess in adolescent girls.
    Nature reviews. Endocrinology, 2014, Volume: 10, Issue:8

    Topics: Adolescent; Androgens; Drug Therapy, Combination; Dyslipidemias; Female; Flutamide; Hirsutism; Human

2014
Endocrine-metabolic effects of the treatment with pioglitazone in obese patients with polycystic ovary syndrome.
    Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology, 2005, Volume: 21, Issue:6

    Topics: Adolescent; Adult; Female; Hormone Antagonists; Humans; Hyperandrogenism; Hyperinsulinism; Obesity;

2005