A simple blood test may flag hidden insulin problems in PCOS
NCT ID NCT07739953
First seen Jul 31, 2026 · Last updated Jul 31, 2026
Summary
This study looks at whether a protein called ApoC3 in the blood can help identify insulin resistance in women with polycystic ovary syndrome (PCOS), a common cause of infertility and other health issues. Researchers will measure ApoC3 levels in 200 women with PCOS and compare them with standard measures of insulin resistance. The goal is to see if ApoC3 could serve as a quick, reliable biomarker for early screening and better management of PCOS-related complications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ApoC3 protein detection kit (blood test)
- What this could lead to
- If successful, this could lead to a simple blood test to identify insulin resistance in women with PCOS, enabling earlier intervention and better management of related health risks.
- What could go wrong
- This is an observational study, so it cannot prove cause and effect. The biomarker's accuracy and usefulness in routine practice remain to be validated in larger, more diverse populations.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
-
About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
This study included PCOS patients diagnosed according to the 2003 Rotterdam criteria (at least 2 of: oligo/anovulation, clinical/biochemical hyperandrogenism, or polycystic ovaries on ultrasound). Patients were divided into two groups: PCOS-IR group: met PCOS criteria plus at least one of: HOMA-IR ≥ 2.5, fasting insulin ≥ 15 μIU/mL, or diagnosed IGT/T2DM. PCOS-non-IR group: met PCOS criteria with HOMA-IR \< 2.5 and no glucose metabolism abnormalities. Exclusion criteria: other endocrine disorders, medication use, severe systemic diseases, pregnancy/lactation, or poor sample quality.
- Ages
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16 to 45 years
- Sex
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Female participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
I. Diagnostic Criteria The 2003 Rotterdam diagnostic criteria for PCOS jointly established by the European Society of Human Reproduction and Embryology (ESHRE) and the American Society for Reproductive Medicine (ASRM): Clinical and/or biochemical signs of hyperandrogenism; Oligo-ovulation or anovulation; Ultrasound findings: ovarian volume ≥ 10 mL, and/or \> 12 follicles with a diameter of 2-9 mm in a single section. A diagnosis of PCOS can be established when at least two of the following three criteria are met: ovarian dysfunction, hyperandrogenism, and polycystic ovarian morphology on ultrasound. II. Inclusion and Exclusion Criteria 1. PCOS with Insulin Resistance (PCOS-IR) Inclusion Criteria: Meets the 2003 Rotterdam diagnostic criteria for PCOS (at least 2 of the following 3 items): ① Oligo-ovulation or anovulation; ② Clinical or biochemical signs of hyperandrogenism; ③ Polycystic ovaries on ultrasound (unilateral or ovarian volume ≥ 10 mL). Insulin resistance (IR), meeting at least 1 of the following 3 criteria: ① HOMA-IR ≥ 2.5; ② Fasting insulin ≥ 15 μIU/mL; ③ Diagnosed impaired glucose tolerance (IGT) or type 2 diabetes mellitus (T2DM). Exclusion Criteria: Other endocrine disorders; Medication effects; Severe systemic diseases; Special physiological conditions (e.g., pregnancy, lactation); Poor sample quality. 2. PCOS without Insulin Resistance (PCOS-non-IR) Inclusion Criteria: Meets the PCOS diagnostic criteria (as above), with HOMA-IR \< 2.5 and no glucose metabolism abnormalities. Exclusion Criteria: Same as above.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Guangdong Women and Children Hospital
Guangzhou, China
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Other studies related to the condition(s) this trial covers.
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