Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Combined Letrozole-metformin-pioglitazone Versus Combined Clomiphene Citrate-metformin-pioglitazone in Clomiphene Citrate-resistant Women With Polycystic Ovary Syndrome
Brief Summary: Polycystic ovary syndrome (PCOS) affects 5-10% of women in childbearing age. Hyperinsulinemia contributes to chronic anovulation commonly encountered in women with PCOS. The first choice therapy is clomiphene citrate (CC). In CC resistant cases, the American College of Obstetrics and Gynecology (ACOG) recommends the use of insulin sensitizer metformin. Other insulin sensitizing agents include rosiglitazone and pioglitazone. Pioglitazone is said to improve fertility and ovulation in patients with PCOS.CC may be associated with poor endometrial thickening due to its antiestrogenic effect. Letrozole may improve this condition. In this study we will compare the effect of combined letrozole-metformin-pioglitazone with that of combined CC-metformin-pioglitazone in ovulation induction in CC-resistant PCOS women.


Options:
A: Arm Label: FSH; Type: ACTIVE_COMPARATOR; Interventions: Drug: FSH | Arm Label: Letrozole; Type: ACTIVE_COMPARATOR; Interventions: Drug: Letrozole | Intervention Type: DRUG; Name: FSH; Assigned to Arm(s): FSH | Intervention Type: DRUG; Name: Letrozole; Assigned to Arm(s): Letrozole
B: Arm Label: Pre-treatment acupuncture + letrozole; Type: EXPERIMENTAL; Interventions: Other: Pre-treatment acupuncture, Drug: Letrozole | Arm Label: Letrozole; Type: ACTIVE_COMPARATOR; Interventions: Drug: Letrozole | Intervention Type: OTHER; Name: Pre-treatment acupuncture; Assigned to Arm(s): Pre-treatment acupuncture + letrozole | Intervention Type: DRUG; Name: Letrozole; Assigned to Arm(s): Letrozole, Pre-treatment acupuncture + letrozole
C: Arm Label: A; Type: ACTIVE_COMPARATOR; Interventions: Drug: Clomiphene citrate | Arm Label: B; Type: ACTIVE_COMPARATOR; Interventions: Drug: Letrozole | Intervention Type: DRUG; Name: Clomiphene citrate; Assigned to Arm(s): A | Intervention Type: DRUG; Name: Letrozole; Assigned to Arm(s): B
D: Arm Label: arm 1:letrozole-pioglitazone -metformin group; Type: ACTIVE_COMPARATOR; Interventions: Drug: induction of ovulation using letrozole-pioglitazone-metformin, Radiation: transvaginal ultrasound, Other: body mass index (BMI) calculation, Other: day 3: follicle stimulating hormone (FSH), luteinizing hormone (LH), thyroid stimulating hormone (TSH), total testosterone, Other: pretreatment blood urea and serum creatinine, Other: serum estradiol (E2) on day 12, Other: serum progesterone on day 21, Other: blood urea and serum creatinine every month | Arm Label: arm 2: clomiphene citrate-pioglitazone-metformin; Type: ACTIVE_COMPARATOR; Interventions: Drug: induction of ovulation using clomiphene citrate-pioglitazone-metformin, Radiation: transvaginal ultrasound, Other: body mass index (BMI) calculation, Other: day 3: follicle stimulating hormone (FSH), luteinizing hormone (LH), thyroid stimulating hormone (TSH), total testosterone, Other: pretreatment blood urea and serum creatinine, Other: serum estradiol (E2) on day 12, Other: serum progesterone on day 21, Other: blood urea and serum creatinine every month | Intervention Type: DRUG; Name: induction of ovulation using letrozole-pioglitazone-metformin; Assigned to Arm(s): arm 1:letrozole-pioglitazone -metformin group | Intervention Type: DRUG; Name: induction of ovulation using clomiphene citrate-pioglitazone-metformin; Assigned to Arm(s): arm 2: clomiphene citrate-pioglitazone-metformin | Intervention Type: RADIATION; Name: transvaginal ultrasound; Assigned to Arm(s): arm 1:letrozole-pioglitazone -metformin group, arm 2: clomiphene citrate-pioglitazone-metformin | Intervention Type: OTHER; Name: body mass index (BMI) calculation; Assigned to Arm(s): arm 1:letrozole-pioglitazone -metformin group, arm 2: clomiphene citrate-pioglitazone-metformin | Intervention Type: OTHER; Name: day 3: follicle stimulating hormone (FSH), luteinizing hormone (LH), thyroid stimulating hormone (TSH), total testosterone; Assigned to Arm(s): arm 1:letrozole-pioglitazone -metformin group, arm 2: clomiphene citrate-pioglitazone-metformin | Intervention Type: OTHER; Name: pretreatment blood urea and serum creatinine; Assigned to Arm(s): arm 1:letrozole-pioglitazone -metformin group, arm 2: clomiphene citrate-pioglitazone-metformin | Intervention Type: OTHER; Name: serum estradiol (E2) on day 12; Assigned to Arm(s): arm 1:letrozole-pioglitazone -metformin group, arm 2: clomiphene citrate-pioglitazone-metformin | Intervention Type: OTHER; Name: serum progesterone on day 21; Assigned to Arm(s): arm 1:letrozole-pioglitazone -metformin group, arm 2: clomiphene citrate-pioglitazone-metformin | Intervention Type: OTHER; Name: blood urea and serum creatinine every month; Assigned to Arm(s): arm 1:letrozole-pioglitazone -metformin group, arm 2: clomiphene citrate-pioglitazone-metformin

Answer: D