Clinical Efficacy Analysis of Resveratrol in the Treatment of Primary Ovarian Insufficiency

Study Overview
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Brief Summary
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Resveratrol is a natural plant antitoxin widely found in grapes, mulberries, and other plants. Resveratrol mediates a variety of pharmacological effects, including antioxidant, immunomodulatory, anti-inflammatory, and anti-apoptotic, and plays a protective and therapeutic role in the development of several ROS-related diseases, including POI/POF.

Detailed Description
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The preliminary experiments of the investigators' group examined the gene expression in ovarian granulosa cells of POI patients and normal controls using high-throughput sequencing technology. The investigators found that the expression of NOX complex NCF1, NCF2, NCF4 and CYBB subunit genes were upregulated in ovarian granulosa cells of POI patients compared with normal controls, suggesting that the development of POI may be related to the NOX complex subunit gene and The development of POI may be related to the abnormal expression of genes and proteins of NOX complex subunits. Based on the results of previous experiments and available literature reports, investigators compared ovarian function, embryonic laboratory indices, pregnancy outcome and cellular level NOX/ROS/oxidative stress changes of POI patients in the RES-treated and non-RES-treated groups by collecting blood and ovarian granulosa cell samples to analyze the effects, mechanisms of action and specific RES application in antioxidant therapy for POI NOX subunit targets to provide a reliable scientific basis for the clinical treatment of POI by RES.

Official Title
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Clinical Efficacy Analysis of Resveratrol in the Treatment of Primary Ovarian Insufficiency

Conditions
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Primary Ovarian Insufficiency

Intervention / Treatment
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* Drug: Resveratrol
* Drug: Vitamin E


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Amenorrhea or oligomenorrhea at least 4 months and two (>4 weeks interval) basal FSH≥10mIU/ml； The women aged <40 years old； Informed consent, voluntary experiment. Exclusion Criteria: Pregnant and lactating patients; Patients with endometriosis, adenomyosis, endometrial lesions (submucosal fibroids, endometrial polyps, etc.), uterine fibroids>4 cm or hysterectomy; Patients with adrenal cortical hyperplasia or tumour； Ovarian neoplasms patients； Hydrosalpinx patients； Hyperprolactinemia patients； Patients who are participating in other clinical trials or have participated in other clinical trials within the past three months; Patients with a suspected or real history of alcohol and drug abuse; Known allergy to the investigational drug or its components; Other patients were deemed unsuitable for participation in this trial by the investigator.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Sequential Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Patients who taking Resveratrol<br>Take RES (250mg, NuMedica, FDA approved) at a dose of 250mg per day for three months | Drug: Resveratrol<br>* Take Resveratrol (250mg, NuMedica, FDA approved) at a dose of 250mg per day for three months<br>* Other names: Res;|
| Active Comparator: Patients who taking VitE<br>Take vitamin E at a dose of 100 mg per day for three months | Drug: Vitamin E<br>* Take vitamin E at a dose of 100 mg per day for three months<br>* Other names: tocopherol;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Follicle-stimulating hormone (FSH) | Compare Differences | Third day of menstruation | 
| Luteinizing hormone (LH) | Compare Differences | Third day of menstruation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Anti-Mullerian hormone (AMH) | Compare Differences | Third day of menstruation | 
| Estradiol hormone (E2) | Compare Differences | Third day of menstruation | 
| Testosterone (T) | Compare Differences | Third day of menstruation |