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PCOS IN ADOLESCENT GIRLS AND YOUNG WOMEN: TOWARD A TREATMENT GUIDED BY PATHOPHYSIOLOGY

Description du projet

Évaluation d’un traitement innovant du SOPK chez les jeunes patientes

Le syndrome des ovaires polykystiques (SOPK), qui est la cause la plus fréquente d’hypofertilité anovulatoire, touche un pourcentage important d’adolescentes et de jeunes femmes dans le monde. Dans un paysage où les thérapies efficaces font défaut, des études pilotes ont conduit au développement d’un nouveau médicament axé sur la réversion du phénotype du SOPK sans effets secondaires par le biais d’un seul comprimé appelé SPIOMET. Le projet SPIOMET4HEALTH, financé par l’UE, vise à évaluer cette approche innovante en se concentrant sur les effets additifs des composants de SPIOMET. Le projet vise à fournir les premières preuves à grande échelle des avantages psychosociaux des traitements testés et à contribuer à une prise de décision solide concernant le SOPK dans les systèmes de santé européens.

Objectif

Polycystic Ovary Syndrome (PCOS) is the most prevalent, chronic endocrine-metabolic disorder of adolescents and young women (AYAs), affecting 5-10% of AYAs worldwide. It is the most frequent cause of anovulatory subfertility. There is no approved therapy for PCOS. Standard off-label treatment with oral contraceptives reverts neither the underlying pathophysiology nor the associated co-morbidities
Pilot studies have generated new insights into the pathophysiology of PCOS, and have thus led to the development of a new approach wherein the PCOS phenotype is reverted without side effects. The novel medication is a fixed, low-dose combination of two insulin sensitisers [Pioglitazone (Pio), Metformin (Met)] and one mixed anti-androgen and anti-mineralocorticoid (Spironolactone (Spi)] within a single tablet: SPIOMET
SPIOMET4HEALTH will test, in a multicentre Phase II trial, the additive effects of each SPIOMET component, on top of lifestyle measures in AYAs with PCOS. SPIOMET aims at normalising the ovulation rate and endocrine-metabolic status via the reduction of hepato-visceral fat excess, in an early phase of the disorder. This approach is expected to reduce the risk of morbidity (including subsequent anovulatory subfertility), to improve the quality of life, and to lower the economic burden on European healthcare systems.
The consortium clusters the experts from key research groups working on PCOS in AYAs, across Europe. The design of SPIOMET4HEALTH foresees that the patients themselves will be engaged over the entire timespan of the project, and will also contribute to the ultimate study evaluation. The update and validation of PCOS-specific Patient Reported Outcome Measures (PROM) will provide the first large-scale evidence on the psychosocial benefits of the tested treatments.
The collective evidence from SPIOMET4HEALTH, once completed with economic modelling, will lead to conclusions that inform sound decision-making about PCOS across European healthcare systems.

Appel à propositions

H2020-SC1-BHC-2018-2020

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Sous appel

H2020-SC1-2020-Two-Stage-RTD

Coordinateur

FUNDACIO PRIVADA PER A LA RECERCA I LA DOCENCIA SANT JOAN DE DEU
Contribution nette de l'UE
€ 1 333 865,00
Adresse
SANTA ROSA 39-4
08950 Esplugues De Llobregat
Espagne

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Région
Este Cataluña Barcelona
Type d’activité
Research Organisations
Liens
Coût total
€ 1 715 031,25

Participants (19)