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N/A N=92 Randomized Double-blind Basic Science

Sex Hormones and Atherosclerosis Prevention in Perimenopausal Women

Arterial Stiffening · Aging · Menopause

Enrolled (actual)
92
Serious AEs
0.0%
Results posted
Dec 2020
Primary outcome: Primary: Arterial Stiffness (Carotid Artery Compliance) During Saline — 1.31; 1.34; 0.90; 1.02 mm2/mm Hg×10-1

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
GnRHant - Ganirelix acetate (Drug); Transdermal estradiol patch (Drug); Transdermal placebo patch (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
Female
Sponsor
University of Colorado, Denver
Primary completion
Oct 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Arterial Stiffness (Carotid Artery Compliance) During Saline
1.31; 1.34; 0.90; 1.02; 0.89; 0.74
PRIMARY
Endothelial Function
9.8; 11.3; 7.7; 6.1; 5.4; 5.3 0.05

Summary

The purpose of this study is to find out why women's arteries stiffen as they go through menopause, and how this is affected by estrogen loss. We believe that arteries stiffen with the loss of estrogen because of "oxidative stress," the production of molecules that can damage cells and tissues in the body, and because the arteries lose their ability to expand, or dilate.

Eligibility Criteria

Inclusion Criteria

  • Healthy women of all races and ethnic backgrounds in one of the following groups:
  • Premenopausal: 18-49 years, regular menstrual cycles with no change in observed cycle length (21-35 days)
  • Perimenopausal: 40-55 years, categorized as either early (at least 2 cycles with cycle length changes of at least 7 days) or late (more than 3 months of amenorrhea) transition
  • Postmenopausal: 45-70 years, more than 12 months of amenorrhea as defined by the menopausal staging system (STRAW); additionally, postmenopausal women will be categorized into early and late stages as defined by the STRAW definition, specifically, women who are less than 5 years postmenopause will be considered early, and women more than 6 years will be categorized as late
  • All postmenopausal women will have undergone natural menopause
  • No oral contraceptive or Hormone Replacement Therapy (HRT) use for at least 6 months
  • Resting blood pressure less than 140/90 mmHg
  • Plasma glucose concentrations less than 110 mg/dl under fasting conditions
  • Sedentary or recreationally active (less than 3 days of vigorous aerobic exercise)
  • No use of medications that might influence cardiovascular function
  • Nonsmokers
  • No use of vitamin supplements or willing to stop use for duration of the study

Exclusion Criteria

  • History of or active estrogen-dependent neoplasms, acute liver or gallbladder disease, vaginal bleeding, venous thromboembolism, hypertriglyceridemia, and cardiovascular disease
  • Known allergy to transdermal patch or GnRHant
  • Other contraindications to HRT and GnRHant
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00608062). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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