NCT01546454

Brief Summary

Women who have regular menstrual cycles have a lower risk of heart disease than men of the same age or women who no longer have menstrual cycles. The purpose of this study is to help determine why the menstrual cycle causes a lower risk of heart disease. The investigators believe that the hormones (estradiol and progesterone) produced during the menstrual cycle, as well as the normal processes occurring in the follicle and corpus luteum (transformed follicle), change levels of "good" and "bad" cholesterol in the blood-stream. These levels of good and bad cholesterol are an important risk factor for heart disease. Therefore, our goal is to determine what effects each of these factors (estradiol, progesterone, follicle, corpus luteum) have on the levels of good and bad cholesterol in the woman's bloodstream. As many women take birth control pills, which contain synthetic forms of estradiol and progesterone that block ovulation and development of a corpus luteum, the investigators also want to determine what effect one common type of birth control pill has on levels of good and bad cholesterol.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
5

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Feb 2012

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2012

Completed
21 days until next milestone

First Submitted

Initial submission to the registry

February 22, 2012

Completed
14 days until next milestone

First Posted

Study publicly available on registry

March 7, 2012

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2012

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2013

Completed
1.8 years until next milestone

Results Posted

Study results publicly available

October 23, 2014

Completed
Last Updated

March 22, 2017

Status Verified

February 1, 2017

Enrollment Period

4 months

First QC Date

February 22, 2012

Results QC Date

April 11, 2014

Last Update Submit

February 17, 2017

Conditions

Keywords

Premenopausal womencoronary heart diseasemenstrual cyclelipids

Outcome Measures

Primary Outcomes (1)

  • Total to HDL Cholesterol Ratio

    Entire Study

Study Arms (3)

Non-steroidal effects

EXPERIMENTAL

Natural menstrual cycle versus Estrogen/Progesterone replacement cycle. Interventions include leuprolide acetate to induce hypogonadism and estradiol and progesterone to replace hormone levels.

Drug: leuprolide acetateDrug: EstradiolDrug: Progesterone

Contraceptive effects

EXPERIMENTAL

Oral contraceptive cycle versus Eligard treatment. Interventions include ethinyl estradiol-levonorgestrel combination and leuprolide acetate.

Drug: Ethinyl Estradiol-Levonorgestrel combinationDrug: leuprolide acetate

Steroid effects

EXPERIMENTAL

Estrogen/Progesterone replacement cycle versus Eligard treatment. Interventions include leuprolide acetate, estradiol, and progesterone.

Drug: leuprolide acetateDrug: EstradiolDrug: Progesterone

Interventions

0.03 mg ethinyl estradiol, 0.15 mg levonorgestrel oral daily for 21 days

Also known as: Portia 21, Portia 28
Contraceptive effects

single 22.5 mg subcutaneous depot suspension

Also known as: Eligard
Contraceptive effectsNon-steroidal effectsSteroid effects

0.05 to 0.3 mg transdermal daily for 26 days

Also known as: Vivelle-Dot
Non-steroidal effectsSteroid effects

50 to 100 mg vaginal suppositories twice daily for 13 days

Also known as: First-Progesterone VGS
Non-steroidal effectsSteroid effects

Eligibility Criteria

Age21 Years - 40 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Normal menstrual cycles of 25-35 days in length for at least previous 3 cycles
  • years of age
  • BMI \> 18, \< 30
  • Serum P4 \> 9 ng/ml on single sample collected between days 18-25 of self-reported menstrual cycle
  • Flexible schedule allowing morning blood draws on less than 48 hour notice
  • In good general health
  • Commit to remain on stable diet during study period (no changes to normal dietary habits)
  • Commit to using non-hormonal contraceptive methods during study period except those prescribed in the experimental protocol
  • No objections to taking study drugs

You may not qualify if:

  • Oral contraceptive use or other hormone supplement within the preceding 2 months
  • Long-acting hormonal contraceptive use in the past 12 months (e.g., Depo-Provera®)
  • Contraindications to study drugs
  • Current or past pregnancy within the previous 6 months or currently trying to conceive
  • Desiring to conceive in the next 8 months
  • Breastfeeding in the past 2 months
  • Diagnosed Diabetes or Metabolic Syndrome
  • Current or previous use of cholesterol lowering drugs within the preceding 12 months
  • Diagnosed Polycystic Ovary Syndrome
  • History of, or self-reported, substance abuse
  • Smoker
  • Previous infertility treatment excluding male factor issues
  • Use of an investigational drug within the past 2 months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Oregon Health & Sciences University, Department of Obstetrics and Gynecology, Women's Health Research Unit

Portland, Oregon, 97239-3098, United States

Location

MeSH Terms

Conditions

Coronary Disease

Interventions

ethinyl estradiol, levonorgestrel drug combinationLeuprolideluprolide acetate gel depotEstradiolProgesterone

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

Gonadotropin-Releasing HormonePituitary Hormone-Releasing HormonesHypothalamic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsNeuropeptidesPeptidesAmino Acids, Peptides, and ProteinsOligopeptidesNerve Tissue ProteinsProteinsEstrenesEstranesSteroidsFused-Ring CompoundsPolycyclic CompoundsEstradiol CongenersGonadal Steroid HormonesGonadal HormonesPregnenedionesPregnenesPregnanesCorpus Luteum HormonesProgesterone Congeners

Results Point of Contact

Title
Dr. Randy Bogan
Organization
University of Arizona

Study Officials

  • Jeffrey T Jensen, MD, MPH

    Oregon Health and Science University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director, Women's Health Research Unit

Study Record Dates

First Submitted

February 22, 2012

First Posted

March 7, 2012

Study Start

February 1, 2012

Primary Completion

June 1, 2012

Study Completion

January 1, 2013

Last Updated

March 22, 2017

Results First Posted

October 23, 2014

Record last verified: 2017-02

Locations