NCT07617454

Brief Summary

As females age and transition through menopause, the decline in oestrogen level profoundly affects skeletal muscle mass and function. HER-MUSCLE aims to unravel the mechanisms by which oestrogen enhances muscle growth, providing insights for targeted therapies to improve the health and physical function of postmenopausal females. Focusing on postmenopausal females, an increasingly at-risk demographic, HER-MUSCLE addresses a critical gap in understanding how oestrogen influences muscle mass and function during anabolic (exercise) conditions. The project involves:

  1. 1.Clinical Trial: Postmenopausal females will receive either oestrogen or placebo, twelve weeks of exercise training to detect oestrogen regulatory role on muscle mass and function.
  2. 2.Molecular Analysis: Advanced techniques will study the muscle microenvironment, focusing on muscle stem cells (MuSCs), fibro-adipogenic progenitors (FAPs), and other cells critical for muscle regeneration and maintenance.
  3. 3.Mitochondrial Function assessed in vivo via magnetic resonance spectroscopy: The impact of oestrogen on mitochondrial health will be examined, exploring how it preserves mitochondrial function and ability to recovery and resist fatigue in response to muscle contractions.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
14mo left

Started Feb 2026

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress25%
Feb 2026Aug 2027

Study Start

First participant enrolled

February 1, 2026

Completed
26 days until next milestone

First Submitted

Initial submission to the registry

February 27, 2026

Completed
3 months until next milestone

First Posted

Study publicly available on registry

June 1, 2026

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2027

Last Updated

June 1, 2026

Status Verified

May 1, 2026

Enrollment Period

1.5 years

First QC Date

February 27, 2026

Last Update Submit

May 23, 2026

Conditions

Keywords

Physical exerciseStrength trainingCardiovascular trainingMuscle hypertrophyEstrogenMitochondria functionMuscle strengthMenopauseMuscle mass

Outcome Measures

Primary Outcomes (1)

  • Muscle mass

    Magnetic resonance imaging of one leg before and after intervention

    12 weeks

Secondary Outcomes (19)

  • Mitochondria Function in vivo measured as phosphocreatine recovery rate

    12 weeks

  • Mitochondria Function in vitro measured as maximal oxygen consumption

    12 weeks

  • Body composition

    12 weeks

  • Satelitte cells

    12 weeks

  • Muscle fiber cross-sectional Area

    12 weeks

  • +14 more secondary outcomes

Other Outcomes (4)

  • Blood analysis

    12 weeks

  • Dairy record registration

    12 weeks

  • Height

    12 weeks

  • +1 more other outcomes

Study Arms (2)

Estrogen

EXPERIMENTAL

Transdermal Estrogen Administration

Drug: EstrogelBehavioral: Physical exercise

Placebo

PLACEBO COMPARATOR

Transdermal placebo administration

Behavioral: Physical exercise

Interventions

The other group receive placebo treatment

Estrogen

Both groups will go through 12 weeks of supervised physical exercise, consisting of both strength training and cardiovascular training

EstrogenPlacebo

Eligibility Criteria

Age40 Years+
Sexfemale(Gender-based eligibility)
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years since last menstrual bleeding
  • Age \> 40 years old
  • BMI 20-30

You may not qualify if:

  • Follicular stimulating hormone \< 30 mmol/L
  • Systematic strength training during the last year (\> 1 strength training session per week)
  • Injuries to the legs which may prevent participation in the physical training program
  • Magnetizable metals or electrical devices implanted in the body, such as a pacemaker
  • Use of medication that can influence the effect of immobilization and/or training
  • Muscular or joint disorders which may affect the results
  • Metabolic diseases (such as diabetes and cardiovascular diseases)
  • Previous or present liver or cancer disease
  • Current or previous thrombosis
  • Porphyria
  • Epilepsia
  • Systemic autoimmune disease
  • Edema
  • Smoking or use of other nicotine containing products
  • Claustrophobia
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Aarhus University

Aarhus, Jutland, 8000, Denmark

RECRUITING

Related Links

MeSH Terms

Conditions

Motor Activity

Interventions

EstradiolExercise

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

EstrenesEstranesSteroidsFused-Ring CompoundsPolycyclic CompoundsEstradiol CongenersGonadal Steroid HormonesGonadal HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsMotor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Study Officials

  • Mette Hansen, PhD

    Aarhus University, Department of Public Health

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Mette Hansen, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: This is a model study where we manipulate with the estrogen level to study the consequences of low versus high estrogen status on physiological parameters during 12 weeks of physical exercise
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

February 27, 2026

First Posted

June 1, 2026

Study Start

February 1, 2026

Primary Completion (Estimated)

August 1, 2027

Study Completion (Estimated)

August 1, 2027

Last Updated

June 1, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Do to GDPR rules, we do not plan to share

Locations