NCT07799246

Brief Summary

This research study wants to understand how medications used to treatment symptoms of endometriosis impact brain health in patients with endometriosis.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
45

participants targeted

Target at P25-P50 for phase_4

Timeline
33mo left

Started Oct 2026

Typical duration for phase_4

Status
not yet 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

First Submitted

Initial submission to the registry

August 10, 2026

Completed
23 days until next milestone

First Posted

Study publicly available on registry

September 2, 2026

Completed
29 days until next milestone

Study Start

First participant enrolled

October 1, 2026

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2029

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2029

Last Updated

September 2, 2026

Status Verified

August 1, 2026

Enrollment Period

2.6 years

First QC Date

August 10, 2026

Last Update Submit

August 31, 2026

Conditions

Keywords

EndometriosisOrlissaNorethindrone acetateOriahnnCerebrovascular functionNeuroinflammation

Outcome Measures

Primary Outcomes (1)

  • Cerebral blood flow

    Cerebral blood flow measured via Arterial Spin Labeling Magnetic Resonance Imaging

    Baseline and ~28 days

Secondary Outcomes (1)

  • Neuroinflammation

    Baseline and ~28-days

Other Outcomes (1)

  • Neuronal microstructure

    Baseline and ~28 days

Study Arms (3)

Norethindrone acetate

ACTIVE COMPARATOR

5 mg norethindrone acetate pill, taken daily for \~28 days, approved to treat symptoms of endometriosis.

Drug: Investigate how norethindrone acetate, a commonly used medication used to treat symptoms of endometriosis, impact biomarkers of brain health

Orlissa

ACTIVE COMPARATOR

Oral gonadotropin releasing antagonist, taken daily for \~28 days, approved for the treatment of moderate-to-severe endometriosis symptoms

Drug: Investigate how Orlissa, a commonly used medication used to treat symptoms of endometriosis, impact biomarkers of brain health

Oriahnn

ACTIVE COMPARATOR

Oral gonadotropin releasing antagonist, taken daily for \~28 days, with estrogen and progestin add-back.

Drug: Investigate how Oriahnn, a commonly used medication used to treat symptoms of endometriosis, impact biomarkers of brain health

Interventions

Eligible participants will prospectively be randomized to one of three medications approved for the treatment of endometriosis symptoms.

Also known as: norethindrone acetate
Norethindrone acetate

Eligible participants will prospectively be randomized to one of three medications approved for the treatment of endometriosis symptoms.

Also known as: Orlissa
Orlissa

Eligible participants will prospectively be randomized to one of three medications approved for the treatment of endometriosis symptoms.

Also known as: Oriahnn
Oriahnn

Eligibility Criteria

Age18 Years - 40 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Female sex assigned at birth;
  • Age 18-40 years;
  • Premenopausal status characterized by regular (i.e., 21-35 day cycles) menstrual cycles or a follicle stimulating hormone (FSH) \< 10 IU/L in patients with irregular menstrual cycles.
  • Body mass index \< 39 kg/m2.

You may not qualify if:

  • Preexisting or active cardiac, renal, or hepatic disease or use of medications for these disorders: past or current history of these diseases or conditions may impact participant safety associated with the intervention or may confound the study of the effect of the interventions because these diseases also impair vascular function.
  • Current use or use of hormonal contraceptives within past 3 months.
  • Use of vascular-altering medications that interfere with measurements (e.g., anti-hypertensive medications, GLP-1s, acetazolamide, etc.,).
  • Diabetic or fasted glucose ≥126 mg/dL: diabetes impairs vascular function and could influence interpretation of the data.
  • Current or recent (\<6 months) tobacco or nicotine use.
  • Pregnant, planning to become pregnant or breastfeeding within the past 3 months.
  • Known contraindications to MRI such as metal shavings or fragments in the head, eyes or neck.
  • Rested seated blood pressure \>140/90 mmHg; hypertension impairs cerebrovascular function and could influence the interpretation of data.
  • Use of vitamins, supplements or minerals or anti-inflammatory medications or unwillingness to stop for 7 days prior to MRI testing.
  • Abnormal thyroid, liver, or kidney function testing during the screening examination or bloodwork. Abnormal kidney function defined as creatinine \>1.3mg/dL. Abnormal liver function tests within 1.5x ULN. UCH Clinical Lab ULN for AST and ALT are 39 and 52, respectively. Individuals with TSH levels outside of the normal range (0.5-5.0 mIU/mL) will be referred to their PCP and will be allowed study entry once their TSH levels are normalized \> 2 months;
  • Current medical insurance; for safety.
  • Known hypersensitivity to study medications.
  • Suicidal ideation or suicidal behavior as evaluated using the C-SSRS
  • Use of medications contraindicated for the study medications (e.g., organic anion transporting polypeptide (OATP) 1B1, CYP3A inhibitors, or rifampin.
  • Total cholesterol \> 220 mg/dL at screening.
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

EndometriosisDysmenorrheaDiseaseNeuroinflammatory Diseases

Interventions

Norethindrone Acetate

Condition Hierarchy (Ancestors)

Genital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesMenstruation DisturbancesPathologic ProcessesPathological Conditions, Signs and SymptomsPelvic PainPainNeurologic ManifestationsSigns and SymptomsNervous System DiseasesInflammation

Intervention Hierarchy (Ancestors)

NorethindroneNorpregnenesNorpregnanesNorsteroidsSteroidsFused-Ring CompoundsPolycyclic Compounds

Study Officials

  • Lyndsey DuBose, PhD

    Colorado State University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: Participants will be randomly prospectively assigned to one of three treatments using a 1:1:1 design.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 10, 2026

First Posted

September 2, 2026

Study Start

October 1, 2026

Primary Completion (Estimated)

April 30, 2029

Study Completion (Estimated)

June 30, 2029

Last Updated

September 2, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will not share