Estrogen Deficiency on Cardiovascular Risk

Trial statusNot yet recruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexFemale
Age54-75
SponsorMilton S. Hershey Medical Center

About this trial

To explore how estrogen deficiency impacts the blood pressure (BP) and sympathetic nerve activity (SNA), and how it impacts the production of the key pro-inflammatory mediators such as Tumor necrosis factor α (TNF-α), interleukin-1β (IL-1β), and interleukin-6 (IL-6). It is hypothesized that estrogen deficiency increases BP, SNA and the pathway activities of the key pro-inflammatory mediators. Those effects are impacted through the downregulation of the estrogen receptor.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age 54-75 years

Healthy participants who are capable of giving informed consent

Classified as postmenopausal or stop having period >1year or had a full hysterectomy surgery

Any race or ethnicity

Disqualifiers

<54 or >75 years

Medications that could alter cardiovascular, thermoregulatory, or peripheral vascular control (e.g. Angiotensin converting enzyme inhibitors, statins, beta blockers, etc.);

Self-reported history of long-term menstrual irregularities, vaginal bleeding, or other gynecological conditions that could influence study outcomes

Use of hormone therapy during 6 months prior to study enrollment

Trial design

Design model

Parallel

Treatments tested in this trial

  • Placebo

    Drug

    Subjects will be assigned to 1 week of transdermal placebo patch.

  • Estradiol

    Drug

    Subjects will be assigned to 1 week of transdermal estradiol (0.05 mg/day) patch.

Treatment groups

20 Participants
are divided into 2 treatment groups
Group A: PlaceboPlacebo comparator 1 intervention
Group B: EstradiolExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Red blood cell flux

Percentage relative to the maximum flux level

Time frame
Recorded continuously for up to 4 hours during the study visit
2

Mean arterial pressure (mmHg)

Calculated from the systolic and diastolic blood pressure

Time frame
Recorded continuously for up to 4 hours during the study visit
3

baseline plasma TNF-α concentration (pg/ml)

Measured by ELISA kits

Time frame
Upon participants' arrival to the first study visit up to 5 minutes
4

One week post-intervention plasma TNF-α concentration (pg/ml)

Measured by ELISA kits

Time frame
Upon participants' arrival to the second study visit (1 week after the first visit)

Secondary outcomes

1

baseline plasma estrogen (pg/ml)

Measured by ELISA kits

Time frame
Upon participants' arrival to the first study visits up to 5 minutes
2

One week post-intervention plasma estrogen (pg/ml)

Measured by ELISA kits

Time frame
Upon participants' arrival to the second study visit (1 week after the first visit)

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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