About this trial
Randomized, placebo-controlled study investigating the use of physiologic, transdermal estrogen for low bone mass in adult women with anorexia nervosa.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female
19-45 years of age
DSM-5 psychiatric criteria for anorexia nervosa
<85% of ideal body weight as defined by the 1983 Metropolitan Life Insurance Height and Weight Tables
Disqualifiers
Diseases known to affect bone metabolism, including untreated thyroid dysfunction, vitamin D deficiency, Cushing's syndrome, diabetes mellitus or renal insufficiency (eGFR < 60)
Personal history of venous or arterial clot
History of stroke or myocardial infarction
History of hypercoagulable disorder
Trial design
Parallel
Treatments tested in this trial
Transdermal estrogen
DrugTransdermal estradiol (0.045mg)/levonorgestrel (0.015mg) weekly patch
Placebos
DrugPlacebo weekly patch
Treatment groups
Trial outcomes
Primary outcomes
Change in bone mineral density at 18 months
Change in lumbar spine bone mineral density at 18 months
Secondary outcomes
Change in bone mineral density at hip at 18 months
Change in total hip bone mineral density at 18 months
Change in bone mineral density at femoral neck at 18 months
Change in femoral neck bone mineral density at 18 months
Change in parameters of bone microarchitecture at 18 months
Change in microarchitectural parameters as measured by high-resolution peripheral quantitative CT at 18 months
Change in estimated bone strength at 18 months
Change in estimated bone strength as assessed by finite element analysis at 18 months
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Pouneh K. Fazeli, MD
Lead sponsor
University of Pittsburgh
Sponsor institution
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator