The Influence of Plan B® on Cardiovascular Health.

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-35
SponsorMcMaster University

About this trial

The goal of this double-blind randomized controlled trial is to learn about the impacts of a single dose of Plan B® on the cardiovascular system in young, health, premenopausal females. The main questions it aims to answer are:

1. What is the short-term affect of Plan B® affect on the venous system? 2. What is the short-term affect of Plan B® affect on the health of arteries?

Researchers will compare a single dose of Plan B® (1.5 mg of levonorgestrel) to a placebo to see if Plan B® has unique effects on the cardiovascular system.

Participants will:

1. Undergo baseline measurements of venous thrombosis markers, blood pressure, and measures of arterial function using ultrasound. 2. Be randomized to either take a Plan B® or placebo pill 3. Repeat baseline measurements of venous thrombosis markers, blood pressure, and measures of arterial function using ultrasound each hour, for 6-hours, and then 24- and 48- hours after taking the Plan B® or placebo pill.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Provide written informed consent.

Pre-menopausal female.

18 - 35 years of age.

Naturally cycling (i.e., not using any form of hormonal contraception for ≥ 3 months).

Disqualifiers

Known hypersensitivity to the active substance levonorgestrel or to any ingredient in this formulation (i.e., levonorgestrel colloidal silicon dioxide, potato starch, magnesium stearate, talc, cornstarch, lactose monohydrate, or any ingredient/excipient in the placebo capsule.

Known or suspected pregnancy.

At risk of the development of unwanted pregnancy within the past 72 hours.

Known, suspected, or history of cardiovascular, metabolic, or musculoskeletal disease.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Plan B (Levonorgestrel)

    Drug

    1 x dose of 1.5 mg levonorgestrel tablet over encapsulated to mimic placebo.

  • Placebo (gelatin capsule)

    Other intervention

    Gelatin capsule over encapsulated to mimic Plan B

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Plan B®Experimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

D-Dimer

Measured in ug/L FEU from platelet poor plasma using the HemosIL® D-Dimer HS 500 assay, a latex immunoturbidimetric assay (LIA) on the ACL TOP analyzer.

Time frame
Baseline, 1-hour, 2-hours, 3-hours, 4-hours, 5-hours, 6-hours, 24-hours and 48-hours post-ingestion of Plan B/placebo
2

Prothrombin fragment 1+2

Measured in pg/mL from platelet-poor plasma using an enzyme-linked immunosorbent assay (ELISA).

Time frame
Baseline, 1-hour, 2-hours, 6-hours, 24-hours, and 48-hours post-ingestion of Plan B/placebo.
3

Thrombin antithrombin

Measured in pg/mL from platelet-poor plasma using an enzyme-linked immunosorbent assay (ELISA).

Time frame
Baseline, 1-hour, 2-hours, 6-hours, 24-hours, and 48-hours post-ingestion of Plan B/placebo.
4

P-Selectin

Measured in pg/mL from platelet-poor plasma using an enzyme-linked immunosorbent assay (ELISA).

Time frame
Baseline, 1-hour, 2-hours, 6-hours, 24-hours, and 48-hours post-ingestion of Plan B/placebo.

Secondary outcomes

1

Brachial artery flow-mediated dilation

Measured as the percent change in brachial artery diameter from baseline to peak dilation following reactive hyperemia (%FMD).

Time frame
Baseline, 1-hour, 2-hours, 3-hours, 4-hours, 5-hours, 6-hours, 24-hours and 48-hours post-ingestion of Plan B/placebo
2

Levonorgestrel

Measured in pg/mL from serum using an enzyme-linked immunosorbent assay (ELISA).

Time frame
1-hour, 2-hours, 3-hours, 4-hours, 5-hours, 6-hours, 24-hours and 48-hours post-ingestion of Plan B/placebo
3

Systolic blood pressure

Measured in millimeters of mercury (mmHg)

Time frame
Baseline, 1-hour, 2-hours, 3-hours, 4-hours, 5-hours, 6-hours, 24-hours and 48-hours post-ingestion of Plan B/placebo
4

Diastolic blood pressure

Measured in millimeters of mercury (mmHg)

Time frame
Baseline, 1-hour, 2-hours, 3-hours, 4-hours, 5-hours, 6-hours, 24-hours and 48-hours post-ingestion of Plan B/placebo

Other outcomes

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