Last reviewed · How we verify

NCT03815929

Oophorectomy, Estrogen Therapy and Cardiovascular Disease Risk in Young Women

Completed Phase 2 Results posted Last updated 23 October 2024
What this trial tests

Phase 2 trial testing Estradiol 100 Micrograms Patch in Cardiovascular Risk Reduction in 35 participants. Completed in 28 August 2023.

Timeline
15 March 2019
Primary endpoint
28 August 2023
28 August 2023

Quick facts

Lead sponsorMayo Clinic
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment35
Start date15 March 2019
Primary completion28 August 2023
Estimated completion28 August 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Mayo Clinic

Who can join

Adults 21 to 45, female only, with Cardiovascular Risk Reduction. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Arterial Stiffness Primary · Baseline, 6 months, and 12 months

Augmented pressure, a measure of arterial stiffness was recorded through high-fidelity pressure waveforms and compared at planned time frames

Baseline augmented pressure
GroupValue95% CI
Standard Replacement Therapy Regimen10.1± 6.9
Titrated Replacement Therapy Regimen14.8± 4.3
Timed Control Group6.4± 3.7
6 months augmented pressure
GroupValue95% CI
Standard Replacement Therapy Regimen12.7± 6.0
Titrated Replacement Therapy Regimen16.8± 6.4
Timed Control Group5.1± 3.1
12 months augmented pressure
GroupValue95% CI
Standard Replacement Therapy Regimen12.9± 6.7
Titrated Replacement Therapy Regimen17.3± 7.2
Timed Control Group6.5± 4.0
Mean Blood Pressure Reactivity to Isometric Hand Grip Exercise Secondary · Baseline, 6 months, and 12 months

Change in mean blood pressure in response to isometric hand grip exercise (30% maximum voluntary contraction)

baseline mean blood pressure reactivity
GroupValue95% CI
Standard Replacement Therapy Regimen11.6± 4.6
Titrated Replacement Therapy Regimen11.4± 5.9
Timed Control Group8.3± 3.5
6-month mean blood pressure reactivity
GroupValue95% CI
Standard Replacement Therapy Regimen11.7± 5.0
Titrated Replacement Therapy Regimen15.3± 5.3
Timed Control Group10.7± 2.6
12-month mean blood pressure reactivity
GroupValue95% CI
Standard Replacement Therapy Regimen16.2± 7.1
Titrated Replacement Therapy Regimen12.4± 7.6
Timed Control Group13.9± 9.9
Mean Blood Pressure Reactivity to Cold Stress Secondary · Baseline, 6 months, and 12 months

Maximum change in mean blood pressure during 3-minute cold pressor test (immersing hand up to wrist in ice water while changes in blood pressure monitored)

Baseline mean blood pressure reactivity
GroupValue95% CI
Standard Replacement Therapy Regimen22± 10
Titrated Replacement Therapy Regimen20± 9
Timed Control Group20± 8
6-month mean blood pressure reactivity
GroupValue95% CI
Standard Replacement Therapy Regimen21± 13
Titrated Replacement Therapy Regimen25± 9
Timed Control Group18± 5
12-month mean blood pressure reactivity
GroupValue95% CI
Standard Replacement Therapy Regimen26± 12
Titrated Replacement Therapy Regimen25± 7
Timed Control Group17± 3
Changes in Whole Body Fat Secondary · Baseline and 12 months

Measurements of whole-body fat using Dual energy x-ray absorptiometry (DXA)

Baseline total body fat
GroupValue95% CI
Standard Replacement Therapy Regimen30712± 12958
Titrated Replacement Therapy Regimen43363± 26212
Timed Control Group199936± 14221
12-month total body fat
GroupValue95% CI
Standard Replacement Therapy Regimen31868± 18020
Titrated Replacement Therapy Regimen42660± 25938
Timed Control Group16735± 3114

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Standard Replacement Therapy Regimen
Serious: 2/15 (13%)
Deaths: 0/15
Titrated Replacement Therapy Regimen
Serious: 2/15 (13%)
Deaths: 0/15
Timed Control Group
Serious: 0/5 (0%)
Deaths: 0/5

Serious adverse events (4 terms)

ReactionSystemStandard Replacement Thera…Titrated Replacement Thera…Timed Control Group
Intestinal obstructionGastrointestinal disorders
Sinus tachycardia of unknown etiology after planned oophorectomy & liver procedureCardiac disorders
Liver Infarct (extended hospital stay)General disorders
non-focal Bile leak from disease resection (extended hospital stay)General disorders
Other adverse events (14 terms — click to expand)

ReactionSystemStandard Replacement Thera…Titrated Replacement Thera…Timed Control Group
Rash at patch siteGeneral disorders
Passed out after blood draw at CRTUGeneral disorders
Moderate bilateral pleural effusionGeneral disorders
Ovarian Cancer Stage IIIc high grade Serious CarcinomaGeneral disorders
COVID 19General disorders
Decreased LibidoGeneral disorders
Bladder IssuesGeneral disorders
Headache/vomitting/allergic reaction to MRIGeneral disorders
Vaginal cuff dehiscenceReproductive system and breast disorders
Pain with intercourse, vaginal dryness, and low sex driveReproductive system and breast disorders
Migraine with vomitting during blood pressure regulation baseline testingGeneral disorders
Itching from patch siteGeneral disorders
Vaginal cuff dehiscence with infectionReproductive system and breast disorders
Estradiol gives burnt taste in mouthGeneral disorders

Most-reported serious reactions: Intestinal obstruction, Sinus tachycardia of unknown etiology after planned oophorectomy & liver procedure, Liver Infarct (extended hospital stay), non-focal Bile leak from disease resection (extended hospital stay).

Data from ClinicalTrials.gov NCT03815929 adverse events section.

Sponsor's own description

Researchers are trying to assess the appropriate dose of estrogen for decreasing the risk of cardiovascular disease in women who have removal of their ovaries at a young age, before the age of 46 years.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other Mayo Clinic trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03815929.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing