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NCT04327934

Mechanisms of Hypertension in Women With Polycystic Ovary Syndrome

Terminated EARLY_PHASE1 Results posted Last updated 2 February 2024
What this trial tests

EARLY_PHASE1 trial testing GnRH antagonist in Polycystic Ovary Syndrome in 28 participants. Terminated before completion.

Timeline
1 December 2017
Primary endpoint
30 June 2022
30 June 2022

Quick facts

Lead sponsorYale University
PhaseEARLY_PHASE1
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposebasic science
Enrollment28
Start date1 December 2017
Primary completion30 June 2022
Estimated completion30 June 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Yale University

Who can join

Adults 18 to 35, female only, with Polycystic Ovary Syndrome or Hypertension. 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.

Baroreflex Response to LBNP Primary · Baseline, assessed at 7 days of GnRH, assessed at 16 days GnRH+ 5 days of Testosterone

forearm blood flow (ultrasound)/mean arterial pressure as a linear function of lower body negative pressure. This is an important measure of autonomic control of blood pressure. Indicating the the sensitivity of changes in vessel diameter in response to blood pooling (induced by lower body negative pressure).

Baseline
GroupValue95% CI
Healthy Control0.98± 1.35
AE-PCOS1.36± 0.96
GnRH antagonist
GroupValue95% CI
Healthy Control1.9± 3.0
AE-PCOS4.28± 6.51
GnRH antagonist with GnRH + Testosterone
GroupValue95% CI
Healthy Control0.68± 0.65
AE-PCOS1.46± 0.76
Free Plasma Testosterone Levels Primary · Baseline, assessed at 7 days of GnRH, assessed at 16 days GnRH+ 5 days of Testosterone

Concentration of testosterone in blood.

Baseline
GroupValue95% CI
Healthy Control0.76± 0.57
AE-PCOS2.72± 1.13
GnRH
GroupValue95% CI
Healthy Control0.67± 0.39
AE-PCOS1.06± 0.31
GnRH + Testosterone
GroupValue95% CI
Healthy Control1.34± 0.23
AE-PCOS2.19± 0.19
Renal Response to LBNP Primary · Baseline, assessed at 7 days of GnRH, assessed at 16 days GnRH+ 5 days of Testosterone

POST Lower body negative pressure Plasma renin activity

Baseline
GroupValue95% CI
Healthy Control1.05± 0.82
AE-PCOS1.10± 0.46
GnRH
GroupValue95% CI
Healthy Control0.54± 0.33
AE-PCOS1.14± 1.31
GnRH+Testosterone
GroupValue95% CI
Healthy Control0.83± 0.71
AE-PCOS1.36± 1.51
Renal Responses to LBNP Primary · Baseline, assessed at 7 days of GnRH, assessed at 16 days GnRH+ 5 days of Testosterone

PRE lower body negative pressure Plasma renin activity

Baseline
GroupValue95% CI
Healthy Control0.53± 0.48
AE-PCOS0.85± 0.97
GnRH
GroupValue95% CI
Healthy Control0.42± 0.21
AE-PCOS0.79± 1.24
GnRH + Testosterone
GroupValue95% CI
Healthy Control0.63± 0.43
AE-PCOS0.76± 0.75
Resting Systolic Blood Pressure Primary · Baseline, assessed at 7 days of GnRH, assessed at 16 days GnRH+ 5 days of Testosterone

Blood pressure prior to lower body negative pressure

Baseline
GroupValue95% CI
AE-PCOS128± 15
Healthy Control123± 13
GnRH
GroupValue95% CI
AE-PCOS131± 10
Healthy Control124± 16
GnRH +Testosterone
GroupValue95% CI
AE-PCOS130± 12
Healthy Control121± 16
Final Systolic Blood Pressure Primary · Baseline, assessed at 7 days of GnRH, assessed at 16 days GnRH+ 5 days of Testosterone

SBP at the end of lower body negative pressure

Baseline
GroupValue95% CI
Healthy Control105± 21
AE-PCOS99± 23
GnRH
GroupValue95% CI
Healthy Control109± 16
AE-PCOS113± 12
GnRH + Testosterone
GroupValue95% CI
Healthy Control117± 16
AE-PCOS121± 10
Resting Sympathetic Activity Primary · Baseline, assessed at 7 days of GnRH, assessed at 16 days GnRH+ 5 days of Testosterone

Total sympathetic nerve activity

Baseline
GroupValue95% CI
Healthy Control14.4± 4.4
AE-PCOS10.3± 2.0
GnRH
GroupValue95% CI
Healthy Control7.9± 0.8
AE-PCOS6.9± 1.5
GnRH + Testosterone
GroupValue95% CI
Healthy Control13.4± 3.6
AE-PCOS14.5± 5.0
Sympathetic Baroreflex Primary · Baseline, assessed at 7 days of GnRH, assessed at 16 days GnRH+ 5 days of Testosterone

microneurography, diastolic blood pressure (finipres) This is an important measure of autonomic control of blood pressure. Indicating the the sensitivity of changes in muscle sympathetic nerve activity in response to small changes in blood pressure induced by drug perfusion (modified Oxford).

Baseline
GroupValue95% CI
Healthy Control-0.479± 0.085
AE-PCOS-0.496± 0.142
GnRH
GroupValue95% CI
Healthy Control-0.468± 0.101
AE-PCOS-0.640± 0.171
GnRH+Testosterone
GroupValue95% CI
Healthy Control-0.445± 0.087
AE-PCOS-0.487± 0.124
Aldosterone Secondary · Baseline, assessed at 7 days of GnRH, assessed at 16 days GnRH+ 5 days of Testosterone

Plasma aldosterone concentration

Baseline
GroupValue95% CI
Healthy Control75.7± 41.4
AE-PCOS136.5± 60.1
GnRH
GroupValue95% CI
Healthy Control44.0± 37.0
AE-PCOS127.8± 70.5
GnRH+testosterone
GroupValue95% CI
Healthy Control46.1± 28.6
AE-PCOS98.7± 46.6
Renal Responses Secondary · Baseline, assessed at 7 days of GnRH, assessed at 16 days GnRH+ 5 days of Testosterone

P\[ACE\], angiotensin-converting enzyme

Baseline
GroupValue95% CI
Healthy Control38.2± 14.7
AE-PCOS101.9± 93.4
GnRH
GroupValue95% CI
Healthy Control43.4± 27.3
AE-PCOS77.7± 76.5
GnRH + Testosterone
GroupValue95% CI
Healthy Control40.6± 14.1
AE-PCOS44.2± 43.2

Adverse events — posted to ClinicalTrials.gov

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

Healthy Control
Serious: 0/14 (0%)
Deaths: 0/14
AE-PCOS
Serious: 0/14 (0%)
Deaths: 0/14
Other adverse events (2 terms — click to expand)

ReactionSystemHealthy ControlAE-PCOS
non serious adverse eventMusculoskeletal and connective tissue disorders
non serious adverse eventImmune system disorders

Data from ClinicalTrials.gov NCT04327934 adverse events section.

Sponsor's own description

Women with androgen excess polycystic ovary syndrome (AE-PCOS) leads to hypertension.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

Verify or expand the search:

Other trials of GnRH antagonist

Trials testing the same drug.

Other recruiting trials for Polycystic Ovary Syndrome

Currently open trials in the same condition.

Other Yale University trials

Trials by the same sponsor.

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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/NCT04327934.

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