Menopause Clinical Trial
Official title:
Vasomotor Symptoms and Endothelial Function—A Randomized Placebo-controlled Trial of Oral Micronized Progesterone (Prometrium®)
The primary purpose of this study is to determine the effects of a full dose (300 mg at hs)
of oral micronized progesterone (OMP) on vasomotor symptoms [VMS] (hot flushes/night
sweats), on forearm blood flow and on lipid levels and blood pressure in menopausal women
without cardiovascular disease and with moderate to severe VMS.
The hypotheses are that progesterone will improve hot flushes, increase
endothelium-dependent forearm blood flow and will decrease blood pressure without change in
lipid levels.
In this 4-month study, menopausal women are randomized to either placebo or oral micronized
progesterone (Prometrium®). Participants maintain a daily diary to keep track of their
vasomotor symptoms and other factors. Forearm blood flow will be assessed by venous
occlusion plethysmography at baseline and after three months of therapy. Screening tests at
baseline to rule out heart disease include measurement of blood pressure and heart rate,
electrocardiogram (ECG) and blood tests - fasting blood glucose and lipid profile.
Collection of serum and plasma samples at baseline and end of therapy for analysis of
cardiovascular markers (e.g., c-reactive protein) and clotting and fibrinolytic markers.
Continued daily diary collection for one month after therapy discontinuation to look for
possible rebound effects. Analysis of outcomes will be by analysis of covariates, with final
value as the outcome, therapy as factor and baseline values as covariate.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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