Trial Outcomes & Findings for Determining How Quickly Progesterone Slows LH Pulse Frequency (NCT NCT00594217)

NCT ID: NCT00594217

Last Updated: 2025-03-28

Results Overview

The primary endpoint is the change in the number of LH pulses (over 10 hours) attributable to progesterone.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

85 participants

Primary outcome timeframe

10 hours before and after administration of micronized progesterone and placebo

Results posted on

2025-03-28

Participant Flow

85 subjects enrolled in this study. 29 women initiated formal study procedures. However, for personal reasons, 4 women dropped out of the study after completing only 1 admission. In addition, data from one woman was excluded from analysis because her study was unintentionally performed during the luteal phase. Thus, data for 24 women were formally analyzed. 56 women were withdrawn from study prior to being assigned to an arm of intervention.

Participant milestones

Participant milestones
Measure
PCOS Women
PCOS women: women were considered to have PCOS if they had evidence of clinical and/or biochemical hyperandrogenism plus oligo-amenorrhea in the absence of other identifiable causes.
Normal Controls
Normal controls: non-PCOS women with regular menstrual cycles and without evidence of hyperandrogenism.
Overall Study
STARTED
13
16
Overall Study
COMPLETED
12
13
Overall Study
NOT COMPLETED
1
3

Reasons for withdrawal

Reasons for withdrawal
Measure
PCOS Women
PCOS women: women were considered to have PCOS if they had evidence of clinical and/or biochemical hyperandrogenism plus oligo-amenorrhea in the absence of other identifiable causes.
Normal Controls
Normal controls: non-PCOS women with regular menstrual cycles and without evidence of hyperandrogenism.
Overall Study
Withdrawal by Subject
1
3

Baseline Characteristics

Determining How Quickly Progesterone Slows LH Pulse Frequency

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PCOS Women
n=12 Participants
PCOS women: women were considered to have PCOS if they had evidence of clinical and/or biochemical hyperandrogenism plus oligo-/amenorrhea in the absence of other identifiable causes. oral micronized progesterone suspension: oral micronized progesterone suspension, single 100 mg oral dose Placebo: Placebo contains only inert ingredients and is not expected to exert any direct physiological effects
Normal Controls
n=12 Participants
Normal control women: women with regular menstrual cycles without evidence of hyperandrogenism. oral micronized progesterone suspension: oral micronized progesterone suspension, single 100 mg oral dose Placebo: Placebo contains only inert ingredients and is not expected to exert any direct physiological effects
Total
n=24 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
12 Participants
n=99 Participants
12 Participants
n=107 Participants
24 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Female
12 Participants
n=99 Participants
12 Participants
n=107 Participants
24 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
2 Participants
n=99 Participants
4 Participants
n=107 Participants
6 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
White
9 Participants
n=99 Participants
7 Participants
n=107 Participants
16 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Region of Enrollment
United States
12 participants
n=99 Participants
12 participants
n=107 Participants
24 participants
n=206 Participants

PRIMARY outcome

Timeframe: 10 hours before and after administration of micronized progesterone and placebo

The primary endpoint is the change in the number of LH pulses (over 10 hours) attributable to progesterone.

Outcome measures

Outcome measures
Measure
PCOS Women
n=12 Participants
PCOS women: women were considered to have PCOS if they had evidence of clinical and/or biochemical hyperandrogenism plus oligo-amenorrhea in the absence of other identifiable causes.
Normal Controls
n=12 Participants
Normal controls: non-PCOS women with regular menstrual cycles and without evidence of hyperandrogenism.
LH Pulse Frequency
Placebo 20:00-06:00 (pre-pbo)
1.31 pulses/hour
Interval 1.01 to 1.88
0.91 pulses/hour
Interval 0.81 to 1.44
LH Pulse Frequency
Placebo 10:00-20:00 (post-pbo)
1.33 pulses/hour
Interval 1.24 to 1.85
1.19 pulses/hour
Interval 1.04 to 1.52
LH Pulse Frequency
Progesterone 20:00-06:00 (pre-P4)
0.99 pulses/hour
Interval 0.8 to 1.85
0.98 pulses/hour
Interval 0.86 to 1.44
LH Pulse Frequency
Progesterone 10:00-20:00 (post-P4)
1.18 pulses/hour
Interval 0.97 to 1.76
1.05 pulses/hour
Interval 1.01 to 1.44

SECONDARY outcome

Timeframe: 10 hours before and after administration of micronized progesterone and placebo

A secondary endpoint is the change in mean LH concentration (over 10 hours) attributable to progesterone.

Outcome measures

Outcome measures
Measure
PCOS Women
n=12 Participants
PCOS women: women were considered to have PCOS if they had evidence of clinical and/or biochemical hyperandrogenism plus oligo-amenorrhea in the absence of other identifiable causes.
Normal Controls
n=12 Participants
Normal controls: non-PCOS women with regular menstrual cycles and without evidence of hyperandrogenism.
Mean LH
Placebo 20:00-06:00 (pre-pbo)
8.2 IU/L
Interval 7.8 to 34.4
6.4 IU/L
Interval 3.9 to 10.3
Mean LH
Placebo 10:00-20:00 (post-pbo)
12.0 IU/L
Interval 9.6 to 36.0
8.8 IU/L
Interval 7.1 to 16.5
Mean LH
Progesterone 20:00-06:00 (pre-P4)
8.6 IU/L
Interval 7.6 to 18.1
5.6 IU/L
Interval 2.5 to 17.6
Mean LH
Progesterone 10:00-20:00 (post-P4)
26.6 IU/L
Interval 20.9 to 50.0
20.7 IU/L
Interval 10.6 to 54.9

SECONDARY outcome

Timeframe: 10 hours before and after administration of micronized progesterone and placebo

A secondary endpoint is the change in LH pulse mass (a correlate of LH pulse amplitude) attributable to progesterone.

Outcome measures

Outcome measures
Measure
PCOS Women
n=12 Participants
PCOS women: women were considered to have PCOS if they had evidence of clinical and/or biochemical hyperandrogenism plus oligo-amenorrhea in the absence of other identifiable causes.
Normal Controls
n=12 Participants
Normal controls: non-PCOS women with regular menstrual cycles and without evidence of hyperandrogenism.
LH Pulse Mass
Placebo 20:00-06:00 (pre-pbo)
3.6 IU/L
Interval 2.5 to 6.7
4.85 IU/L
Interval 4.0 to 13.6
LH Pulse Mass
Placebo 10:00-20:00 (post-pbo)
4.3 IU/L
Interval 2.9 to 8.2
7.51 IU/L
Interval 5.3 to 26.4
LH Pulse Mass
Progesterone 20:00-06:00 (pre-p4)
3.6 IU/L
Interval 1.7 to 11.1
5.47 IU/L
Interval 3.8 to 15.8
LH Pulse Mass
Progesterone 10:00-20:00 (post-p4)
13.9 IU/L
Interval 7.5 to 32.2
13.96 IU/L
Interval 9.3 to 35.4

SECONDARY outcome

Timeframe: 10 hours before and after administration of micronized progesterone and placebo

A secondary endpoint is the change in mean FSH concentration (over 10 hours) attributable to progesterone.

Outcome measures

Outcome measures
Measure
PCOS Women
n=12 Participants
PCOS women: women were considered to have PCOS if they had evidence of clinical and/or biochemical hyperandrogenism plus oligo-amenorrhea in the absence of other identifiable causes.
Normal Controls
n=12 Participants
Normal controls: non-PCOS women with regular menstrual cycles and without evidence of hyperandrogenism.
Mean FSH
Placebo 10:00-20:00 (post-pbo)
3.9 IU/L
Interval 3.3 to 9.0
4.5 IU/L
Interval 3.8 to 7.0
Mean FSH
Placebo 20:00-06:00 (pre-pbo)
4.5 IU/L
Interval 3.0 to 6.3
3.5 IU/L
Interval 3.1 to 5.4
Mean FSH
Progesterone 20:00-06:00 (pre-p4)
4.2 IU/L
Interval 3.0 to 6.4
4.4 IU/L
Interval 2.5 to 5.9
Mean FSH
Progesterone 10:00-20:00 (post-p4)
6.3 IU/L
Interval 4.4 to 9.1
8.0 IU/L
Interval 5.63 to 14.6

Adverse Events

PCOS Women

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Normal Controls

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
PCOS Women
n=13 participants at risk
PCOS women: women were considered to have PCOS if they had evidence of clinical and/or biochemical hyperandrogenism plus oligo-amenorrhea in the absence of other identifiable causes.
Normal Controls
n=16 participants at risk
Normal controls: non-PCOS women with regular menstrual cycles and without evidence of hyperandrogenism.
Gastrointestinal disorders
nausea
7.7%
1/13 • Adverse event data were collected beginning after subjects began study drug/intervention/study-related procedures/specimen collection up until the end of the study drug/intervention/participation; an average of 6 months.
0.00%
0/16 • Adverse event data were collected beginning after subjects began study drug/intervention/study-related procedures/specimen collection up until the end of the study drug/intervention/participation; an average of 6 months.
Reproductive system and breast disorders
Spotting
0.00%
0/13 • Adverse event data were collected beginning after subjects began study drug/intervention/study-related procedures/specimen collection up until the end of the study drug/intervention/participation; an average of 6 months.
12.5%
2/16 • Adverse event data were collected beginning after subjects began study drug/intervention/study-related procedures/specimen collection up until the end of the study drug/intervention/participation; an average of 6 months.
Respiratory, thoracic and mediastinal disorders
upper respiratory infection
7.7%
1/13 • Adverse event data were collected beginning after subjects began study drug/intervention/study-related procedures/specimen collection up until the end of the study drug/intervention/participation; an average of 6 months.
0.00%
0/16 • Adverse event data were collected beginning after subjects began study drug/intervention/study-related procedures/specimen collection up until the end of the study drug/intervention/participation; an average of 6 months.
General disorders
fatigue
7.7%
1/13 • Adverse event data were collected beginning after subjects began study drug/intervention/study-related procedures/specimen collection up until the end of the study drug/intervention/participation; an average of 6 months.
0.00%
0/16 • Adverse event data were collected beginning after subjects began study drug/intervention/study-related procedures/specimen collection up until the end of the study drug/intervention/participation; an average of 6 months.
Skin and subcutaneous tissue disorders
swelling at IV site
0.00%
0/13 • Adverse event data were collected beginning after subjects began study drug/intervention/study-related procedures/specimen collection up until the end of the study drug/intervention/participation; an average of 6 months.
6.2%
1/16 • Adverse event data were collected beginning after subjects began study drug/intervention/study-related procedures/specimen collection up until the end of the study drug/intervention/participation; an average of 6 months.

Additional Information

Dr. Christopher R. McCartney

University of Virginia Center for Research in Reproduction

Phone: 4342436911

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place