Long Term Effects of Oral Versus Transdermal Estrogen Replacement Therapy in Turner Syndrome
NCT06570460 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2024-08-26
Summary
This 14-month, phase IV, randomized controlled crossover trial aims to compare the effects of oral versus transdermal estrogen replacement therapy (ERT) in women with Turner syndrome (TS). The study's objectives are to clarify endocrine, metabolic, cardiovascular, and thromboembolic risk factors in TS after a wash-out period without estrogen (E2) treatment; compare the effects of oral versus transdermal (TD) ERT regimens; and examine the long-term effects of E2 administration via these two routes. The study involves 50 TS women aged 18-50 years and 50 control participants. TS participants are randomized to receive either oral or TD ERT for six months, followed by crossover to the alternate treatment for another six months. Prior to randomization, any existing ERT will be discontinued for a 1-month washout period. A second 1-month washout period will occur between the two 6-month treatment phases. Laboratory analyses and clinical investigations are performed after the first wash-out period, after the first six months of treatment, and after the last six months of treatment. We anticipate that this study may provide a basis for new and improved recommendations for sex hormone replacement therapy in TS.
Conditions
- Turner Syndrome
- Hypogonadism; Ovarian
- Hormone Replacement Therapy
- Estrogen Replacement Therapy
- Estrogen Deficiency
Interventions
- DRUG
-
17-beta estradiol
Treatment with orally administered estrogen for 6 months
- DRUG
-
17-beta estradiol
Treatment with transdermally administered estrogen for 6 months
Sponsors & Collaborators
-
University of Aarhus
collaborator OTHER -
Aarhus University Hospital
lead OTHER
Principal Investigators
-
Claus H Gravholt, Professor · Aarhus University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 50 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2021-11-29
- Primary Completion
- 2026-12-31
- Completion
- 2026-12-31
Countries
- Denmark
Study Locations
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