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Randomized Study of Oral Contraceptives or Hormone Replacement Therapy in Women With Systemic Lupus Erythematosus

Not Applicable
Completed
Conditions
Systemic Lupus Erythematosus
Registration Number
NCT00006133
Lead Sponsor
National Center for Research Resources (NCRR)
Brief Summary

OBJECTIVES: I. Determine the effect of oral contraceptives containing low-dose synthetic estrogens and progestins on disease activity in premenopausal women with inactive, stable, or moderate systemic lupus erythematosus (SLE).

II. Determine the effect of hormone replacement therapy with conjugated estrogens and progestins on disease activity in postmenopausal women with inactive, stable, or moderate SLE.

Detailed Description

PROTOCOL OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to age/menopausal status (35 and under/premenopausal vs 50 and over/postmenopausal). Both strata are randomized to one of two treatment arms.

Stratum 1 (Premenopausal/Oral contraceptives): Patients receive either oral ethinyl estradiol and norethindrone or placebo daily for 28 days beginning on the Sunday following the first day of the menstrual cycle.

Stratum 2 (Postmenopausal/Hormone replacement therapy): Patients receive either oral estradiol and medroxyprogesterone or placebo on days 1-12 monthly.

Treatment continues in both arms of both strata for a total of 13 courses in the absence of a severe disease flare-up or other complication that would preclude further study participation.

All patients are followed at 1 year.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
970
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (17)

Louisiana State University School of Medicine

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Shreveport, Louisiana, United States

University of Pennsylvania

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Philadelphia, Pennsylvania, United States

Pritzker School of Medicine

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Chicago, Illinois, United States

Johns Hopkins University School of Medicine

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Baltimore, Maryland, United States

Medical College of Wisconsin

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Milwaukee, Wisconsin, United States

Saint Luke's-Roosevelt Hospital Center

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New York, New York, United States

Rheumatology Associates of Long Island

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Port Jefferson Station, New York, United States

University of California-San Francisco

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San Francisco, California, United States

University of Texas- Houston Medical School

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Houston, Texas, United States

Hospital for Joint Diseases

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New York, New York, United States

University of North Carolina

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Chapel Hill, North Carolina, United States

University of Alabama Comprehensive Cancer Center

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Birmingham, Alabama, United States

Hospital for Special Surgery

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New York, New York, United States

University of California Los Angeles

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Los Angeles, California, United States

University of Michigan Health Systems

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Ann Arbor, Michigan, United States

University of Pittsburgh

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Pittsburgh, Pennsylvania, United States

Montefiore Medical Center

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Bronx, New York, United States

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