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Administration of Kisspeptin in Patients With Hyperprolactinemia

Phase 2
Completed
Conditions
Hypogonadism
Hyperprolactinemia
Interventions
Registration Number
NCT02956447
Lead Sponsor
Massachusetts General Hospital
Brief Summary

The goal of this study is to learn more about how kisspeptin, a naturally occurring hormone, affects women with high levels of prolactin (also called hyperprolactinemia). Subjects in one group will undergo blood sampling every 10 minutes over two 12-hour periods (one 12-hour period without any intervention and one 12-hour period with intravenous (IV) kisspeptin administration). Subjects in the second group will receive subcutaneous (SC) kisspeptin every 90 minutes for eight days.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
36
Inclusion Criteria

Not provided

Exclusion Criteria
  • confirmed diagnosis of elevated levels of prolactin measured via blood test,
  • no pituitary adenoma OR a microprolactinoma (<10 mm). Patients with a macroprolactinoma confirmed on MRI imaging will be excluded,
  • no history of a medication reaction requiring emergency medical care,
  • no illicit drug use or excessive alcohol consumption (>10 drinks/week),
  • not currently seeking fertility, breastfeeding or pregnant,
  • no history of bilateral oophorectomy,
  • willing to complete a dopamine agonist washout and/or oral contraceptive washout,
  • normal physical exam and laboratory studies within protocol reference range.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Intravenous KisspeptinKisspeptin 112-121Blood sampling every 10 minutes over two 12-hour periods. One 12-hour period without any intervention. One 12-hour period consisting of administration of 10 boluses of kisspeptin 112-121 intravenously (IV).
Intravenous KisspeptinGnRHBlood sampling every 10 minutes over two 12-hour periods. One 12-hour period without any intervention. One 12-hour period consisting of administration of 10 boluses of kisspeptin 112-121 intravenously (IV).
Subcutaneous KisspeptinKisspeptin 112-121Subcutaneous (SC) administration of kisspeptin 112-121 every 90 minutes over eight days.
Primary Outcome Measures
NameTimeMethod
Average Change in Number of Luteinizing Hormone (LH) Pulses Over 10 HoursUp to 14 days

Average change in LH pulse frequency at baseline and during kisspeptin IV administration

Number of Participants With Evidence of Follicle Growth From Subcutaneous KisspeptinEvaluated over eight days

Ultrasound evidence of increased follicle size over the course of SC kisspeptin administration

Secondary Outcome Measures
NameTimeMethod
Average Change in LH Pulse AmplitudeUp to 14 days

Average change in LH pulse amplitude at baseline and during IV kisspeptin administration

Trial Locations

Locations (1)

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

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