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Partial Double-Blind, Placebo-Controlled Study to Assess the Effect of Anastrozole on the Endometrium in Healthy Volunteers

Phase 2
Completed
Conditions
Menstruation Disorders
Interventions
Registration Number
NCT00467493
Lead Sponsor
Meditrina Pharmaceuticals
Brief Summary

Aromatase inhibitors have been approved for use in postmenopausal women to treat and prevent breast cancer. They act by blocking the action of the enzyme, aromatase, that is necessary for the production of estradiol. This class of drugs, aromatase inhibitors, are very effective in reducing estradiol levels in postmenopausal women and in treating estrogen receptor positive breast cancers. This study is examining the effect of a specific inhibitor, anastrozole, on endometrial thickness in premenopausal women. The endometrium is sensitive to estradiol and also has local aromatase which, if inhibited, may result in reduced endometrial thickness. The main hypothesis is that anastrozole can be administered at any time during the menstrual cycle and reduce endometrial thickness compared to placebo.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
64
Inclusion Criteria
  • Between the ages of 25 and 45 and pre-menopausal;
  • Non-lactating and not pregnant
  • able to follow the schedule of procedures
  • able to freely provide informed consent
  • have clinically acceptable physical examination and safety laboratory studies
Exclusion Criteria
  • current use of any form of systemic contraceptive
  • have self-reported irregular menstrual cycles
  • intercurrent illness(es) detected on the screening physical
  • unwilling or unable to use barrier methods of contraception
  • have evidence of endometrial polyps or myomata on TVU/SIS that would interfere with endometrial thickness measurement
  • detection of ovarian cyst(s) during adnexal examination on screening TVU/SIS measuring greater than 5 cm
  • have history of, or current cancer, on any form exclusive of basal cell carcinoma
  • BMI >= 35
  • history of alcohol or drug abuse in the past 5 years
  • unwilling or unable to undergo study procedures within the necessary time frames
  • history or current liver abnormalities as defined by ALT or AST > 2X ULN
  • treated or untreated diabetes defined as fasting blood sugar >= 126 mg/dL
  • untreated hypertension
  • impaired renal function by estimated creatinine clearance < 80mL/min
  • have estradiol levels < 20 pg/ml and FSH levels > 40 mIU/mL or
  • have a history of adverse reaction any aromatase inhibitor

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Anastrozole -BAnastrozoleTreatment for 7 consecutive days early in menstrual cycle
Anastrozoe - CAnastrozoleTreatment for 7 consecutive days mid follicular phase
Anastrozole - DAnastrozoleTreatment for 7 consecutive days - mid cycle
Anastrozole - EAnastrozoleTreatment for 7 consecutive days - luteal
Anastrozole - AAnastrozoleTreatment for 26 consecutive days
Anastrozole - FAnastrozoleTreatment with placebo for 26 consecutive days
Primary Outcome Measures
NameTimeMethod
Endometrial thickness as measured by transvaginal ultrasound, safetyOver one menstrual cycle
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Jasper Research Clinic

🇺🇸

Kalamazoo, Michigan, United States

University Women's Care

🇺🇸

Southfield, Michigan, United States

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