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Gestrinone and Endothelial Function in Young Women

Recruiting
Conditions
Cardiovascular Diseases
Interventions
Other: Hormonal implant
Other: Control group
Registration Number
NCT06402344
Lead Sponsor
Hospital Israelita Albert Einstein
Brief Summary

The purpose of this study is to assess the association of hormonal implant with gestrinone in cardiovascular health outcomes in young women.

Detailed Description

After being informed about the study, volunteers will be screened in accordance with eligibility criteria. Eligible volunteers will be invited to appear to the research institute and participate in the study. All volunteers giving the written informed consent will perform all assessments in the same day at their visit.

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
90
Inclusion Criteria
  • Women;
  • Between 25 and 45 years age;
  • History of ≥ 1 hormonal implant with gestrinone in the last 6 months or never had used any hormonal implants.
Exclusion Criteria
  • Pregnancy;
  • Menopause;
  • Smoking;
  • Moderate-high consumption of alcoholic beverages (above 14 drinks per week);
  • Previous cardiovascular event (e.g. myocardial infarction and stroke);
  • Uncontrolled psychiatric disease;
  • Ventricular arrhythmia;
  • Using antibiotics or corticoids;
  • Regular contraceptive use (estrogen and progesterone);
  • Use of illicit drugs.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Gestrinone implantHormonal implantYoung women using hormonal implant with gestrinone.
Control groupControl groupYoung women who never used hormonal implant with gestrinone.
Primary Outcome Measures
NameTimeMethod
Endothelial functionDay 1.

Brachial artery endothelial function assessed by flow-mediated dilation (FMD).

Secondary Outcome Measures
NameTimeMethod
Arterial stiffnessDay 1.

Carotid-femoral pulse wave velocity (PWV).

Heart rateDay 1.

Heart rate assessed together with the cardiac autonomic modulation procedure.

ProgesteroneDay 1.

Progesterone will be analyzed by immunoassay technique.

Blood pressureDay 1.

Systolic, diastolic and mean blood pressure will be evaluated by auscultatory method.

Cardiac autonomic modulationDay 1.

Heart rate variability (HRV) analyzed in the time domain, frequency domain, and non-linear method.

Lipid profileDay 1.

Total cholesterol, non-HDL cholesterol, low-density lipoprotein (LDL-c), high-density lipoprotein (HDL-c), and triglycerides will be analyzed by laboratory exams.

HemoglobinDay 1.

Hemoglobin will be analyzed by laboratory exams.

GlycemiaDay 1.

Glycemia will be analyzed by laboratory exams.

Ultra-sensitive C-reactive protein (us-CRP)Day 1.

us-CRP will be analyzed by laboratory exams.

HematocritDay 1.

Hematocrit will be analyzed by laboratory exams.

17-alpha-hydroxyprogesterone (17-OHP)Day 1.

17-OHP will be analyzed by liquid chromatography-mass spectrometry (LC-MS/MS).

Dehydroepiandrosterone (DHEA)Day 1.

DHEA will be analyzed by liquid chromatography-mass spectrometry (LC-MS/MS).

AndrostenedioneDay 1.

Androstenedione will be analyzed by liquid chromatography-mass spectrometry (LC-MS/MS).

Free testosteroneDay 1.

Free testosterone will be calculated considering total testosterone and SHBG.

Total testosteroneDay 1.

Total testosterone will be analyzed by liquid chromatography-mass spectrometry (LC-MS/MS).

EstradiolDay 1.

Estradiol will be analyzed by immunoassay technique.

Follicle-stimulating hormone (FSH)Day 1.

FSH will be analyzed by immunoassay technique.

Luteinizing hormone (LH)Day 1.

LH will be analyzed by immunoassay technique.

Sex hormone-binding globulin (SHBG)Day 1.

SHBG will be analyzed by immunoassay technique.

Muscular strengthDay 1.

It will be assessed by handgrip.

Trial Locations

Locations (1)

Hospital Israelita Albert Einstein

🇧🇷

São Paulo, Brazil

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