Estrogen and Microvascular Function
Effects of Continuous Estrogen on Human in Vivo Microvascular Function
The goal of this study is to learn how long-term use of estrogen affects blood vessels in healthy adults.
Participants will:
- give one blood draw of 5 mL
- have one Dexa Scan taken to measure adipose and muscle mass
- have a camera placed under the tongue to take pictures of blood vessels
- have 2 laser Doppler microdialysis catheters placed on the forearm to monitor blood vessels before and after local drug infusion
Researchers will compare blood vessel function of those who take estrogen to those who do not.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Julia A Vogt
- Phone Number: 414-955-2348
- Email: jvogt@mcw.edu
Study Locations
-
-
Wisconsin
-
Wauwatosa, Wisconsin, United States, 53226
- Froedtert Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
Estrogen/Progestin Group
- Adults aged 18-40 years
- Females with estrogen/progestin treatment for a minimum of 1 year.
- Blood pressure <140/ < 90 mmHg
- No more than 1 cardiovascular risk factor Control Groups
- Adults aged 18-40 years
- Female with no estrogen/progestin treatment for minimum of 5 years.
- Female undergoing progestin only treatment for a minimum of 1 year.
- Blood pressure <140/ < 90 mmHg
- No more than 1 cardiovascular risk factor
Exclusion Criteria:
- Medications that could alter cardiovascular control
- Rash, skin disease, or pigmentation disorders on both forearms
- Anemia
- Kidney Disease
- Known skin allergies
- Smoking or tobacco use within last 6 months
Coronary Artery Disease
-1 cardiovascular risk factor Hypertension Diabetes Hypercholesterolemia Hyperlipidemia
- Bleeding disorders
- Use of anti-coagulants
- Allergies to study drugs
- Use of topical/non-topical steroids in last 6 months
- Internal mouth sores
- Forearms covered with tattoos
- Pregnancy
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Continuous estrogen/progestin
Females who have had continuous estrogen/progestin treatment for a minimum of 1 year.
|
L-NAME will be infused locally through microdialysis catheters.
ACh will be infused locally through microdialysis catheters.
SNP will be infused locally through microdialysis catheters.
|
|
No Estrogen/progestin
Females who have not had continuous estrogen treatment for a minimum of 5 years.
|
L-NAME will be infused locally through microdialysis catheters.
ACh will be infused locally through microdialysis catheters.
SNP will be infused locally through microdialysis catheters.
|
|
Continuous progestin
Females who have had continuous progestin treatment for a minimum of 1 year.
|
L-NAME will be infused locally through microdialysis catheters.
ACh will be infused locally through microdialysis catheters.
SNP will be infused locally through microdialysis catheters.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Perfused Vessel Density
Time Frame: 0.5 hours
|
Total vessel density (TVD) will be calculated using the DeBacker Score manual analysis on all images that have a minimum microcirculation image quality score (MIQS) of 10.
Perfused vessel density (PVD) will be calculated by multiplying total vessel density (TVD) x proportion of perfused vessels (PPV%).
|
0.5 hours
|
|
Change in blood vessel dilation
Time Frame: 2 hours
|
Cutaneous vascular conductance in response to acetylcholine, L-NAME, and sodium nitroprusside infusions will be calculated as percentage of cardiovascular conductance.
|
2 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Amino Acids, Peptides, and Proteins
- Organic Chemicals
- Amines
- Inorganic Chemicals
- Nitrogen Compounds
- Amino Acids
- Anions
- Ions
- Electrolytes
- Amino Acids, Basic
- Amino Acids, Diamino
- Ferric Compounds
- Iron Compounds
- Biogenic Amines
- Arginine
- Ferricyanides
- Cyanides
- Hydrogen Cyanide
- Acetylcholine
- Nitroprusside
- NG-Nitroarginine Methyl Ester
Other Study ID Numbers
Other Study ID Numbers
- PRO40920
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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