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Effects of Hormone Replacement Therapy on Arthralgia in Postmenopausal Women

11. Oktober 2019 aktualisiert von: Hospital de Clinicas de Porto Alegre

Effects of Hormone Replacement Therapy on Arthralgia in Postmenopausal Women: a Randomized, Double-blind Controlled Trial

Arthralgia has been a common complaint in postmenopausal period which seems to be involved with estrogen depletion, although, its pathophysiology isn´t completely clarified. It seems to relate with the level of physical activity, climacteric symptoms and pain catastrophizing. In view of the multiple dimensions involved in arthralgia in postmenopausal women which characterize it as a complex phenomenon, this study aims to describe the effects of hormone replacement therapy in women aged between 45 and 55 years, considering estrogen as a possible anti-nociceptive factor.

Studienübersicht

Status

Unbekannt

Bedingungen

Arthralgie

Intervention / Behandlung

Detaillierte Beschreibung

This study is a randomized double-blind controlled clinical trial with postmenopausal women aged between 45 and 55 years with chronic arthralgia related to climacteric. They will be evaluated climacteric symptoms, pain intensity, level of physical activity, pain catastrophising, depression, anxiety, quality of sleep and quality of life. The volunteers will be randomized, in the proportion 1:1, to treatment with either 0,625 mg conjugated equine estrogen, via oral administration, for 12 weeks or placebo, via oral administration, for 12 weeks. The randomization will be performed by a computer-generated random numbers list. The investigators will be blinded until completion of 12 weeks. Evaluation of climacteric symptoms, pain intensity, level of physical activity, pain catastrophising, depression, anxiety, quality of sleep and quality of life will be performed in the hospital at baseline, 1, 2, 3, 6 months and 15 days. In each visit, participants will be evaluated about adverse effects such as diarrhea, nausea and vomit.

Studientyp

Interventionell

Einschreibung (Voraussichtlich)

Phase

Phase 2

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Name: Maria Celeste Osório Wender, Ph.D
Telefonnummer: 55 51 3359-8117
E-Mail: mceleste@ufrgs.br

Studieren Sie die Kontaktsicherung

Name: Fernanda Vargas Ferreira, Ph.D
Telefonnummer: 55 51 3359-8117
E-Mail: fernandaferreira@unipampa.edu.br

Studienorte

Brasilien
- Rio Grande Do Sul
  - Porto Alegre, Rio Grande Do Sul, Brasilien
    - Rekrutierung
    - Comitê de Ética em Pesquisa do Hospital de Clínicas de Porto Alegre
    - Kontakt:
      
      Maria Celeste Osório Wender, Ph.D
      
      Telefonnummer: +55513359-8117
      
      E-Mail: mceleste@ufrgs.br
    - Kontakt:
      
      Fernanda Vargas Ferreira, Ph.D
      
      Telefonnummer: +55513359-8117
      
      E-Mail: fernandaferreira@unipampa.edu.br

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

45 Jahre bis 55 Jahre (Erwachsene)

Akzeptiert gesunde Freiwillige

Studienberechtigte Geschlechter

Weiblich

Beschreibung

Inclusion Criteria:

age between 45 and 55 years
chronic arthralgia related to climacteric
regular mammography and pap smear test in the last twelve months
availability to attend hormone replacement therapy
maximum of ten years of amenorrhea according to the criteria of Stages of Reproductive Aging Workshop (STRAW)
without use of hormone replacement therapy, at least, previous six months
no contraindication to hormone replacement therapy (current or past of breast and / or cervical cancer, severe current or recent heart disease, thromboembolism, hypertension with no control, metabolic diseases (but stable thyroid disease) and endometrial hyperplasia to be enlightened
Informed consent

Exclusion Criteria:

autoimmune diseases
visceral pain (chronic pelvic pain, dyspareunia, irritable bowel syndrome)
systemic diseases (rheumatic, neurological, oncology, sexually transmitted infection)
body mass index of 30 or greater
soy diet
abuse of alcohol and drugs
large surgeries

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

Hauptzweck: Behandlung
Zuteilung: Zufällig
Interventionsmodell: Parallele Zuordnung
Maskierung: Doppelt

Anzahl der Arme

Waffen und Interventionen

Teilnehmergruppe / Arm	Intervention / Behandlung
Experimental: Conjugated Equine Estrogen Thirty-six healthy postmenopausal women aged between 45 and 55 years will receive 0,625 mg/day conjugated equine estrogen (CEE) for 12 weeks. These 1 active pill containing conjugated equine estrogen, 0,625 mg will be provided by a laboratory with no trademark identification. The bottles will be numbered in code by a pharmaceutist not involved directly in study and they will donated to volunteers. During the intervening period, use of conjugated equine estrogen, there will be blinding. After this phase, blinding will be interrupted in order to identify volunteers who used the active drug.	Arzneimittel: Conjugated Equine Estrogen Use of conjugated equine estrogen for 12 weeks. Adherence will be monitored during periodical hospital visits in order to receive pills. Andere Namen: Drug active
Placebo-Komparator: Placebo Thirty-six healthy postmenopausal women aged between 45 and 55 years will receive placebo pills, identical in size, shape and color to the active drug, via oral administration, for 12 weeks. The bottles, without trademark identification, will be numbered in code by a pharmaceutist not involved directly in study and they will donated to volunteers. During the intervening period, use of placebo, there will be blinding. After this phase, blinding will be interrupted in order to identify volunteers who used the active drug and placebo.	Arzneimittel: Placebo Use of placebo for 12 weeks. Adherence will be monitored during periodical hospital visits in order to receive pills.

Teilnehmergruppe / Arm

Intervention / Behandlung

Experimental: Conjugated Equine Estrogen

Thirty-six healthy postmenopausal women aged between 45 and 55 years will receive 0,625 mg/day conjugated equine estrogen (CEE) for 12 weeks. These 1 active pill containing conjugated equine estrogen, 0,625 mg will be provided by a laboratory with no trademark identification.

The bottles will be numbered in code by a pharmaceutist not involved directly in study and they will donated to volunteers.

During the intervening period, use of conjugated equine estrogen, there will be blinding. After this phase, blinding will be interrupted in order to identify volunteers who used the active drug.

Arzneimittel: Conjugated Equine Estrogen

Use of conjugated equine estrogen for 12 weeks. Adherence will be monitored during periodical hospital visits in order to receive pills.

Andere Namen:

Drug active

Placebo-Komparator: Placebo

Thirty-six healthy postmenopausal women aged between 45 and 55 years will receive placebo pills, identical in size, shape and color to the active drug, via oral administration, for 12 weeks.

The bottles, without trademark identification, will be numbered in code by a pharmaceutist not involved directly in study and they will donated to volunteers.

During the intervening period, use of placebo, there will be blinding. After this phase, blinding will be interrupted in order to identify volunteers who used the active drug and placebo.

Arzneimittel: Placebo

Use of placebo for 12 weeks. Adherence will be monitored during periodical hospital visits in order to receive pills.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme	Maßnahmenbeschreibung	Zeitfenster
Arthralgia Zeitfenster: 6 months	Arthralgia´ll be measured by numeric scale (0-10).	6 months

Sekundäre Ergebnismessungen

Ergebnis Maßnahme	Maßnahmenbeschreibung	Zeitfenster
Climacteric symptoms Zeitfenster: 6 months	Climacteric symptoms´ll be evaluated by Menopause Rating Scale - Brazilian Version. The score increases point by point with increasing severity of subjectively perceived symptoms in each of the 11 items.	6 months
Level of physical activity Zeitfenster: 6 months	Level of physical activity´ll be evaluated by International Physical Activity Questionnaire - Brazilian Version whose three levels of physical activity are low, moderate and high.	6 months
Pain Catastrophizing Zeitfenster: 6 months	Pain Catastrophizing´ll be evaluated by Pain Catastrophizing - Brazilian Version into three subscales being magnification, rumination, and helplessness. The higher the score, the more catastrophizing thoughts are present.	6 months
Health-related quality of life Zeitfenster: 6 months	Quality of life´ll be evaluated by Women´s Health Questionnaire - Brazilian Version (somatic symptoms, depressed mood, cognitive difficulties, anxiety and fear, sexual functioning, vasomotor symptoms, sleep problems, menstrual problems, and self-perceived attraction). The higher the score, the more pronounced the suffering and dysfunction.	6 months
Depression Zeitfenster: 6 months	Depression´ll be evaluated by Beck Depression Inventory - Brazilian Version. The standard cut-off scores are minimal, mild, moderate and severe depression.	6 months
Anxiety Zeitfenster: 6 months	Anxiety´ll be evaluated by Beck Anxiety Inventory - Brazilian Version. The standard cut-off scores are minimal, mild, moderate and severe depression.	6 months
Quality of sleep Zeitfenster: 6 months	Quality of sleep´ll be evaluated by Pittsburgh Sleep Quality Index - Brazilian Version. Lower scores denote a healthier sleep quality.	6 months

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Hospital de Clinicas de Porto Alegre

Ermittler

Hauptermittler: Maria Celeste Osório Wender, Ph.D, Hospital de Clínicas de Porto Alegre

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

1. März 2017

Primärer Abschluss (Voraussichtlich)

2. Dezember 2019

Studienabschluss (Voraussichtlich)

31. Dezember 2020

Studienanmeldedaten

Zuerst eingereicht

9. Juni 2016

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

15. Juli 2016

Zuerst gepostet (Schätzen)

20. Juli 2016

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

14. Oktober 2019

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

11. Oktober 2019

Zuletzt verifiziert

1. Januar 2019

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Zusätzliche relevante MeSH-Bedingungen

Andere Studien-ID-Nummern

16-0235

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

UNENTSCHIEDEN

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .

Klinische Studien zur Conjugated Equine Estrogen

Julio Ramirez
University of Louisville

Beendet

Reaktion der Patienten auf die frühzeitige Umstellung auf Oral:Osteomyelitis-Studie (PRESTO:Osteo)

Osteomyelitis

Vereinigte Staaten

Effects of Hormone Replacement Therapy on Arthralgia in Postmenopausal Women