- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT07617454
Effects of Estrogen on Muscle Gain During 12-weeks of Exercise in Post-menopausal Women (HER-MUSCLE)
As females age and transition through menopause, the decline in oestrogen level profoundly affects skeletal muscle mass and function. HER-MUSCLE aims to unravel the mechanisms by which oestrogen enhances muscle growth, providing insights for targeted therapies to improve the health and physical function of postmenopausal females.
Focusing on postmenopausal females, an increasingly at-risk demographic, HER-MUSCLE addresses a critical gap in understanding how oestrogen influences muscle mass and function during anabolic (exercise) conditions.
The project involves:
- Clinical Trial: Postmenopausal females will receive either oestrogen or placebo, twelve weeks of exercise training to detect oestrogen regulatory role on muscle mass and function.
- Molecular Analysis: Advanced techniques will study the muscle microenvironment, focusing on muscle stem cells (MuSCs), fibro-adipogenic progenitors (FAPs), and other cells critical for muscle regeneration and maintenance.
- Mitochondrial Function assessed in vivo via magnetic resonance spectroscopy: The impact of oestrogen on mitochondrial health will be examined, exploring how it preserves mitochondrial function and ability to recovery and resist fatigue in response to muscle contractions.
Our preliminary data indicate that oestrogen can promote muscle protein synthesis. HER-MUSCLE aims to pave the way for novel therapeutic strategies to manage sarcopenia in postmenopausal women, ultimately leading to better health outcomes and enhanced well-being for this growing population segment.
Descripción general del estudio
Estado
Intervención / Tratamiento
Descripción detallada
As females age and transition through menopause, the decline in oestrogen level profoundly affects skeletal muscle mass and function. HER-MUSCLE aims to unravel the mechanisms by which oestrogen enhances muscle growth, providing insights for targeted therapies to improve the health and physical function of postmenopausal females.
Focusing on postmenopausal females, an increasingly at-risk demographic, HER-MUSCLE addresses a critical gap in understanding how oestrogen influences muscle mass and function during anabolic (exercise) conditions.
The project involves:
- Clinical Trial: Postmenopausal females will receive either oestrogen or placebo, twelve weeks of exercise training to detect oestrogen regulatory role on muscle mass and function.
- Molecular Analysis: Advanced techniques will study the muscle microenvironment, focusing on muscle stem cells (MuSCs), fibro-adipogenic progenitors (FAPs), and other cells critical for muscle regeneration and maintenance.
- Mitochondrial Function assessed in vivo via magnetic resonance spectroscopy: The impact of oestrogen on mitochondrial health will be examined, exploring how it preserves mitochondrial function and ability to recovery and resist fatigue in response to muscle contractions.
Our preliminary data indicate that oestrogen can promote muscle protein synthesis. HER-MUSCLE aims to pave the way for novel therapeutic strategies to manage sarcopenia in postmenopausal women, ultimately leading to better health outcomes and enhanced well-being for this growing population segment.
Tipo de estudio
Inscripción (Estimado)
Fase
- No aplica
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Mette Hansen, PhD
- Número de teléfono: +4551666551
- Correo electrónico: mhan@ph.au.dk
Ubicaciones de estudio
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Jutland
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Aarhus, Jutland, Dinamarca, 8000
- Reclutamiento
- Aarhus University
-
Contacto:
- Mette Hansen, PhD
- Número de teléfono: +4551666551
- Correo electrónico: mhan@ph.au.dk
-
-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- 1-10 years since last menstrual bleeding
- Age > 40 years old
- BMI 20-30
Exclusion Criteria:
- Follicular stimulating hormone < 30 mmol/L
- Systematic strength training during the last year (> 1 strength training session per week)
- Injuries to the legs which may prevent participation in the physical training program
- Magnetizable metals or electrical devices implanted in the body, such as a pacemaker
- Use of medication that can influence the effect of immobilization and/or training
- Muscular or joint disorders which may affect the results
- Metabolic diseases (such as diabetes and cardiovascular diseases)
- Previous or present liver or cancer disease
- Current or previous thrombosis
- Porphyria
- Epilepsia
- Systemic autoimmune disease
- Edema
- Smoking or use of other nicotine containing products
- Claustrophobia
- Addictive behavior, defined as abuse of cannabis, opioids, or other intoxicating substances.
- Lack of ability to cooperate
- Blood parameters out of normal range at the health check
- Blood pressure above 140/90 mmHg
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Ciencia básica
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Triple
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: Estrogen
Transdermal Estrogen Administration
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The other group receive placebo treatment
Both groups will go through 12 weeks of supervised physical exercise, consisting of both strength training and cardiovascular training
|
|
Comparador de placebos: Placebo
Transdermal placebo administration
|
Both groups will go through 12 weeks of supervised physical exercise, consisting of both strength training and cardiovascular training
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Muscle mass
Periodo de tiempo: 12 weeks
|
Magnetic resonance imaging of one leg before and after intervention
|
12 weeks
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Presión sanguínea
Periodo de tiempo: 12 semanas
|
12 semanas
|
|
|
Mitochondria Function in vivo measured as phosphocreatine recovery rate
Periodo de tiempo: 12 weeks
|
The dominant foot will be attached to a pedal mounted on the patient bed and a dedicated 31P surface coil will be secured over the tibialis anterior muscle.
The pedal is designed to allow dynamic contractions of the tibialis anterior muscle while changes in metabolites from the tibialis anterior muscle are acquired non-invasively with the 31P coil.
Two protocols will be performed: Firstly, 10 repeated contractions (one per 3 sec with a load representing 30% of maximal force) will result in a depletion (30-40%) of phosphocreatine (PCr).
The rate constant for PCr recovery over 10 min will be used as an index of in vivo mitochondrial function.
Secondly, a total of 80 repeated contractions (one per 3 sec with a load representing 30% of maximal force) will be used to quantify muscle fatigue and concurrent changes in muscle metabolites and intracellular pH (based on the chemical shift between inorganic phosphate and PCr).
|
12 weeks
|
|
Mitochondria Function in vitro measured as maximal oxygen consumption
Periodo de tiempo: 12 weeks
|
All measurements were performed in duplicate using an Oxygraph-2k (Oroboros, Austria), in hyperoxygenated chambers (250-450 nmol O₂/mL). Respiratory Control Ratio was used to evaluate mitochondrial efficiency. It was calculated as the ratio of maximal ADP-supported respiration (with complex I + II substrates) to leak respiration. Leak respiration reflects oxygen consumption in the absence of ATP synthesis, when only substrates are present and no ADP is added. |
12 weeks
|
|
Body composition
Periodo de tiempo: 12 weeks
|
DXA
|
12 weeks
|
|
Satelitte cells
Periodo de tiempo: 12 weeks
|
Histochemical Analysis of Muscle tisse
|
12 weeks
|
|
Muscle fiber cross-sectional Area
Periodo de tiempo: 12 weeks
|
Histochemical Analysis of Muscle Tissue
|
12 weeks
|
|
Expression of Muscle proteins
Periodo de tiempo: 12 weeks
|
Western blotting analysis
|
12 weeks
|
|
FACS Analysis
Periodo de tiempo: 12 weeks
|
FACS analysis to quantify and isolate Muscle satelitte celss, fibro-adipogenic progenitors and macrofages
|
12 weeks
|
|
Muscle Strength
Periodo de tiempo: 12 weeks
|
Includes measure of leg strength during isometric and dynamic maximal voluntary contractions in a dynamometer (Humac Norm, CSMi, Massachusetts, United States) with a hip angle of 90°.
In addition, finger strength, hand grip strength
|
12 weeks
|
|
Functional test
Periodo de tiempo: 12 weeks
|
Includes counter-movement jump on a speed force-platform (Swift performance, Australia).
To measure dexterity, the nine-hole peg test will be applied.
|
12 weeks
|
|
Cardiovascular fitness
Periodo de tiempo: 12 weeks
|
Vo2max test on a bike and estimated via Ventriject
|
12 weeks
|
|
Maximal fat oxidation rate
Periodo de tiempo: 12 weeks
|
Bike test with increasing intensity steps
|
12 weeks
|
|
Resisting metabolic rate
Periodo de tiempo: 12 weeks
|
12 weeks
|
|
|
Questionaires
Periodo de tiempo: 12 weeks
|
The participant will be asked to fill out recognized questionnaires about menopause (Menopause Rating Scale), sleep, diet and training readiness (modified version of "The wellbeing review"
|
12 weeks
|
|
Physical Activity Level
Periodo de tiempo: 12 weeks
|
Accelerometers
|
12 weeks
|
|
Flexibility
Periodo de tiempo: 12 weeks
|
sit-and-reach test
|
12 weeks
|
|
Knee laxity
Periodo de tiempo: 12 weeks
|
Lachmeter test
|
12 weeks
|
|
Protein expression in adipose tissue
Periodo de tiempo: 12 weeks
|
Two adipose tissue biopsies will be obtained from each participant by a trained physician before and after 12 weeks from subcutaneous abdominal and gluteal regions.
Western blotting analysis of expression of proteins related to lipolysis and lipogenesis
|
12 weeks
|
|
Blood volume
Periodo de tiempo: 12 weeks
|
Determination of blood volume and haemoglobin mass by the carbon-monoxide rebreathing method
|
12 weeks
|
Otras medidas de resultado
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Altura
Periodo de tiempo: 12 semanas
|
12 semanas
|
|
|
Blood analysis
Periodo de tiempo: 12 weeks
|
estradiol testosteron SHBG progesteron FSH LH Insulin IGF-1 + IGF-1 Bp3 - metabolit LDL - lipid HDL - lipid Triglycerid - lipid Total cholesterol Kortisol P1NP CTX1 - knogle HbA1c PTH CRP p-kreatinase p-kreatinin+eGFR p-calcium p-alanintransaminase p-albumin Alkalisk fosfatase (ALP) 6-keto-PGF1a Endothelin-1 s-VCAM-1 s-ICAM-1 Glucose Hæmoglobin Hæmatokrit
|
12 weeks
|
|
Dairy record registration
Periodo de tiempo: 12 weeks
|
Before the intervention and during during rehabilization
|
12 weeks
|
|
Body mass
Periodo de tiempo: 12 weeks
|
12 weeks
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Mette Hansen, PhD, Aarhus University, Department of Public Health
Publicaciones y enlaces útiles
Enlaces Útiles
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Comportamiento
- Actividad del motor
- Hormonas
- Hormonas, sustitutos hormonales y antagonistas hormonales
- Actividad motora
- Movimiento
- Fenómenos fisiológicos musculoesqueléticos
- Fenómenos fisiológicos musculoesqueléticos y neuronales
- Compuestos policíclicos
- Esteroides
- Compuestos de anillo fusionado
- Estreness
- Estranos
- Congéneres de estradiol
- Hormonas esteroides gonadal
- Hormonas gonadales
- Estradiol
- Ejercicio
Otros números de identificación del estudio
- E30 HER-MUSCLE Intervention
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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