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ELITE: Early Versus Late Intervention Trial With Estradiol

This study is currently recruiting participants.
Information provided by National Institute on Aging (NIA)

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Descriptive Information Fields
Brief Title  ELITE: Early Versus Late Intervention Trial With Estradiol
Official Title  Biologic Response of Menopausal Women to 17B-Estradiol
Brief Summary

The purpose of this study is to examine the effects of 17B-estradiol (estrogen) on the progression of early atherosclerosis in postmenopausal women.

Detailed Description

The primary hypothesis to be tested is that 17B-estradiol (estrogen) will reduce the progression of early atherosclerosis if initiated soon after menopause when the vascular endothelium (lining of blood vessels) is relatively healthy versus later when the endothelium has lost its responsiveness to estrogen. Ultrasonography will be used to measure the rate of change in the thickness of the carotid artery.

A total of 504 postmenopausal women will be randomized according to their number of years since menopause, less than 6 years or 10 years or more, to receive either oral 17B-estradiol 1 mg daily or a placebo. Women with a uterus will also use vaginal progesterone gel 4% (or a placebo gel) the last ten days of each month. The vaginal progesterone will be distributed in a double-blind fashion along with the randomized treatment so that only women exposed to active treatment will receive active progesterone. Participants will receive ultrasonography at baseline and every 6 months throughout the 2 to 5 years (average 3 years) of randomized treatment.

Study Phase Phase II, Phase III
Study Type  Interventional
Study Design  Treatment, Randomized, Double-Blind, Placebo Control, Factorial Assignment, Efficacy Study
Primary Outcome Measure  rate of change of distal common carotid artery (CCA) far wall intima-media thickness (IMT)
Secondary Outcome Measure  neurocognitive function
Condition  Atherosclerosis
Intervention  Drug: 17B-estradiol
MEDLINE PMIDs
Links USC Atherosclerosis Research Unit ELITE Trial This link exits the ClinicalTrials.gov site
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  504
Start Date  July 2004
Completion Date June 2009
Eligibility Criteria 

Inclusion Criteria:

  • Women with a serum estradiol level 25 pg/ml or less
  • No period for 6 months or more
  • Postmenopausal less than 6 years, OR 10 years or longer

Exclusion Criteria:

  • Clinical signs, symptoms, or personal history of cardiovascular disease
  • Women who have had a hysterectomy only and no oophorectomy (since time from menopause cannot be determined)
  • Diabetes mellitus or fasting serum glucose 140 mg/dL or greater
  • Uncontrolled hypertension (diastolic blood pressure 110 mmHg or greater)
  • Thyroid disease (untreated)
  • Serum creatinine greater than 2.0 mg/dL
  • Plasma triglyceride levels greater than 500 mg/dL
  • Life threatening disease with prognosis less than 5 years
  • Cirrhosis or liver disease
  • History of deep vein thrombosis or pulmonary embolism
  • History of breast cancer
  • Current hormone replacement therapy (HRT)
Gender Female
Ages
Accepts Healthy Volunteers Yes
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00114517
Organization ID AG0025
Secondary IDs †† R01AG024154
Study Sponsor  National Institute on Aging (NIA)
Collaborators ††
Investigators 
Principal Investigator:     Howard N. Hodis, MD     University of Southern California, Atherosclerosis Research Unit, Division of Cardiovascular Medicine, Department of Medicine    
Information Provided By National Institute on Aging (NIA)
Verification Date December 2007
First Received Date  June 15, 2005
Last Updated Date December 17, 2007

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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