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Chronic Effects of Estrogen in Microcirculation

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ClinicalTrials.gov Identifier: NCT01295892
Recruitment Status : Completed
First Posted : February 15, 2011
Last Update Posted : April 18, 2013
Information provided by (Responsible Party):

Study Description
Brief Summary:
This study aims to evaluate the chronic effects of estrogen on microcirculation, inflammatory biomarkers, hormonal status, plasma viscosity and biochemical tests in postmenopausal obese women after three months of follow-up intervention.

Condition or disease Intervention/treatment Phase
Postmenopausal Symptoms Drug: Estrogen Phase 4

Detailed Description:

Estrogens exert pleiotropic actions on the cardiovascular system through binding to estrogen receptors. Traditionally, estrogen receptors have been recognized as transcription factors regulating the expression of target genes, however, numerous studies have revealed rapid actions of estrogen in different systems, so-called 'extranuclear actions'. At this level, estrogen triggers rapid vasodilatation, exerts anti-inflammatory effects, regulates vascular cell growth and migration, and confers protection to cardiomyocytes. Our aims are to investigate estrogen´s chronic effects on microcirculation.

The study will assess the potential benefits of estrogens on: chronic low-grade inflammation, metabolic profile, microcirculation and blood rheology. Postmenopausal obese women will be randomly submitted to estrogen (transdermal 17-β-estradiol 1mg/day) or placebo therapy during three months in a double-blind fashion. At baseline and after intervention, nailfold videocapillaroscopy, laser-Doppler flowmetry and venous occlusion plethysmography, inflammatory biomarkers, hormonal status, metabolic profile, plasma viscosity and anthropometrical measures will be assessed in all subjects.

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 44 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Treatment
Official Title: Chronic Effects of Estrogen in Microcirculation and Insulin Resistance in Postmenopausal Obese Women
Study Start Date : December 2011
Primary Completion Date : March 2013
Study Completion Date : April 2013
Arms and Interventions

Arm Intervention/treatment
Placebo Comparator: placebo
placebo (transdermal gel)
Drug: Estrogen
transdermal 17-β-estradiol 1mg/day during three months
Experimental: Estrogen
1mg of 17B-estradiol/day (transdermal gel)
Drug: Estrogen
transdermal 17-β-estradiol 1mg/day during three months

Outcome Measures

Primary Outcome Measures :
  1. functional capillary density by videocapillaroscopy(number of perfused capillaries on the studied skin area) [ Time Frame: 03 months ]

Secondary Outcome Measures :
  1. blood viscosity(the values are expressed in centipoises) [ Time Frame: 03 months ]
    evaluate the change in blood viscosity after 3 months of treatment

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   48 Years to 55 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • History of natural menopause defined by the absence of menses for at least 12 months and a serum concentration of FSH > 35 IU/L
  • BMI between 27 to 34.9 kg/m²
  • Non-smokers
  • Not on use of any hormones or supplements for a minimum of 6 months prior to the study
  • No absolute contraindications to the use of physiological replacement doses of estrogen

Exclusion Criteria:

  • Renal disease, coronary or peripheral vascular diseases, haematologic or hepatic diseases
  • Diabetes mellitus, glucose intolerance or altered fasting glucose
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01295892

Laboratorio de Pesquisas Clinicas e Experimentais em Biologia Vascular
Rio de Janeiro, Brazil
Sponsors and Collaborators
Rio de Janeiro State University
Principal Investigator: Diogo Panazzolo Rio de Janeiro State University
More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Luiz Guilherme Kraemer de Aguiar, Chronic Effects of Estrogen in Microcirculation and Insulin Resistance in Postmenopausal Obese Women, Rio de Janeiro State University
ClinicalTrials.gov Identifier: NCT01295892     History of Changes
Other Study ID Numbers: pkvw6k
First Posted: February 15, 2011    Key Record Dates
Last Update Posted: April 18, 2013
Last Verified: April 2013

Keywords provided by Luiz Guilherme Kraemer de Aguiar, Rio de Janeiro State University:
Microvascular Function

Additional relevant MeSH terms:
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs