Trial Outcomes & Findings for Understanding Experimentally Induced Hot Flushes (NCT NCT00455689)

NCT ID: NCT00455689

Last Updated: 2018-09-18

Results Overview

Objective sleep efficiency was measured using actigraphy. Sleep efficiency (percent of time spent asleep between bedtime and wake time) was calculated and averaged over 2 consecutive nights both before and 4 weeks after receiving the intervention.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

20 participants

Primary outcome timeframe

baseline (before receiving intervention) and 4 weeks after receiving intervention

Results posted on

2018-09-18

Participant Flow

Participant milestones

Participant milestones
Measure
Developed Hot Flashes
Subjects who developed hot flashes after receiving leuprolide acetate (3.75 mg intramuscular injection) Leuprolide acetate: Leuprolide acetate (Lupron Depot®) 3.75-mg intramuscular injection Leuprolide is a widely used GnRH agonist that is indicated for treatment of endometriosis, uterine fibroids, precocious puberty, and prostate cancer, and is used off-label for in-vitro fertilization and premenstrual syndrome. In this protocol, leuprolide will be administered once during the mid-luteal phase of the menstrual cycle at a dose routinely used for treatment of endometriosis and uterine fibroids in women.
Did Not Develop Hot Flashes
Subjects who did not develop hot flashes after receiving leuprolide acetate (3.75 mg intramuscular injection) Leuprolide acetate: Leuprolide acetate (Lupron Depot®) 3.75-mg intramuscular injection Leuprolide is a widely used GnRH agonist that is indicated for treatment of endometriosis, uterine fibroids, precocious puberty, and prostate cancer, and is used off-label for in-vitro fertilization and premenstrual syndrome. In this protocol, leuprolide will be administered once during the mid-luteal phase of the menstrual cycle at a dose routinely used for treatment of endometriosis and uterine fibroids in women.
Overall Study
STARTED
14
6
Overall Study
COMPLETED
14
6
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Understanding Experimentally Induced Hot Flushes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Developed Hot Flashes
n=14 Participants
Subjects who developed hot flashes after receiving leuprolide acetate (3.75 mg intramuscular injection) Leuprolide acetate: Leuprolide acetate (Lupron Depot®) 3.75-mg intramuscular injection Leuprolide is a widely used GnRH agonist that is indicated for treatment of endometriosis, uterine fibroids, precocious puberty, and prostate cancer, and is used off-label for in-vitro fertilization and premenstrual syndrome. In this protocol, leuprolide will be administered once during the mid-luteal phase of the menstrual cycle at a dose routinely used for treatment of endometriosis and uterine fibroids in women.
Did Not Develop Hot Flashes
n=6 Participants
Subjects who did not develop hot flashes after receiving leuprolide acetate (3.75 mg intramuscular injection) Leuprolide acetate: Leuprolide acetate (Lupron Depot®) 3.75-mg intramuscular injection Leuprolide is a widely used GnRH agonist that is indicated for treatment of endometriosis, uterine fibroids, precocious puberty, and prostate cancer, and is used off-label for in-vitro fertilization and premenstrual syndrome. In this protocol, leuprolide will be administered once during the mid-luteal phase of the menstrual cycle at a dose routinely used for treatment of endometriosis and uterine fibroids in women.
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
32.8 years
STANDARD_DEVIATION 9.0 • n=93 Participants
25.5 years
STANDARD_DEVIATION 6.7 • n=4 Participants
30.6 years
STANDARD_DEVIATION 8.9 • n=27 Participants
Sex: Female, Male
Female
14 Participants
n=93 Participants
6 Participants
n=4 Participants
20 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race/Ethnicity, Customized
Non-Hispanic White
8 Participants
n=93 Participants
3 Participants
n=4 Participants
11 Participants
n=27 Participants
Race/Ethnicity, Customized
Hispanic or African-American
6 Participants
n=93 Participants
3 Participants
n=4 Participants
9 Participants
n=27 Participants

PRIMARY outcome

Timeframe: baseline (before receiving intervention) and 4 weeks after receiving intervention

Objective sleep efficiency was measured using actigraphy. Sleep efficiency (percent of time spent asleep between bedtime and wake time) was calculated and averaged over 2 consecutive nights both before and 4 weeks after receiving the intervention.

Outcome measures

Outcome measures
Measure
Developed Hot Flashes
n=14 Participants
Subjects who developed hot flashes after receiving leuprolide acetate (3.75 mg intramuscular injection) Leuprolide acetate: Leuprolide acetate (Lupron Depot®) 3.75-mg intramuscular injection Leuprolide is a widely used GnRH agonist that is indicated for treatment of endometriosis, uterine fibroids, precocious puberty, and prostate cancer, and is used off-label for in-vitro fertilization and premenstrual syndrome. In this protocol, leuprolide will be administered once during the mid-luteal phase of the menstrual cycle at a dose routinely used for treatment of endometriosis and uterine fibroids in women.
Did Not Develop Hot Flashes
n=6 Participants
Subjects who did not develop hot flashes after receiving leuprolide acetate (3.75 mg intramuscular injection) Leuprolide acetate: Leuprolide acetate (Lupron Depot®) 3.75-mg intramuscular injection Leuprolide is a widely used GnRH agonist that is indicated for treatment of endometriosis, uterine fibroids, precocious puberty, and prostate cancer, and is used off-label for in-vitro fertilization and premenstrual syndrome. In this protocol, leuprolide will be administered once during the mid-luteal phase of the menstrual cycle at a dose routinely used for treatment of endometriosis and uterine fibroids in women.
Percent Change in Objective Sleep Efficiency
-2.6 percent change
Interval -10.2 to -0.9
4.2 percent change
Interval 0.8 to 7.5

SECONDARY outcome

Timeframe: baseline (before receiving intervention) and 4 weeks after receiving intervention

Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI; range 0-21, higher score indicates poorer quality sleep), which was administered both before and four weeks after receiving the intervention.

Outcome measures

Outcome measures
Measure
Developed Hot Flashes
n=14 Participants
Subjects who developed hot flashes after receiving leuprolide acetate (3.75 mg intramuscular injection) Leuprolide acetate: Leuprolide acetate (Lupron Depot®) 3.75-mg intramuscular injection Leuprolide is a widely used GnRH agonist that is indicated for treatment of endometriosis, uterine fibroids, precocious puberty, and prostate cancer, and is used off-label for in-vitro fertilization and premenstrual syndrome. In this protocol, leuprolide will be administered once during the mid-luteal phase of the menstrual cycle at a dose routinely used for treatment of endometriosis and uterine fibroids in women.
Did Not Develop Hot Flashes
n=6 Participants
Subjects who did not develop hot flashes after receiving leuprolide acetate (3.75 mg intramuscular injection) Leuprolide acetate: Leuprolide acetate (Lupron Depot®) 3.75-mg intramuscular injection Leuprolide is a widely used GnRH agonist that is indicated for treatment of endometriosis, uterine fibroids, precocious puberty, and prostate cancer, and is used off-label for in-vitro fertilization and premenstrual syndrome. In this protocol, leuprolide will be administered once during the mid-luteal phase of the menstrual cycle at a dose routinely used for treatment of endometriosis and uterine fibroids in women.
Change in Subjective Sleep Quality
2.5 units on a scale
Interval 1.0 to 4.0
1.0 units on a scale
Interval 1.0 to 2.0

Adverse Events

All Subjects

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
All Subjects
n=20 participants at risk
20 subjects who all received one leuprolide injection
Nervous system disorders
Headache
10.0%
2/20 • Number of events 2 • Subjects were monitored for 3 months following GnRHa administration
Skin and subcutaneous tissue disorders
Acne
5.0%
1/20 • Number of events 1 • Subjects were monitored for 3 months following GnRHa administration
Gastrointestinal disorders
Bloating
5.0%
1/20 • Number of events 1 • Subjects were monitored for 3 months following GnRHa administration
Renal and urinary disorders
malodorous urine
5.0%
1/20 • Number of events 1 • Subjects were monitored for 3 months following GnRHa administration
General disorders
Fatigue
15.0%
3/20 • Number of events 3 • Subjects were monitored for 3 months following GnRHa administration
Psychiatric disorders
Irritability
5.0%
1/20 • Number of events 1 • Subjects were monitored for 3 months following GnRHa administration
General disorders
Increased libido
5.0%
1/20 • Number of events 1 • Subjects were monitored for 3 months following GnRHa administration
Vascular disorders
Edema
5.0%
1/20 • Number of events 1 • Subjects were monitored for 3 months following GnRHa administration
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract infection
10.0%
2/20 • Number of events 2 • Subjects were monitored for 3 months following GnRHa administration

Additional Information

Hadine Joffe, MD MSc

Brigham & Women's Hospital

Phone: 617-732-4906

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place