Bone Health in Adolescents and Young Adults With Oral Macro-progestin Treatment

NCT ID: NCT04007614

Last Updated: 2025-11-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Study Classification

OBSERVATIONAL

Study Start Date

2020-04-30

Study Completion Date

2021-02-28

Brief Summary

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Many factors are known to influence the acquisition of bone capital, especially estrogens in women. Estrogens have a major role in bone growth and the acquisition of bone mass peaks during puberty. This peak of bone mass is an important determinant of the risk of osteoporotic fracture in adulthood.

It is known that estrogen deficiency increases the rate of bone remodeling and engenders an imbalance between resorption and bone formation, which can lead to osteoporosis.

Oral estroprogestin contraceptives have an anti-gonadotropic effect and suppress estrogen secretion by the ovaries.

However, studies in adolescents and young adults are rare and evidence of an effect on bone is still inconclusive, although there is increasing evidence that oral estroprogestin contraceptives in teenage girls may compromise the performance of the bone mass.

Macro progestins treatments are prescribed in France to patients with contraindications to estroprogestin treatments. This practice is french and few recommendations exist on the use of these molecules by the oral route. There are no studies that describe the impact of these oral treatments on the bone health of young women treated.

The Department of endocrinology, gynecology and pediatric diabetes of Necker-Enfants Malades hospital, follows many young girls taking a macro progestin treatment. This study is exclusively descriptive and will focus on the clinical and medical datas available on the bone health of these patients.

Detailed Description

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Conditions

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Contraception Macro-progestins

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients

Patients who have taken a macro progestin treatment for more than 6 months between 16 and 25 years of age.

Questionnaire

Intervention Type OTHER

Fardellone questionnaire (evaluation of calcium intake) Tolerance of treatment

Interventions

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Questionnaire

Fardellone questionnaire (evaluation of calcium intake) Tolerance of treatment

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients aged 16 to 25 years old
* Patients followed at Necker-Enfants Malades hospital
* Patients who have taken or taking macro-progestins treatment by oral route (Luteran, Lutenyl, Surgestone) for at least 6 months between the age of 16 and 25 years

Exclusion Criteria

* Patients with a pathology or treatment that can alter bone mineral density
Minimum Eligible Age

16 Years

Maximum Eligible Age

25 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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URC-CIC Paris Descartes Necker Cochin

OTHER

Sponsor Role collaborator

Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sabrina Da Costa, MD

Role: STUDY_DIRECTOR

Hôpital Necker-Enfants Malades

Locations

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Hôpital Necker-Enfants Malades

Paris, Paris, France

Site Status

Countries

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France

Other Identifiers

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IDRCB : 2019-A00340-57

Identifier Type: OTHER

Identifier Source: secondary_id

APHP190093

Identifier Type: -

Identifier Source: org_study_id

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