Hormone Replacement Trial Against ALzheimers' Disease

NCT ID: NCT04312399

Last Updated: 2025-01-27

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

RECRUITING

Clinical Phase

NA

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-17

Study Completion Date

2028-12-31

Brief Summary

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The influence of postmenopausal hormone treatment on dementia is not clear. Dysfunctions in the metabolism of amyloid in the disease of Alzheimer result in an elevated presence of degradation products in cerebrospinal fluid.

The degradation products in blood will be analysed during the trial, to get better insight in menopause and the start of hormonal therapy.

Postmenopausal women with and without history of breast cancer will be recruited for the trial.

Detailed Description

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Conditions

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Postmenopausal Symptoms Alzheimer Disease

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

10 study groups: 9 groups who start with hormonal treatment and 1 control group who doesn't start with hormonal treatment
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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oral hormonal therapy

Postmenopausal women who start with oral hormonal therapy (Progesteron + uterogestan) according to standard of care practice. Before the start of the treatment blood will be taken and 6 (and 12) months after the start of the therapy blood will be taken for analysis. At the 2/3 study visits the patient will be asked to complete the questionaires (TANGO-SF, ICIQ, Cohen, Pittsburgh sleep quality). Only at the first study visit an MMSE test will be taken, to make sure the patient has no dementia.

Group Type OTHER

blood take

Intervention Type PROCEDURE

Blood is taken to analyse degradation products of the metabolism of amyloid

transdermal hormonal therapy

Postmenopausal women who start with transdermal hormonal (Oestrogel + uterogestan) therapy according to standard of care practice. Before the start of the treatment blood will be taken and 6 (and 12) months after the start of the therapy blood will be taken for analysis. At the 2/3 study visits the patient will be asked to complete the questionaires (TANGO-SF, ICIQ, Cohen, Pittsburgh sleep quality). Only at the first study visit an MMSE test will be taken, to make sure the patient has no dementia.

Group Type OTHER

blood take

Intervention Type PROCEDURE

Blood is taken to analyse degradation products of the metabolism of amyloid

oral hormonal therapy + hysterectomy

Postmenopausal women who start with oral hormonal therapy (progesteron) according to standard of care practice and had a hysterectomy in the past. Before the start of the treatment blood will be taken and 6 (and 12) months after the start of the therapy blood will be taken for analysis. At the 2/3 study visits the patient will be asked to complete the questionaires (TANGO-SF, ICIQ, Cohen, Pittsburgh sleep quality). Only at the first study visit an MMSE test will be taken, to make sure the patient has no dementia.

Group Type OTHER

blood take

Intervention Type PROCEDURE

Blood is taken to analyse degradation products of the metabolism of amyloid

transdermal hormonal therapy + hysterectomy

Postmenopausal women who start with transdermal hormonal therapy (Oestrogel ) according to standard of care practice and had a hysterectomy in the past. Before the start of the treatment blood will be taken and 6 (and 12) months after the start of the therapy blood will be taken for analysis. At the 2/3 study visits the patient will be asked to complete the questionaires (TANGO-SF, ICIQ, Cohen, Pittsburgh sleep quality). Only at the first study visit an MMSE test will be taken, to make sure the patient has no dementia.

Group Type OTHER

blood take

Intervention Type PROCEDURE

Blood is taken to analyse degradation products of the metabolism of amyloid

oral hormonal therapy + IUD

Postmenopausal women who start with oral hormonal therapy (Progynova) according to standard of care practice and have already an intra-uterine device. Before the start of the treatment blood will be taken and 6 (and 12) months after the start of the therapy blood will be taken for analysis. At the 2/3 study visits the patient will be asked to complete the questionaires (TANGO-SF, ICIQ, Cohen, Pittsburgh sleep quality). Only at the first study visit an MMSE test will be taken, to make sure the patient has no dementia.

Group Type OTHER

blood take

Intervention Type PROCEDURE

Blood is taken to analyse degradation products of the metabolism of amyloid

transdermal hormonal therapy + IUD

Postmenopausal women who start with transdermal hormonal therapy (Oestrogel ) according to standard of care practice and have an intra-uterine device. Before the start of the treatment blood will be taken and 6 (and 12) months after the start of the therapy blood will be taken for analysis. At the 2/3 study visits the patient will be asked to complete the questionaires (TANGO-SF, ICIQ, Cohen, Pittsburgh sleep quality). Only at the first study visit an MMSE test will be taken, to make sure the patient has no dementia.

Group Type OTHER

blood take

Intervention Type PROCEDURE

Blood is taken to analyse degradation products of the metabolism of amyloid

selective oestrogenreceptor modulators

Postmenopausal women who start with hormonal therapy according to standard of care practice and take selective oestrogenreceptor modulators (Nolvadex) because of their cancer in their medical history. Before the start of the treatment blood will be taken and 6 (and 12) months after the start of the therapy blood will be taken for analysis. At the 2/3 study visits the patient will be asked to complete the questionaires (TANGO-SF, ICIQ, Cohen, Pittsburgh sleep quality). Only at the first study visit an MMSE test will be taken, to make sure the patient has no dementia.

Group Type OTHER

blood take

Intervention Type PROCEDURE

Blood is taken to analyse degradation products of the metabolism of amyloid

aromatase inhibitors

Postmenopausal women who start with hormonal therapy according to standard of care practice and who taken aromatase inhibitors (Femara) because of their cancer in their medical history. Before the start of the treatment blood will be taken and 6 (and 12) months after the start of the therapy blood will be taken for analysis. At the 2/3 study visits the patient will be asked to complete the questionaires (TANGO-SF, ICIQ, Cohen, Pittsburgh sleep quality). Only at the first study visit an MMSE test will be taken, to make sure the patient has no dementia.

Group Type OTHER

blood take

Intervention Type PROCEDURE

Blood is taken to analyse degradation products of the metabolism of amyloid

Duavive

Postmenopausal women who start with hormonal therapy according to standard of care practice and who take duavive because of their cancer in their medical history. Before the start of the treatment blood will be taken and 6 (and 12) months after the start of the therapy blood will be taken for analysis. At the 2/3 study visits the patient will be asked to complete the questionaires (TANGO-SF, ICIQ, Cohen, Pittsburgh sleep quality). Only at the first study visit an MMSE test will be taken, to make sure the patient has no dementia.

Group Type OTHER

blood take

Intervention Type PROCEDURE

Blood is taken to analyse degradation products of the metabolism of amyloid

Control

Postmenopausal women who don't start with hormonal therapy according to standard of care practice. At the first study visit blood will be taken and 6 (and 12) months after the start of the therapy blood will be taken for analysis. At the 2/3 study visits the patient will be asked to complete the questionaires (TANGO-SF, ICIQ, Cohen, Pittsburgh sleep quality). Only at the first study visit an MMSE test will be taken, to make sure the patient has no dementia.

Group Type OTHER

blood take

Intervention Type PROCEDURE

Blood is taken to analyse degradation products of the metabolism of amyloid

Interventions

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blood take

Blood is taken to analyse degradation products of the metabolism of amyloid

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* postmenopausal women
* 40 - 65 years

Exclusion Criteria

* Longer than 10 years in menopause
* thyroid dysfunction
* hypertension
* medical history of psychiatric comorbidity
* Alcohol and/or drug abuse
* medical history of neurologic symptoms with cognitive symptoms
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital, Ghent

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Herman Depypere, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Ghent

Locations

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Ghent university hospital

Ghent, , Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Eline Meireson, Msc

Role: CONTACT

0032 9 332 78 17

Facility Contacts

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Eline Meireson, Msc

Role: primary

0032 9 332 78 17

Other Identifiers

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EC/2018/0315

Identifier Type: -

Identifier Source: org_study_id

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