Hormone Therapy and Angiotensin-Dependent Arterial and Renal Vasoconstriction in Humans

NCT ID: NCT05442463

Last Updated: 2025-03-27

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

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-11-30

Study Completion Date

2025-11-30

Brief Summary

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1. to investigate the association between route of administration of exogenous estrogen (transdermal vs. oral) and cardiorenal risk in cisgender (gender identity aligning with sex at birth) and transgender (gender identity not aligning with sex at birth) women.
2. to investigate the association between exogenous testosterone exposure and cardiorenal risk in cisgender (gender identity aligning with sex at birth) and transgender (gender identity not aligning with sex at birth) men.

Detailed Description

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Participants are screened for eligibility.

Study involves a 4.5 hour morning in the lab:

1. Participants come fasting
2. IV infusion and blood draws
3. Non invasive testing - Holter monitor, sphygmocor, bioelectrical impedance, blood pressure checks

Conditions

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Hormone Therapy

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Cisgender and transgender women

Iohexol 5 ml IV push followed 10 ml IV flush of normal saline is administered to establish baseline GFR (glomerular filtration rate). FF (filtration fraction) is calculated as follows: GFR/RPF=FF. Captopril 25 mg is given orally.

Blood will be collected at specific time points, pulse wave velocity testing 3 times throughout morning, Holter monitor and bioelectrical impedance testing.

Captopril Tablets

Intervention Type DRUG

Captorpril challenge to each participant

Iohexol

Intervention Type DRUG

Iohexol infusion to evaluate measured GFR

Cisgender and transgender men

Iohexol 5 ml IV push followed 10 ml IV flush of normal saline is administered to establish baseline GFR (glomerular filtration rate). FF (filtration fraction) is calculated as follows: GFR/RPF=FF. Captopril 25 mg is given orally.

Blood will be collected at specific time points, pulse wave velocity testing 3 times throughout morning, Holter monitor and bioelectrical impedance testing.

Captopril Tablets

Intervention Type DRUG

Captorpril challenge to each participant

Iohexol

Intervention Type DRUG

Iohexol infusion to evaluate measured GFR

Interventions

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Captopril Tablets

Captorpril challenge to each participant

Intervention Type DRUG

Iohexol

Iohexol infusion to evaluate measured GFR

Intervention Type DRUG

Other Intervention Names

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Capoten Omnipaque

Eligibility Criteria

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Inclusion Criteria

* Age 18 to 90 years
* Taking hormones orally or non-orally (either estrogen, progesterone or testosterone)

Exclusion Criteria

* Cardiovascular disease (symptoms consistent with myocardial ischemia, previously documented myocardial ischemia, cardiac arrhythmias or valve abnormalities, or abnormal ECG at screening)
* Cerebrovascular disease (transient ischemic attacks or stroke)
* History of hypertension (BP\>140/90 or use of antihypertensive medications)
* Estimated glomerular filtration rate (eGFR) \< 60 ml/min/1.73m2
* Diabetes mellitus (defined by history, use of hypoglycaemic agents or a fasting glucose \>7mmol/L)
* Current smoker
* Previous history of preeclampsia
* Anabolic steroids, cortical steroids, or non-steroidal anti-inflammatory medications, or at the discretion of the investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Calgary

OTHER

Sponsor Role lead

Responsible Party

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Sofia Ahmed

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sofia Ahmed, MD

Role: PRINCIPAL_INVESTIGATOR

Alberta Health services

Locations

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University of Calgary

Calgary, Alberta, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Darlene Y Sola, BScN

Role: CONTACT

4032107434

Victoria Riehl-Tonn, BN

Role: CONTACT

4032109434

Facility Contacts

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Darlene Y Sola, BScN

Role: primary

4036149431

Victoria Riehl-Tonn, BN

Role: backup

4036149431

Other Identifiers

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REB19-0460

Identifier Type: -

Identifier Source: org_study_id

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