Role of Menopause in Thermoregulation

NCT ID: NCT06798571

Last Updated: 2025-04-15

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

PHASE4

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-01

Study Completion Date

2026-07-01

Brief Summary

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The frequency and severity of heat waves has increased in the last decades. Older adults (over 65 years) have impaired responses to heat stress making them at increased risk for adverse events. Previous heat waves report that women over 65 experience worse health outcomes than any other age group and age matched men.

Aging and reproductive hormones, specifically estrogen, independently alter responses to heat stress. However, the combined effects of low estrogen following menopause and aging on the response to heat stress are unknown. In this study, the investigators will identify the role of estrogen in pre and post menopausal women on thermoregulatory responses to heat stress.

Detailed Description

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Premenopausal and postmenopausal women will be recruited and different interventions will be given to each group. To mimic a postmenopausal hormone profile, premenopausal women will be given a GnRH antagonist, which acutely reduces estrogen concentrations. This induces a temporary post-menopausal state without compounding aging effects. Postmenopausal women will be given a transdermal estradiol patch to acutely raise estrogen concentrations. Supplementing estrogen in postmenopausal women allows for the effect of menopausal low estrogen concentration to be removed from the physiological effects of aging.

Subjects sign an informed consent form and undergo a medical screening prior to participation. The screening includes a physical exam, anthropometry, chemical and lipid profiles.

Each subject will complete 6 (3 for each treatment) experimental trials. For each intervention, participants will complete one passive heating experiment first, followed by two active heating experiments.

Conditions

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Menopause Aging

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Subjects participate in 6 experiments, 3 for each treatment (Elagolix OR Estradiol and placebo). The order of treatment is random.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Investigators
Double (participant, investigator)

Study Groups

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Premenopausal estrogen suppression

Participants take a cellulose placebo tablet for 4 days prior to baseline testing and continue until experimental visits are complete. Following completion of placebo testing, participants begin taking 400 mg/day Elagolix for 4 days prior to testing and continue until experimental visits are complete.

Group Type EXPERIMENTAL

Elagolix Oral Tablet

Intervention Type DRUG

2 x 200 mg tablet

cellulose placebo

Intervention Type OTHER

placebo tablet

Postmenopausal estrogen supplementation

Participants wear a transdermal estradiol patch or placebo patch for 5 days prior to testing and continue until experimental visits are complete. After 48 hr washout, participants then wear the alternative treatment for 5 days prior to testing until experimental visits are complete.

Group Type EXPERIMENTAL

Estradiol patch

Intervention Type DRUG

0.05 mg/day patch

placebo patch

Intervention Type OTHER

placebo patch

Interventions

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Elagolix Oral Tablet

2 x 200 mg tablet

Intervention Type DRUG

Estradiol patch

0.05 mg/day patch

Intervention Type DRUG

cellulose placebo

placebo tablet

Intervention Type OTHER

placebo patch

placebo patch

Intervention Type OTHER

Other Intervention Names

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Orilissa

Eligibility Criteria

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Inclusion Criteria

* Women ages 42-64

Exclusion Criteria

* Chron's disease, diverticulitis, or similar gastrointestinal disease
* Abnormal resting exercise electrocardiogram (ECG)
* Tobacco use
* High-risk determined by the Atherosclerotic Cardiovascular Disease (CVD) Risk Factor
* Assessment
* Using hormone therapy
* Using hormonal contraceptives
Minimum Eligible Age

42 Years

Maximum Eligible Age

64 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Penn State University

OTHER

Sponsor Role lead

Responsible Party

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W. Larry Kenney

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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W. Larry Kenney, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

The Pennsylvania State University

Locations

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Noll Laboratory

University Park, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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W. Larry Kenney, Ph.D.

Role: CONTACT

814-863-1672

Olivia K. Leach, MS

Role: CONTACT

Facility Contacts

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W. Larry Kenney, Ph.D.

Role: primary

814-863-1672

Olivia Leach, MS

Role: backup

Other Identifiers

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Study 25435

Identifier Type: -

Identifier Source: org_study_id

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