MHT and Liver Function in Postmenopausal Women

NCT ID: NCT07103603

Last Updated: 2026-01-27

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

COMPLETED

Clinical Phase

NA

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-30

Study Completion Date

2025-12-30

Brief Summary

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This prospective study aims to evaluate the effects of menopausal hormone therapy (MHT) on liver function, lipid profiles, and hepatic steatosis in postmenopausal women. A total of 44 participants will be divided into two groups: 22 received MHT and 22 were monitored without treatment. Biochemical parameters, FIB-4 scores, and attenuation imaging (ATI) measurements are assessed at baseline and after six months. The study investigates whether MHT is associated with favorable changes in liver enzymes, hepatic fat accumulation, and noninvasive fibrosis markers.

Detailed Description

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This prospective, controlled cohort study is designed to evaluate the effects of menopausal hormone therapy (MHT) on liver function and non-alcoholic fatty liver disease (NAFLD) in postmenopausal women. A total of 44 participants are included and divided into two groups: 22 women will receive MHT and 22 will be monitored without treatment due to the absence of menopausal symptoms.

Biochemical parameters including liver enzymes and lipid profiles are measured at baseline and after six months. In addition, hepatic steatosis is quantitatively assessed using attenuation imaging (ATI), a novel ultrasound-based technique, and FIB-4 scores are calculated as noninvasive indicators of liver fibrosis.

The MHT regimens included both oral and transdermal estrogen, selected based on clinical indications. ATI measurements are performed using standardized protocols by radiologists blinded to clinical data.

The primary aim of the study is to investigate whether MHT is associated with favorable changes in hepatic steatosis and liver-related biomarkers.

Conditions

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Menopause Non Alcholic Fatty Liver Disease Hepatic Steatosis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group 1: MHT Group

Postmenopausal women receiving menopausal hormone therapy (oral or transdermal estrogen). Evaluated at baseline and after 6 months for liver function, lipid profile, FIB-4 score, and attenuation imaging.

Group Type ACTIVE_COMPARATOR

Menopausal hormone therapy

Intervention Type DRUG

Menopausal hormone therapy including oral or transdermal estrogen, with or without progestin, administered based on clinical indications.

Group 2: Control Group

Postmenopausal women not receiving MHT. Monitored without treatment and evaluated using the same laboratory and imaging parameters.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Menopausal hormone therapy

Menopausal hormone therapy including oral or transdermal estrogen, with or without progestin, administered based on clinical indications.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Female participants aged 40 years or older
* Postmenopausal status (defined as ≥12 months of amenorrhea)
* No prior use of menopausal hormone therapy in the last 6 months
* Willingness to participate and provide informed consent

Exclusion Criteria

* History of liver disease, liver malignancy, or liver transplantation
* Current or past alcohol consumption exceeding 20g/day
* Premature ovarian failure
* History of any active malignancy
* Use of medications known to affect liver enzymes or fat metabolism
* Current participation in another clinical trial
Minimum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Ipek B. Ozcivit Erkan, MD

OTHER

Sponsor Role lead

Responsible Party

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Ipek B. Ozcivit Erkan, MD

Obstetrician and Gynecologist

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Istanbul University - Cerrahpasa, Cerrahpasa Faculty of Medicine

Istanbul, Beyoğlu, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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Approval Number:814468

Identifier Type: -

Identifier Source: org_study_id

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