๐ฌIn plain words
What the trial is, and whether it could suit you
Background:
Premature ovarian insufficiency (POI) is a condition in which women under the age of 40 years have absent or irregular menstrual cycles. POI can cause infertility, signs of menopause, osteoporosis, and other symptoms. Hormone replacement therapy (HRT) is a treatment that gives women extra hormones, such as estrogen and progesterone. HRT works well in adult women. Researchers want to find the most effective doses and regimens for adolescents.
Objective:
To monitor the effects of HRT on adolescents with POI.
Eligibility:
Female adolescents aged 11 to 19 years diagnosed with POI. Healthy volunteers are also needed.
Design:
All participants will have clinic visits every 6 months for 2 years. Each visit may last 2 days. Each visit may include:
Blood and urine tests.
A test of their heart function.
A test to measure the stiffness of their blood vessels. Participants will
Sign in to get the eligibility rules as simple questions to take to your doctor.
๐ Eligibility rules (as published)
* INCLUSION CRITERIA:
Inclusion Criteria for POI Participants
To be eligible to participate in this study, an individual must meet all the following criteria:
1. Individuals aged 11-19 years, inclusive, at the time of enrollment.
2. Diagnosis of premature ovarian insufficiency.
3. Documentation of one elevated serum FSH measurement greater than the testing laboratory's upper reference range (for age/Tanner stage).
4. Identify as female (i.e., sex assigned at birth)
5. Negative pregnancy test.
Inclusion Criteria for Healthy Volunteers:
1. Individuals aged 11-19 years.
2. Identify as female (i.e., sex assigned at birth)
3. Negative pregnancy test.
4. Absence of known chronic disease
EXCLUSION CRITERIA:
Male participants are excluded from both study groups (POI and Healthy Volunteers) as POI affects only the female reproductive system, while pregnant participants are not eligible to have DXA or HRpQCT imaging for safety reasons.
Exclusion Criteria for POI participants:
An individual who meets any of the following criteria will be excluded from participation in this study:
1. POI in the setting of Turner syndrome.
2. Patients who screened positive for celiac disease.
3. Receipt of any medications including HRT determined by the investigator to affect bone metabolism 3 months prior to enrollment.
4. Any medical condition determined by the investigator to affect bone health will be excluded.
5. Presence of a medical, psychiatric, or social condition which, in the opinion of the investigator, would place undue burden on the subject, NIH resources, or increase risk of participation.
6. Report of sexual activity but refusal to use a copper intrauterine device or double barrier forms of contraception during the study.
Exclusion Criteria for Healthy Volunteers:
For healthy volunteers, all exclusion criteria will apply as for POI participants except for number 1.
๐
What it tests
- Progesterone
- Estrogen Patch
National Institutes of Health Clinical Center
Bethesda, United States
๐ค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ always decide together with your own doctor.