Clinical trial

Kisspeptin Administration Subcutaneously to Patients With Reproductive Disorders

Name
FD007843
Description
The goal of this study is to see whether kisspeptin, a naturally occurring hormone, can stimulate the release of other reproductive hormones in men and women with idiopathic hypogonadotropic hypogonadism (IHH). The investigators are also examining whether kisspeptin can help women release eggs from their ovaries. Gonadotropin-releasing hormone (GnRH) may be administered subcutaneously (SC) for approximately six days in a pulsatile fashion, in order to prime the pituitary gland. Kisspeptin will be administered SC for two weeks in a pulsatile fashion. Ultrasound monitoring of ovarian follicular growth (for women) and frequent blood sampling (every 10 minutes for up to 70 minutes) will be performed to assess the physiologic response to kisspeptin over time. Funding Source: FDA OOPD
Trial arms
Trial start
2023-02-03
Estimated PCD
2027-06-30
Trial end
2027-06-30
Status
Recruiting
Phase
Early phase I
Treatment
kisspeptin 112-121
SC administration of kisspeptin for two weeks (pulsatile, every 60-240 minutes)
Arms:
kisspeptin pump
Other names:
metastin 45-54
GnRH
SC administration of GnRH for approximately six days (pulsatile, every 120 minutes)
Arms:
kisspeptin pump
Other names:
gonadotropin-releasing hormone
Size
36
Primary endpoint
Average change in luteinizing hormone (LH) pulse amplitude
2 weeks
Eligibility criteria
Inclusion Criteria: * Congenital IHH o Confirmed diagnosis by medical provider supported by low sex steroids in the setting of low or inappropriately normal gonadotropins * Normal blood pressure (systolic BP \< 140 mm Hg, diastolic \< 90 mm Hg) * Not using hormonal replacement or willing to complete an appropriate washout for that particular medication and method of administration * No current or recent use of a medication that, in the opinion of a study investigator, can modulate the reproductive axis or willing to complete an appropriate washout for that particular medication and method of administration Exclusion Criteria: * Any condition (medical, mental, or behavioral) that, in the opinion of a study investigator, would likely interfere with participation in/completion of the protocol * History of a medication reaction requiring emergency medical care * Excessive alcohol consumption (\>10 drinks/week) and/or active use of illicit drugs o Any active use of marijuana will be evaluated by a study medical professional to determine if it may impact study participation. Individuals who regularly use marijuana may be asked to washout as referenced in the medication washout section below. * Pregnant or trying to become pregnant * Breast feeding * History of bilateral oophorectomy (ovaries were removed)
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'OTHER', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 36, 'type': 'ESTIMATED'}}
Updated at
2024-05-01

1 organization

2 products

1 indication

Product
GnRH