Clinical trial

Atherosclerosis Intervention With Novel Tissue Selective Estrogen Complex Therapy

Name
R01AG058691
Description
Advancing Postmenopausal Preventive Therapy (APPT) is a randomized, double-blinded, placebo-controlled trial designed to determine the effects of tissue selective estrogen complex (TSEC) therapy on the progression of subclinical atherosclerosis and cognitive decline in 360 healthy postmenopausal women.
Trial arms
Trial start
2021-04-13
Estimated PCD
2026-10-31
Trial end
2026-12-31
Status
Recruiting
Phase
Early phase I
Treatment
Oral bazedoxifene 20 mg / conjugated estrogens 0.45 mg
Oral bazedoxifene 20 mg / conjugated estrogens 0.45 mg
Arms:
BZA/CE
Placebo
Placebo
Arms:
Placebo
Size
400
Primary endpoint
Carotid artery intima-media thickness
At baseline and 6 months, 1 year, 1.5 years, 2 years, 2.5 years and 3 years after randomization
Eligibility criteria
Inclusion Criteria: * Women with a serum estradiol level \<30 pg/ml and cessation of regular menses \>6 months who are \<6 years postmenopausal and 45-59 years old. Exclusion Criteria: * Women with a hysterectomy * Clinical signs, symptoms or personal history of cardiovascular disease * Diabetes mellitus or fasting serum glucose \>126 mg/dL * Life threatening illness with prognosis \<5 years * Cirrhosis or liver disease * History of deep vein thrombosis or pulmonary embolism * History of breast cancer * Current use of postmenopausal hormone replacement therapy (HRT) within 1 month of randomization * Uncontrolled hypertension (\>180/\>110 mmHg)\* * Plasma triglyceride levels \>500 mg/dL * Serum creatinine \>2.0 mg/dL
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'Randomized (1:1), double-blinded, placebo-controlled trial of BZA/CE versus placebo.', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'QUADRUPLE', 'maskingDescription': 'Randomization randomly determined with key to treatment groups maintained by a single individual in the data coordinating center (DCC); study product masked with matching placebo.', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 400, 'type': 'ESTIMATED'}}
Updated at
2023-11-24

1 organization

1 product

2 indications

Indication
Atherosclerosis