Partial Double-Blind, Placebo-Controlled Study to Assess the Effect of Anastrozole on the Endometrium in Healthy Volunteers
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Purpose
Aromatase inhibitors have been approved for use in postmenopausal women to treat and prevent breast cancer. They act by blocking the action of the enzyme, aromatase, that is necessary for the production of estradiol. This class of drugs, aromatase inhibitors, are very effective in reducing estradiol levels in postmenopausal women and in treating estrogen receptor positive breast cancers. This study is examining the effect of a specific inhibitor, anastrozole, on endometrial thickness in premenopausal women. The endometrium is sensitive to estradiol and also has local aromatase which, if inhibited, may result in reduced endometrial thickness. The main hypothesis is that anastrozole can be administered at any time during the menstrual cycle and reduce endometrial thickness compared to placebo.
| Condition | Intervention | Phase |
|---|---|---|
|
Menstruation Disorders |
Drug: Anastrozole |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | A Partial Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of Anastrozole, an Aromatase Inhibitor, on Endometrial Thickness in Healthy Premenopausal Women When Dosed at Various Times During the Menstrual Cycle (Protocol M-001) |
- Endometrial thickness as measured by transvaginal ultrasound, safety [ Time Frame: Over one menstrual cycle ] [ Designated as safety issue: No ]
| Enrollment: | 64 |
| Study Start Date: | March 2007 |
| Study Completion Date: | September 2007 |
| Primary Completion Date: | September 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Anastrozole - A
Treatment for 26 consecutive days
|
Drug: Anastrozole |
|
Experimental: Anastrozole -B
Treatment for 7 consecutive days early in menstrual cycle
|
Drug: Anastrozole |
|
Experimental: Anastrozoe - C
Treatment for 7 consecutive days mid follicular phase
|
Drug: Anastrozole |
|
Experimental: Anastrozole - D
Treatment for 7 consecutive days - mid cycle
|
Drug: Anastrozole |
|
Experimental: Anastrozole - E
Treatment for 7 consecutive days - luteal
|
Drug: Anastrozole |
|
Placebo Comparator: Anastrozole - F
Treatment with placebo for 26 consecutive days
|
Drug: Anastrozole |
Eligibility| Ages Eligible for Study: | 25 Years to 45 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Between the ages of 25 and 45 and pre-menopausal;
- Non-lactating and not pregnant
- able to follow the schedule of procedures
- able to freely provide informed consent
- have clinically acceptable physical examination and safety laboratory studies
Exclusion Criteria:
- current use of any form of systemic contraceptive
- have self-reported irregular menstrual cycles
- intercurrent illness(es) detected on the screening physical
- unwilling or unable to use barrier methods of contraception
- have evidence of endometrial polyps or myomata on TVU/SIS that would interfere with endometrial thickness measurement
- detection of ovarian cyst(s) during adnexal examination on screening TVU/SIS measuring greater than 5 cm
- have history of, or current cancer, on any form exclusive of basal cell carcinoma
- BMI >= 35
- history of alcohol or drug abuse in the past 5 years
- unwilling or unable to undergo study procedures within the necessary time frames
- history or current liver abnormalities as defined by ALT or AST > 2X ULN
- treated or untreated diabetes defined as fasting blood sugar >= 126 mg/dL
- untreated hypertension
- impaired renal function by estimated creatinine clearance < 80mL/min
- have estradiol levels < 20 pg/ml and FSH levels > 40 mIU/mL or
- have a history of adverse reaction any aromatase inhibitor
Contacts and Locations
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00467493 History of Changes |
| Other Study ID Numbers: | M-001 |
| Study First Received: | April 27, 2007 |
| Last Updated: | June 2, 2009 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Menstruation Disturbances Pathologic Processes Anastrozole Aromatase Inhibitors Antineoplastic Agents, Hormonal |
Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 18, 2013