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Trial registered on ANZCTR
Registration number
ACTRN12611001093976
Ethics application status
Approved
Date submitted
20/10/2011
Date registered
20/10/2011
Date last updated
20/10/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
The neuroendocrine and metabolic effects of oestrogens
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Scientific title
The neuroendocrine and metabolic effects of oestrogens in healthy postmenopausal women and men the same age
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Secondary ID [1]
273245
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Neuroendocrine regulation of GH secretion by oestrogens
279005
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Metabolic effects of oestrogens
279006
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Condition category
Condition code
Metabolic and Endocrine
279190
279190
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0
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Normal metabolism and endocrine development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1) Oestradiol 2 mg once daily orally for 2 weeks, followed by 4 weeks washout;
2) tamoxifen 20 mg once daily orally for 2 weeks, followed by 4 weeks washout;
3) letrozole 5 mg once daily orally for 2 weeks
Women take all 3 treatments, men take only tamoxifen and letrozole.
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Intervention code [1]
269580
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Treatment: Drugs
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Comparator / control treatment
Patients act as their own control
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Control group
Active
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Outcomes
Primary outcome [1]
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Whole body fatty acid metabolism assessed by palmitate turnover technique.
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Assessment method [1]
279826
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Timepoint [1]
279826
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Assessed after each 2 week intervention period, i.e. three times in women and twice in men.
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Primary outcome [2]
279827
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Liver fatty acid metabolism, assessed by VLDL measurements using leucine turnover technique.
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Assessment method [2]
279827
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Timepoint [2]
279827
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Assessed after each 2 week intervention period, i.e. three times in women and twice in men.
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Primary outcome [3]
279828
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GH secretion, assessed by arginine stimulation test
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Assessment method [3]
279828
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Timepoint [3]
279828
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Assessed after each 2 week intervention period, i.e. three times in women and twice in men.
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Secondary outcome [1]
294524
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Resting energy expenditure, assessed by indirect calorimetry
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Assessment method [1]
294524
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Timepoint [1]
294524
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Assessed after each 2 week intervention period, i.e. three times in women and twice in men.
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Secondary outcome [2]
294525
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Fat oxidation, assessed by indirect calorimetry
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Assessment method [2]
294525
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Timepoint [2]
294525
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Assessed after each 2 week intervention period, i.e. three times in women and twice in men.
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Eligibility
Key inclusion criteria
Healthy postmenopausal women and men the same age
BMI <25 kg/m2
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Minimum age
50
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
History of liver, kidney diseases, cancer, diabetes, endocrine disorders, that are likely to interfere with the metabolism or excretion of the test medication.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The participant will be enrolled into the study after the informed consent process has been completed and the participant has met all inclusion criteria and none of the exclusion criteria. The participant will receive a study enrolment number and this will be documented in the participant’s medical record and on all study documents.
Allocation concealment - central randomization by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Only women will be randomized at study visit 1 after they have met the randomization criteria. At this visit the participant will be randomised (computer generated sequence) to study treatment with either oestrogen or tamoxifen. Letrozole treatment will always be given last to avoid any carry-over effects.
Men will always receive tamoxifen first, followed by letrozole treatment.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
3/08/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
270071
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Government body
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Name [1]
270071
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NHMRC
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Address [1]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
270071
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Australia
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Primary sponsor type
Other
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Name
Garvan Institute of Medical Research
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Address
384 Victoria St
Darlinghurst 2010 NSW
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Country
Australia
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Secondary sponsor category [1]
269037
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None
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Name [1]
269037
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Address [1]
269037
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Country [1]
269037
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St Vincent's Hospital HREC
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Ethics committee address [1]
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390 Victoria St Darlinghurst 2010 NSW
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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22/06/2009
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Approval date [1]
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09/07/2009
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Ethics approval number [1]
272026
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1/09/0090
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Summary
Brief summary
The purpose of this study is to understand how oestrogen controls the use of fat in the liver. The hypothesis is that oestrogen is required to prevent the accumulation of fat in the liver. The mechanism may be direct or mediated by other hormones such as growth hormone, which is regulated by oestrogen. We wish to study the effects of oestrogen compounds called Selective Oestrogen Receptor Modulators (tamoxifen) and a drug that prevents oestrogen production (letrozole) on the secretion of growth hormone from the special gland in brain and how they control the liver production and burning of fat in men and women. We wish to compare these effects with that of natural oestrogen itself in women.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
33288
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Address
33288
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Country
33288
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Phone
33288
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Fax
33288
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Email
33288
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Contact person for public queries
Name
16535
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Vita Birzniece
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Address
16535
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Garvan Institute of Medical Research
384 Victoria St
Darlinghurst 2010, NSW
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Country
16535
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Australia
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Phone
16535
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+61 2 92958483
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Fax
16535
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+61 2 92958481
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Email
16535
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[email protected]
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Contact person for scientific queries
Name
7463
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Vita Birzniece
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Address
7463
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Garvan Institute of Medical Research
384 Victoria St
Darlinghurst 2010, NSW
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Country
7463
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Australia
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Phone
7463
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+61 2 92958483
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Fax
7463
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+61 2 92958481
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Email
7463
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Tamoxifen reduces hepatic VLDL production and GH secretion in women: A possible mechanism for steatosis development.
2017
https://dx.doi.org/10.1530/EJE-17-0151
Embase
Disparate Effect of Aromatization on the Central Regulation of GH Secretion by Estrogens in Men and Postmenopausal Women.
2019
https://dx.doi.org/10.1210/jc.2019-00265
N.B. These documents automatically identified may not have been verified by the study sponsor.
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