Estrogen Hormone Products

Last updated: February 17, 2025
Sponsor: University of Maryland, Baltimore
Overall Status: Active - Recruiting

Phase

1

Condition

Menopause

Treatment

Compounded estradiol product

Compounded estradiol gel

Divigel 0.1% Topical Gel

Clinical Study ID

NCT05645406
HP-00100540
  • Ages 45-65
  • Female
  • Accepts Healthy Volunteers

Study Summary

The purpose is to determine if the two estradiol products can deliver similar amounts of estradiol after single and multiple dosing.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Postmenopausal women, who are of any ethnic background, between the age of 45 to 65years old

  2. Provide written informed consent before initiation of any of the study procedures

  3. Able to adhere to the study restrictions and study schedule

  4. Volunteer has mid thighs of at least 42 cm (16.5 in) in circumference to accommodatethe products to be tested at an area of 400 cm2 per thigh

  5. Volunteer has legs that measure ≥46 cm (18.1 in) in length from the iliac crest tothe top of the patella or large enough to accommodate the products to be tested atan area of 400 cm2 per thigh with the subject being comfortable with the templateplacement

  6. Volunteer deemed to be healthy as judged by the Medically Accountable Investigator (MAI) and determined by medical history, physical examination, and medicationhistory

  7. Negative urine drug screening test (cannabinoids, amphetamines, barbiturates,benzodiazepine, cocaine, methadone, opiates, PCP)

  8. Have normal screening laboratories for white blood cells (WBC), hemoglobin (Hgb),platelets, sodium, potassium, chloride, bicarbonate, blood urea nitrogen (BUN),creatinine, alanine transaminase (ALT), and aspartate aminotransferase (AST)

  9. Have normal screening laboratories for urine protein and urine glucose

  10. Naturally postmenopausal (absence of periods for ≥ 1 year or 6 weeks postsurgicalbilateral oophorectomy with or without hysterectomy (menopause induced by removal ofovaries)

  11. Agree not to participate in another clinical trial/study or to participate in aninvestigational drug study for at least one month after the last procedure day

  12. Agrees not to donate blood to a blood bank throughout participation in the study andfor at least three months after last procedure day

  13. Have a normal ECG; must not have the following to be acceptable: pathologic Q waveabnormalities, significant ST-T wave changes, left ventricular hypertrophy, rightbundle branch block, left bundle branch block. (sinus rhythm is between 55-100 beatsper minute)

  14. Have normal vital signs:

  • Temperature 35-37.9°C (95-100.3°F)

  • Systolic blood pressure 90-165 mmHg

  • Diastolic blood pressure 60-100 mmHg

  • Heart rate 55-100 beats per minute

  • Respiration rate 12-20 breaths per minute

Exclusion

Exclusion Criteria:

  1. Smokers/tobacco users (current use or use over the previous 2 months ofnicotine-containing substances, including tobacco products (e.g., cigarettes,cigars, chewing tobacco, snuff, gum, patches, or electronic cigarettes)

  2. Participation in any ongoing clinical drug trial/study

  3. Hereditary skin disorders or any skin inflammatory conditions as reported by thevolunteer or evident to the MAI

  4. History of significant dermatologic cancers (e.g., melanoma, squamous cellcarcinoma) except basal cell carcinomas that were superficial and did not involvethe investigative sites

  5. History as either reported by the volunteer or evident to the investigator ofinfectious disease or skin infection or of chronic skin disease (e.g., psoriasis,atopic dermatitis)

  6. Use of medications/alternative treatments/natural products for menopausal symptomswithin the last 30 days or during the study.

  7. Use of some chronic prescription medications during the period 0 to 30 days; orover-the-counter medications (e.g. antihistamines, topical corticosteroids, creams,gels, or ointments on your legs) and short term (<30 days) prescription medicationsduring the period 0-3 days before a procedure day vitamin and herbal supplements notincluded). Certain types of medications may not exclude volunteers from this study,for example; thyroid medications, allergy medication that is not a steroid,non-steroidal anti-inflammatory drugs (e.g., ibuprofen or naproxen), andlipid/cholesterol lowering drugs.

  8. Active positive Hepatitis B, C and/or HIV serologies

  9. Positive urine drug screening test

  10. Use of estrogen-containing implants, topical, or oral products

  11. Donation or loss of greater than one pint of blood within 60 days of entry to thestudy

  12. Any prior allergies to estradiol and its products or other ingredients in theapplied gel or cream

  13. Received an experimental agent (vaccine, drug, biologic, device, blood product ormedication) within one month before enrollment in this study or expects to receivean experimental agent during the study

  14. Any condition that would, in the opinion of the Medically Accountable Investigator (MAI), place the volunteer at an unacceptable risk of injury or render the volunteerunable to meet the requirements of the protocol

  15. History of diabetes

  16. Breast cancer or history of breast cancer

  17. Undiagnosed abnormal genital bleeding

  18. Estrogen-dependent neoplasia (tumor)

  19. Active arterial thromboembolic disease (example, stroke or heart attack), or ahistory of these conditions

  20. Active DVT (blood clots in deep vein such as lower leg, thigh, pelvis or can occurin arm), PE (blood clot in blood vessel; often leg), or history of these conditions

  21. Hepatic (liver) impairment or disease

  22. A history of Protein C, protein S, or antithrombin deficiency, or other knownthrombophilic disorders (tendency to form blood clots)

  23. At application site, volunteer has an obvious difference in skin color betweenthighs, presence of a skin condition, excessive hair, sunburn, raised moles andscars, open sores, scar tissue, tattoo, or coloration that would interfere withplacement of products, skin assessment, or reactions to estradiol

  24. BMI ≥32 kg/m2

Study Design

Total Participants: 12
Treatment Group(s): 4
Primary Treatment: Compounded estradiol product
Phase: 1
Study Start date:
May 14, 2024
Estimated Completion Date:
June 30, 2025

Connect with a study center

  • General Clinical Research Center (GCRC) at the University of Maryland Medical Center

    Baltimore, Maryland 21201
    United States

    Active - Recruiting

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