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NCT05903820CompletedPhase 4

Rhythmic Estradiol and Bone Health

The Effect of Low-dose Rhythmic 17-β-estradiol Administration on Bone Turnover in Postmenopausal Women

Source: ClinicalTrials.gov · Last updated 16 Oct 2026

Brief summary (registry, in English)

The goal of this randomized-controlled trial is to compare the effect of rhythmic estrogen treatment to continuous estrogen treatment on bone turnover in healthy postmenopausal women. The main question it aims to answer are: • Does rhythmic estrogen lead to increased bone formation in healthy postmenopausal women, compared to continuous estrogen? Participants will receive one of the following treatments for a duration of 16 weeks: \- Rhythmic estradiol: Alternating 4-week cycles consisting of transdermal 17-β-estradiol 25μg/24hrs for two weeks, followed by two weeks of transdermal 17-β-estradiol 50μg/24hrs. Estradiol therapy will be combined with continuous oral micronized progesterone 100mg once daily. * Low-dose continuous estradiol: Continuous transdermal 17-β-estradiol 25μg/24hrs, combined with continuous oral micronized progesterone 100mg daily once daily. * Standard-dose continuous estradiol: Continuous transdermal 17-β-estradiol 50μg/24hrs, combined with continuous oral micronized progesterone 100mg daily once daily. If there is a comparison group: Researchers will compare rhythmic estradiol to continuous estradiol to see if rhythmic estradiol improves bone formation in postmenopausal women.

Status (registry)
Completed
Phase (registry)
Phase 4
Study type
Interventional
Enrollment
48 (actual)
First submitted
15 May 2023
Start date
19 Jul 2023
Primary completion date
21 Oct 2024
Lead sponsor
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Diseases
Osteoporosis
NCT number
NCT05903820

What you commit to

  • Study type: Interventional · Phase 4
  • Participants enrolled: 48
  • From 19 Jul 2023 to the primary completion date, 21 Oct 2024
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Contra-indication for estrogen and/or progesterone therapy
  • Hormonal contraception or hormone replacement therapy use (estradiol with or without progesterone) in the past 12 months
  • Use of drugs including herbal medicine known to affect bone metabolism (e.g. corticosteroids) or to interfere with cytochrome P450 enzyme (CYP) pathways. Exceptions are occasional use of paracetamol, ibuprofen, acetylsalicylic acid or topical medication

Other illness

  • Known hypersensitivity to the excipients in the estradiol patch or progesterone capsule
  • Presence or history of any clinically relevant metabolic, endocrinological, hepatic, renal, cardiovascular, gastrointestinal, or respiratory conditions, history of bone disease or bone marrow disease, known vitamin D deficiency (25-OH vitamin D \<30 nmol/L)

Age

  • First-grade family member with inherited thrombophilia or history of venous thromboembolism under the age of 60 years
  • Premature menopause (menopause age \<40 years)

Other

  • Hysterectomy
  • Recent fracture (\<12 months)
  • BMI \<20 or BMI ≥30

Who the study is looking for

  • Postmenopausal, defined as final menstrual cycle more than 1 years prior to inclusion and FSH\>30 IU/L
  • Final menstrual cycle \< 10 years prior to inclusion

Age in the registry: 45 years to 60 years · Sex: Female · Accepts healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Save your city in your profile to sort them by distance.

SiteCityCountrySite status
Amsterdam UMC
Coordinator of this site? Confirm its status
AmsterdamNetherlandsUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.