Hyperandrogenemia and Altered Day-night LH Pulse Patterns

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexFemale
Age10-17
SponsorUniversity of Virginia

About this trial

The purpose of this study is to determine if, in mid- to late pubertal girls with hyperandrogenism, androgen-receptor blockade (spironolactone) improves the ability of progesterone to acutely reduce waking luteinizing hormone pulse frequency (primary endpoint).

Eligibility criteria

Qualifiers

Mid- to late pubertal adolescent girl (at least Tanner breast stage 3, but no more than 2 years postmenarcheal)

Hyperandrogenism, defined as a serum (calculated) free testosterone concentration greater than the Tanner stage-specific reference range and/or unequivocal evidence for hirsutism

General good health (excepting overweight, obesity, hyperandrogenism, and adequately-treated hypothyroidism)

Capable of and willing to provide informed assent (adolescents under age 16 years) and/or consent (adolescents over age 16 years; custodial parents or guardians of all adolescent volunteers)

Disqualifiers

Inability/incapacity to provide informed consent

Males will be excluded (hyperandrogenism is unique to females)

Obesity resulting from a well-defined endocrinopathy or genetic syndrome

Positive pregnancy test or current lactation

Trial design

Treatments tested in this trial

  • Micronized progesterone
  • Spironolactone
  • Placebo

Treatment groups

32 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of Virginia

Lead sponsor

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator