Menopausal Hormone Therapy, GLP-1 Agonists, and Glucose and Energy Homeostasis in Postmenopausal Women With Diabetes

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorLia Bally

About this trial

The overall aim is to investigate the hypothesis that restoring E2 levels through MHT improves glucose and energy homeostasis and potentiates the beneficial effects of GLP-1RA in early postmenopausal women with pre- or existing type 2 diabetes.

The primary objective is to assess the efficacy of combined MHT and GLP-1RA in improving glucose control in early postmenopausal women with pre- or existing type 2 diabetes, compared to GLP-1RA alone. Secondary objectives include efficacy analyses on body weight, other measures of cardiometabolic health, lifestyle behaviour, menopausal symptoms, and the exploration of mechanisms underpinning potential glycaemic and weight control benefits, and biomarkers of haemostasis.

Eligibility criteria

Qualifiers

Early postmenopausal status (STRAW+10 stage +1b or +1c and FSH>25.0mU/L)

Presence of menopausal symptoms (total MRS-II score ≥1)

BMI ≥ 27.0kg/m2

Pre- or existing type 2 diabetes (HbA1c 5.7%-8.5%)

Disqualifiers

DPP4-inhibitor, SLGT2-inhibitor or sulfonylurea use within 8 weeks prior to study enrolment

GLP-1RA use within 6 months prior to study enrolment

Insulin therapy within 8 weeks prior to study enrolment

History of bariatric surgery

Trial design

Treatments tested in this trial

  • GLP-1 Receptor Agonist
  • Menopausal Hormone Therapy

Treatment groups

96 Participants
are divided into 3 treatment groups

Sponsors and collaborators

Lia Bally

Lead sponsor

Insel Gruppe AG, University Hospital Bern

Sponsor institution