Effects of hormone replacement therapy on heart function in women with premature ovarian insufficiency
Official title: Study of Ventricular Repolarization in Patients With Premature Ovarian Insufficiency and Influence of Estrogen-progestin Replacement Therapy
Run by Assistance Publique - Hôpitaux de Paris · NCT04167033 · Data updated 2026-11-12
This study tests how hormone replacement therapy affects heart function in women under 40 with premature ovarian insufficiency to see if it changes their heart rhythm.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 40 Years |
| Sex | Women only |
| Enrollment | 120 (estimated) |
| Sponsor | Assistance Publique - Hôpitaux de Paris Academic / other |
| Locations | 3 sites (Bordeaux and 2 other locations) |
| Status | Recruiting |
| Started | April 14, 2021 |
| Main results expected | April 13, 2027 |
| Study ends | June 13, 2027 |
| Registry record updated | December 9, 2025 |
| Trial ID | NCT04167033 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are women aged 18 to 40 diagnosed with premature ovarian insufficiency.
✕Probably not a fit
Patients with pre-existing cardiac conditions or those currently on hormone replacement therapy may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study investigates how hormone replacement therapy (HRT) affects ventricular repolarization in women diagnosed with premature ovarian insufficiency (POI). It focuses on measuring the corrected QT interval (QTc) on ECG, which can indicate the risk of serious heart arrhythmias. The research aims to understand the relationship between hormonal levels and QTc prolongation, particularly in women under 40 with POI. By comparing these patients to healthy controls, the study seeks to identify potential cardiovascular risks associated with HRT in this population.
Why it matters
Potential benefit: If successful, this study could help identify cardiovascular risks in women with premature ovarian insufficiency and optimize hormone replacement therapy to improve their heart health.
How similar studies have gone: Other studies have indicated hormonal influences on QTc prolongation, but this specific approach in the context of POI is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Patients with POI * Patient aged 18 to 41 years * Patient with POI diagnostic criteria (FSH \>25UI/l twice at intervals of a few weeks) with amenorrhea * No hormone treatment interacting with the gonadotropic axis for at least one month before inclusion * Patient who has signed informed consent * Patient affiliated to a social security system Healthy volunteers (including POI control group) * Healthy women, aged 18 to 40 years, age-matched (+/- 5 years), and by BMI class (BMI\<18, 18-25, 25-30, 30-35, 35-40, \>40) compared to women with BPI * Women with regular cycles of 26 to 32 days * Women who has signed an informed consent form * Patient affiliated to a social security system Exclusion Criteria: Patients with POI * Patient on HRT during the 1st evaluation * Pregnant or breastfeeding woman * Treatment regimen known to lengthen QT or act on ventricular repolarization * Cardiac history in particular cardiac rhythm disorder * Diabetes * Patient on AME (unless derogation from affiliation), * Severe renal insufficiency (MDRD \<30ml/min/m²) Healthy volunteers (including POI control group) * Diabetes or any chronic disease (including cardiovascular and endocrine) * Pregnant or breastfeeding woman * Hormonal contraceptive treatment in progress or stopped less than 3 months ago * Chronic treatment affecting the duration of QTc * Woman under AME (unless affiliation derogation)
Where it's running
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Bachelot
Paris, France Recruiting -
Pitié Salpêtrière
Paris, France Recruiting -
Hopital Haut Leveque
Bordeaux, France Active not recruiting
Study contacts
- Principal investigator: Anne Bachelot, Pr — Assistance Publique - Hôpitaux de Paris
- Study coordinator: Anne Bissery, MD
- Email: anne.bissery@aphp.fr
- Phone: 1 42 16 24 32
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Autologous Hair Follicle Secretome + PRP for POI
This pilot study tests whether a patient’s own hair follicle secretome combined with their own platelet-rich plasma can improve ovarian function in women with premature ovarian insufficiency.
-
Intravenous hUC-MSCs for POI: Safety, Tolerability and Early Efficacy
We’re testing whether IV human umbilical cord mesenchymal stem cells can be safely given to women under 40 with premature ovarian insufficiency to see if it helps improve ovarian function.
-
Human amniotic mesenchymal stem cell treatment for premature ovarian insufficiency
This trial will test whether an intravenous infusion of human amniotic mesenchymal stem cells combined with standard hormone therapy can help women under 40 with premature ovarian insufficiency.
-
Hormone replacement for adolescents with premature ovarian insufficiency
This study will test estrogen patches plus progesterone in girls and young women aged 11–19 with premature ovarian insufficiency to see if hormone replacement improves bone density, metabolic markers, muscle strength, and cardiovascular health.
-
Using Platelet-rich Plasma to Improve Female Fertility
This study is testing whether injections of platelet-rich plasma can help improve fertility in women dealing with issues like poor ovarian response and repeated implantation failure.
-
Using fat-derived cells to treat premature ovarian insufficiency
This study is testing if using fat-derived cells can help improve pregnancy chances for women with premature ovarian insufficiency compared to standard IVF treatments.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.