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NCT Number: NCT07160504

Vaginal Estrogen Treatment and Effect on Hemostatic Parameters in Postmenopausal Women

This study investigates whether vaginal estrogen treatment has an effect on hemostatic parameters in postmenopausal women. Blood samples are collected before and after 3 months treatment to assess changes in hemostasis.

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Key information

Conditions

Age range

50 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Phase 4

Primary location

Department of Obstetrics and Gynecology, Aarhus University Hospital, Denmark

Aarhus N, 8200, Denmark

Location status: Recruiting

Location contact

Pinar Bor, MD, PhD, Prof.

CONTACT

[email protected]

22504767

About this study

This prospective cohort study includes 90 postmenopausal women aged ≥ 50, having vaginal atrophy symptoms and indication for treatment with vaginal estrogen tablets 10 µg at least 3 times a week for 3 months. Participants are divided into 2 study populations. Study population 1: 45 without a history of venous thromboembolic event and study population 2: 45 with a history of venous thromboembolic event.

Participation will involve 2 visits:

  • First visit: prior the initiation of treatment an interview is carried out to assess inclusion criteria and information on demographics followed by blood sampling.
  • Second visit: follow-up blood sampling after three months treatment. Hemostatic parameters will be assessed, comparing the blood samples at baseline with the follow-up blood sample.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Postmenopausal women aged ≥ 50
  • Symptomatic vaginal atrophy
  • Indication for standard treatment with vaginal estrogen tablets 10 µg at least three times a week
  • Study population 1: without a history of venous thromboembolic event
  • Study population 2: with a history of venous thromboembolic event

Exclusion criteria

  • Unable to give written informed consent
  • Does not speak Danish
  • Current cancer treatment
  • Current treatment with blood thinning medication (except plateletinhibitor)
  • Current treatment with local or systematic estrogen
  • Systemic inflammatory disease, liver disease or kidney disease

Treatment and study plan

Vaginal estradiol tablets

Drug

Vaginal estrogen tablets 10 µg at least 3 times a week (on indication, prescribed at the outpatient clinic).

Primary outcomes

  1. Endogenous thrombin potential (ETP)

    Time frame: 0 months, 3 months

    nmol/l x min

  2. Endogenous trombin lag time (LT)

    Time frame: 0 months, 3 months

    min

  3. Endogenous trombin peak height

    Time frame: 0 months, 3 months

    nmol/l

  4. Factor VIII (FVIII)

    Time frame: 0 months, 3 months

    Percentage

  5. Antithrombin

    Time frame: 0 months, 3 months

    Percentage

  6. Protein S

    Time frame: 0 months, 3 months

    Percentage

  7. Protein C

    Time frame: 0 months, 3 months

    Percentage

  8. D-dimer

    Time frame: 0 months, 3 months

    ng/mL

  9. CRP

    Time frame: 0 months, 3 months

    mg/l

  10. Fibrinogen

    Time frame: 0 months, 3 months

    g/l

  11. Tissue-type plaminogen activator (t-PA)

    Time frame: 0 months, 3 months

    ng/mL

  12. Plasminogen activator inhibitor type 1 (PAI-1)

    Time frame: 0 months, 3 months

    ng/mL

  13. Faktor XII (FXII)

    Time frame: 0 months, 3 months

    μg/mL

  14. Prekallikrein (PK)

    Time frame: 0 months, 3 months

    μg/mL

  15. H-Kininogen (HK)

    Time frame: 0 months, 3 months

    Percentage

  16. Cleaved H-Kininogen (cHK)

    Time frame: 0 months, 3 months

    μg/mL

  17. C1-esterase inhibitor (C1-inh)

    Time frame: 0 months, 3 months

    g/L

  18. Endogenous kallikrein potential (EKP)

    Time frame: 0 months, 3 months

    nmol/L x min

Study contacts

Contact information is provided by the study sponsor or research team.

Pinar Bor, Pinar Bor, MD, PhD, Prof.

CONTACT

[email protected]

+45 78 42 11 13

Sponsors and collaborators

Lead sponsor

University of Aarhus

Other

Collaborators

  • University of Southern Denmark

Registry information

Official study title

Is There an Effect of Local Vaginal Estrogen Treatment on the Hemostatic Parameters in Postmenopausal Women?

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Sep 8, 2025
Registry last updated
Sep 8, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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