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CompletedNCT00030914Updated Jul 13, 2016

Medroxyprogesterone Compared With Venlafaxine in Treating Hot Flashes in Women

A Phase 3 interventional study of medroxyprogesterone and venlafaxine in Hot Flashes, sponsored by Alliance for Clinical Trials in Oncology. Completed at 22 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-07-13.

Sponsored by Alliance for Clinical Trials in Oncology · Phase 3, Interventional, and Supportive care

Phase
Phase 3
Study type
Interventional
Enrollment
227
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

RATIONALE: Medroxyprogesterone and venlafaxine may be effective in relieving hot flashes. It is not yet known whether venlafaxine is more effective than medroxyprogesterone in relieving hot flashes.

PURPOSE: Randomized phase III trial to compare the effectiveness of medroxyprogesterone with that of venlafaxine in treating women who are experiencing hot flashes.

Read the detailed description

OBJECTIVES:

  • Compare the efficacy of medroxyprogesterone administered as 1 injection vs medroxyprogesterone administered as 3 injections (closed to accrual as of 1/22/03) vs venlafaxine for hot flash alleviation in women with symptomatic hot flashes.
  • Compare the toxic effects of these regimens in these patients.
  • Determine whether there is cross resistance between these 2 drugs in these patients.
  • Compare the 1-year efficacy of these regimens in these patients.

OUTLINE: This is a randomized, open-label, multicenter study. Patients are stratified according to age (18 to 49 vs 50 and over), current tamoxifen use (yes vs no), current raloxifene use (yes vs no), duration of hot flash symptoms (less than 9 months vs 9 months or more), and average frequency of hot flashes per day (2-3 vs 4-9 vs 10 or more). Patients are randomized to 1 of 2 treatment arms. (Arm II closed to accrual as of 1/22/03.)

All patients complete a daily questionnaire regarding number of hot flashes beginning on day 1 and continuing for 7 weeks. Patients are randomized to one of three treatment arms.

02

Conditions studied

  • Hot Flashes

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Keywords

  • hot flashes
03

In context

Hot Flashes

285 studies on the registry are indexed under Hot Flashes; 50 are open to participants now.

This study's enrollment of 227 is above the median of 90 across 255 interventional studies indexed under Hot Flashes.

Browse Hot Flashes studies →

Lead sponsor

Alliance for Clinical Trials in Oncology is the lead sponsor of 499 studies on the registry; 27 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • History of breast cancer, ductal carcinoma in situ, or lobular carcinoma in situ (currently without evidence of malignant disease) OR
  • Concerns about taking estrogen for fear of breast cancer
  • Bothersome hot flashes, defined as occurrence at least 14 times per week and of sufficient severity as to make patient desire therapeutic intervention
  • Presence of hot flashes for at least 1 month
  • Hormone receptor status:

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Sex:

  • Female

Performance status:

  • ECOG 0-1

Life expectancy:

  • At least 6 months

Cardiovascular:

  • No prior thromboembolic disease
  • No uncontrolled hypertension (persistent diastolic blood pressure greater than 95 mm Hg and/or systolic blood pressure greater than 160 mm Hg)

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Chemotherapy:

  • More than 4 weeks since prior antineoplastic chemotherapy
  • No concurrent antineoplastic chemotherapy unless clinically appropriate

Endocrine therapy:

  • More than 4 weeks since prior androgen or estrogen therapy
  • More than 3 months since prior progesterone as part of hormone replacement therapy
  • At least 1 year since any other progesterone therapy (including megestrol)
  • No concurrent androgen, estrogen, or progestational agents unless clinically appropriate
  • Concurrent tamoxifen, raloxifene, or aromatase inhibitors are allowed if started more than 4 weeks ago and continuation for more than 5 weeks is planned

Other:

  • More than 2 weeks since prior agents for treatment of hot flashes (e.g., clonidine, Bellergal-S, or vitamin E of more than 400 mg per day)
  • More than 1 year since prior antidepressants (including Hypericum perforatum [St John's Wort])
  • No other concurrent antidepressants or monoamine oxidase inhibitors
  • No other concurrent agents for treatment of hot flashes (e.g. clonidine, Bellergal-S, or vitamin E of more than 400 mg per day)
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Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
227 participants (actual)

Study arms

  • Experimental
    Arm I: venlafaxine

    All patients complete a daily questionnaire regarding number of hot flashes beginning on day 1 and continuing for 7 weeks. Patients receive oral venlafaxine once daily for 6 weeks beginning on day 8. After week 7, patients with satisfactory efficacy may continue venlafaxine for up to 6 months. Patients with unsatisfactory efficacy may cross over to arm III. Patients are followed at months 2, 3, 4, 5, 6, 8, 10, and 12.

    Drug: venlafaxine

  • Experimental
    Arm II: medroxyprogesterone - long term

    All patients complete a daily questionnaire regarding number of hot flashes beginning on day 1 and continuing for 7 weeks. Patients receive medroxyprogesterone intramuscularly (IM) on days 8, 22, and 36 for a total of 3 injections. After week 7, patients with unsatisfactory efficacy may cross over to arm I. Patients are followed at months 2, 3, 4, 5, 6, 8, 10, and 12.

    Drug: medroxyprogesterone

  • Experimental
    Arm III: medroxyprogesterone - short term

    All patients complete a daily questionnaire regarding number of hot flashes beginning on day 1 and continuing for 7 weeks. Patients receive medroxyprogesterone IM once on day 8. After week 7, patients with unsatisfactory efficacy may cross over to arm I. Patients are followed at months 2, 3, 4, 5, 6, 8, 10, and 12.

    Drug: medroxyprogesterone

Interventions

  • Drugmedroxyprogesterone
  • Drugvenlafaxine
06

What researchers measure

Primary outcomes

  1. Compare the efficacy of the three regimens

    Time frame: Up to one year post-treatment

Secondary outcomes

  1. Determine whether there is cross resistance between these 2 drugs in these patients

    Time frame: Up to 1 year post-treatment

  2. Compare the 1-year efficacy of these regimens in these patients

    Time frame: Up to 1 year post-treatment

07

Study locations

22 sites
  • CCOP - Mayo Clinic Scottsdale Oncology Program
    Scottsdale, Arizona 85259-5404, United States
  • Mayo Clinic - Jacksonville
    Jacksonville, Florida 32224, United States
  • MBCCOP - Hawaii
    Honolulu, Hawaii 96813, United States
  • CCOP - Illinois Oncology Research Association
    Peoria, Illinois 61602, United States
  • CCOP - Carle Cancer Center
    Urbana, Illinois 61801, United States
  • CCOP - Cedar Rapids Oncology Project
    Cedar Rapids, Iowa 52403-1206, United States
  • CCOP - Iowa Oncology Research Association
    Des Moines, Iowa 50309-1016, United States
  • Siouxland Hematology-Oncology
    Sioux City, Iowa 51101-1733, United States
  • CCOP - Wichita
    Wichita, Kansas 67214-3882, United States
  • CCOP - Michigan Cancer Research Consortium
    Ann Arbor, Michigan 48106, United States
  • CCOP - Duluth
    Duluth, Minnesota 55805, United States
  • Mayo Clinic Cancer Center
    Rochester, Minnesota 55905, United States
  • Coborn Cancer Center
    Saint Cloud, Minnesota 56303, United States
  • CCOP - Missouri Valley Cancer Consortium
    Omaha, Nebraska 68106, United States
  • Medcenter One Health System
    Bismarck, North Dakota 58501-5505, United States
  • CCOP - Toledo Community Hospital
    Toledo, Ohio 43623-3456, United States
  • CCOP - Oklahoma
    Tulsa, Oklahoma 74136, United States
  • Allegheny General Hospital
    Pittsburgh, Pennsylvania 15212-4772, United States
  • CCOP - Upstate Carolina
    Spartanburg, South Carolina 29303, United States
  • Rapid City Regional Hospital
    Rapid City, South Dakota 57709, United States
  • CCOP - Sioux Community Cancer Consortium
    Sioux Falls, South Dakota 57104, United States
  • CCOP - St. Vincent Hospital Cancer Center, Green Bay
    Green Bay, Wisconsin 54301, United States
08

References and documents

Publications

  • Loprinzi CL, Levitt R, Barton D, Sloan JA, Dakhil SR, Nikcevich DA, Bearden JD 3rd, Mailliard JA, Tschetter LK, Fitch TR, Kugler JW. Phase III comparison of depomedroxyprogesterone acetate to venlafaxine for managing hot flashes: North Central Cancer Treatment Group Trial N99C7. J Clin Oncol. 2006 Mar 20;24(9):1409-14. doi: 10.1200/JCO.2005.04.7324. Epub 2006 Feb 27. PubMed 16505409 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 13, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00030914
Lead sponsor
Alliance for Clinical Trials in Oncology
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
Apr 2002
Primary completion
Feb 2006
Completion
Sep 2006
Last update
Jul 13, 2016

Study contacts

Charles L. Loprinzi, MD
study chair · Mayo Clinic

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2016. You cannot join it, but the record below documents what was studied.

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