ClinicalTrials.gg
RecruitingNCT02155933LHUpdated Nov 2, 2023

Assessment of Day-night Secretion of Progesterone and LH Across Puberty

An observational study in Puberty and Hyperandrogenism, sponsored by University of Virginia. Recruiting at 1 site in United States. Open to female participants aged 7 Years to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-11-02.

Sponsored by University of Virginia · Observational

From the registry’s dates

  • Primary completion was expected by Feb 2025, 1 year 9 months ago, but the record still lists the study as recruiting.
  • Started Jul 2008; still recruiting 18 years 4 months later.
Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
75
Ages
7 Years to 17 Years
Sex
Female
01

Study summary

Hormones are substances that are made by the body and are sent directly out into the bloodstream to increase or decrease the function of certain organs, glands, or other hormones. Testosterone is a hormone found in the blood of all girls, but some girls have too much testosterone in their blood. Too much testosterone in the blood can possibly lead to a problem called polycystic ovary syndrome (PCOS). People with PCOS have abnormal menstrual periods, excess facial and body hair, and too much testosterone in their blood. On the other hand, some girls with too much testosterone in their blood do not develop PCOS. We do not know why some of these girls develop PCOS and why some do not. The purpose of this research study is to find out whether too much testosterone can cause problems with other hormones that can lead to the development of PCOS. This study may help us understand more about the causes of PCOS.

Read the detailed description

Polycystic ovary syndrome (PCOS) is a common disorder marked by irregular ovulation and hyperandrogenism. Hyperandrogenemia during adolescence can be a forerunner of adult PCOS. However, the progression of hormonal abnormalities leading to PCOS are unclear. We will examine hormonal profiles (e.g., LH, FSH, progesterone, testosterone, estradiol) during pubertal maturation in adolescent girls with and without elevated plasma androgens. The working hypothesis is that, in pubertal girls without hyperandrogenemia, overnight rises of progesterone are associated with a reduction of LH frequency during the waking morning hours. However, in pubertal girls with hyperandrogenemia, LH frequency will be higher than normal during both the day and night, despite similar or higher progesterone levels. The studies will involve frequent blood sampling over 18 hours. We will assess differences in hormone parameters between time blocks (1900-2300 h, 2300-0300 h, 0300-0700 h, 0700-1100 h) in individuals to evaluate day-night changes. We will compare such changes between those with hyperandrogenemia and those without hyperandrogenemia.

02

Conditions studied

  • Puberty
  • Hyperandrogenism

Browse trials for

03

In context

Hyperandrogenism

81 studies on the registry are indexed under Hyperandrogenism; 22 are open to participants now.

This study's planned enrollment of 75 is below the median of 135 across 26 observational studies indexed under Hyperandrogenism.

Browse Hyperandrogenism studies →

Lead sponsor

University of Virginia is the lead sponsor of 675 studies on the registry; 138 are open to participants now.

Of its 61 completed or terminated interventional studies of FDA-regulated products, 42 (69%) have results posted.

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

04

Who can participate

Ages eligible
7 Years to 17 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Adolescent females

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Early and late pubertal girls with normal androgens
  • Early and late pubertal girls with hyperandrogenemia
  • All subjects will be girls from pre-puberty (Stage 1 breast development and pubic hair growth but at least 7 years old) to 7 years post menarche.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy
  • Inability to comprehend what will be done during the study or why it will be done
  • \<11.5 g/dL for non-African American subjects; Hemoglobin \< 11.0 g/dL for African American subjects
  • Persistently abnormal sodium, potassium, or bicarbonate (i.e., confirmed on repeat)
  • Persistently elevated creatinine, hepatic transaminases, or alkaline phosphatase (i.e., confirmed on repeat)
  • Total > 1.5 times (i.e., confirmed on repeat)
  • Significant history of cardiac or pulmonary dysfunction (e.g., known or suspected congestive heart failure; asthma requiring intermittent systemic ; etc.)
  • Untreated hypo- or hyperthyroidism (reflected by persistently abnormal TSH values)
  • Total testosterone > 200 ng/dl
  • Basal (follicular) 17-OHP > 200 ng/ml (in girls without a previous diagnosis of congenital adrenal hyperplasia)
  • DHEA-S > 800 mcg/dl
  • Elevation of prolactin > 2 times upper limit of normal
  • Weight less than 25 kg
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
75 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Hyperandrogenemia

    Peripubertal girls with hyperandrogenemia

    Other: Blood sampling

  • Controls

    Peripubertal girls without hyperandrogenemia

    Other: Blood sampling

Interventions

  • OtherBlood sampling

    Blood sampling for later hormone measurements

06

What researchers measure

Primary outcomes

  1. Difference in mean LH frequency when awake (19:00-23:00 and 07:00-11:00) and when asleep (23:00-07:00) in girls with and without hyperandrogenemia

    Time frame: Time frame for the study will be 18 hours (Sampling begins at 1800 hrs and proceeds through 1200 hours the following day).

Secondary outcomes

  1. Daytime (awake) and nighttime (sleep) differences in hormones (LH, FSH, T, E2, P, and cortisol) in girls with and without hyperandrogenemia

    Time frame: Time frame for the study will be 18 hours (Sampling begins at 1800 hrs and proceeds through 1200 hours the following day).

07

Study locations

1 of 1 sites recruiting
  • Center for Research in Reproduction, University of Virginia
    Charlottesville, Virginia 22908, United States
    Recruiting
    • Melissa Gilrain · Contactpcos@virginia.edu · 434-243-6911
    • John C Marshall, MD · Sub investigator
    • Christopher McCartney, MD · Principal investigator
08

References and documents

Individual participant data

Plan to share: No — We do not have current plans to share IPD

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2008 (actual). Primary completion is estimated for Feb 2025, 199 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
May 23, 2014
First posted
Jun 4, 2014
StartActual
Jul 10, 2008
Primary completionEst.
Feb 2025
CompletionEst.
Feb 2025
Last update
Nov 2, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 2, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02155933
Responsible party
Chris McCartney (Investigator, Center for Research in Reproduction, University of Virginia) — Principal investigator
First posted
Jun 4, 2014
Start date
Jul 10, 2008
Primary completion
Feb 2025 (estimated)
Completion
Feb 2025 (estimated)
Last update
Nov 2, 2023

Study contacts

Melissa Gilrain
Contact
pcos@virginia.edu
434-243-6911
Christopher R. McCartney, MD
Contact
cm2hq@virginia.edu
434-243-6911
Christopher R. McCartney, MD
principal investigator · University of Virginia

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion