ClinicalTrials.gg
CompletedNCT02956447Updated Oct 1, 2024Results posted

Administration of Kisspeptin in Patients With Hyperprolactinemia

A Phase 2 interventional study of Kisspeptin 112-121 and GnRH in Hyperprolactinemia and Hypogonadism, sponsored by Massachusetts General Hospital. Completed at 1 site in United States. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2024-10-01.

Sponsored by Massachusetts General Hospital · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
36
Allocation
Non-randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

The goal of this study is to learn more about how kisspeptin, a naturally occurring hormone, affects women with high levels of prolactin (also called hyperprolactinemia). Subjects in one group will undergo blood sampling every 10 minutes over two 12-hour periods (one 12-hour period without any intervention and one 12-hour period with intravenous (IV) kisspeptin administration). Subjects in the second group will receive subcutaneous (SC) kisspeptin every 90 minutes for eight days.

02

Conditions studied

  • Hyperprolactinemia
  • Hypogonadism

Keywords

  • Kisspeptin
  • Hyperprolactinemia
  • GnRH
  • Hypogonadism
03

In context

Hyperprolactinemia

39 studies on the registry are indexed under Hyperprolactinemia; 4 are open to participants now.

This study's enrollment of 36 is below the median of 60 across 19 interventional studies indexed under Hyperprolactinemia.

Browse Hyperprolactinemia studies →

Lead sponsor

Massachusetts General Hospital is the lead sponsor of 2,582 studies on the registry; 451 are open to participants now.

Of its 221 completed or terminated interventional studies of FDA-regulated products, 168 (76%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

Inclusion/Exclusion Criteria:

  • confirmed diagnosis of elevated levels of prolactin measured via blood test,
  • no pituitary adenoma OR a microprolactinoma (\<10 mm). Patients with a macroprolactinoma confirmed on MRI imaging will be excluded,
  • no history of a medication reaction requiring emergency medical care,
  • no illicit drug use or excessive alcohol consumption (>10 drinks/week),
  • not currently seeking fertility, breastfeeding or pregnant,
  • no history of bilateral oophorectomy,
  • willing to complete a dopamine agonist washout and/or oral contraceptive washout,
  • normal physical exam and laboratory studies within protocol reference range.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    Intravenous Kisspeptin

    Blood sampling every 10 minutes over two 12-hour periods. One 12-hour period without any intervention. One 12-hour period consisting of administration of 10 boluses of kisspeptin 112-121 intravenously (IV).

    Drug: Kisspeptin 112-121 · Drug: GnRH

  • Experimental
    Subcutaneous Kisspeptin

    Subcutaneous (SC) administration of kisspeptin 112-121 every 90 minutes over eight days.

    Drug: Kisspeptin 112-121

Interventions

  • 0.313 ug/kg - 2 ug/kg IV or SC

    Also known as: Metastin 45-54

  • DrugGnRH

    0.075 ug/kg IV

    Also known as: gonadotropin-releasing hormone

06

What researchers measure

Primary outcomes

  1. Average Change in Number of Luteinizing Hormone (LH) Pulses Over 10 Hours

    Average change in LH pulse frequency at baseline and during kisspeptin IV administration

    Time frame: Up to 14 days

  2. Number of Participants With Evidence of Follicle Growth From Subcutaneous Kisspeptin

    Ultrasound evidence of increased follicle size over the course of SC kisspeptin administration

    Time frame: Evaluated over eight days

Secondary outcomes

  1. Average Change in LH Pulse Amplitude

    Average change in LH pulse amplitude at baseline and during IV kisspeptin administration

    Time frame: Up to 14 days

07

Results

Posted Aug 20, 2024

Participant flow

Participant flow — Overall Study
MilestoneIntravenous KisspeptinSubcutaneous Kisspeptin
Started2115
Completed105
Not completed1110

Outcome measures

PrimaryAverage Change in Number of Luteinizing Hormone (LH) Pulses Over 10 Hours

Average change in LH pulse frequency at baseline and during kisspeptin IV administration

Time frame:
Up to 14 days
Reported as:
Mean · pulses per 10 hour period
Average Change in Number of Luteinizing Hormone (LH) Pulses Over 10 Hours
pulses per 10 hour periodIntravenous KisspeptinSubcutaneous Kisspeptin
Average Change in Number of Luteinizing Hormone (LH) Pulses Over 10 Hours3.000 ± 3.066—
PrimaryNumber of Participants With Evidence of Follicle Growth From Subcutaneous Kisspeptin

Ultrasound evidence of increased follicle size over the course of SC kisspeptin administration

Time frame:
Evaluated over eight days
Reported as:
Count of participants · Participants
Number of Participants With Evidence of Follicle Growth From Subcutaneous Kisspeptin
ParticipantsSubcutaneous KisspeptinIntravenous Kisspeptin
Number of Participants With Evidence of Follicle Growth From Subcutaneous Kisspeptin3—
SecondaryAverage Change in LH Pulse Amplitude

Average change in LH pulse amplitude at baseline and during IV kisspeptin administration

Time frame:
Up to 14 days
Reported as:
Mean · mIU/mL
Average Change in LH Pulse Amplitude
mIU/mLIntravenous KisspeptinSubcutaneous Kisspeptin
Average Change in LH Pulse Amplitude-0.5764 ± 8.061—

Adverse events

Collected over From the time of documented informed consent until completion of study procedures (an average of 3 months).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Intravenous Kisspeptin0/21 (0%)0/21 (0%)10/21 (47.6%)
Subcutaneous Kisspeptin0/15 (0%)0/15 (0%)4/15 (26.7%)
Most frequent other events
Most frequent other events
EventIntravenous KisspeptinSubcutaneous Kisspeptin
HeadacheNervous system disorders5/212/15
Pain of skinSkin and subcutaneous tissue disorders3/212/15
Upper Respiratory InfectionInfections and infestations2/212/15
FatigueGeneral disorders2/210/15
NauseaGastrointestinal disorders0/211/15
DizzinessNervous system disorders1/211/15
Muscle CrampMusculoskeletal and connective tissue disorders1/211/15
MyalgiaMusculoskeletal and connective tissue disorders0/211/15

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Intravenous KisspeptinSubcutaneous KisspeptinTotal
<=18 years000
Between 18 and 65 years211536
>=65 years000
Age, Continuous
Age, Continuous(years)Intravenous KisspeptinSubcutaneous KisspeptinTotal
Mean29.3 ± 8.330.4 ± 8.429.8 ± 8.2
Sex: Female, Male
Sex: Female, Male(Participants)Intravenous KisspeptinSubcutaneous KisspeptinTotal
Female211536
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Intravenous KisspeptinSubcutaneous KisspeptinTotal
Hispanic or Latino9211
Not Hispanic or Latino10919
Unknown or Not Reported246
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Intravenous KisspeptinSubcutaneous KisspeptinTotal
American Indian or Alaska Native000
Asian213
Native Hawaiian or Other Pacific Islander000
Black or African American224
White9716
More than one race224
Unknown or Not Reported639
Region of Enrollment
Region of Enrollment(participants)Intravenous KisspeptinSubcutaneous KisspeptinTotal
United States211536
08

Study locations

1 site
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Jun 14, 2023
  • Informed consent form · Dec 30, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — After primary results are published, the authors will provide individual participant data upon request as long as it does not conflict with state or institutional regulations

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02956447
Responsible party
Stephanie B. Seminara, MD (Chief, Reproductive Endocrine Unit; Professor of Medicine, Harvard Medical School; Director, MGH Harvard Center for Reproductive Medicine, Massachusetts General Hospital) — Principal investigator
First posted
Nov 7, 2016
Start date
Nov 17, 2017
Primary completion
Jun 28, 2023
Completion
Jul 29, 2023
Results posted
Aug 20, 2024
Last update
Oct 1, 2024

Study contacts

Stephanie Seminara, MD
principal investigator · Massachusetts General Hospital

Oversight

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

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