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TerminatedNCT05331053Updated Jan 30, 2025Results posted

MicroRNA Activation of LOX-1 Mechanisms in Endometriosis

A Phase 4 interventional study of Atorvastatin in Endometriosis, sponsored by Penn State University. Terminated at 1 site in United States. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-01-30.

Sponsored by Penn State University · Phase 4, Interventional, and Basic science

Why this study was terminated
COVID halting human subjects research and preliminary data from this proposal were used to submit an NIH grant. The NIH grant was funded and 3 other protocols were launched.

From the registry’s dates

  • Registered 3 years 11 months after the study started (first participant enrolled May 2018, registered Apr 2022).
Phase
Phase 4
Study type
Interventional
Enrollment
6
Allocation
Not applicable
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

Endometriosis is a disorder that occurs in women. With endometriosis, tissue that should be found in the womb is found in sites outside of the womb. This disorder impairs the function of the cells that line the body's blood vessels (endothelium). The endothelium helps to control blood flow in healthy vessels. Women with this disorder have an increased risk for high blood pressure and high cholesterol. They have a higher risk for cardiovascular disease, too. With this study, we will learn how endometriosis impairs the lining of blood vessels and increases the risk for disease.

Read the detailed description

Epidemiologic data demonstrate a clear association between endometriosis, reproductive risk factors, inflammation and cardiovascular (CV) risk. Circulating factors, Low-density lipoprotein (LDL) and oxidized LDL (oxLDL), are two of many biomarkers of cardiovascular and inflammatory disease of endometriosis. An important signaling mechanism through which circulating LDL and oxLDL act is the lectin-like oxidized LDL receptor (LOX-1). LOX-1 signal transduction functionally results in pronounced endothelial dysfunction, a hallmark of CV. We hypothesis that one factor mediating the elevated risk of cardiovascular disease in endometriosis is microRNA (miRNA) activation of LOX-1 receptor mechanisms.

Specific Aim 1. To test the hypothesis that LOX-1 receptor activation is increased leading to endothelial dysfunction in endometriosis.

Specific Aim 2. To test the hypothesis that decreased microRNAs (i.e. let7-a, let7-b, let7-g, MiR98, Mi590-p) are driving increased LOX-1 receptor expression and function in endometriosis.

02

Conditions studied

  • Endometriosis

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Keywords

  • Skin blood flow
  • Cholesterol
  • Statin
  • Intradermal Microdialysis
03

In context

Endometriosis

901 studies on the registry are indexed under Endometriosis; 259 are open to participants now.

This study's enrollment of 6 is below the median of 64 across 525 interventional studies indexed under Endometriosis.

Browse Endometriosis studies →

Lead sponsor

Penn State University is the lead sponsor of 263 studies on the registry; 51 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 10 (77%) 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
Yes

Inclusion criteria

  • Women between the ages of 18 and 45 years with endometriosis (diagnosis by prior laparoscopy by subject's own physician \<5 years prior, and reported by the subject to the researchers)

Exclusion criteria

Exclusion Criteria:

  • Use of nicotine-containing products (e.g. smoking, chewing tobacco, etc.)
  • Diabetes (HbA1C .6.5%)
  • BP>140/90
  • Taking pharmacotherapy that could alter peripheral vascular control (e.g. insulin sensitizing, cardiovascular medications)
  • Pregnancy
  • Breastfeeding
  • Taking illicit and/or recreational drugs
  • Abnormal liver function
  • Rash, skin disease, disorders of pigmentation, known skin allergies
  • Diagnosed or suspected metabolic or cardiovascular disease
  • Persistent unexplained elevations of serum transaminases
  • Known allergy to latex or investigative substances
05

Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    Atorvastatin

    Oral atorvastatin (Lipitor) therapy (10mg/day) for seven days. Atorvastatin acts as a systemic LOX inhibitor.

    Drug: Atorvastatin

Interventions

  • DrugAtorvastatin

    Simvastation acts as a systemic LOX inhibitor.

06

What researchers measure

Primary outcomes

  1. Change in Nitric Oxide Dependent Vasodilation in the Skin

    area under the curve of laser Doppler flux/mean arterial pressure \* log acetylcholine (mol/L)

    Time frame: before and after intervention (7 days)

07

Results

Posted Feb 28, 2024

Participant flow

All endometriosis patients had a confirmed diagnosis prior to enrollment via laparoscopy.

Participant flow — Overall Study
MilestoneAtorvastatin
Started6
Completed6
Not completed0

Outcome measures

PrimaryChange in Nitric Oxide Dependent Vasodilation in the Skin

area under the curve of laser Doppler flux/mean arterial pressure \* log acetylcholine (mol/L)

Time frame:
before and after intervention (7 days)
Reported as:
Mean · flux/MAP*logAch(mol/L)
Change in Nitric Oxide Dependent Vasodilation in the Skin
flux/MAP*logAch(mol/L)Atorvastatin
Change in Nitric Oxide Dependent Vasodilation in the Skin200 ± 80

Adverse events

Collected over 2 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Atorvastatin0/6 (0%)0/6 (0%)0/6 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Atorvastatin
Mean33 ± 9
Sex: Female, Male
Sex: Female, Male(Participants)Atorvastatin
Female6
Male0
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Atorvastatin
Hispanic or Latino1
Not Hispanic or Latino5
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Atorvastatin
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White5
More than one race1
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)Atorvastatin
United States6
08

Study locations

1 site
  • The Pennsylvania State University
    University Park, Pennsylvania 16801, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Feb 16, 2022
  • Informed consent form · Jan 28, 2021

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

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05331053
Lead sponsor
Penn State University
Responsible party
Lacy Alexander (Professor of Kinesiology, Physiology, Penn State University) — Principal investigator
First posted
Apr 15, 2022
Start date
May 1, 2018
Primary completion
Jun 1, 2022
Completion
Aug 31, 2024
Results posted
Feb 28, 2024
Last update
Jan 30, 2025

Oversight

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

Not currently enrolling

This study is terminated, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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