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CompletedNCT05471518Updated Sep 18, 2025

Sex Hormone and Vascular Function in Women With CKD

An observational study in Chronic Kidney Diseases, sponsored by University of Colorado, Denver. Completed at 1 site in United States. Open to female participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-09-18.

Sponsored by University of Colorado, Denver · Observational

Study type
Observational
Model
Other
Time perspective
Cross-sectional
Enrollment
51
Ages
18 Years to 75 Years
Sex
Female
01

Study summary

The risk of cardiovascular disease (CVD) is significantly elevated in patients with chronic kidney disease (CKD). Notably, women with CKD commonly experience menstrual disturbances induced by CKD, which may contribute to impaired vascular function and elevated CVD risk. However, most of the literature in the field of nephrology focuses on male patients, and studies on women's vascular health are limited. Moreover, endogenous sex hormones, particularly estradiol, are well-documented to be cardioprotective in women without CKD; however, the role of sex hormones on vascular function in women with CKD remains unclear. The goals of the proposed project are: 1) to evaluate vasuclar function in pre- and post-menopausal women with CKD vs. age-matched healthy women; 2) to evaluate sex hormone concentrations and determine whether they associate with vascular function in the proposed cohort; and 3) to gain mechanistic insight on the association between sex hormones and vascular dysfunction in the proposed cohort.

02

Conditions studied

  • Chronic Kidney Diseases
03

In context

Renal Insufficiency, Chronic

3,144 studies on the registry are indexed under Renal Insufficiency, Chronic; 704 are open to participants now.

This study's enrollment of 51 is below the median of 200 across 867 observational studies indexed under Renal Insufficiency, Chronic.

Browse Renal Insufficiency, Chronic studies →

Lead sponsor

University of Colorado, Denver is the lead sponsor of 1,499 studies on the registry; 315 are open to participants now.

Of its 139 completed or terminated interventional studies of FDA-regulated products, 89 (64%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
Female
Sampling method
Non-probability sample

Study population

Pre- and post-menopausal women with CKD vs. age-matched healthy women

Inclusion criteria

  1. Pre- (18-44 y) and post-menopausal (55-75 y) women
  2. Individuals with CKD including stage 3-4 (eGFR 15-59 ml/min/1.73m2) determined by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation AND/OR urinary albumin-creatinine ratio (UACR) ≥ 30.
  3. Controls must be healthy (free from hypertension, kidney disease, cardiovascular disease, diabetes, and other chronic disease as assessed by self-report, medical history, and screening labs). Premenopausal healthy women must have a regular menstrual cycle (25-35 d).

Exclusion criteria

Exclusion Criteria:

  1. Perimenopausal (45-54 y) women
  2. Pregnancy, lactation, or less than one year post-partum
  3. Use of hormonal birth control methods, hormone replacement therapy, or a levonorgestrel intrauterine device (IUD) insertion for a duration less than 6 months
  4. Advanced CKD requiring dialysis
  5. History of kidney transplant
  6. Use of immunosuppressant medications (unless taking a stable dosage for a quiescent disease in CKD group)
  7. Antioxidant and/or omega-3 fatty acid use within the 2 weeks prior to testing
  8. Current tobacco or nicotine use or history of use in the last 12 months
  9. Marijuana use within 2 weeks prior to testing
  10. Uncontrolled hypertension in CKD group (BP >140/90 mmHg)
  11. Atrial fibrillation
  12. Active infection or antibiotic therapy
  13. Hospitalization in the last month
05

Study design

Observational model
Other
Time perspective
Cross-sectional
Enrollment
51 participants (actual)
Patient registry
No

Groups and cohorts

  • Pre-menopausal women with CKD

    Age 18-44 years CKD stage 3-4 (eGFR 15-59 ml/min/1.73m2)

    Other: No intervention

  • Post-menopausal women with CKD

    Age 55-75 years CKD stage 3-4 (eGFR 15-59 ml/min/1.73m2)

    Other: No intervention

  • Pre-menopausal healthy women

    Age 18-44 years Regular menstrual cycle (25-35 d)

    Other: No intervention

  • Post-menopausal healthy women

    Age 55-75 years

    Other: No intervention

Interventions

  • OtherNo intervention

    No intervention

06

What researchers measure

Primary outcomes

  1. Brachial Artery Flow-Mediated Dilation

    Flow-mediated dilation of the brachial artery will be performed using ultrasonography and analyzed with a commercially available software package as percent change in diameter from baseline following reactive hyperemia.

    Time frame: Baseline

Secondary outcomes

  1. Carotid Femoral Pulse Wave Velocity

    A transcutaneous custom tonometer \[Noninvasive Hemodynamics Workstation (NIHem), Cardiovascular Engineering Inc.\] will be used to non-invasively assess carotid femoral pulse wave velocity.

    Time frame: Baseline

  2. Serum Sex Hormones

    Serum sex hormones \[follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol, progesterone, prolactin, sex hormone binding globulin (SHBG), and anti-mullerian hormone (AMH)\] will be measured using chemiluminescent assays.

    Time frame: Baseline

  3. Urinary Sex Hormones

    Urinary sex hormones \[follicle-stimulating hormone (FSH), luteinizing hormone (LH), estrone-3-glucuronide (E1c), and pregnanediol-3-glucuronide (Pdg)\] will be measured by by chemiluminescent assays using ACS-180 Autoanalyzer.

    Time frame: Baseline

Other outcomes

  1. Circulating/Urinary Markers of Antioxidant Status/Oxidative stress

    Serum TAS, plasma/urinary 8-isoprostane, 8-OHdG will be measured using ELISA.

    Time frame: Baseline

  2. Circulating Markers of Inflammation

    Plasma CRP, IL-1β, IL-6, and TNF-α will be measured using ELISA

    Time frame: Baseline

  3. Cytokine secretion from lipopolysaccharide(LPS)-stimulated peripheral blood mononuclear cells (PBMCs)

    PBMCs will be isolated from heparinized whole blood using Cell Preparation Tube, PBMCs will be cultured with LPS, and supernatants will be harvested after 4-hour stimulation at 37°C. IL-1β, IL-6, and TNF-α in the supernatants will be measured using ELISA.

    Time frame: Baseline

  4. Distribution of Monocyte Subsets

    PBMCs will be stained with fluorescence-labeled antibodies for monocyte (CD14 and CD16) and analyzed using an LSR II flow cytometer.

    Time frame: Baseline

  5. Ex Vivo Nitric Oxide Production from Human Umbilical Vein Endothelial Cells (HUVECs)

    HUVECs will be incubated with basal media supplemented with 10% human serum collected from participants and stained with the fluorescent probe DAF-FM diacetate to detect nitric oxide production production in response to acetylcholine.

    Time frame: Baseline

  6. Ex Vivo Reactive Oxygen Species Production from Human Umbilical Vein Endothelial Cells (HUVECs)

    HUVECs will be incubated with basal media supplemented with 10% human serum collected from participants and stained with the fluorescent probe DAF-FM diacetate to detect reactive oxygen species production in response to acetylcholine.

    Time frame: Baseline

07

Study locations

1 site
  • University of Colorado Anschutz Medical Campus
    Aurora, Colorado 80045, United States
08

References and documents

Individual participant data

Plan to share: Yes — Data obtained through this study may be provided to qualified researchers with academic interest in CKD. Data shared will be coded, with no PHI included. Approval of the request and execution of all applicable agreements (i.e. data use agreement) are prerequisites to the sharing of data with the requesting party.

Supporting information: Study protocol, Icf

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05471518
Lead sponsor
University of Colorado, Denver
Responsible party
Sponsor
First posted
Jul 22, 2022
Start date
Jul 1, 2021
Primary completion
Nov 30, 2024
Completion
Nov 30, 2024
Last update
Sep 18, 2025

Oversight

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

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

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