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CompletedNCT05633966KASPRUpdated Oct 3, 2025

Kisspeptin Administration Subcutaneously to Patients With Reproductive Disorders

A Phase 1 interventional study of Kisspeptin 112-121 in Hypothalamic Amenorrhea and Hypogonadotropic Hypogonadism, sponsored by Stephanie B. Seminara, MD. Completed at 1 site in United States. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2025-10-03.

Sponsored by Stephanie B. Seminara, MD · Phase 1, Interventional, and Other

From the registry’s dates

  • Primary completion was Aug 2025, 1 year 1 month ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

The goal of this study is to see whether kisspeptin, a naturally occurring hormone, can stimulate the release of other reproductive hormones in women with hypothalamic amenorrhea (HA). The investigators are also examining whether kisspeptin can help women release eggs from their ovaries. Kisspeptin will be administered subcutaneously (SC) for two weeks in a pulsatile fashion. Ultrasound monitoring of ovarian follicular growth and frequent blood sampling (every 10 minutes for up to two hours) will be performed to assess the physiologic response to kisspeptin over time.

Read the detailed description

Assignment: All study subjects will undergo the same interventions.

Delivery of Interventions:

  • The subject will undergo a review of their medical history, physical exam, and screening laboratories.
  • A pelvic ultrasound will be performed to assess baseline follicular size.
  • A pump will be placed to administer pulsatile SC kisspeptin for two weeks.
  • During the course of kisspeptin administration, subjects will

    • Undergo q10 min blood sampling (approximately 4 sessions, 2 hours each)
    • Undergo pelvic ultrasounds (approximately 4 sessions)
  • Optional q10 min sampling up to 10 hours may take place before and after the course of kisspeptin
02

Conditions studied

  • Hypothalamic Amenorrhea
  • Hypogonadotropic Hypogonadism

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Keywords

  • Hypothalamic Amenorrhea
  • Hypogonadotropic Hypogonadism
  • Kisspeptin
03

In context

Hypogonadism

345 studies on the registry are indexed under Hypogonadism; 43 are open to participants now.

This study's enrollment of 13 is below the median of 56 across 260 interventional studies indexed under Hypogonadism.

Browse Hypogonadism studies →

Lead sponsor

Stephanie B. Seminara, MD is the lead sponsor of 13 studies on the registry; 3 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 3 (43%) 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

Inclusion criteria

  • Acquired hypogonadotropic hypogonadism (hypothalamic amenorrhea, aka functional hypothalamic amenorrhea)

    • Confirmed diagnosis by medical provider supported by low sex steroids in the setting of low or inappropriately normal gonadotropins]
  • Normal blood pressure (systolic BP \< 140 mm Hg, diastolic \< 90 mm Hg)
  • Laboratory Studies:

    • Hemoglobin no less than 0.5 g/dL below the lower limit of the reference range for normal women
    • Negative serum hCG pregnancy test at screening (additional urine pregnancy test will be conducted prior to drug administration)
  • No current or recent use of a medication that, in the opinion of a study investigator, can modulate the reproductive axis or willing to complete an appropriate washout for that particular medication and method of administration

Exclusion criteria

Exclusion Criteria:

  • Any condition (medical, mental, or behavioral) that, in the opinion of a study investigator, would likely interfere with participation in/completion of the protocol
  • Excessive alcohol consumption (>10 drinks/week) and/or active use of illicit drugs

    • Any active use of marijuana will be evaluated by a study medical professional to determine if it may impact study participation.
  • Pregnant or trying to become pregnant
  • Breast feeding
  • History of: bilateral oophorectomy (both ovaries were removed), breast cancer, thromboembolic disease, coronary artery disease, stroke, thrombophilic disorders, or undiagnosed abnormal genital bleeding
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    Kisspeptin pump

    SC administration of kisspeptin for two weeks (pulsatile)

    Drug: Kisspeptin 112-121

Interventions

  • DrugKisspeptin 112-121

    SC administration of kisspeptin for two weeks (pulsatile, approximately every 90 minutes)

    Also known as: metastin 45-54

06

What researchers measure

Primary outcomes

  1. The proportion of participants that achieve development of a mature follicle or show evidence of ovulation

    Mature follicle achievement is defined as evidence of a follicle with maximum diameter ≥18 mm. Evidence of ovulation is defined as detection of a corpus luteum on ultrasound in combination with elevated progesterone level.

    Time frame: 2 weeks

Secondary outcomes

  1. Change of luteinizing hormone (LH) pulse amplitude

    Difference in LH amplitude on the first day of kisspeptin administration vs the last day of kisspeptin administration

    Time frame: 2 weeks

07

Study locations

1 site
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
08

References and documents

Individual participant data

Plan to share: No

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 Oct 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05633966
Lead sponsor
Stephanie B. Seminara, MD
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) — Sponsor-investigator
First posted
Dec 1, 2022
Start date
Dec 16, 2022
Primary completion
Aug 31, 2025
Completion
Aug 31, 2025
Last update
Oct 3, 2025

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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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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