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Heart and Estrogen-Progestin Replacement Study (HERS)

Information source: University of California, San Francisco
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Coronary Heart Disease

Intervention: Premarin .625 mg daily plus medroxyprogesterone 2.5 mg daily (Drug)

Phase: Phase 3

Status: Completed

Sponsored by: University of California, San Francisco

Official(s) and/or principal investigator(s):
Stephen Hulley, Principal Investigator, Affiliation: University of California, San Francisco

Summary

The purpose of the study is to determine whether hormone replacement therapy in post menopausal women with coronary artery disease prevents future heart attacks or death from coronary heart disease.

Clinical Details

Official title: Heart and Estrogen-Progestin Replacement Study (HERS)

Study design: Prevention, Randomized, Double-Blind, Placebo Control, Single Group Assignment, Safety/Efficacy Study

Primary outcome:

Myocardial Infarction

CHD Death

Secondary outcome:

CABG, revascularization, angina

serum lipids

quality of life

compliance

incidence of uterine bleeding and endometrial hyperplasia

incidencet and severity of vasomotor and genitourinary symptoms

adverse effects

thromboembolic events

symptomatic gallbladder disease

fractures

cancer

stroke

peripheral arterial disease

total mortality

Detailed description: A randomized, blinded trial in post menopausal women with cornaornary artery disease to test the hypothesis, among 2340 women who have a uterus, that those randomized to receive estrogen-progestin replacement therapy (Premanrin .625 mg daily plus medroxygrprogesterone acetate 2. 5 mg daily) have the same frequency on new CHD events (myocardial infarction and CHD death) as those randomized to placebo.

Eligibility

Minimum age: 55 Years. Maximum age: 75 Years. Gender(s): Female.

Criteria:

Inclusion Criteria:

- <75 y. o.

- uterus present

- postmenopausal

- evidence of CHD

- signed consent

Exclusion Criteria:

- MI, CABG, mechanical revascularization within 6 months

- serum triglyceride >300mg/dl

- used hormone therapy or estrogen vaginal cream in past 3 months

- history of DVT or pulmonary embolism

- history of breast cancer or mammogram suggestive of cancer

- history of endometrial cancer

- abnormal uterine bleeding

- pap smear abnormal

- SGOT more than 1. 2 times normal

- Disease judged to be fatal within 4 yrs

- alcoholism, drug abuse

- NYHA Class IV congestive heart failure

- uncontrolled hypertension

- uncontrolled diabetes

- participation in any other investigational study

Locations and Contacts

University of California San Francisco, San Francisco, California 94143, United States
Additional Information

Starting date: July 1992
Ending date: July 2001
Last updated: April 27, 2006

Page last updated: June 20, 2008

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