Estrogen replacement therapy (ERT) for treatment of adolescent anorexia nervosa – An open label study

2024-519908-27-01 Protocol HNF1595-21 Therapeutic exploratory (Phase II) Ended

End 14 Apr 2026 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol HNF1595-21

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 36
Countries 1
Sites 1

Anorexia Nervosa

The present project is a pilot study that aim to test the efficacy and feasibility of estrogen replacement therapy on psychological and physiological symptoms in girls with anorexia nervosa. Hence, if this pilot study shows results that the estrogen replacement treatment is feasible and the included patients show an im…

Key facts

Sponsor
Universitetssykehuset Nord-Norge HF
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Female
Therapeutic area
Psychiatry and Psychology [F] - Mental Disorders [F03]
Trial duration
completed 14 Apr 2026
Decision date (initial)
2025-01-24
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Health Authorities Northern Norway

External identifiers

EU CT number
2024-519908-27-01
EudraCT number
2022-000696-39

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Efficacy

The present project is a pilot study that aim to test the efficacy and feasibility of estrogen replacement therapy on psychological and physiological symptoms in girls with anorexia nervosa. Hence, if this pilot study shows results that the estrogen replacement treatment is feasible and the included patients show an improvement in anorectic symptoms, we will test this treatment in a full-scale randomized placebo-controlled trial. The pilot study will be performed within the health region of Northern Norway, UNN-HF. The drug that will be tested in the present study is already on the market and used for other purposes. Thus, the implementation of estrogen replacement therapy in clinical practice can therefore easily be performed and will provide options for improved treatment for patients with anorexia. The project fit the scope of the call that define clinical research and translational research as aims.

Conditions and MedDRA coding

Anorexia Nervosa

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-519908-27-00 Estrogen replacement therapy (ERT) for treatment of adolescent anorexia nervosa – An open label study Universitetssykehuset Nord-Norge HF

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Patients with anorexia nervosa, and anorexia with concomitant anxiety and depression will be included.

Exclusion criteria 1

  1. One or more contra indices for use of hormonal contraceptives, hereditary predisposition for venous or arterial thrombosis, any previous unexplained vaginal bleeding, diagnosed or susceptible diabetes mellitus, any cerebrovascular disease, any type of heart failure, any neurological disease or structural brain damage, any past or present episodes of psychosis or mania, any current use of antipsychotic medication, diagnoses of mental retardation (F70-F79), pregnancy, past or present substance abuse.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Anxiety levels measured by STAI-C and specific symptoms of anorexia measured by the EDE-Q

Secondary endpoints 1

  1. Cortisol, ghrelin, T3, T4 levels, weight gain, cognitive performance (WCST, CVLT II), and Beck Youth Inventory scores

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Estradot 50 mikrog/24 timer depotplaster

PRD10486628 · Product

Active substance
Estradiol
Substance synonyms
ESTRADIOL ANHYDROUS, OESTRADIOL, OESTRADIOL-17-BETA, 17BETA-ESTRADIOL
Pharmaceutical form
TRANSDERMAL PATCH
Route of administration
CUTANEOUS USE
Max daily dose
50.00 µg microgram(s)
Max total dose
4550 µg microgram(s)
Max treatment duration
13 Week(s)
Authorisation status
Authorised
ATC code
G03CA03 — ESTRADIOL
Marketing authorisation
01-7394
MA holder
SANDOZ A/S
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Universitetssykehuset Nord-Norge HF

2 Total trials 1 Ended
Academic / Non-commercial
Sponsor organisation
Universitetssykehuset Nord-Norge HF
Address
Hansine Hansens Veg 67
City
Tromsoe
Postcode
9019
Country
Norway

Scientific contact point

Organisation
Universitetssykehuset Nord-Norge HF
Contact name
Klinisk Forskningsavdeling

Public contact point

Organisation
Universitetssykehuset Nord-Norge HF
Contact name
Klinisk Forskningsavdeling

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Norway Ended 36 1
Rest of world 0

Investigational sites

Norway

1 site · Ended
Universitetssykehuset Nord-Norge HF
Child and Adolescent Psychiatry, Hansine Hansens Veg 67, 9019, Tromsoe

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocol_NoMA 4
Recruitment arrangements (for publication) informedconsent_recruitment 1
Subject information and informed consent form (for publication) Infoskriv_foresatte_revidert_140822 4
Subject information and informed consent form (for publication) Infoskriv_Ungdom_revidert 1
Subject information and informed consent form (for publication) Infoskriv_Voksne_revidert 2
Summary of Product Characteristics (SmPC) (for publication) SmPC_50_estradot 1
Synopsis of the protocol (for publication) Synopsis of Estrogen Replacement Therapy for Adolescent Anorexia Nervosa 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-22 Norway Acceptable with conditions
2025-01-24
2025-01-24