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HealthyFEMMESNCT05028959

Hormonal Status, Performance and Health in Elite Female Athlete

A study testing Multidisciplinary monitoring of healthy women in people with Healthy, run by Université Paris-Saclay-Assistance publique des hôpitaux de Paris.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The repercussions of the hormonal status of high-level sportswomen on their performance and health as well as on the Athlete's Biological Passport (ABP) have been little studied and remain poorly known. Read more about this study

Who is it for?
Ages 16 to 30 years, women onlyHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Multidisciplinary monitoring of healthy women
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
No sites listed yet
Study dates
15 Sep 2021to 31 May 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 to 30 years
  • Women only
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Group 1: high-level athletes (qualified for national/international championships and/or training at least 15 hours/week)
  • Group 2: recreational athletes who practice a regular physical activity

Who cannot join

  • Participation in another trial
  • History of cardiac pathology
  • High blood pressure
  • History of ulcers and other gastrointestinal disorders
  • Myasthenia
  • Renal insufficiency
  • Person not affiliated or not benefiting from a social security system

Trial locations and contacts

No sites are listed yet.

Emmanuelle DURON, PU-PH contact

33144083503

emmanuelle.duron@aphp.fr

About this study

Official title: Menstrual Cycle, Amenorrhea and Contraception in Elite Female Athletes: Impact on Performance, Health and the Athlete's Biological Passport

The repercussions of the hormonal status of high-level sportswomen on their performance and health as well as on the Athlete's Biological Passport (ABP) have been little studied and remain poorly known. The investigators therefore propose to contribute to the improvement of current knowledge by determining, thanks to the implementation of a multidisciplinary monitoring, with the use of various tests and matrices, in female elite athletes and recreational athletes (control group):

  • 1) the impact of cycle phase, absence of cycle or contraceptive use on physical and psychological performance, health as well as on ABP;
  • 2) the potential confounding effects of the athlete's environment
  • 3) correlations between the different matrices analyzed
Read the detailed description

Volunteers to be studied: 80 healthy female subjects (16 to 30 years old), divided into 2 groups:

Group 1: 60 athletes, from different sports disciplines, in amenorrhea, with menstrual cycle or taking contraceptives

Group 2: 20 leisure sports subjects with menstrual cycle or taking contraceptives

Following the oral and written information of the project, the subjects have a minimum of 15 days of reflection before signing the written consent form. They will have the possibility, at any time, to voluntarily interrupt the study without having to justify themselves.

Investigations to be performed:

  1. Annual complete clinical examination :
  2. "Out-of-competition" follow-up, time frame 6 months
  • medical, nutritional and respiratory monitoring
  • biological monitoring
  • psychological monitoring
  • performance monitoring
  1. Non-invasive "in-competition" monitoring, only for Group 1, once in a year on the day before/after a major competition:
  • biological monitoring
  • psychological monitoring
  • performance monitoring (interview)
Conditions
Healthy
Being tested
Multidisciplinary monitoring of healthy women
Keywords
female elite athlete, menstrual phase, amenorrhea, hormonal contraception, performance, health, Athlete Biological Passport
Medical subject headings
Amenorrhea

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Multidisciplinary monitoring of healthy womenOther

    Multidisciplinary monitoring

Study groups in NCT05028959
Study groupRoleWhat they receive
Female athletesExperimentalhighly trained subjects
Receives: Other: Multidisciplinary monitoring of healthy women
Leisure sport womenExperimentalrecreational sportswomen practicing regular physical activity
Receives: Other: Multidisciplinary monitoring of healthy women

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline weight

    in kg, by impedancemeter

    Measured: 6 months

  2. Change from baseline fat and lean mass

    in kg, by impedancemeter

    Measured: 6 months

  3. Change from baseline height

    in cm, by height gauge

    Measured: 6 months

  4. Change from baseline sex and stress hormones

    concentration of oestradiol, progesterone, testosterone, DHEA, cortisol, LH and FSH in mol/L

    Measured: 6 months

  5. Change from baseline food intake

    food intake questionnaire to complete over 3 days, expressed in kcal/day

    Measured: 6 months

  6. Change from baseline metabolic parameters

    concentration of blood glucose, blood lactate, lipid profile, insulin, GH, IGF1, T3, IgA, PRL and leptin in mol/L

    Measured: 6 months

  7. Change from baseline respiratory parameters

    measure of FEV1 (forced expiratory volume in 1 second), expressed in % of vital capacity

    Measured: 6 months

  8. Change from baseline inflammatory parameters

    concentration of cytokines (TNF-alpha, IL-6) in mol/L

    Measured: 6 months

  9. Change from baseline executive function

    assessed by instability via static and dynamic postures (eyes open/closed) on platform

    Measured: 6 months

  10. Change from baseline visual-spatial processing

    3 D mental rotation test, assessed by scores: range from 0 - 24, with 24 representing a perfect total score

    Measured: 6 months

  11. Change from baseline attention and working memory

    Stroop Color Word Task, assessed by scores : range of interference from -15 - +15, with higher scores representing decreased selective attention

    Measured: 6 months

  12. Change from baseline performance monitoring

    field performance test, performance expressed in time

    Measured: 6 months

  13. Change from baseline Athlete Biological Passport (Group 2)

    assessed by analysis of the standardized parameters of the Athlete Biological Passport (WADA)

    Measured: 6 months

  14. Change from baseline affects (Group 2)

    Positive Affect and Negative Affect Schedule (PANAS), assessed by scores. Positive Affect Score: range from 10 - 50, with higher scores representing higher levels of positive affect. Negative Affect Score: range from 10 - 50, with lower scores representing lower levels of negative affect.

    Measured: 6 months

  15. Change from baseline anxiety (Group 2)

    Spielberger State-Trait Anxiety Inventory, assessed by scores: range from 20 - 80, with higher scores representing higher anxiety

    Measured: 6 months

  16. Change from baseline Athlete Biological Passport (Group 1)

    assessed by analysis of the standardized parameters of the Athlete Biological Passport (WADA)

    Measured: 8 months

  17. Change from baseline affects (Group 1)

    Positive Affect and Negative Affect Schedule (PANAS), assessed by scores. Positive Affect Score: range from 10 - 50, with higher scores representing higher levels of positive affect. Negative Affect Score: range from 10 - 50, with lower scores representing lower levels of negative affect.

    Measured: 8 months

  18. Change from baseline anxiety (Group 1)

    Spielberger State-Trait Anxiety Inventory, assessed by scores: range from 20 - 80, with higher scores representing higher anxiety

    Measured: 8 months

  19. Interview (Group 1)

    Self-confrontation interview for questioning the action

    Measured: 8 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Aug 2021
  2. Study start15 Sep 2021 (estimated)
  3. Primary completion31 May 2023 (estimated)
  4. Study completion31 May 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
2 groups : female athletes and leisure sports women
Masking
None (open label)
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05028959
Sponsor's protocol ID
FEM-2020
Acronym
FEMMES
Status last verified
Aug 2021
First submitted
21 Jun 2021
Last updated
31 Aug 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ackerman KE, Singhal V, Baskaran C, Slattery M, Campoverde Reyes KJ, Toth A, Eddy KT, Bouxsein ML, Lee H, Klibanski A, Misra M. Oestrogen replacement improves bone mineral density in oligo-amenorrhoeic athletes: a randomised clinical trial. Br J Sports Med. 2019 Feb;53(4):229-236. doi: 10.1136/bjsports-2018-099723. Epub 2018 Oct 9.

    PubMed 30301734
  • Crewther BT, Cook CJ. The salivary testosterone response to a chance-determined contest is associated with face-gazing behaviours in athletic women. Horm Behav. 2018 Jul;103:107-110. doi: 10.1016/j.yhbeh.2018.06.011. Epub 2018 Jul 2.

    PubMed 29953884
  • Casey E, Reese M, Okafor E, Chun D, Gagnon C, Nigl F, Dhaher YY. Influence of Menstrual Cycle and Oral Contraceptive Phase on Spinal Excitability. PM R. 2016 Sep;8(9):860-8. doi: 10.1016/j.pmrj.2016.01.013. Epub 2016 Feb 10.

    PubMed 26872589
  • Cornelli U, Belcaro G, Cesarone MR, Finco A. Analysis of oxidative stress during the menstrual cycle. Reprod Biol Endocrinol. 2013 Aug 2;11:74. doi: 10.1186/1477-7827-11-74.

    PubMed 23915183
  • Eklund E, Berglund B, Labrie F, Carlstrom K, Ekstrom L, Hirschberg AL. Serum androgen profile and physical performance in women Olympic athletes. Br J Sports Med. 2017 Sep;51(17):1301-1308. doi: 10.1136/bjsports-2017-097582. Epub 2017 Jun 23.

    PubMed 28646101
  • Emami F, Kordi Yoosefinejad A, Motealleh A. Comparison of static and dynamic balance during early follicular and ovulation phases in healthy women, using simple, clinical tests: a cross sectional study. Gynecol Endocrinol. 2019 Mar;35(3):257-260. doi: 10.1080/09513590.2018.1519788. Epub 2018 Oct 23.

    PubMed 30350735
  • Hausmann M, Slabbekoorn D, Van Goozen SH, Cohen-Kettenis PT, Gunturkun O. Sex hormones affect spatial abilities during the menstrual cycle. Behav Neurosci. 2000 Dec;114(6):1245-50. doi: 10.1037//0735-7044.114.6.1245.

    PubMed 11142657
  • Julian R, Hecksteden A, Fullagar HH, Meyer T. The effects of menstrual cycle phase on physical performance in female soccer players. PLoS One. 2017 Mar 13;12(3):e0173951. doi: 10.1371/journal.pone.0173951. eCollection 2017.

    PubMed 28288203
  • Kishali NF, Imamoglu O, Katkat D, Atan T, Akyol P. Effects of menstrual cycle on sports performance. Int J Neurosci. 2006 Dec;116(12):1549-63. doi: 10.1080/00207450600675217.

    PubMed 17145688
  • Kluft C, Leuven JA, Helmerhorst FM, Krans HM. Pro-inflammatory effects of oestrogens during use of oral contraceptives and hormone replacement treatment. Vascul Pharmacol. 2002 Aug;39(3):149-54. doi: 10.1016/s1537-1891(02)00304-x.

    PubMed 12616983
  • Langdeau JB, Day A, Turcotte H, Boulet LP. Gender differences in the prevalence of airway hyperresponsiveness and asthma in athletes. Respir Med. 2009 Mar;103(3):401-6. doi: 10.1016/j.rmed.2008.09.023. Epub 2008 Nov 21.

    PubMed 19027280
  • Lebrun CM, Petit MA, McKenzie DC, Taunton JE, Prior JC. Decreased maximal aerobic capacity with use of a triphasic oral contraceptive in highly active women: a randomised controlled trial. Br J Sports Med. 2003 Aug;37(4):315-20. doi: 10.1136/bjsm.37.4.315.

    PubMed 12893716
  • Nose-Ogura S, Yoshino O, Dohi M, Kigawa M, Harada M, Hiraike O, Onda T, Osuga Y, Fujii T, Saito S. Risk factors of stress fractures due to the female athlete triad: Differences in teens and twenties. Scand J Med Sci Sports. 2019 Oct;29(10):1501-1510. doi: 10.1111/sms.13464. Epub 2019 Jun 9.

    PubMed 31100189
  • Otaka M, Chen SM, Zhu Y, Tsai YS, Tseng CY, Fogt DL, Lim BH, Huang CY, Kuo CH. Does ovulation affect performance in tennis players? BMJ Open Sport Exerc Med. 2018 Jan 27;4(1):e000305. doi: 10.1136/bmjsem-2017-000305. eCollection 2018.

    PubMed 29464104
  • Schaumberg MA, Jenkins DG, Janse DE Jonge XA, Emmerton LM, Skinner TL. Oral Contraceptive Use Dampens Physiological Adaptations to Sprint Interval Training. Med Sci Sports Exerc. 2017 Apr;49(4):717-727. doi: 10.1249/MSS.0000000000001171.

    PubMed 27898641

Questions about this trial

What is this clinical trial studying?

A study testing Multidisciplinary monitoring of healthy women in people with Healthy, run by Université Paris-Saclay-Assistance publique des hôpitaux de Paris.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 31 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Emmanuelle DURON, PU-PH (33144083503, emmanuelle.duron@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline weight (time frame: 6 months). The study lists 19 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05028959, which also lists 15 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Aug 2021.

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