Health Trials

About this trial

The investigators plan to conduct a pilot 4-arm, randomized study comprising the following interventions: muscle strengthening exercises (MSE) alone, estrogen therapy (ET) alone, and a combination of MSE and ET, compared to usual care in women with menopausal arthralgia. The aim of this pilot study is to assess the feasibility, patient acceptability, and patient perspectives and logistics of delivering interventions, and practicability of outcome assessment tools in this 4-arm study over a 12-week period.

Eligibility criteria

Qualifiers

Patients with muscle stiffness and joint discomfort in various sites, including hands, knees, back, hips, and/or shoulders. Patients with pain in only one isolated joint would not be accepted.

Arthralgia symptoms with onset, or has become worse, over the perimenopausal or early postmenopausal period (within 5 years of the menopause).

Women should be at the menopause transition, less than or equal to 59 years old at the time of enrollment, or within 5 years of menopause whichever is earlier.

Arthralgia for at least 3 months (pain lasting beyond normal injury healing period)

Disqualifiers

History of thrombo-embolic diseases, strokes, ischemic heart disease, dementia or psychiatric disorders, active liver disease or renal impairment, severe hyperlipidemia, gout, thyroid disease, systemic lupus erythematosus, rheumatoid arthritis, or other chronic inflammatory conditions.

Pregnancy

Non-adherence to national guidelines for breast cancer screening

High risk for breast cancer

Trial design

Treatments tested in this trial

  • Menopausal hormone therapy
  • Exercise training
  • Menopausal hormone therapy + exercise training

Treatment groups

100 Participants
are divided into 4 treatment groups

Locations

1
National University Hospital Singapore Singapore

Sponsors and collaborators

National University Hospital, Singapore

Lead sponsor

Source ClinicalTrials.gov