Evidence map›Paper›PMID 19668346›Full record

Trial reportJournal of cardiovascular translational research2009

Using basic science to design a clinical trial: baseline characteristics of women enrolled in the Kronos Early Estrogen Prevention Study (KEEPS).

V M Miller, D M Black, E A Brinton, M J Budoff, M I Cedars, H N Hodis, R A Lobo, J E Manson, G R Merriam, F Naftolin and 3 more

Registry-linked trialOpen access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of cardiovascular translational research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03236545 (Mechanisms of Vascular Dysfunction in Women), which is not on this map. Cited by 76 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 1 pooled it
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03236545 nacompletednot on this mapstarted 2016, after this paper: background citation

Mechanisms of Vascular Dysfunction in Women: Role of Estradiol

TypeinterventionalSponsorUniversity of DelawareRan2016 to 2022Enrolled48ConditionsCardiovascular Risk FactorArmsNo to Low Endogenous Estrogen, Estradiol
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 1 synthesis or guideline pooled it, 131 citations in OpenAlex.

  1. The Effects of Resveratrol on Menopausal Cardio-metabolic Changes: A Systematic Review.Cardiovascular & hematological disorders drug targets · 2026
    Pooled it
  2. Lessons from KEEPS: the Kronos Early Estrogen Prevention Study.Climacteric : the journal of the International Menopause Society · 2021
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  9. Endothelial function in women of the Kronos Early Estrogen Prevention Study.Climacteric : the journal of the International Menopause Society · 2015
    Trial
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 12 institutions in 1 country.

V M MillerMedical Science 4-62, College of Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA. miller.virginia@mayo.edu
D M Black
E A Brinton
M J Budoff
M I Cedars
H N Hodis
R A Lobo
J E Manson
G R Merriam
F Naftolin
N Santoro
H S Taylor
S M Harman
Albert Einstein College of Medicine · USColumbia University · USHarvard University · USKronos Longevity Research Institute · USSouthern California University for Professional Studies · USThe Lundquist Institute · USUniversity of California, San Francisco · USUniversity of California System · USUniversity of Utah · USUniversity of Washington · USWinnMed · USYale University · US

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
Estrogen, Platelets, and ArtherosclerosisR01HL090639 · NHLBI · MAYO CLINIC ROCHESTER · PI BAILEY, KENT R, MILLER, VIRGINIA M · 2008 to 2012
$1.9M
NCRR NIH HHS 1 UL1 RR024150NCRR NIH HHS UL1 RR024150NHLBI NIH HHS HL90639NHLBI NIH HHS R01 HL090639
6 · The paper itself

Abstract

Observational and epidemiological studies suggest that menopausal hormone therapy (MHT) reduces cardiovascular disease (CVD) risk. However, results from prospective trials showed neutral or adverse effects most likely due to differences in participant demographics, such as age, timing of initiation of treatment, and preexisting cardiovascular disease, which reflected in part the lack of basic science information on mechanisms of action of hormones on the vasculature at the time clinical trials were designed. The Kronos Early Estrogen Replacement Study (KEEPS) is a prospective, randomized, controlled trial designed, using findings from basic science studies, to test the hypothesis that MHT when initiated early in menopause reduces progression of atherosclerosis. KEEPS participants are younger, healthier, and within 3 years of menopause thus matching more closely demographics of women in prior observational and epidemiological studies than women in the Women's Health Initiative hormone trials. KEEPS will provide information relevant to the critical timing hypothesis for MHT use in reducing risk for CVD.

Indexed as

Estrogen Replacement TherapyResearch DesignTranslational Research, BiomedicalWomen's HealthAdministration, CutaneousAdministration, OralAdultCardiovascular DiseasesDouble-Blind MethodEstradiolEstrogens, Conjugated (USP)FemaleHumansMiddle AgedProgesteroneProspective StudiesEstradiolEstrogens, Conjugated (USP)Progesterone

Identifiers

PMID19668346
PMCPMC2721728
OpenAlexW2137482825

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.