Effect of Varying Testosterone Levels on Insulin Sensitivity in Normal and IHH Men

This study has been completed.
Sponsor:
Collaborator:
American Diabetes Association
Information provided by:
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
ClinicalTrials.gov Identifier:
NCT00470990
First received: May 7, 2007
Last updated: April 18, 2011
Last verified: April 2011

May 7, 2007
April 18, 2011
October 2002
June 2008   (final data collection date for primary outcome measure)
insulin sensitivity [ Time Frame: 2 timepoints: with a normal serum testsoterone and in a castrate state of low serum testoserone ] [ Designated as safety issue: No ]
Not Provided
Complete list of historical versions of study NCT00470990 on ClinicalTrials.gov Archive Site
body composition [ Time Frame: 2 timepoints: with a normal serum testsoterone and in a castrate state of low serum testoserone ] [ Designated as safety issue: No ]
Not Provided
Not Provided
Not Provided
 
Effect of Varying Testosterone Levels on Insulin Sensitivity in Normal and IHH Men
Effect of Varying Testosterone Levels on Insulin Sensitivity in Normal and IHH Men

Type 2 diabetes is one of the most common metabolic disorders in the U.S, estimated to affect 16 million Americans. Established risk factors for this disease include obesity, increased waist/hip ratio, high insulin levels in the blood, and insulin resistance. Testosterone may play a role in developing or preventing diabetes, but we do not yet know for sure. The purpose of this research study is to determine if changing testosterone levels in men will result in changes in insulin sensitivity. Information learned form this research study may have important public health implications and may point to new strategies for treating or preventing diabetes.

The overall aim of this study is to examine the effect of testosterone on insulin sensitivity using the models of acute and chronic hypogonadism. All subjects will be in good general health and 2 groups of men will be studied in this protocol:

  1. Thirty healthy normal men aged 18-75 years with normal blood pressure, normal testosterone levels, and not taking any medications known to influence glucose homeostasis or testosterone
  2. Ten adult men (over the age of 18) with idiopathic hypogonadotropic hypogonadism (IHH)and normal thyroid, adrenal, and growth hormone axes as well as normal prolactin levels and no abnormalities on imaging of the hypothalamic-pituitary region. These men will be on no medications known to influence glucose homeostasis and will have been off hormone therapy for a suitable washout period depending on the type of prior androgen replacement.
Interventional
Not Provided
Intervention Model: Crossover Assignment
Masking: Open Label
Hypogonadism
Drug: GnRH antagonist (Acyline)
3 Subcutaneous injections (300 mcg/kg) over 36 days
Other Name: IND # 62,621
Not Provided
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
40
June 2008
June 2008   (final data collection date for primary outcome measure)

Inclusion Criteria:

Healthy men:

Good general health,

  • Normotensive,
  • Normal testosterone levels,
  • No medications known to influence glucose homeostasis or testosterone levels

IHH men:

  • Good general health;
  • Normal thyroid, adrenal, and GH axes;
  • Normal prolactin levels;
  • No abnormalities on imaging of the hypothalamic-pituitary region;
  • No medications known to influence glucose homeostasis;
  • Must have been off hormone therapy for a suitable washout period depending on the type of prior androgen replacement
Male
18 Years to 75 Years
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00470990
2002-P-001445 (completed)
Yes
Frances J. Hayes, MD, Massachusetts General Hospital, Boston MA
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
American Diabetes Association
Principal Investigator: Frances J Hayes, MD Massachusetts General Hospital
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
April 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP