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Decreased Testosterone Levels in Men Over 65

This study is currently recruiting participants.
Verified by National Institute on Aging (NIA), September 2007

Sponsored by: National Institute on Aging (NIA)
Information provided by: National Institute on Aging (NIA)
ClinicalTrials.gov Identifier: NCT00104572
  Purpose

The purpose of this study is to determine if an aromatase inhibitor (a drug that inhibits the conversion of testosterone to estrogen) is as effective as testosterone replacement in improving muscle mass, muscle strength, sexual function, memory, and bone health.


Condition Intervention Phase
Aging
Hypogonadism
Andropause
Drug: Anastrozole
Drug: Testosterone Gel
Phase III

Genetics Home Reference related topics:   Endocrine Diseases  

MedlinePlus related topics:   Memory  

ChemIDplus related topics:   Testosterone   Methyltestosterone   Oxymesterone   Testosterone enanthate   Testosterone Propionate   Testosterone undecanoate   Anastrozole   Dextrose  

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title:   The Effects of Aromatase Inhibition on Sex Steroids, Pituitary Hormones, Markers of Bone Turnover, Muscle Strength and Cognition on Older Men

Further study details as provided by National Institute on Aging (NIA):

Primary Outcome Measures:
  • Improvements in bone quality, muscle strength, cardiac function, cognition, sexual and overall well-being
  • Urinary symptoms
  • Glucose tolerance
  • Blood lab values

Estimated Enrollment:   75
Study Start Date:   August 2004
Estimated Study Completion Date:   February 2007

Detailed Description:

Approximately 20% of men over the age of 70 have low testosterone levels. In some studies, testosterone replacement has resulted in improvement in bone mass, muscle strength, quality of life and memory function. In the body, testosterone is converted into estrogen. Hence, it is unclear whether these beneficial effects are due to testosterone or estrogen. Research has shown that inhibition of estrogen production in men results in an increase in testosterone levels.

In this study, patients will be assigned to one of three groups: one group will receive testosterone gel and a placebo tablet, one group will receive a 1mg Anastrozole tablet and a placebo gel, and one group will receive a placebo tablet and placebo gel. Each group will receive a daily dose of calcium with vitamin D. The study requires 6 visits over a 12-month period for testing and evaluation. Two of the 6 visits will require an overnight stay in the hospital so that an intravenous (IV) line can be placed in the arm to allow samples to be drawn throughout the night. Testing will include a cardiac stress test, a glucose tolerance test, bone and muscle tests, evaluation of memory function, etc. For the safety of the prostate, we will perform a prostate ultrasound at the start and end of the study and we will monitor urinary symptoms, prostate specific antigen (PSA) levels and the prostate exam throughout the study.

  Eligibility
Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Male
  • 65 years of age or older
  • Testosterone level less than 350 ng/dl (we will check this level at the screening visit)
  • Able to complete an informed consent

Exclusion Criteria:

  • History of Stroke
  • History of Dementia
  • History of Diabetes
  • Blood Pressure at rest of > 155/90 mm Hg
  • Chronic medical condition (i.e. heart failure, rheumatoid arthritis)
  • On osteoporosis medications
  • On steroids (prednisone, cortisone)
  • History of gastric surgery
  • History of any Cancer (except non-melanoma skin cancers)
  • Drink more than 2 beers OR 1 glass of wine or cocktail daily
  • Smoke any tobacco product
  • Started a new medication within the past three months
  • History of joint replacement
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00104572

Contacts
Contact: Denise Melvin     410-350-3924     melvinde@grc.nia.nih.gov    

Locations
United States, Maryland
National Institute on Aging (NIA), Harbor Hospital     Recruiting
      Baltimore, Maryland, United States, 21225
      Contact: Denise Melvin, Study Coordinator     410-350-3924 or 800-225-2572 ext 3924     melvinde@grc.nia.nih.gov    
      Contact: Sara Betkey, Participant Recruitment     410-350-3941 or 800-225-2572 ext 3941     betkeys@grc.nia.nih.gov    
      Sub-Investigator: Shehzad Basaria, MD            

Sponsors and Collaborators

Investigators
Principal Investigator:     Josephine M Egan, MD     Chief, Diabetes Section, LCI/NIA/NIH    
  More Information

Publications:

Study ID Numbers:   AG0018
First Received:   March 1, 2005
Last Updated:   September 19, 2007
ClinicalTrials.gov Identifier:   NCT00104572
Health Authority:   United States: Federal Government

Keywords provided by National Institute on Aging (NIA):
Low testosterone level  
glucose tolerance  
estrogen  
bone density  
quality of life
memory function
sarcopenia

Study placed in the following topic categories:
Testosterone
Anastrozole
Hypogonadism
Gonadal Disorders
Quality of Life
Methyltestosterone
Endocrinopathy
Testosterone 17 beta-cypionate

Additional relevant MeSH terms:
Antineoplastic Agents, Hormonal
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Endocrine System Diseases
Enzyme Inhibitors
Hormones
Pharmacologic Actions
Anabolic Agents
Therapeutic Uses
Aromatase Inhibitors
Androgens

ClinicalTrials.gov processed this record on July 03, 2008




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