Hypogonadotropic Hypogonadism, Kallmann Syndrome
Conditions
Keywords
IHH, KS, Idiopathic hypogonadotropic hypogonadism, GnRH deficiency
Brief summary
The investigators are doing this research study to look at the relationship between testosterone (the main sex hormone in men) and insulin (the hormone that controls blood sugar levels) in men with Idiopathic Hypogonadotropic Hypogonadism (IHH). The investigators hypothesize that normalizing testosterone levels in men with IHH enhances insulin sensitivity, reduces visceral fat, increases lean body mass, and improves the lipid profile.
Interventions
10 mg of Anastrozole to be taken daily for 3 months.
Androgel 7.5 g to be applied transdermally daily for 3 months.
One tablet to be taken daily for 3 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of idiopathic hypogonadotropic hypogonadism or Kallmann Syndrome * mean testosterone level less than 300 ng/dl * stable weight for the previous 3 months (no weight change greater than or equal to 10 lbs) * normal serum TSH * normal serum prolactin levels
Exclusion criteria
* Type 2 diabetes mellitus * history of diabetes in parents * sleep apnea * bleeding disorder * seeking fertility * 2 or more cardiovascular risk factors: smoking, hypertension, diabetes, dyslipidemias, family history of cardiovascular disease before age 60. * history of previous cardiovascular event: myocardial infarction, unstable angina, cerebro-vascular accident. * illicit drug use/alcohol use (\>4 drinks per day)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in glucose tolerance | Change between baseline and 3 months | Response to 75 g glucose load |
| Change in insulin sensitivity | Change between baseline and 3 months | IV glucose tolerance test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in visceral fat | Change between baseline and 3 months | Assessed by CT of abdomen |
| Change in resting energy expenditure | Change between baseline and 3 months | Assessed by metabolic monitor |
Countries
United States