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Effect of Varying Testosterone Levels on Insulin Sensitivity in Men With Idiopathic Hypogonadotropic Hypogonadism (IHH)

Effect of Varying Testosterone Levels on Insulin Sensitivity in Men With Idiopathic Hypogonadotropic Hypogonadism

Status
Terminated
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03118479
Enrollment
7
Registered
2017-04-18
Start date
2010-05-31
Completion date
2010-09-01
Last updated
2017-04-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hypogonadotropic Hypogonadism, Kallmann Syndrome

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.

DRUGTestosterone

Androgel 7.5 g to be applied transdermally daily for 3 months.

DRUGPlacebo Oral Tablet

One tablet to be taken daily for 3 months

Sponsors

Massachusetts General Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Change in glucose toleranceChange between baseline and 3 monthsResponse to 75 g glucose load
Change in insulin sensitivityChange between baseline and 3 monthsIV glucose tolerance test

Secondary

MeasureTime frameDescription
Change in visceral fatChange between baseline and 3 monthsAssessed by CT of abdomen
Change in resting energy expenditureChange between baseline and 3 monthsAssessed by metabolic monitor

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026