- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00983554
Metabolic Effects of Steroids in Obese Men
March 15, 2011 updated by: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Metabolic Effects of Testosterone Alone or in Combination With Dutasteride or Anastrazole in Obese Men
Subjects will be randomized into 4 study groups: 1. Placebo; 2. Anastrazole and Testosterone; 3. Dutasteride and Testosterone; and 4. Testosterone only.
A 2 step euglycemic clamp, body composition by dual X-ray absorptiometry scan, hormone and lipid assays will be performed to monitor metabolic effects of each treatment group.
We hypothesize that increasing testosterone levels would increase lean mass, decrease fat mass and improve insulin sensitivity.
We further hypothesize that improvements in the metabolic profile would decrease with anastrazole and improve with dutasteride, given in conjunction with T administration.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
57
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
California
-
San Diego, California, United States, 92103
- University of California, San Diego
-
San Diego, California, United States, 92161
- VA San Diego Healthcare System
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
24 years to 51 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Male
Description
Inclusion Criteria:
- free T level in the lower 25% of the normal range or below
- BMI ≥30kg/m2
- waist circumference ≥100cm
Exclusion Criteria:
- pituitary tumors
- HIV infection
- Klinefelter's syndrome
- Kallman's syndrome
- uncontrolled hypertension
- diabetes
- congestive heart failure
- chronic lung disease
- acute coronary syndrome
- PSA >4µg/L
- aspartate aminotransferase (AST)> 3x upper limit of normal
- use of medications that might affect weight loss, muscle or bone metabolism or androgen metabolism, action or clearance.
- involvement in daily resistance training or high endurance exercise
- alcohol or drug dependence
- obstructive sleep apnea
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Placebo
|
|
Experimental: Anastrazole and Testosterone
|
Arimidex 1mg daily
Testim 10g daily
Avodart 2.5mg daily
Acyline 300 µg/kg subcutaneous injections every 2 weeks
|
Experimental: Dutasteride and Testosterone
|
Testim 10g daily
Avodart 2.5mg daily
Acyline 300 µg/kg subcutaneous injections every 2 weeks
|
Experimental: Testosterone
|
Testim 10g daily
Avodart 2.5mg daily
Acyline 300 µg/kg subcutaneous injections every 2 weeks
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
insulin sensitivity
Time Frame: 14 weeks
|
14 weeks
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
body composition
Time Frame: 14 weeks
|
14 weeks
|
lipid profile
Time Frame: 14 weeks
|
14 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Karen L Herbst, PhD, MD, University of California, San Diego
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- DeFronzo RA, Tobin JD, Andres R. Glucose clamp technique: a method for quantifying insulin secretion and resistance. Am J Physiol. 1979 Sep;237(3):E214-23. doi: 10.1152/ajpendo.1979.237.3.E214.
- Marin P, Holmang S, Gustafsson C, Jonsson L, Kvist H, Elander A, Eldh J, Sjostrom L, Holm G, Bjorntorp P. Androgen treatment of abdominally obese men. Obes Res. 1993 Jul;1(4):245-51. doi: 10.1002/j.1550-8528.1993.tb00618.x.
- Marin P, Holmang S, Jonsson L, Sjostrom L, Kvist H, Holm G, Lindstedt G, Bjorntorp P. The effects of testosterone treatment on body composition and metabolism in middle-aged obese men. Int J Obes Relat Metab Disord. 1992 Dec;16(12):991-7.
- Kapoor D, Goodwin E, Channer KS, Jones TH. Testosterone replacement therapy improves insulin resistance, glycaemic control, visceral adiposity and hypercholesterolaemia in hypogonadal men with type 2 diabetes. Eur J Endocrinol. 2006 Jun;154(6):899-906. doi: 10.1530/eje.1.02166.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
June 1, 2005
Primary Completion (Actual)
May 1, 2009
Study Completion (Anticipated)
October 1, 2009
Study Registration Dates
First Submitted
September 22, 2009
First Submitted That Met QC Criteria
September 22, 2009
First Posted (Estimate)
September 24, 2009
Study Record Updates
Last Update Posted (Estimate)
March 16, 2011
Last Update Submitted That Met QC Criteria
March 15, 2011
Last Verified
March 1, 2011
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Glucose Metabolism Disorders
- Metabolic Diseases
- Hyperinsulinism
- Insulin Resistance
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Hormone Antagonists
- Aromatase Inhibitors
- Steroid Synthesis Inhibitors
- Estrogen Antagonists
- Androgens
- 5-alpha Reductase Inhibitors
- Testosterone
- Anastrozole
- Dutasteride
Other Study ID Numbers
- DK65038 (completed)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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