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TEAM: Testosterone Supplementation and Exercise in Elderly Men - Article


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Testosterone Transdermal

Androderm; Testoderm; Testoderm TTS 




Clinical Trial: TEAM: Testosterone Supplementation and Exercise in Elderly Men

This study is currently recruiting patients.

Sponsored by: National Institute on Aging (NIA)
Information provided by: National Institute on Aging (NIA)

Purpose

The purpose of this study is to evaluate the effects of testosterone supplementation (AndroGel) on body composition, strength, endurance, cognition, and function in older men.

Condition Treatment or Intervention Phase
Healthy
 Drug: Testosterone Gel
 Behavior: Exercise
Phase II

MedlinePlus consumer health information 

Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Factorial Assignment, Safety/Efficacy Study

Official Title: Testosterone Supplementation and Exercise in Elderly Men

Further Study Details: 
Primary Outcomes: body composition; fat distribution; strength; power; function
Secondary Outcomes: cognition; vascular reactivity; obstructive sleep apnea; testosterone; estradiol; dehydroepiandrosterone (DHEA); insulin-like growth factor I; insulin resistance
Expected Total Enrollment:  150

Study start: January 2005;  Expected completion: December 2008
Last follow-up: May 2008;  Data entry closure: December 2008

Studies suggest that testosterone (T) replacement in healthy elderly men has beneficial effects on body composition, muscle, bone, memory, and behavior, but the risks of chronic treatment, especially on the prostate, heart, and sleep quality, are not entirely clear. Therefore, it is most desirable to supplement into the lowest "effective" range in elderly men. However, the effects of lower than usual replacement T doses have not been well studied. Furthermore, the possible important interaction of exercise to enhance the positive effects of T supplementation, yet mitigate the possible side effects, has not been studied in older men.

This one-year study will enroll 150 men with low-normal to slightly below normal serum total T levels. Participants will be randomized into one of 6 treatment groups to receive T supplementation (AndroGel) of 25mg/day, 50 mg/day or a placebo crossed with progressive resistance training (PRT) exercise 3 times a week versus none. At the end of the study, participants in the exercise-control group will be offered PRT.

Eligibility

Ages Eligible for Study:  60 Years and above,  Genders Eligible for Study:  Male

Accepts Healthy Volunteers

Criteria

Inclusion Criteria:

  • Generally healthy, untrained men over 60 years old with low-normal testosterone levels (200-350g/dL)

Exclusion Criteria:

  • Trained
  • Obstructive sleep apnea
  • Prostate/breast cancer
  • Severe LUTS (lower urinary tract symptoms)
  • Unable to exercise safely
  • severe obesity (>34 body mass index [BMI])
  • Polycythemia

Location and Contact Information

Please refer to this study by ClinicalTrials.gov identifier  NCT00112151


Colorado
      University of Colorado Health Sciences Center, Denver,  Colorado,  80262,  United States; Recruiting
Robert S. Schwartz, MD  303-315-8668    Robert.schwartz@uchsc.edu 
Robert S. Schwartz, MD,  Principal Investigator

Study chairs or principal investigators

Robert S. Schwartz, MD,  Principal Investigator,  University of Colorado   

More Information

Publications

Schwartz RS, Shuman WP, Bradbury VL, Cain KC, Fellingham GW, Beard JC, Kahn SE, Stratton JR, Cerqueira MD, Abrass IB. Body fat distribution in healthy young and older men. J Gerontol. 1990 Nov;45(6):M181-5.

Porter MM, Vandervoort AA, Lexell J. Aging of human muscle: structure, function and adaptability. Scand J Med Sci Sports. 1995 Jun;5(3):129-42. Review.

Jolles J, Verhey FR, Riedel WJ, Houx PJ. Cognitive impairment in elderly people. Predisposing factors and implications for experimental drug studies. Drugs Aging. 1995 Dec;7(6):459-79. Review.

Davidson JM, Chen JJ, Crapo L, Gray GD, Greenleaf WJ, Catania JA. Hormonal changes and sexual function in aging men. J Clin Endocrinol Metab. 1983 Jul;57(1):71-7.

Vitiello MV. Sleep disorders and aging: understanding the causes. J Gerontol A Biol Sci Med Sci. 1997 Jul;52(4):M189-91. Review. No abstract available.

Myers BL, Badia P. Changes in circadian rhythms and sleep quality with aging: mechanisms and interventions. Neurosci Biobehav Rev. 1995 Winter;19(4):553-71. Review. Erratum in: Neurosci Biobehav Rev 1996 Summer;20(2):I-IV.

Study ID Numbers:  AG0020; AG19339
Record last reviewed:  May 2005
Last Updated:  May 27, 2005
Record first received:  May 27, 2005
ClinicalTrials.gov Identifier:  NCT00112151
Health Authority: United States: Federal Government
ClinicalTrials.gov processed this record on 2005-05-31

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Page Updated: June 1, 2005
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