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NCT Number: NCT04254354

Transgender Men, Non-binary Persons and Testosterone Treatment BODY IDENTITY CLINIC

The aim of this study is to investigate transgender men and non-binary persons before and during testosterone treatment. The study will focus on:

* Cardiovascular status * Muscle strenght and power * Aggression and quality of life * Cardiac and respiratory function

Recruiting

Interested in participating?

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Observational

Primary location

Odense University Hospital

Odense, 5000, Denmark

Location status: Recruiting

Location contact

Mariannne S Andersen, Prof

CONTACT

[email protected]

+4565412502

About this study

Introduction: The number of individuals with gender dysphoria seeking gender-affirming treatment is increasing. The short- and long-term effects of masculinizing treatment with testosterone are debated as serum testosterone increase up to 20-fold compared to cisgender women. We hypothesize that, testosterone treatment is associated with non-calcified coronary plaque (NCP) development in transgender men.

Methods and analyses: Prospective, single-center, observational cohort study at the Body Identity Clinic (BIC), Odense University Hospital, Denmark, where all investigations are performed at inclusion and after 1, 3, 5 and 10 years of testosterone therapy.

Ethics and dissemination: The Regional Committees on Health Research Ethics for Southern Denmark (S-20190108) and the Danish Data Protection Agency approved the study (19/27572). Signed informed consent will be obtained from all participants. All findings will be published in peer-reviewed journals or at scientific conferences.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Transgender men

Exclusion criteria

none

Treatment and study plan

Primary outcomes

  1. Effect of testosterone on devellopment of plaques in the heart

    Time frame: 10 years

    Estimated directly by CCTA, at start, (1 year for early included participants) 5 and 10 years

Secondary outcomes

  1. Calcium score

    Time frame: 10 years

    CCTA

  2. Change in muscle strength and power

    Time frame: 10 years

    Estimated by low row and accelometer at start, 1, 3, 5, 10 years

  3. Effect of transgender treatment on quality of life

    Time frame: 10 years

    Estimated by quality of life questionnaire (SF36) at start, 1, 3, 5 and 10 years

  4. Effect of transgender treatment on aggression

    Time frame: 10 years

    Estimated by aggression questionnaire at start, 1, 3, 5 and 10 years

  5. Changes in maximal oxygen consumption during transgender treatment

    Time frame: 10 years

    Estimated by test og maximal oxygen consumption (vo2max) at start, 1, 3, 5 and 10 years

  6. Heart function

    Time frame: 10 years

    Ejection fraction and left ventricular muscle mass are measured by echocardiography at start,(1 for early included participants) 5 and 10 years

  7. Respiratory function

    Time frame: 10 years

    Forced Expiratory Volume in the first second and forced vital capacity estimated by spirometry at start, 1, 3, 5 and 10 years

  8. Levels of testosterone, estradiol and cortisol

    Time frame: 10 years

    Measured in serum by LCMS/MS

  9. circulating markers of inflammation

    Time frame: 10 years

    CRP in blood samples

  10. circulating markers of cardiovascular risk

    Time frame: 10 years

    Lipids, SuPAR in blood samples

  11. Assessment of cortisol/cortisone

    Time frame: 10 years

    measured in urine and hair samples by LCMS/MS

  12. Change in lean body mass

    Time frame: 10 years

    Estimated by dual x-ray absorptiometry at start, 1, 3, 5 and 10 years

Study contacts

Contact information is provided by the study sponsor or research team.

Louise Christensen, MD

CONTACT

[email protected]

+4565412502

marianne andersen, Professor

CONTACT

[email protected]

+4565412502

Sponsors and collaborators

Lead sponsor

Marianne Andersen

Other

Registry information

Official study title

Masculinizing Testosterone Treatment and Effects on Preclinical Cardiovascular Disease, Muscle Strength and Power, Aggression, Physical Fitness and Respiratory Function in Transgender Men,Body Identity Clinic (BIC)

Important dates

Study start
2020
Primary completion
2044
Study completion
2044
First posted
Feb 5, 2020
Registry last updated
Aug 13, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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