Clinical trial · Interventional
Short-term Testosterone Replacement in Testicular Cancer Survivors
Short-term Testosterone Replacement in Testicular Cancer Survivors to Treat Overweight and Improve Cardiometabolic Risk: A Pilot Study
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
To assess the effects of testosterone replacement therapy on fat mass and other components of the metabolic syndrome. A randomized double-blind placebo controlled intervention study, followed by an open-label treatment phase. Results of this pilot study will be used to design a multicenter randomized controlled study in a large group of TC survivors
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Testicular Cancer | Malignant Testicular Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Androgel (Testosterone gel) | Drug | — | UNRESOLVED |
| Placebo gel | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Testosterone gel
- description
- Patients will be randomized to treatment with transdermal testosterone gel (Androgel) once daily during 20 weeks, followed by 20 weeks of active Androgel treatment in all participants.
- interventionNames
- Drug: Androgel (Testosterone gel)
- type
- PLACEBO_COMPARATOR
- label
- Placebo gel
- description
- Patients will be randomized to treatment with placebo gel once daily during 20 weeks, followed by 20 weeks of active Androgel treatment in all participants.
- interventionNames
- Drug: Androgel (Testosterone gel)
- Drug: Placebo gel
Primary outcomes (1)
- measure
- percent change in fat mass as measured using using full body dual X-ray absorptiometry
Eligibility
Eligibility (as posted)
- Sex
- Male
- Minimum age
- 18 Years
- Maximum age
- 55 Years
Show eligibility criteria text
Inclusion Criteria: * patients with metastatic testicular cancer after unilateral orchidectomy and chemotherapy, at least 12 months after completion of last treatment and without evidence of disease. Combination chemotherapy should have contained a platinum compound, either cisplatin or carboplatin. In TC survivors, testosterone levels are routinely measured in blood during follow-up once every two years. * Patients are eligible for screening if they are between 18 and 55 years of age * have a documented low or low-normal total testosterone level ≤14 nmol/L, as measured during any of the follow-up visits, irrespective of signs and symptoms of androgen deficiency. Eligible for actual study participation and randomization between Androgel and placebo will be: * survivors of TC not using testosterone supplements, having biochemical evidence of hypogonadism (defined as a serum total testosterone concentration ≤ 12 nmol/L (345 ng/dL) measured after an overnight fast between 8:00 and 10:00 AM), and being overweight (as defined by a BMI ≥ 25 and \<35 kg/m2). * Patients should be able to understand and abide to the study protocol and sign written informed consent. Exclusion Criteria: * patients with a history of extragonadal testicular cancer * patients planning to father children within the next 12 months * patients taking corticosteroids or hormone replacement other than testosterone within 3 months of randomization * patients taking medication with any antiandrogenic effects (e.g. spironolactone) * patients with signs or history of hormone-dependent cancer (prostate or breast cancer) * patients with severe lower urinary tract symptoms (as defined by International Prostate Symptom Score \>19) * patients with a history of coronary artery disease (angina pectoris, myocardial infarction) or heart failure * patients with hematocrit \>50% * patients with untreated severe obstructive sleep apnea * patients with uncontrolled hypertension * patients with a BMI \> 35 kg/m2 * patients with a history of epilepsy * patients with debilitating psychiatric illness or inability to understand the study protocol, according to the opinion of the investigator
References
Publications (0)
Data not yet available