Trial Outcomes & Findings for Study of Psychological and Motor Effects of Testosterone in Adolescents With XXY/Klinefelter Syndrome (NCT NCT01585831)

NCT ID: NCT01585831

Last Updated: 2021-08-10

Results Overview

A collection of subtests from the Delis-Kaplan Executive Function System will be used to evaluate different domains of executive functions including planning, problem solving, fluency, inhibition, and working memory. Possible scaled scores range from 0-20 (mean of 10), with higher scores indicating better performance. The value of the change in scaled score from baseline is reported.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

48 participants

Primary outcome timeframe

Visit 1 (baseline) and Visit 5 (1 year)

Results posted on

2021-08-10

Participant Flow

Participant milestones

Participant milestones
Measure
Testosterone Gel 1%
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Overall Study
STARTED
28
20
Overall Study
COMPLETED
26
18
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Testosterone Gel 1%
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Overall Study
Physician Decision
0
1
Overall Study
Withdrawal by Subject
2
1

Baseline Characteristics

Study of Psychological and Motor Effects of Testosterone in Adolescents With XXY/Klinefelter Syndrome

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Testosterone Gel 1%
n=28 Participants
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
n=20 Participants
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Total
n=48 Participants
Total of all reporting groups
Age, Categorical
<=18 years
28 Participants
n=5 Participants
20 Participants
n=7 Participants
48 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
12.23 years
STANDARD_DEVIATION 1.15 • n=5 Participants
12.22 years
STANDARD_DEVIATION 1.55 • n=7 Participants
12.22 years
STANDARD_DEVIATION 1.31 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
28 Participants
n=5 Participants
20 Participants
n=7 Participants
48 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
25 Participants
n=5 Participants
19 Participants
n=7 Participants
44 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
White
23 Participants
n=5 Participants
17 Participants
n=7 Participants
40 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
28 participants
n=5 Participants
18 participants
n=7 Participants
46 participants
n=5 Participants
Region of Enrollment
Canada
0 participants
n=5 Participants
2 participants
n=7 Participants
2 participants
n=5 Participants

PRIMARY outcome

Timeframe: Visit 1 (baseline) and Visit 5 (1 year)

Population: Variability in participants analyzed for each outcome measure is due to participant inability to complete the measure or missing study visits.

A collection of subtests from the Delis-Kaplan Executive Function System will be used to evaluate different domains of executive functions including planning, problem solving, fluency, inhibition, and working memory. Possible scaled scores range from 0-20 (mean of 10), with higher scores indicating better performance. The value of the change in scaled score from baseline is reported.

Outcome measures

Outcome measures
Measure
Testosterone Gel 1%
n=25 Participants
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
n=17 Participants
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Change From Baseline on the Delis-Kaplan Executive Function System
Verbal Fluency
-0.72 Scaled scores
Standard Deviation 2.35
1.29 Scaled scores
Standard Deviation 3.0
Change From Baseline on the Delis-Kaplan Executive Function System
Color-Word Interference
1.28 Scaled scores
Standard Deviation 3.1
0.65 Scaled scores
Standard Deviation 2.71
Change From Baseline on the Delis-Kaplan Executive Function System
Sorting
0.75 Scaled scores
Standard Deviation 3.24
0.76 Scaled scores
Standard Deviation 1.82
Change From Baseline on the Delis-Kaplan Executive Function System
20 Questions
0.60 Scaled scores
Standard Deviation 2.99
1.59 Scaled scores
Standard Deviation 4.06

PRIMARY outcome

Timeframe: Visit 1 (baseline) and Visit 5 (1 year)

Population: Variability in participants analyzed for each outcome measure is due to participant inability to complete the measure or missing study visits.

This test evaluates many aspects of motor functioning including fine and gross motor skills, visual motor integration, motor planning, and motor coordination. Possible scores range from 20-80, with higher scores indicating a better outcome.

Outcome measures

Outcome measures
Measure
Testosterone Gel 1%
n=26 Participants
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
n=17 Participants
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Change From Baseline on the Bruininks-Oseretsky Test of Motor Development - 2
Baseline
39.92 score on a scale
Standard Deviation 7.55
35.52 score on a scale
Standard Deviation 6.38
Change From Baseline on the Bruininks-Oseretsky Test of Motor Development - 2
1 Year
41.34 score on a scale
Standard Deviation 7.96
37.17 score on a scale
Standard Deviation 6.6

PRIMARY outcome

Timeframe: Visit 1 (baseline) and Visit 5 (1 year)

This questionnaire allows parents to rate many aspects of behavior including attention, hyperactivity, anxiety, social skills, and emotional lability. The range of possible scores is 0 to 100 (Mean T-score 50), with higher scores indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Testosterone Gel 1%
n=26 Participants
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
n=18 Participants
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Change From Baseline on the Conners Parent Rating Scales: DSM Attention
Baseline
64.2 score on a scale
Standard Deviation 10.6
62.8 score on a scale
Standard Deviation 8.8
Change From Baseline on the Conners Parent Rating Scales: DSM Attention
1 Year
58.1 score on a scale
Standard Deviation 11.4
59.3 score on a scale
Standard Deviation 12.1

PRIMARY outcome

Timeframe: Visit 1 (baseline) and Visit 5 (1 year)

This questionnaire allows parents to rate many aspects of behavior including attention, hyperactivity, anxiety, social skills, and emotional lability. The range of possible scores is 0 to 100 (Mean T-score 50), with higher scores indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Testosterone Gel 1%
n=26 Participants
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
n=18 Participants
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Change From Baseline on the Conners Parent Rating Scales: DSM Hyperactivity
Baseline
60.7 score on a scale
Standard Deviation 10.7
57.2 score on a scale
Standard Deviation 10.1
Change From Baseline on the Conners Parent Rating Scales: DSM Hyperactivity
1 Year
53.4 score on a scale
Standard Deviation 10.5
54.4 score on a scale
Standard Deviation 11.5

PRIMARY outcome

Timeframe: Visit 1 (baseline) and Visit 5 (1 year)

Population: Variability in participants analyzed for each outcome measure is due to participant inability to complete the measure or missing study visits.

This questionnaire allows parents to rate many aspects of behavior including attention, hyperactivity, anxiety, social skills, and emotional lability. The range of possible scores is 0 to 100 (Mean T-score 50), with higher scores indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Testosterone Gel 1%
n=25 Participants
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
n=17 Participants
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Change From Baseline on the Conners Parent Rating Scales: Anxiety
Baseline
59.7 score on a scale
Standard Deviation 12.7
62.2 score on a scale
Standard Deviation 13.7
Change From Baseline on the Conners Parent Rating Scales: Anxiety
1 Year
54.0 score on a scale
Standard Deviation 10.4
62.8 score on a scale
Standard Deviation 18.8

PRIMARY outcome

Timeframe: Visit 1 (baseline) and Visit 5 (1 year)

Population: Variability in participants analyzed for each outcome measure is due to participant inability to complete the measure or missing study visits.

This questionnaire allows parents to rate many aspects of behavior including attention, hyperactivity, anxiety, social skills, and emotional lability. The range of possible scores is 0 to 100, with higher scores indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Testosterone Gel 1%
n=26 Participants
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
n=17 Participants
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Change From Baseline on the Conners Parent Rating Scales: Social Skills
Baseline
64.3 score on a scale
Standard Deviation 14.0
66.4 score on a scale
Standard Deviation 14.6
Change From Baseline on the Conners Parent Rating Scales: Social Skills
1 Year
62.7 score on a scale
Standard Deviation 14.6
63.2 score on a scale
Standard Deviation 15.0

PRIMARY outcome

Timeframe: Visit 1 (baseline) and Visit 5 (1 year)

Population: Variability in participants analyzed for each outcome measure is due to participant inability to complete the measure or missing study visits.

This questionnaire allows parents to rate many aspects of behavior including attention, hyperactivity, anxiety, social skills, and emotional lability. The range of possible scores is 0 to 100, with higher scores indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Testosterone Gel 1%
n=25 Participants
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
n=17 Participants
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Change From Baseline on the Conners Parent Rating Scales: Emotional Lability
Baseline
59.4 score on a scale
Standard Deviation 14.1
61.3 score on a scale
Standard Deviation 16.4
Change From Baseline on the Conners Parent Rating Scales: Emotional Lability
1 Year
57.3 score on a scale
Standard Deviation 13.9
54.4 score on a scale
Standard Deviation 18.1

SECONDARY outcome

Timeframe: Visit 1 (baseline) and Visit 5 (1 year)

Population: Variability in participants analyzed for each outcome measure is due to participant inability to complete the measure or missing study visits.

The Vineland-2 is an interview evaluating adaptive skills in the areas of communication, daily living skills, social skills, and motor skills. Possible scores range from 20 to 160 (mean 100), with higher scores indicating a better outcome.

Outcome measures

Outcome measures
Measure
Testosterone Gel 1%
n=25 Participants
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
n=14 Participants
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Change From Baseline on the Vineland Adaptive Behavior Scales - 2nd Edition
Baseline
78.7 score on a scale
Standard Deviation 8.6
75.8 score on a scale
Standard Deviation 10.3
Change From Baseline on the Vineland Adaptive Behavior Scales - 2nd Edition
Change at 1 year
82.2 score on a scale
Standard Deviation 9.8
78.4 score on a scale
Standard Deviation 11.2

SECONDARY outcome

Timeframe: Visit 1 (baseline) and Visit 5 (1 year)

Population: Variability in participants analyzed for each outcome measure is due to participant inability to complete the measure or missing study visits.

This standardized assessment of cognitive functioning allows for evaluation of verbal and nonverbal cognitive skills, working memory, and processing speed. Possible full scale IQ scores range from 40-180 (mean 100), with higher scores indicating a better outcome.

Outcome measures

Outcome measures
Measure
Testosterone Gel 1%
n=24 Participants
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
n=17 Participants
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Change From Baseline on the Wechsler Intelligence Scale for Children - Fourth Edition
Baseline
86.8 score on a scale
Standard Deviation 16.1
83.9 score on a scale
Standard Deviation 14.1
Change From Baseline on the Wechsler Intelligence Scale for Children - Fourth Edition
1 Year
88.7 score on a scale
Standard Deviation 18.8
84.6 score on a scale
Standard Deviation 15.1

SECONDARY outcome

Timeframe: Visit 1 (baseline) and Visit 5 (1 year)

Population: Variability in participants analyzed for each outcome measure is due to participant inability to complete the measure or missing study visits.

This standardized test evaluates reading and language skills. Possible scores range from 20-200 (Mean Standard Score 100), with higher scores indicating a better outcome.

Outcome measures

Outcome measures
Measure
Testosterone Gel 1%
n=24 Participants
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
n=16 Participants
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Change From Baseline on the Comprehensive Test of Phonological Processing
Baseline
77.0 score on a scale
Standard Deviation 14.1
78.1 score on a scale
Standard Deviation 15.9
Change From Baseline on the Comprehensive Test of Phonological Processing
Change at 1 Year
77.1 score on a scale
Standard Deviation 14.3
77.4 score on a scale
Standard Deviation 17.8

Adverse Events

Testosterone Gel 1%

Serious events: 0 serious events
Other events: 25 other events
Deaths: 0 deaths

Placebo Gel

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Testosterone Gel 1%
n=28 participants at risk
Testosterone gel 1% applied to skin once per day for 1 year. Starting dose 1.25mL per day, titrated in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Titration based on testosterone levels with target level in mid-range of normal for Tanner stage. Testosterone gel 1%: Testosterone gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist after reviewing labs.
Placebo Gel
n=20 participants at risk
Placebo gel applied to skin once per day for 1 year. Starting dose 1.25mL per day. Dose randomly adjusted in 1.25mL increments for 1st 6 months of study after each study visit up to maximum of 5.0mL per day. Placebo gel: The placebo gel will be administered on a daily basis. The gel will be dispensed in a syringe, and the specific amount of gel to be applied each day will be determined by the study endocrinologist.
Skin and subcutaneous tissue disorders
Acne
25.0%
7/28 • Number of events 7 • 12 Months
30.0%
6/20 • Number of events 6 • 12 Months
Metabolism and nutrition disorders
Increased appetite
7.1%
2/28 • Number of events 2 • 12 Months
0.00%
0/20 • 12 Months
Psychiatric disorders
Behavioral agitation
35.7%
10/28 • Number of events 10 • 12 Months
25.0%
5/20 • Number of events 5 • 12 Months
Skin and subcutaneous tissue disorders
Skin reaction at application site
10.7%
3/28 • Number of events 3 • 12 Months
10.0%
2/20 • Number of events 2 • 12 Months
Endocrine disorders
Gynecomstia
3.6%
1/28 • Number of events 1 • 12 Months
10.0%
2/20 • Number of events 2 • 12 Months
Skin and subcutaneous tissue disorders
Scrotal Itching
14.3%
4/28 • Number of events 4 • 12 Months
10.0%
2/20 • Number of events 2 • 12 Months
Blood and lymphatic system disorders
Low White Blood Cell count
28.6%
8/28 • Number of events 8 • 12 Months
20.0%
4/20 • Number of events 4 • 12 Months
Musculoskeletal and connective tissue disorders
Advance bone age >1 year
46.4%
13/28 • Number of events 13 • 12 Months
20.0%
4/20 • Number of events 4 • 12 Months
Hepatobiliary disorders
Transaminase elevation >ULN
89.3%
25/28 • Number of events 25 • 12 Months
75.0%
15/20 • Number of events 15 • 12 Months
Endocrine disorders
Testosterone effects in female caregiver
7.1%
2/28 • Number of events 2 • 12 Months
5.0%
1/20 • Number of events 1 • 12 Months
Metabolism and nutrition disorders
Elevated Triglycerides >250mg/dL
3.6%
1/28 • Number of events 1 • 12 Months
20.0%
4/20 • Number of events 4 • 12 Months
Psychiatric disorders
BASC-2 Critical Item change
46.4%
13/28 • Number of events 13 • 12 Months
45.0%
9/20 • Number of events 9 • 12 Months

Additional Information

Nicole Tartaglia, MD

University of Colorado Denver

Phone: 3037241111

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place