Overview

Impact of Estradiol Addback

Status:
Completed
Trial end date:
2018-12-30
Target enrollment:
0
Participant gender:
Male
Summary
Repletion of testosterone (T) in older men drives Growth Hormone secretion after its aromatization to estradiol (E2) by potentiating endogenous GH drive.
Phase:
Phase 1
Accepts Healthy Volunteers?
Accepts Healthy Volunteers
Details
Lead Sponsor:
Mayo Clinic
Treatments:
Anastrozole
Estradiol
Estrogens
Testosterone
Criteria
Inclusion:

- 60 healthy men (ages 60 to 80 y);

- BMI 18-30 kg/m2

- Community dwelling; and voluntarily consenting

Exclusion:

- Recent use of psychotropic or neuroactive drugs (within five biological half-live);

- Obesity (outside weight range above);

- Laboratory test results not deemed physician acceptable, cholesterol >250,
triglycerides > 300, BUN >30 or creatinine > 1.5 mg/dL, liver functions tests twice
upper limit of normal, electrolyte abnormality, anemia; hemoglobin <12.0 gm/dL

- Drug or alcohol abuse, psychosis, depression, mania or severe anxiety;

- Acute or chronic organ-system disease;

- Endocrinopathy, other than primary thyroidal failure receiving replacement; untreated
osteoporosis

- Nightshift work or recent transmeridian travel (exceeding 3 time zones within 7 days
of admission);

- Acute weight change (loss or gain of > 2 kg in 6 weeks);

- Allergy to peanut oil (used in some injectable Te preparations)

- Unwillingness to provide written informed consent.

- PSA > 4.0 ng/mL

- History or suspicion of prostatic disease (elevated PSA, indeterminate nodule or mass,
obstructive uropathy.

- History of carcinoma (excluding localized basal cell carcinoma removed or surgically
treated with no recurrence.

- History of thrombotic arterial disease (stroke, TIA, MI, angina) or deep vein
thrombophlebitis.

- History of CHF, cardiac arrhythmias, congential QT prolongation, and medications used
to treat cardiac arrhythmias

- Gynecomastia > 2 cm, untreated

- Untreated gallbladder disease

- History of smoking greater than one ppd.