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NCT04128488Completed

Effects of Gender-Affirming Hormone Therapy Among Transgender Women

Source: ClinicalTrials.gov · Last updated 18 May 2025

Brief summary (registry, in English)

In this study, investigators plan to evaluate the cardiometabolic effects of initiating gender-affirming hormone therapy among transgender women with and without HIV. As part of this study, participants will undergo cardiovascular and metabolic phenotyping within 3 months of starting and after 12 months of gender-affirming hormone therapy. Cardiovascular phenotyping will include cardiac MRI/MRS imaging to evaluate cardiac function and structure. Metabolic phenotyping will include oral glucose tolerance testing, abdominal MR imaging to evaluate visceral adiposity, and whole body, lumbar, and hip DEXA imaging to evaluate fat and lean body mass as well as bone mineral density, respectively. Traditional markers of CVD risk as well as immune, hormonal, and coagulation parameters will also be assessed longitudinally.

Status (registry)
Completed
Study type
Observational
Enrollment
33 (actual)
First submitted
14 Oct 2019
Start date
1 Nov 2019
Primary completion date
28 Mar 2024
Lead sponsor
Massachusetts General Hospital
Diseases
HIV
NCT number
NCT04128488

What you commit to

  • Study type: Observational
  • Participants enrolled: 33
  • From 1 Nov 2019 to the primary completion date, 28 Mar 2024
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • prior orchiectomy
  • gender-affirming hormone therapy for greater than 5 months directly prior to enrollment
  • concurrent enrollment in conflicting research study

Other illness

  • history of CAD, ACS, ASCVD risk score ≥ 7.5%, LDL-C ≥ 190, or angina (e.g. current indication for statin use)
  • history of heart failure
  • history of diabetes
  • standard contraindication to MRI, including history of severe allergy to gadolinium or Dotarem

Lab values

  • For women with HIV only: CD4 count\<50
  • eGFR \< 30 ml/min/1.73m2
  • current or past anti-platelet therapy or anti-coagulant therapy within the last 6 months •current or past statin therapy within the last 6 months

Who the study is looking for

  • transgender women or non-binary individual
  • age ≥16
  • For women with HIV only: on ART therapy for ≥3 months
  • initiation of testosterone suppression with spironolactone or leuprolide and estrogen therapy with oral 17-β estradiol, transdermal 17β estradiol, sublingual estradiol, intramuscular estradiol, or subcutaneous estradiol by medical provider

Age in the registry: 16 years to 99 years · Sex: Male · Accepts healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Massachusetts General Hospital
Coordinator of this site? Confirm its status
BostonUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.