Testosterone Replacement in Middle-Aged Hypogonadal Men With Dysthymia: Parallel Group, Double Blind Randomized Trial
Study Details
Study Description
Brief Summary
Growing evidence supports the notion that Late-onset Dysthymic disorder in middle aged men may be associated with age-related HPG hypofunctioning. In this study we seek to examine the efficacy of Testosterone replacement for this condition.
Hypothesis:
Testosterone replacement will be more effective than placebo, in treating men with late onset Dysthymic Disorder and hypo-gonadism.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Study Design
Outcome Measures
Primary Outcome Measures
- Hamilton Depression Scale (HAM-d) []
- Clinical Global Impression- Change (CGI-C) []
- Profile of Mood States (POMS) []
- Beck Depression Inventory (BDI) []
- Sheehan Disability Scale []
- Self Anchoring Scale (SAS) []
- Affective Balance Scale (ABS) []
- International Index of Erectile Function (IIEF) []
- Aging Male Symptom rating (AMS) []
- Clinical Global Impression (CGI) []
Eligibility Criteria
Criteria
Inclusion Criteria:
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Male, age 40-80 years.
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Diagnosed with hypogonadism (total T level below 350 ng/dl), but not previously treated.
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Diagnosis of Dysthymic disorder with onset after age 40.
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PSA < 4.0.
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Normal digital exam of the prostate in the preceding 1 year.
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For subjects currently taking an antidepressant: Current antidepressant treatment last 6 weeks or longer, with decent dose and with no remission (or with partial remission only HAM-D > 12).
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Able to give informed consent.
Exclusion Criteria:
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Acute, severe, or unstable prostatitis, symptomatic prostatic hypertrophy, polycythemia, severe acne, breast cancer, prostate cancer, or hypopituitarism.
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Currently being treated with testosterone.
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Meets lifetime criteria for schizophrenia, schizoaffective disorder, any bipolar disorder (i.e., BP-I, BP-II, or BP NOS); or a major depressive episode in the preceding 5 years.
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Current suicidal risk.
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Current (past year) substance abuse or dependence.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Sheba Medical Center, Psychiatric out patient clinical unit | Tel Hashomer | Israel | 52621 |
Sponsors and Collaborators
- Sheba Medical Center
- National Alliance for Research on Schizophrenia and Depression
Investigators
- Principal Investigator: Guy Orr, MD, Sheba Medical Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SHEBA-04-3222-GO-CTIL