Effects of Testosterone Undecanoate vs Placebo on Intrahepatic Fat Content in Overweight/Obese Men With T2DM or Prediabetes and Hypogonadism
NCT03851627 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 32
Last updated 2024-03-13
Summary
The epidemics of obesity, MeTSy, T2DM and CVD are increasing worldwide. Non-alcoholic fatty liver disease (NAFLD) is becoming recognized as a condition possibly involved in the pathogenesis of these diseases. The prevailing hypothesis for NAFLD pathogenesis is the 'two-hit' model, with insulin resistance and hyperinsulinemia playing essential roles, which have a plethora of effects on hepatic lipid metabolism and can lead to accumulation of triglycerides in hepatocytes. Accepted treatment for NAFLD is lifestyle modifications. Sex hormones might be relevant in T2DM development and treatment. Low testosterone (T) has deteriorating effects on glucose levels, and aggravates in obesity as aromatization of T is enhanced. T deficiency is related to increases of visceral fat accumulation and associated with development of NAFLD. T replacement might be a successful way in hypogonadism to treat obesity and counteract progression of MEtSy,T2DM or CVD driven by visceral fat accumulation or NAFLD.
Primary Objective To investigate the effects on hepatic lipid content reduction of a therapy with Testosterone undecanoate 1000mg compared to placebo given for 52 weeks in patients with type 2 diabetes mellitus and hypogonadism.
Conditions
- Fatty Liver
- Overweight/Obesity
- Prediabetes/Type2 Diabetes Mellitus
- Hypogonadism, Male
Interventions
- DRUG
-
Testosterone Undecanoate
1000mg/4ml i.m. initial, after 6 weeks, every 10 weeks thereafter
- DRUG
-
Placebo Arm
Sponsors & Collaborators
- collaborator INDUSTRY
-
Alexandra Kautzky-Willer
lead OTHER
Principal Investigators
-
Alexandra Kautzky-Willer, MD · Medical University Vienna
-
Jürgen Harreiter, PhD · Medical University Vienna
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-01-25
- Primary Completion
- 2028-09-30
- Completion
- 2028-12-31
Countries
- Austria
Study Locations
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