Exercise and Testosterone Therapy in Elderly Men With Physical Frailty

• Status: Completed
• Trial end date: 2009-08-01
• Target enrollment: 0
• Participant gender: Male

Summary

The primary aim of this study is to determine, in hypogonadal older men with physical frailty, whether exercise training combined with testosterone replacement therapy can improve skeletal muscle strength, and lean mass, to a greater degree than exercise training alone.

• Phase: Phase 3
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Washington University School of Medicine
• Collaborator: Solvay Pharmaceuticals
• Treatments: Methyltestosterone; Testosterone; Testosterone 17 beta-cypionate; Testosterone enanthate; Testosterone undecanoate

Criteria

Inclusion Criteria:

• Male, age 65 years and older

• Total serum testosterone level < 350 ng/dl

• Total Modified Physical Performance Test Score <28

Exclusion Criteria:

• Inability to walk 50 feet independently

• Current use of estrogen, progestin, or androgen containing compound

• Diagnosis of dementia of severity sufficient to interfere with informed consent or compliance with the protocol, or a score of 11 or greater on the Short Blessed Test of Orientation, Memory and Concentration

• Visual or hearing impairments that interfere with following directions

• Cardiopulmonary disease (recent MI, unstable angina or CHF, etc.), neuromuscular impairments, or unstable medical condition that would contraindicate progressive resistance exercise training

• History of prostate cancer or hormone dependent neoplasia

• PSA level > 4 ng/ml

• Serum liver transaminase levels of greater than 2 standard deviations above normal

• Use of drugs for osteoporosis for less than 1 year

• Current participation in a vigorous exercise or weight-training program more than once per week

• History of sleep apnea requiring use of CPAP

• Uncontrolled thyroid disease

• Diagnosis of cancer within the past 5 years other than superficial skin cancer (squamous or basal cell)

• hematocrit > 50%

• AUA symptom score > 16.

• History of alcohol or substance abuse

• Presence of severe facial acne

• Active symptoms of depression with GDS score > 5 and symptoms severe enough to cause >5% weight loss in previous 3 months or interfere with research assessments