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Phase 4 Completed N=5,204 Randomized Quadruple-blind Treatment

A Study to Evaluate the Effect of Testosterone Replacement Therapy (TRT) on the Incidence of Major Adverse Cardiovascular Events (MACE) and Efficacy Measures in Hypogonadal Men

Source: ClinicalTrials.gov NCT03518034 ↗
Enrolled (actual)
5,204
Serious AEs
11.3%
Results posted
Mar 2024
Primary outcomePrimary: Time From Randomization to the First Component Event of Major Adverse Cardiac Event (MACE): Number and Percentage of Participants With an Event — 182; 190 Participants
◆ Published Evidence
Highly cited
121citations · ~61 / year
Testosterone Treatment and Fractures in Men with Hypogonadism.
The New England journal of medicine · 2024 · Likely link

Summary

This is a double-blinded and placebo-controlled study of topical testosterone replacement therapy (TRT) in symptomatic hypogonadal men with pre-existing cardiovascular disease (CVD) or increased risk for CVD.

Linked Publications (5)

  • Testosterone Treatment and Fractures in Men with Hypogonadism.
    The New England journal of medicine · 2024 · 121 citations · Likely link
  • Prostate Safety Events During Testosterone Replacement Therapy in Men With Hypogonadism: A Randomized Clinical Trial.
    JAMA network open · 2023 · 66 citations · Open access · Likely link
  • Efficacy of Testosterone Replacement Therapy in Correcting Anemia in Men With Hypogonadism: A Randomized Clinical Trial.
    JAMA network open · 2023 · 62 citations · Open access · Likely link
  • Effect of Testosterone on Progression From Prediabetes to Diabetes in Men With Hypogonadism: A Substudy of the TRAVERSE Randomized Clinical Trial.
    JAMA internal medicine · 2024 · 54 citations · Open access · Likely link
  • Association of testosterone-induced increase in neutrophil and monocyte counts with thromboembolic events: The TRAVERSE trial.
    American heart journal · 2025 · 6 citations · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Time From Randomization to the First Component Event of Major Adverse Cardiac Event (MACE): Number and Percentage of Participants With an Event
182; 190
PRIMARY
Time From Randomization to the First Component Event of MACE
NA; NA
SECONDARY
Time From Randomization to the First Component Event of CV Safety Endpoint: Number and Percentage of Participants With an Event
269; 264
SECONDARY
Time From Randomization to the First Component Event of CV Safety Endpoint
NA; NA
SECONDARY
Incidence of High-Grade Prostate Cancer
5; 3

Eligibility Criteria

Inclusion Criteria

  • Men between 45 and 80 years age
  • Participants with low serum testosterone concentrations ( 3.0 ng/mL (or 1.5 if on 5-alpha reductase inhibitors)
  • Participants who have been treated with testosterone in the past 6 months and for whom testosterone therapy is contraindicated
  • Confirmed testosterone 50
  • Hemoglobin A1c (HbA1C) > 11%
  • Hematocrit (Hct) > 50%
  • Estimated Glomerular Filtration Rate (eGFR) < 30 ml/min
  • History of deep vein thrombosis or pulmonary embolism or prostate cancer or heart failure (Class III and IV).
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03518034) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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