Evaluating the Impact of Gender-Affirming Treatments on Pulmonary Function in Transgender and Gender Diverse (TGD) Patients
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Mayo Clinic
- 入组人数
- 44
- 试验地点
- 2
- 主要终点
- Change in lung volume (Total Lung Capacity, Vital Capacity, Functional Residual Capacity, Residual Volume)
研究概览
简要总结
The purpose of this research study is to evaluate whether undergoing gender affirming care will impact the way the lungs function.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 14 Years 至 —(Child, Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects speaking any language will be offered participation.
- •Subjects capable of providing informed consent to the study. For those subjects younger than 18 years old who agree to participate in the study, informed consent will be obtained from patient's parents/guardian.
- •Subjects capable of performing pulmonary function test (PFT) maneuvers, as per pulmonary function test laboratory protocol.
- •Patients will be enrolled through the Mayo Clinic Rochester Transgender and Intersex
- •Specialty Care Clinic (TISCC), once patient has decided to undergo hormonal gender-affirming therapies (pubertal blockers, and masculinizing or feminizing hormone therapies).
排除标准
- •Subjects unable to provide consent, or subjects who do not agree to discuss the study with their parents/guardians.
- •The presence of contraindications for pulmonary function testing including (these will be reviewed at the time of recruitment and prior to each spirometry associated with the study):
- •Recent surgical procedures (<3 months) that could be affected by lung function testing, including the following categories: Abdominal surgery, Eye surgery, Thoracic surgery, Ear surgery, Brain surgery, Vascular surgery.
- •The presence of previously known respiratory disorders including pulmonary embolism (<6 months), pleural effusion, pneumothorax, hemoptysis.
- •Recent myocardial infarction (<1 month), new cardiac arrythmia (<3 months), recent cardiac pacemaker implantation (<3 months).
- •Heart failure symptoms, significant shortness of breath, tachycardia, or angina
- •The presence of chronic pulmonary diseases that maybe associated with changes in pulmonary function overtime such as asthma, chronic obstructive pulmonary disease, or interstitial lung diseases.
研究组 & 干预措施
Pulmonary Function in Transgender and Gender Diverse Patients
Transgender and gender diverse (TGD) patients undergoing masculinizing or feminizing hormone therapies will have breathing tests to evaluate their lung function
干预措施: Spirometry (Diagnostic Test)
Pulmonary Function in Transgender and Gender Diverse Patients
Transgender and gender diverse (TGD) patients undergoing masculinizing or feminizing hormone therapies will have breathing tests to evaluate their lung function
干预措施: Plethysmography (Diagnostic Test)
结局指标
主要结局
Change in lung volume (Total Lung Capacity, Vital Capacity, Functional Residual Capacity, Residual Volume)
时间窗: Baseline, 6-month Follow-Up, 12-month Follow-Up, 18-month Follow-Up
The longitudinal changes in lung volumes after both masculinizing and feminizing hormone therapy in transgender and gender diverse (TGD) patients.
Change in forced expiratory volume
时间窗: Baseline, 6-month Follow-Up, 12-month Follow-Up, 18-month Follow-Up
Measured by spirometry to determine the volume of air that can be exhaled in 1 second with a forced breath
Change in forced vital capacity
时间窗: Baseline, 6-month Follow-Up, 12-month Follow-Up, 18-month Follow-Up
Measured by spirometry to determine the maximal amount of air that can be forcibly exhaled from the lungs after a full inhale, reported as liters (L)
Change in peak expiratory flow
时间窗: Baseline, 6-month Follow-Up, 12-month Follow-Up, 18-month Follow-Up
Measured by a peak flow meter is the maximum forced expiratory flow, reported in liter per minute (L/min)
Change in maximal mid-expiratory flow rate
时间窗: Baseline, 6-month Follow-Up, 12-month Follow-Up, 18-month Follow-Up
Measured by spirometry to determine the rate of airflow where half of the forced vital capacity is exhaled
次要结局
- Time of "gender adjustment" of PFT's normative values(Baseline, 6-month Follow-Up, 12-month Follow-Up, 18-month Follow-Up)
研究者
Gustavo A. Cortes Puentes
Principal Investigator
Mayo Clinic
