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Diagnostic Relevance of Salivary Testosterone Concentrations in Doping Control.

Not Applicable
Conditions
Testosterone
Exercise
Circadian
Interventions
Registration Number
NCT02134470
Lead Sponsor
Paracelsus Medical University
Brief Summary

It is generally accepted that chemical testing of biologic fluids is the most objective means of diagnosis of drug use. In recent years saliva has attracted much attention. The prime advantage of saliva is that it offers non-invasive, stress-free and real-time repeated sampling whereas blood collection is undesirable, difficult and expensive. In addition, it is known that androgens such as testosterone can be assayed in saliva, as these steroids pass the endothelial-epithelial barriers by passive diffusion. Nevertheless, the correlations of blood, urine and saliva concentrations are not well documented. In recent reviews, it is pointed out that salivary hormone analysis could be a promising method for sports medicine and doping control, but much work is needed before the use of saliva samples in this area receives the acceptance. According to recent studies the increase of testosterone concentration in saliva is significantly higher than alterations of steroid concentrations (or ratios) in blood or urine. Saliva concentration may therefore serve as screening parameter to select suspicious cases for further target evaluation (e.g. by IRMS). This may be beneficial to identify cases of transdermal administration of low steroid doses. It is therefore the aim of the present project to detect administered testosterone in saliva and compare these levels to those in blood and urine. The intention is not to detect high dosage but low dosage abuse of testosterone, as a single-dose by patch application. From the practical point of view saliva could offer a complementary specimen for a pre-screening of testosterone. So it could be assumed that salivary testosterone exceed upon plasma and/or urine levels. So the present study could be the base for a new method to preselect the suspicious samples for testosterone abuse.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Male
Target Recruitment
12
Inclusion Criteria
  • male
  • healthy
  • informed consent
Exclusion Criteria
  • any metabolic, cardiovascular, pulmonary disorder
  • neoplastic or hormonal disorders
  • active sports competitor
  • disorders which hinder cycling ergometry

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
TestosteroneTestosterone supplementationChemical testing of saliva is an objective method to quantify steroid hormones. Recent studies indicate that salivary testosterone is significantly higher than in other body fluids. Therefore, saliva may serve as pre-screening parameter to select suspicious cases for further target evaluation. The aim of the present project is to detect administered testosterone in saliva and compare these levels to those in blood and urine. Therefore, each participant represents its own control.
Primary Outcome Measures
NameTimeMethod
Salivary testosterone concentration2 weeks

Salivary testosterone concentration will be quantified in relation to circadian time, exercise, and external low-dose hormone application.

Secondary Outcome Measures
NameTimeMethod
Circulating microRNA in blood plasma2 weeks

Circulating microRNA in blood plasma will be screened in relation to circadian time, exercise, and external low-dose hormone application.

Serum testosterone2 weeks

Serum testosterone concentration (free/bound) will be quantified in relation to circadian time, exercise, and external low-dose hormone application.

Trial Locations

Locations (1)

Technische Universität München

🇩🇪

Munich, Bavaria, Germany

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