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Influence of aromatase inhibitors on insulin sensitivity, liver and hart function in obese me

Conditions
Influence of aromatase inhibitors on insulin sensitivity, liver and hart function in obese men
Therapeutic area: Body processes [G] - Metabolic Phenomena [G03]
Registration Number
EUCTR2013-002964-22-BE
Lead Sponsor
Ghent University Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Male
Target Recruitment
Not specified
Inclusion Criteria

All criteria should be met
1)Informed consent obtained.
2)Obese male subjects planned for gastric bypass with low testosterone levels
3)Age 20 - 65 , BMI > 30 kg/m²

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 30
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

- Primary hypogonadism or secondary hypogonadism due to genetic causes (Kallman syndrome etc.), tumours, infiltrative diseases, infections, pituitary apoplexy, trauma, critical illness, chronic systemic illness or intentional.
- Treatment with corticoids, opiates (on a daily basis), androgen- or estrogen analogs or CYP2A6 substrates (Dexmedetomidine, Ifosfamide, Methoxsalen, Miconazole, Tranylcypromine).
- Impaired renal function defined as serum-creatine > 1.5 mg/dL
- Impaired liver function, defined as ALAT > 2.5 times upper limit of normal
- Clinically significant active cardiovascular disease including history of myocardial infarction within the past 6 months and/or heart failure (NYHA class III or IV) at the discretion of the investigator
- Cancer or any clinically significant disease or disorder, which in the investigator’s opinion could interfere with the results of the trial
- Palpable prostate nodule or induration, PSA > 3 ng/mL, prostatism, untreated sleep apnee syndrome, erythrocytosis (hematocrit > 50%) or hyperviscosity. (cfr. Endocrine Society Clinical Practice Guideline by Bhasin S et al. ref. 10)
- Known or suspected abuse of alcohol or narcotics
- Mental incapacity, unwillingness, or language barrier precluding adequate understanding or cooperation.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: The primary objective of the study is to evaluate potential effects and causes of changed sex steroids in obese men;Secondary Objective: Does a change of the sex steroid environment in obese men have an impact on liver and heart function? Is there a direct (independent of body weight) influence on insulin sensitivity?;Primary end point(s): There will be a pre- and post-intervention measurement of the tests (visit 1 and 2):<br>- physical examination (length, weight, waist circumference, blood pressure and pulse)<br>- insulin sensitivity<br>- laboratory assessments<br>- physical activity<br>- sexual function<br>- metabolic flexibility<br>- NMR liver<br>- Echocardiography;Timepoint(s) of evaluation of this end point: There will be a pre- and post-intervention measurement of the tests (visit 1 and 2):<br>visit 1: T = 0<br>Visit 2: T = 4 months
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): There will be a pre- and post-intervention measurement of the tests (visit 1 and 2):<br>- physical examination (blood pressure and pulse)<br>- Insulin sensitivity<br>- physical activity<br>- NMR liver<br>- Echocardiography;Timepoint(s) of evaluation of this end point: There will be a pre- and post-intervention measurement of the tests (visit 1 and 2):<br>visit 1: T = 0<br>Visit 2: T = 4 months
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