Endothelial Dysfunction, Inflammation and Insulin Resistance in Congenital Hypogonadism and Effect of Testosteron Replacement Therapy
Phase 4 Study That Evaluates the Presence of Endothelial Dysfunction, Inflammation and Insulin Resistance in Male Subjects With Hypogonadotrophic Hypogonadism and Effects of Two Different Testosterone Replacement Regiments on These Parameters.
The alterations in the measures for endothelial functions
The alterations in Endothelial functions are determined by measuring plasma asymmetric dimethylarginine (ADMA) levels, as a surrogate. ADMA measurement is performed by ELISA kit (Immunodiagnostic, Bernheim, Germany)(Catalog Number 7828) with a minimal detection limit of 0.05µmol/L.
6 months
The alterations in the measures of inflammation
The alterations in the measures of inflammation are determined by measuring plasma TWEAK levels. ELISA kit (Bender MedSystems, Lot Nr.BMS2006INST, Vienna, Austria) was used.
6 months
The alterations in the measures of insulin resistance
The alterations in insulin sensitivity are estimated by using the homeostasis model assessment (HOMA) index by the formula, HOMA = (insulin x glucose)/405.
6 months.
Study Arms (2)
Daily testosterone transdermal gel
ACTIVE COMPARATOR
Drug: Testosteron 50 mg transdermal gel
Injectable Testosterone esters
ACTIVE COMPARATOR
Testosteron 250mg injection per 3-4 weeks for 6 months
Drug: Testosterone 250mg injection
Interventions
Testosterone 250mg injectionDrug
The testosterone 250mg ester intramuscular injections performed in three weeks
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