NCT04374708

Brief Summary

This study will provide valuable information on the neurobiological underpinning of gender dysphoria (GD) and the effects of sex hormones, and promises to uncover functional or structural neural patterns that could predict outcome in terms of body image and quality of life after cross-sex hormone treatment.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
132

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Feb 2018

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 22, 2018

Completed
2.2 years until next milestone

First Submitted

Initial submission to the registry

April 19, 2020

Completed
16 days until next milestone

First Posted

Study publicly available on registry

May 5, 2020

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2021

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2021

Completed
Last Updated

March 22, 2023

Status Verified

March 1, 2023

Enrollment Period

2.9 years

First QC Date

April 19, 2020

Last Update Submit

March 20, 2023

Conditions

Outcome Measures

Primary Outcomes (6)

  • cerebral networks measured by functional magnetic resonance imaging (fMRI) mediating body perception and association with subjective own-body self-incongruence

    Own body perception in relation to functional and structural connection

    Baseline Visit 2 pre hormone treatment

  • Morphometric differences by sex, gender identity and sexual orientation

    Cortical thickness, surface area, cortical and subcortical structural volumes and white matter tracts measured by MRI in relation to sex and gender identity and sexual orientation.

    Baseline Visit 2 pre hormone treatment

  • Brain activation during own body perception

    Images of body morph test presented during fMRI scan

    Baseline Visit 2 pre hormone treatment

  • Change in cerebral networks measured by functional magnetic resonance imaging (fMRI) mediating body perception and association with subjective own-body self-incongruence

    Own body perception in relation to functional and structural connection

    Post hormone treatment. Visit 4 last appt. within 2 yrs of Visit 2.

  • Change in morphometric differences by sex, gender identity and sexual orientation

    Cortical thickness, surface area, cortical and subcortical structural volumes and white matter tracts measured by MRI in relation to sex and gender identity and sexual orientation.

    Post hormone treatment. Visit 4 last appt. within 2 yrs of Visit 2.

  • Change in brain activation during own body perception

    Images of body morph test presented during fMRI scan

    Post hormone treatment. Visit 4 last appt. within 2 yrs of Visit 2.

Study Arms (6)

trans men

fMRI: body morph test and neurocognitive testing

Diagnostic Test: fMRI

trans women

fMRI: body morph test and neurocognitive testing

Diagnostic Test: fMRI

homosexual cisgender men

fMRI: body morph test and neurocognitive testing

Diagnostic Test: fMRI

homosexual cisgender women

fMRI: body morph test and neurocognitive testing

Diagnostic Test: fMRI

cisgender women

fMRI: body morph test and neurocognitive testing

Diagnostic Test: fMRI

cisgender men

fMRI: body morph test and neurocognitive testing

Diagnostic Test: fMRI

Interventions

fMRIDIAGNOSTIC_TEST

fMRI: body morph test and neurocognitive testing

cisgender mencisgender womenhomosexual cisgender menhomosexual cisgender womentrans mentrans women

Eligibility Criteria

Age18 Years - 40 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Investigators will enroll 150 participants between the ages of 18 and 40 (25 trans males; 25 trans females; 25 cis gender females; 25 cis gender males; 25 homosexual males; 25 homosexual females)

You may qualify if:

  • Females and males from any racial or ethnic background, between the ages of 18 years and 40 years.
  • Participants must meet Diagnostic and Statistical Manual-5 criteria for GD (302.85)
  • Intelligence quotient (IQ) \> 80
  • Participants with GD

You may not qualify if:

  • Previous or on-going sex hormone medication
  • Previous sex reassignment surgery
  • Oral contraceptives
  • Participants with GD are not be taking any other psychotropic medication. (No participant will be recommended to discontinue or taper medications for the purpose of participating in the study.)
  • Irregular menstrual cycles
  • Control participants
  • Females and males from any racial or ethnic background, between the ages of 18 and 40.
  • IQ \> 80
  • Control participants
  • Psychiatric medications
  • A score of ≥ 1 standard deviation higher than population norms on the MADRS depression or the Hamilton anxiety scale (HAMA)
  • Sex hormone treatment
  • Irregular menstrual cycles
  • Any known chromosomal or hormonal disorder
  • Current substance abuse or dependence
  • +7 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

UCLA

Los Angeles, California, 90095, United States

Location

MeSH Terms

Conditions

Gender Dysphoria

Interventions

Magnetic Resonance Imaging

Condition Hierarchy (Ancestors)

Sexual Dysfunctions, PsychologicalMental Disorders

Intervention Hierarchy (Ancestors)

TomographyDiagnostic ImagingDiagnostic Techniques and ProceduresDiagnosis

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Psychiatry and Biobehavioral Sciences

Study Record Dates

First Submitted

April 19, 2020

First Posted

May 5, 2020

Study Start

February 22, 2018

Primary Completion

February 1, 2021

Study Completion

December 31, 2021

Last Updated

March 22, 2023

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will not share

Locations