NCT05334888

Brief Summary

The XCVD study investigates the influence of sex hormones on the composition of the gut microbiome and the possible emergence of cardiovascular risk factors. It will follow 200 healthy transgender individuals for two years during their hormone replacement therapy (HRT) and analyze them for the possible emergence of cardiovascular risk factors in relation to changes in the gut microbiome, metabolome, and immunome. We would also like to phenotype cardiovascular disease.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
200

participants targeted

Target at P75+ for all trials

Timeline
20mo left

Started Aug 2022

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress69%
Aug 2022Dec 2027

First Submitted

Initial submission to the registry

April 4, 2022

Completed
15 days until next milestone

First Posted

Study publicly available on registry

April 19, 2022

Completed
4 months until next milestone

Study Start

First participant enrolled

August 29, 2022

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2025

Completed
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Expected
Last Updated

February 9, 2024

Status Verified

February 1, 2024

Enrollment Period

3.3 years

First QC Date

April 4, 2022

Last Update Submit

February 8, 2024

Conditions

Keywords

Transgender Medicine

Outcome Measures

Primary Outcomes (1)

  • Changes in relative species abundance of intestinal bacteria compared

    baseline and 2 years after initiation of hormone replacement therapy. stool samples: Analysis with 16s rRNA sequencing

    Baseline, 2 years Follow Up (optional: after 1 year Follow Up)

Secondary Outcomes (25)

  • Changes in cardio marker

    Baseline, 2 years Follow Up (optional: after 1 year Follow Up)

  • Changes in hormone parameters

    Baseline, 2 years Follow Up (optional: after 1 year Follow Up)

  • Changes in immune marker

    Baseline, 2 years Follow Up (optional: after 1 year Follow Up)

  • Changes in the concentration of of cortisol, progesterone, testosterone and dehydroepiandrosterone

    Baseline, 2 years Follow Up

  • Changes in the oral species abundance

    Baseline, 2 years Follow Up (optional: after 1 year Follow Up)

  • +20 more secondary outcomes

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Age GroupsAdult (18-64)
Sampling MethodProbability Sample
Study Population

Healthy transgender individuals during their gender hormone replacement therapy (HRT)

You may qualify if:

  • Age 18-50
  • Language requirements: German, English
  • Previous gender hormone replacement therapy (HRT).
  • Ability to give consent and written consent to participate.
  • Health insurance (for clarification of incidental findings)

You may not qualify if:

  • Diseases or functional disorders that, in the opinion of the study physician, preclude participation in the study.
  • Incapacity or other circumstances that do not allow study participants to fully understand the nature, significance and scope of this study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Experimental and Clinical Research Center, Clinical Research Unit

Berlin, 13125, Germany

RECRUITING

Related Publications (3)

  • Fromentin S, Forslund SK, Chechi K, Aron-Wisnewsky J, Chakaroun R, Nielsen T, Tremaroli V, Ji B, Prifti E, Myridakis A, Chilloux J, Andrikopoulos P, Fan Y, Olanipekun MT, Alves R, Adiouch S, Bar N, Talmor-Barkan Y, Belda E, Caesar R, Coelho LP, Falony G, Fellahi S, Galan P, Galleron N, Helft G, Hoyles L, Isnard R, Le Chatelier E, Julienne H, Olsson L, Pedersen HK, Pons N, Quinquis B, Rouault C, Roume H, Salem JE, Schmidt TSB, Vieira-Silva S, Li P, Zimmermann-Kogadeeva M, Lewinter C, Sondertoft NB, Hansen TH, Gauguier D, Gotze JP, Kober L, Kornowski R, Vestergaard H, Hansen T, Zucker JD, Hercberg S, Letunic I, Backhed F, Oppert JM, Nielsen J, Raes J, Bork P, Stumvoll M, Segal E, Clement K, Dumas ME, Ehrlich SD, Pedersen O. Microbiome and metabolome features of the cardiometabolic disease spectrum. Nat Med. 2022 Feb;28(2):303-314. doi: 10.1038/s41591-022-01688-4. Epub 2022 Feb 17.

  • Talmor-Barkan Y, Bar N, Shaul AA, Shahaf N, Godneva A, Bussi Y, Lotan-Pompan M, Weinberger A, Shechter A, Chezar-Azerrad C, Arow Z, Hammer Y, Chechi K, Forslund SK, Fromentin S, Dumas ME, Ehrlich SD, Pedersen O, Kornowski R, Segal E. Metabolomic and microbiome profiling reveals personalized risk factors for coronary artery disease. Nat Med. 2022 Feb;28(2):295-302. doi: 10.1038/s41591-022-01686-6. Epub 2022 Feb 17.

  • Franz K, Marko L, Mahler A, Chakaroun R, Heinitz S, Schlogl H, Sacher J, Steckhan N, Dechend R, Adams N, Andersen M, Glintborg D, Viehweger M, Bahr LS, Forslund-Startceva SK. Sex hormone-dependent host-microbiome interactions and cardiovascular risk (XCVD): design of a longitudinal multi-omics cohort study. BMJ Open. 2025 Jan 9;15(1):e087982. doi: 10.1136/bmjopen-2024-087982.

Related Links

Biospecimen

Retention: SAMPLES WITHOUT DNA

Sera Plasma Whole blood Feces Saliva Hair Skin

Study Officials

  • Sofia Forslund, Dr.

    Max-Delbrück-Center

    STUDY DIRECTOR
  • Lajos Marko

    Charite - Universitätsmedizin Berlin

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Sofia Forslund, Prof. Dr.

CONTACT

Lajos Marko, Dr.

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
2 Years
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr.

Study Record Dates

First Submitted

April 4, 2022

First Posted

April 19, 2022

Study Start

August 29, 2022

Primary Completion

December 31, 2025

Study Completion (Estimated)

December 31, 2027

Last Updated

February 9, 2024

Record last verified: 2024-02

Locations