About this trial
This observational study will evaluate the effect of puberty suppression on insulin sensitivity, metabolic rate and vascular health among transgender female youth at baseline and 6 months after initiation of a gondoatropin releasing hormone agonist compared to matched cisgender male controls.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Identify as a transgender female or cisgender male
Age 9-14 years at the time of enrollment
Tanner Stage 2-3 baseline pubertal development
Plan to start gonadotropin releasing hormone analogue clinically in < 2 months (for transgender females only)
Disqualifiers
Cognitive, psychiatric, or physical impairment resulting in inability to tolerate the study procedures
Type 1 or 2 diabetes (by medical history)
On any medications that affect insulin sensitivity (e.g. metformin, antipsychotics)
Hypertension (resting BP ≥ 140/90 mm/Hg)
Trial population
15 transgender females (male sex assigned at birth, female gender identity) and 15 cisgender males
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Change in insulin sensitivity
Insulin sensitivity assessed by the oral minimal model
Secondary outcomes
Change in body composition (fat mass, fat-free mass)
Body composition measured by DXA
Change in resting metabolic rate
Resting metabolic rate assessed by indirect calorimetry
Change in endothelial function
Endothelial function assessed by brachial artery flow mediated dilation
Change in large elastic artery stiffness
Large elastic assessed by carotid ultrasound
Sponsors and contacts
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