ClinicalTrials.gg
CompletedNCT03452436Updated Mar 25, 2020

Testosterone, Cognition, Ageing, and Cancer

An observational study in Cancer-related Cognitive Impairment, sponsored by University of Aarhus. Completed at 1 site in Denmark. Open to male participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-03-25.

Sponsored by University of Aarhus · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
133
Ages
18 Years and older
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 10 studies in Cognitive Dysfunction by University of Aarhus — 1 open to participants now, 1 under way, none of them phase 3. Cognitive Dysfunction · University of Aarhus.

Started
2018
with 1 other
Observational
7 of 10
1 open now
Registered
3rd of 10
by date

Among the 10 studies in Cognitive Dysfunction by University of Aarhus, this one is one of 2 that started in 2018, is one of 7 observational ones, and was the 3rd registered.

Cognitive Dysfunction

3,875 studies on the registry are indexed under Cognitive Dysfunction; 1,121 are open to participants now.

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Open to participants now

1 of the 10 studies in Cognitive Dysfunction by University of Aarhus is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

Where they have run

Who these studies take

Of the 751 Cognitive Dysfunction studies recruiting now, 363 (48%) set no upper age limit and 143 (19%) stop at 75 or younger; 46 take children under 18; 259 take healthy volunteers.

This study: 18 Years and older · male · healthy volunteers too.

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02

Study summary

The primary aim of the study is - in a prospective controlled design - to examine whether treatment-induced decreases in testosterone acts as a mechanism of cancer-related cognitive impairment (CRCI) in testicular and prostate cancer patients.

Secondary aims are 1) to explore whether decreases in testosterone interacts with increasing age to cause more severe CRCI in older patients, 2) to explore underlying neurophysiological (brain morphology) mechanisms of CRCI, and 3) to evaluate selected genetic variants as possible moderators of CRCI.

Read the detailed description

The study will include three groups with a total of 120 participants: A) Forty testicular cancer patients will be included and examined 1) shortly after orchiectomy and prior to any further treatment and 2) at 6 months' follow- up. B) Forty prostate cancer patients will be included and examined at two time-points: 1) prior to initiation of medical castration and radiotherapy and 2) at 6 months' follow- up. C) Forty age- and education-matched healthy controls will be included and assessed at a similar time-interval, i.e., at an initial examination and at a 6 month follow-up. Measures include a battery of neuropsychological/ cognitive tests, questionnaires, blood samples, and Magnetic Resonance Imaging (MRI).

Primary hypothesis

  1. Treatment-induced decreases in testosterone will be associated with decline in global cognitive functioning from baseline to 6 months' follow- up in both testicular and prostate cancer patients.

    Secondary hypotheses

  2. Treatment-induced decreases in testosterone will be associated with decline in individual cognitive domains (i.e., processing speed, attention, verbal fluency, executive functioning, working memory, verbal learning and memory, visuospatial learning and memory, and visuospatial ability) from baseline to 6 months' follow- up in both testicular and prostate cancer patients.
  3. Decline in cognitive functioning from baseline to 6 months' follow- up in both testicular and prostate cancer patients will correspond to changes in grey matter as measured by T1-weighted MRI.
  4. Decline in cognitive functioning from baseline to 6 months' follow- up in both testicular and prostate cancer patients will correspond to changes in brain white matter as measured with diffusion-weighted MRI.
  5. Treatment-induced decreases in testosterone will be more strongly associated with decline in cognitive functioning in prostate cancer patients compared with testicular cancer patients due to more advanced age in the former group.
  6. Treatment-induced decreases in testosterone will be more strongly associated with decline in cognitive functioning in both testicular and prostate cancer patients carrying the the Apolipoprotein E (APOE) ε4 allele, the Val catechol-O-methyltranferase (COMT) allele, the Val/Val Brain- derived neurotrophic factor (BDNF) genotype, and a short polymorphic CAG repeat length of the Androgen Receptor (AR) gene.
  7. Treatment-induced decreases in testosterone will be associated with increases in neurobehavioral symptoms (i.e., apathy, executive dysfunction, and disinhibition) from baseline to 6 months' follow- up in both testicular and prostate cancer patients.
  8. Treatment-induced decreases in testosterone will be associated with decreases in health-related quality of life from baseline to 6 months' follow- up in both testicular and prostate cancer patients.
  9. Treatment-induced decreases in testosterone will be associated with decreases in perceived cognitive functioning from baseline to 6 months' follow- up in both testicular and prostate cancer patients.
03

Conditions studied

  • Cancer-related Cognitive Impairment

Keywords

  • Cancer-related Cognitive Impairment
  • Cognitive Dysfunction
  • Cognition Disorders
  • Neurocognitive Disorder
  • Testosterone
  • Endocrinology
  • Testicular Cancer
  • Prostate Cancer
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Men with testicular and prostate cancer seen at Aarhus University Hospital. Age- and education matched healthy controls recruited from the general population of Central Denmark Region.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Confirmed diagnosis of testicular cancer
  • Confirmed diagnosis of prostate cancer and prescription of medical castration and radiotherapy

Exclusion criteria

Exclusion Criteria:

  • Previous cancer disease
  • Previous central nervous system disease
  • Severe psychiatric disease (e.g., schizophrenia, major depressive disorder)
  • Insufficient Danish proficiency for neuropsychological testing
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
133 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Testicular cancer patients

    Forty testicular cancer patients included after orchiectomy but prior to any further treatment.

  • Prostate cancer patients

    Forty prostate cancer patients included prior to medical castration and radiotherapy.

  • Healthy controls

    Forty age- and education-matched healthy controls (20 matched to testicular cancer patients, 20 matched to prostate cancer patients).

06

What researchers measure

Primary outcomes

  1. Global cognitive functioning

    Changes in global cognitive composite score as measured with neuropsychological tests specified under "Secondary Outcome Measures".

    Time frame: Baseline and 6 months' follow-up

Secondary outcomes

  1. Visuospatial ability

    Changes in visuospatial ability as measured with WAIS-IV Matrix Reasoning.

    Time frame: Baseline and 6 months' follow-up

  2. Visuospatial ability

    Changes in visuospatial ability as measured with WAIS-IV Figure Weights.

    Time frame: Baseline and 6 months' follow-up

  3. Visuospatial ability

    Changes in visuospatial ability as measured with WAIS-IV Visual Puzzles.

    Time frame: Baseline and 6 months' follow-up

  4. Visuospatial ability

    Changes in visuospatial ability as measured with WAIS-IV Block Design.

    Time frame: Baseline and 6 months' follow-up

  5. Processing speed

    Changes in processing speed as measured with Trail Making Test A.

    Time frame: Baseline and 6 months' follow-up

  6. Processing speed

    Changes in processing speed as measured with WAIS-IV Coding.

    Time frame: Baseline and 6 months' follow-up

  7. Attention

    Changes in attention as measured with WAIS-IV Digit Span Forwards.

    Time frame: Baseline and 6 months' follow-up

  8. Executive functioning

    Changes in executive functioning as measured with Trail Making Test B.

    Time frame: Baseline and 6 months' follow-up

  9. Executive functioning

    Changes in executive functioning as measured with Wisconsin Card Sorting Test.

    Time frame: Baseline and 6 months' follow-up

  10. Working memory

    Changes in working memory as measured with WAIS-IV Digit Span Sequencing.

    Time frame: Baseline and 6 months' follow-up

  11. Working memory

    Changes in working memory as measured with WAIS-IV Digit Span Backwards.

    Time frame: Baseline and 6 months' follow-up

  12. Verbal fluency

    Changes in verbal fluency as measured with Controlled Oral Word Association Test.

    Time frame: Baseline and 6 months' follow-up

  13. Verbal learning and memory

    Changes in verbal learning and memory as measured with Hopkins Verbal Learning Test-Revised.

    Time frame: Baseline and 6 months' follow-up

  14. Visuospatial learning and memory

    Changes in visuospatial learning and memory as measured with WMS-III Visual Memory.

    Time frame: Baseline and 6 months' follow-up

  15. Testosterone levels

    Changes in testosterone levels as measured with liquid chromatography tandem mass spectrometry (LC-MS/MS).

    Time frame: Baseline and 6 months' follow-up

  16. Brain grey matter

    Changes in grey matter as measured with T1-weighted MRI.

    Time frame: Baseline and 6 months' follow-up

  17. Brain white matter

    Changes in brain white matter as measured with diffusion-weighted MRI.

    Time frame: Baseline and 6 months' follow-up

  18. Moderator: APOE genotype

    Genotype of the APOE gene obtained by TaqMan-genotyping the appropriate single nucleotide polymorphisms.

    Time frame: Baseline

  19. Moderator: COMT genotype

    Genotype of the COMT gene obtained by TaqMan-genotyping the appropriate single nucleotide polymorphism.

    Time frame: Baseline

  20. Moderator: BDNF genotype

    Genotype of the BDNF gene obtained by TaqMan-genotyping the appropriate single nucleotide polymorphism.

    Time frame: Baseline

  21. Moderator: CAG repeat length of the AR gene

    CAG repeat lenght of the AR gene obtained by TaqMan-genotyping the appropriate single nucleotide polymorphism.

    Time frame: Baseline

  22. Neurobehavioral symptoms (i.e., apathy, executive dysfunction, and disinhibition)

    Changes in neurobehavioral symptoms as measured with The Frontal Systems Behavior Scale (FrsBe).

    Time frame: Baseline and 6 months' follow-up

  23. Perceived cognitive functioning

    Changes in perceived cognitive functioning as measured with The Patient Assessment of Own Functioning Inventory (POAFI).

    Time frame: Baseline and 6 months' follow-up

  24. Health-related quality of life

    Changes in health-related quality of life as measured with The European Organization for Research and Treatment of Cancer, Quality of Life questionnaire for cancer patients (EORTC QLQ-C30).

    Time frame: Baseline and 6 months' follow-up

  25. Health-related quality of life - Prostate Cancer

    Changes in disease specific health-related quality of life as measured with The European Organization for Research and Treatment of Cancer, Quality of Life Prostate Cancer Module (EORTC QLQ-PR25).

    Time frame: Baseline and 6 months' follow-up

  26. Health-related quality of life - Testicular Cancer

    Changes in disease specific health-related quality of life as measured with The European Organization for Research and Treatment of Cancer, Quality of Life Testicular Cancer Module (EORTC QLQ-TC25).

    Time frame: Baseline and 6 months' follow-up

07

Study locations

1 site
  • Aarhus University Hospital
    Aarhus, 8200, Denmark
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2018 to primary completion in Mar 2020, 24 months.

Of 504 non-industry observational studies under Cognitive Dysfunction, half reached primary completion within 49 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 118. This study's 24 months is below that.

Counting every sponsor, half of 543 studies reached it within 47 months; a quarter within 21 and three quarters within 118.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 1, 2018
First posted
Mar 2, 2018
StartActual
Feb 12, 2018
Primary completionActual
Mar 1, 2020
CompletionActual
Mar 1, 2020
Last update
Mar 25, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 25, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03452436
Responsible party
Sponsor
First posted
Mar 2, 2018
Start date
Feb 12, 2018
Primary completion
Mar 1, 2020
Completion
Mar 1, 2020
Last update
Mar 25, 2020

Study contacts

Cecilie D R Clausen, MSc
principal investigator · Unit for Psychooncology & Health Psychology, Department of Oncology, Aarhus University
Robert Zachariae, Professor, DMSc
study director · Unit for Psychooncology & Health Psychology, Department of Oncology, Aarhus University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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