CClinicalTrials.gg
CompletedNCT04066283Updated Sep 19, 2024

Effects of Aging and Gender-Affirming Hormone Therapy on Vascular Endothelial Function and Metabolic Profiles in Transgender Women

An observational study in Transgender, Gender Identity and Vascular Stiffness, sponsored by University of Colorado, Denver. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by University of Colorado, Denver · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
29
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study will examine markers of vascular endothelial function (vascular health) and metabolic profiles in younger versus older transgender women (people who were assigned male at birth but whose gender identity is female). Data will also be compared to those from cisgender women and men.

02

Conditions studied

  • Transgender
  • Gender Identity
  • Vascular Stiffness
  • Vascular Inflammation
  • Insulin Sensitivity
  • Blood Pressure
  • Lipid Disorder
  • Appetitive Behavior
03

In context

Insulin Resistance

1,960 studies on the registry are indexed under Insulin Resistance; 306 are open to participants now.

This study's enrollment of 29 is below the median of 80 across 339 observational studies indexed under Insulin Resistance.

Browse Insulin Resistance studies →

Lead sponsor

University of Colorado, Denver is the lead sponsor of 1,499 studies on the registry; 315 are open to participants now.

Of its 139 completed or terminated interventional studies of FDA-regulated products, 89 (64%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Transgender women from the Denver metropolitan area and/or who utilize health care at University of Colorado Hospital.

Inclusion criteria

  • Aged 18-40 years old or 50-75 years old
  • Identify as a transgender woman
  • Have taken estradiol and spironolactone for at least one year
  • Currently taking oral or transdermal estradiol

Exclusion criteria

Exclusion Criteria:

  • Don't identify as a transgender woman
  • Not currently taking estradiol or spironolactone
  • Have been on estradiol and spironolactone for less than one year
  • History of orchiectomy
  • Current tobacco smoker
  • Current illicit drug use
  • History of prior or active estrogen-dependent neoplasms
  • Acute liver or gallbladder disease
  • Venous thromboembolism
  • Hypertriglyceridemia >500 mg/dL
  • Fasted plasma glucose >7.0 mmol/L or previously treated diabetes
  • Resting blood pressure >140/90 mmHg
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
29 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Older transgender women

    This cohort will consist of transgender women aged 50-75 years old who have taken estradiol and spironolactone for at least one year.

    Other: No intervention

  • Younger transgender women

    This cohort will consist of transgender women aged 18-40 years old who have taken estradiol and spironolactone for at least one year.

    Other: No intervention

Interventions

  • OtherNo intervention

    There was no intervention in this study

06

What researchers measure

Primary outcomes

  1. Evaluation of endothelial function (flow-mediated dilation (FMD)

    Brachial artery flow-mediated dilation (FMD), as measured by ultrasound.

    Time frame: Baseline

Secondary outcomes

  1. Evaluation of carotid artery compliance

    The carotid artery compliance index indicates how elastic the artery is. The index describes the change in arterial blood volume in response to a change in arterial blood pressure. Lower numbers are associated with worse outcomes (less elastic arteries).

    Time frame: Baseline

  2. Evaluation of carotid artery beta stiffness index

    The carotid artery beta stiffness index indicates how stiff the artery is. Higher numbers are associated with worse outcomes (stiffer artery).

    Time frame: Baseline

  3. Carotid artery intimal-medial thickness

    Time frame: Baseline

  4. Evaluation of oxidant burden: oxidized LDL

    Oxidized low-density lipoprotein (LDL) measured in the blood and endothelial cells.

    Time frame: Baseline

  5. Evaluation of oxidant burden: nitrotyrosine

    Nitrotyrosine measured in the blood and endothelial cells.

    Time frame: Baseline

  6. Evaluation of vascular endothelial cell inflammation: NFkB

    Protein NFkB (nuclear factor kappa-light-chain-enhancer of activated B cells) measured in blood and endothelial cells.

    Time frame: Baseline

  7. Evaluation of vascular endothelial cell inflammation: MCP-1

    Monocyte Chemoattractant Protein-1 (MCP-1) measured in blood and endothelial cells.

    Time frame: Baseline

  8. Evaluation of vascular endothelial cell inflammation: IL-6

    Interleukin 6 (IL-6) measured in blood and endothelial cells.

    Time frame: Baseline

  9. Evaluation of vascular endothelial cell inflammation: CRP

    C-reactive protein (CRP) measured in blood and endothelial cells.

    Time frame: Baseline

  10. Blood pressure

    Time frame: Baseline

  11. Plasma lipid concentrations: total cholesterol

    Total cholesterol will be determined at baseline.

    Time frame: Baseline

  12. Plasma lipid concentrations: triglycerides

    Triglycerides will be determined at baseline.

    Time frame: Baseline

  13. Insulin sensitivity

    Time frame: Baseline

  14. Whole body composition: Percent Lean Mass

    Percent lean mass will be determined using dual energy x-ray absorptiometry.

    Time frame: Baseline

  15. Whole body composition: Percent Fat Mass

    Percent fat mass will be determined using dual energy x-ray absorptiometry.

    Time frame: Baseline

  16. Regional body composition: Percent Lean Mass

    Regional percent lean mass will be determined using dual energy x-ray absorptiometry.

    Time frame: Baseline

  17. Regional body composition: Percent Fat Mass

    Regional percent fat mass will be determined using dual energy x-ray absorptiometry.

    Time frame: Baseline

  18. Weight changes

    Time frame: Baseline

  19. Appetite ratings

    Time frame: Baseline

  20. Appetite-related peptides

    Time frame: Baseline

  21. D-Dimer

    Time frame: Baseline

  22. Alcohol use

    Time frame: Baseline

  23. Depression symptoms

    Time frame: Baseline

  24. Physical activity monitoring

    Physical activity will me monitored for 7 days with an ActivPALmonitor

    Time frame: 7 days

  25. Energy intake

    Energy intake will be estimated with a 3-day food diary

    Time frame: 3 days

07

Study locations

1 site
  • University of Colorado
    Aurora, Colorado 80045, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04066283
Lead sponsor
University of Colorado, Denver
Collaborators
National Center for Advancing Translational Sciences (NCATS)
Responsible party
Sponsor
First posted
Aug 26, 2019
Start date
Apr 17, 2019
Primary completion
Dec 31, 2023
Completion
Dec 31, 2023
Last update
Sep 19, 2024

Study contacts

Sean Iwamoto, MD
principal investigator · University of Colorado, Denver

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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