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RecruitingNCT04254354Updated Aug 13, 2025

Transgender Men, Non-binary Persons and Testosterone Treatment BODY IDENTITY CLINIC

An observational study in Transgenderism, sponsored by Marianne Andersen. Recruiting at 1 site in Denmark. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-13.

Sponsored by Marianne Andersen · Observational

From the registry’s dates

  • Started Mar 2020; still recruiting 6 years 7 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
18 Years and older
Sex
Female
01

Study summary

The aim of this study is to investigate transgender men and non-binary persons before and during testosterone treatment. The study will focus on:

  • Cardiovascular status
  • Muscle strenght and power
  • Aggression and quality of life
  • Cardiac and respiratory function
Read the detailed description

Introduction: The number of individuals with gender dysphoria seeking gender-affirming treatment is increasing. The short- and long-term effects of masculinizing treatment with testosterone are debated as serum testosterone increase up to 20-fold compared to cisgender women. We hypothesize that, testosterone treatment is associated with non-calcified coronary plaque (NCP) development in transgender men.

Methods and analyses: Prospective, single-center, observational cohort study at the Body Identity Clinic (BIC), Odense University Hospital, Denmark, where all investigations are performed at inclusion and after 1, 3, 5 and 10 years of testosterone therapy.

Ethics and dissemination: The Regional Committees on Health Research Ethics for Southern Denmark (S-20190108) and the Danish Data Protection Agency approved the study (19/27572). Signed informed consent will be obtained from all participants. All findings will be published in peer-reviewed journals or at scientific conferences.

02

Conditions studied

  • Transgenderism
03

In context

Lead sponsor

Marianne Andersen is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

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

04

Who can participate

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

Study population

Persons assigned female at birth (+18 years) that either use or want to use testosterone with the purpose of undergoing gender transformation. -

Inclusion criteria

Transgender men

Exclusion criteria

Exclusion Criteria:

none

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
200 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • transgender men

    no intervention

06

What researchers measure

Primary outcomes

  1. Effect of testosterone on devellopment of plaques in the heart

    Estimated directly by CCTA, at start, (1 year for early included participants) 5 and 10 years

    Time frame: 10 years

Secondary outcomes

  1. Calcium score

    CCTA

    Time frame: 10 years

  2. Change in muscle strength and power

    Estimated by low row and accelometer at start, 1, 3, 5, 10 years

    Time frame: 10 years

  3. Effect of transgender treatment on quality of life

    Estimated by quality of life questionnaire (SF36) at start, 1, 3, 5 and 10 years

    Time frame: 10 years

  4. Effect of transgender treatment on aggression

    Estimated by aggression questionnaire at start, 1, 3, 5 and 10 years

    Time frame: 10 years

  5. Changes in maximal oxygen consumption during transgender treatment

    Estimated by test og maximal oxygen consumption (vo2max) at start, 1, 3, 5 and 10 years

    Time frame: 10 years

  6. Heart function

    Ejection fraction and left ventricular muscle mass are measured by echocardiography at start,(1 for early included participants) 5 and 10 years

    Time frame: 10 years

  7. Respiratory function

    Forced Expiratory Volume in the first second and forced vital capacity estimated by spirometry at start, 1, 3, 5 and 10 years

    Time frame: 10 years

  8. Levels of testosterone, estradiol and cortisol

    Measured in serum by LCMS/MS

    Time frame: 10 years

  9. circulating markers of inflammation

    CRP in blood samples

    Time frame: 10 years

  10. circulating markers of cardiovascular risk

    Lipids, SuPAR in blood samples

    Time frame: 10 years

  11. Assessment of cortisol/cortisone

    measured in urine and hair samples by LCMS/MS

    Time frame: 10 years

  12. Change in lean body mass

    Estimated by dual x-ray absorptiometry at start, 1, 3, 5 and 10 years

    Time frame: 10 years

07

Study locations

1 of 1 sites recruiting
  • Odense University Hospital
    Odense, 5000, Denmark
    • Mariannne S Andersen, Prof · Contact · msa@rsyd.dk · +4565412502
    Recruiting
08

References and documents

Publications

  • Lehmann Christensen L, Glintborg D, Taulbjerg Kristensen T, Diederichsen A, T'Sjoen G, Frystyk J, Skovsager Andersen M. Masculinising testosterone treatment and effects on preclinical cardiovascular disease, muscle strength and power, aggression, physical fitness and respiratory function in transgender men: protocol for a 10-year, prospective, observational cohort study in Denmark at the Body Identity Clinic (BIC). BMJ Open. 2020 Dec 29;10(12):e045714. doi: 10.1136/bmjopen-2020-045714. PubMed 33376186 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04254354
Lead sponsor
Marianne Andersen
Responsible party
Marianne Andersen (Professor, Odense University Hospital) — Sponsor-investigator
First posted
Feb 5, 2020
Start date
Mar 3, 2020
Primary completion
Jan 1, 2044 (estimated)
Completion
Jan 1, 2044 (estimated)
Last update
Aug 13, 2025

Study contacts

marianne andersen, Professor
Contact
msa@rsyd.dk
+4565412502
Louise Christensen, MD
Contact
louise.lehmann.christensen@rsyd.dk
+4565412502
Marianne Andersen
principal investigator · Odense University Hospital

Oversight

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

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