ClinicalTrials.gg
RecruitingNCT07624747Updated Jun 3, 2026

Brain Health in Transgender Adults

An observational study in Gender Dysphoria, sponsored by University of Wisconsin, Madison. Recruiting at 1 site in United States. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-03.

Sponsored by University of Wisconsin, Madison · Observational

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
72
Ages
18 Years to 45 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 31 studies in Gender Dysphoria with a site in United States — 11 open to participants now, 13 under way, 3 of them phase 3. Gender Dysphoria · United States.

Planned enrollment
8th of 16
72 · median 46
Started
2025
with 3 others
Observational
16 of 31
5 open now
Primary completion
2028-04
later than 8 of 12 live
Registered
30th of 31
by date
Lead sponsor
3 of 31
University of Wisconsin, Madison

Among the 31 studies in Gender Dysphoria with a site in United States, this one is the 8th largest by planned enrollment of the 16 observational ones that give a count, is one of 4 that started in 2025, is one of 16 observational ones, reaches primary completion later than 8 of the 12 other live ones, and was the 30th registered.

Gender Dysphoria

85 studies on the registry are indexed under Gender Dysphoria; 38 are open to participants now.

This study's planned enrollment of 72 is below the median of 100 across 52 observational studies indexed under Gender Dysphoria.

Browse Gender Dysphoria studies →

Open to participants now

11 of the 31 studies in Gender Dysphoria with a site in United States are open now, in 1 country. Each count lists the studies.

All 11 open studies →

Where they have run

Who these studies take

Of the 31 Gender Dysphoria studies recruiting now, 15 (48%) set no upper age limit and 10 (32%) stop at 75 or younger; 7 take children under 18; 11 take healthy volunteers.

This study: 18 Years to 45 Years · all sexes · healthy volunteers too.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 31 studies in Gender Dysphoria with a site in United States, or all of them as a file.
02

Study summary

The purpose of this study is to test whether and how a person's brain changes in the first few months after starting gender affirming hormone therapy (GAHT). The investigators want to know if GAHT changes: 1) cerebral blood flow (CBF), 2) brain structure, connectivity, and cognitive task performance, and 3) neurocognitive function (memory, attention, executive function, processing speed). 36 male at birth and 36 female at birth participants will conduct baseline studies prior to GAHT, with a second identical set of study visits 4-6 months after GAHT begins.

Read the detailed description

The purpose of this study is to assess the effects of GAHT on cerebral structure and function. To this end, this study has three aims:

Aim 1: To identify if transgender males and females demonstrate changes in

  • A) basal CBF and
  • B) CBF responses to acute stress-particularly in areas involved in cognition, memory, and learning.

Aim 2: To identify if transgender adults will demonstrate significant changes in:

  • A) overall brain structure,
  • B) functional connectivity, and
  • C) task activation.

Aim 3: To identify if neurocognitive function changes in transgender adults.

The investigators hypothesize that:

  • Aim 1: Transgender females will demonstrate increased basal CBF and larger CBF responses to acute stress, particularly in areas involved in cognition, memory, and learning, whereas transgender males will display lower basal CBF and lower CBF responses to acute stress.
  • Aim 2: Transgender patients will demonstrate significant changes in: a) overall brain structure, b) functional connectivity, and c) task activation.
  • Aim 3: Neurocognitive function will increase in transgender females and decreases in transgender males, primarily in the domains of memory, attention, executive function, and processing speed.
03

Conditions studied

  • Gender Dysphoria

Browse trials for

Keywords

  • Gender-Affirming Hormone Therapy
  • brain health
04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Adults (18-45 years) undergoing gender affirming hormone therapy with their clinical health care team.

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

  • intention to undergo GAHT

Exclusion criteria

Exclusion Criteria:

  • greater than 40 kg/m2
  • Age greater than 45 yrs
  • Blood pressure greater than 140/90 (stage II hypertension)
  • A current diagnosis of type II diabetes
  • History of traumatic brain injury/concussion, stroke, or seizures
  • Are
  • Previously taken hormone therapy medications
  • Self-reported pregnancy (no pregnancy test)
Terms in these criteria, in plain language(2)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

05

Study design

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

Groups and cohorts

  • Male at birth undergoing GAHT with their Clinical Care Team

    Device: Magnetic Resonance Imaging · Other: Cognition and Health Tests · Other: Optional Exercise Test

  • Female at birth undergoing GAHT with their Clinical Care Team

    Device: Magnetic Resonance Imaging · Other: Cognition and Health Tests · Other: Optional Exercise Test

Interventions

  • DeviceMagnetic Resonance Imaging

    Two MRI visits (baseline and after 4-6 months of continuous GAHT) will involve structural scans of the brain, scans while performing cognitive tasks, and a scan taken while responding to an inhaled CO2 stressor. This visit will take approximately 1.5 hours.

    Also known as: MRI

  • OtherCognition and Health Tests

    Two cognition and health test trials (baseline and after 4-6 months of continuous GAHT) will involve a body composition scan to determine body fat percentage, muscle mass, and bone density. This will be followed by a set of cognitive tasks using the NIH Toolbox.

  • OtherOptional Exercise Test

    Optional graded exercise test will be performed if the participant consents to this optional procedure (baseline and after 4-6months of continuous GAHT). to determine cardiorespiratory fitness. This test will be performed on a cycle ergometer, with a metabolic allowing for the measurement of maximal oxygen consumption via indirect calorimetry.

06

What researchers measure

Primary outcomes

  1. Change Cerebral Blood Flow (CBF)

    CBF at rest and in response to cognitive stressors.

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  2. Change in Brain Structure

    Grey matter and White matter volumes.

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  3. Change in Brain Connectivity

    Measured using MRI.

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  4. Change in Cognitive Function: Flanker Inhibitory Control and Attention

    NIH Toolbox to assess neurocognitive function. The Flanker test is a measure of executive function and is scored using a T-score where 100 is the average, higher scores indicate better performance.

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  5. Change in Cognitive Function: Pattern Comparison Processing Speed Test

    NIH Toolbox to assess neurocognitive function. The Pattern Comparison Processing Speed Test measures how many correct responses the participant has within 90 seconds. There is a maximum of 130 items.

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  6. Change in Cognitive Function: List Sorting Working Memory Test

    NIH Toolbox to assess neurocognitive function. The List Sorting Working Memory Test is a measure of recall and sorting. Participants scores reflect the number of items recalled and appropriately sorted up to 28 items maximum.

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  7. Change in Cognitive Function: Dimensional Change Card Sort Test

    NIH Toolbox to assess neurocognitive function. The Dimensional Change Card Sort Test measures accuracy: the number of accurate responses, up to a maximum of 40.

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  8. Change in Cognitive Function: Picture Vocabulary Test

    NIH Toolbox to assess neurocognitive function. The Picture Vocabulary Test has the participant hear a word and then pick from one of four pictures that best represents the word. It is scored using a T-score where 100 is the average, higher scores indicate better performance.

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

Secondary outcomes

  1. Change Cerebral Blood Flow (CBF)

    Changes in CBF in response to inhaled mixture of room air and CO2

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  2. Changes in sex steroid concentrations

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  3. Change in Body Composition

    Dual-energy X-ray absorptiometry (DEXA)

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  4. Change in Blood Glucose

    Glucose is a marker of metabolic health

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  5. Change in Insulin

    Insulin is a marker of metabolic health.

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  6. Change in Cytokines

    Cytokines are a marker of inflammation.

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

  7. Optional Graded Exercise Test: VO2 Max

    An optional graded exercise test will be performed to determine cardiorespiratory fitness. This test will be performed on a cycle ergometer, with a metabolic allowing for the measurement of maximal oxygen consumption via indirect calorimetry. This will be a ramped exercise test, starting at a wattage of 50W and increasing in difficulty by 1 watt every 2 seconds. The purpose of this is to begin at a low intensity and gradually increase the difficulty until exhaustion is reached.

    Time frame: baseline and up to 6 months (after 4-6 months of continuous GAHT)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Oct 2025 (actual). Primary completion is estimated for Apr 2028, 30 months after the start.

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

Registered
May 28, 2026
First posted
Jun 3, 2026
StartActual
Oct 14, 2025
Primary completionEst.
Apr 2028
CompletionEst.
Apr 2028
Last update
Jun 3, 2026
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 Jun 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07624747
Responsible party
Sponsor
First posted
Jun 3, 2026
Start date
Oct 14, 2025
Primary completion
Apr 2028 (estimated)
Completion
Apr 2028 (estimated)
Last update
Jun 3, 2026

Study contacts

Shawn Bolin, MS
Contact
sbolin@wisc.edu
608-263-6308
William Schrage, PhD
principal investigator · University of Wisconsin, Madison

Oversight

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

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