Transgender WomenNCT06116201
Influences of Long Term Hormone Therapy on Physical Fitness and Vascular Function in Transgender Women
A study testing Estradiol and Estradiol and Anti-Androgen in people with Transgender Women, run by Chulalongkorn University at 1 site in Thailand.
Trial summary
Transgender women who transitioned from male to female by hormone therapy demonstrate similar physical fitness and vascular function to males or females. Read more about this study
- Who is it for?
- Ages 20 to 35 yearsHealthy volunteers can take part
- Conditions the study is for
- Transgender Women
- What is being tested?
- Estradiol and Estradiol and Anti-Androgen
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 60 participants
- Where
- 1 siteThailand
- Study dates
- 15 Aug 2020to 31 Jul 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 35 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Cisgender men group (Body mass index between 18.5-24.9 and NO NCDs).
- Cisgender women group (Body mass index between 18.5-24.9, No pregnant, NO NCDs).
- Transgender women with orchiectomy (Body mass index between 18.5-24.9, taking estradiol, testosterone level below 10 nmol/L, NO NCDs).
- Transgender women without orchiectomy (Body mass index between 18.5-24.9, taking estradiol and anti-androgen, testosterone level below 10 nmol/L, NO NCDs).
Who cannot join
- Participants had an injury during testing.
Trial locations and contacts
1 site in 1 country.
Thailand1 site
Faculty of Sports Science, Chulalongkorn University
Pathum Wan, Bangkok, 10330
About this study
Transgender women who transitioned from male to female by hormone therapy demonstrate similar physical fitness and vascular function to males or females.
Read the detailed description
This cross-sectional study was to compare physical fitness and vascular function between cisgender men, cisgender women, and transgender women.
- Conditions
- Transgender Women
- Being tested
- Estradiol, Estradiol and Anti-Androgen, No intervention
- Keywords
- Transgender women, Physical fitness, Vascular function, Hormone therapy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EstradiolOther
Estradiol
Estradiol and Anti-AndrogenOther
Estradiol and Anti-Androgen
No interventionOther
No intervention
| Study group | Role | What they receive |
|---|---|---|
| Transgender women with orchiectomy | Experimental | Transgender women who took medication for sex transition form male to female via estradiol hormone therapy and orchiectomy surgery. They were recruited for measurement of all variables in the study to compare with another group. Receives: Other: Estradiol |
| Transgender women without orchiectomy | Experimental | Transgender women who took medication for sex transition form male to female via estradiol hormone and anti-androgen hormone therapy. They were recruited for measurement of all variables in the study to compare with another group. Receives: Other: Estradiol and Anti-Androgen |
| Cisgender men | Sham comparator | Cisgender men who lived in normal life were not used medication process for sex transition. They were recruited for measurement of all variables in the study to compare with another group. Receives: Other: No intervention |
| Cisgender women | Sham comparator | Cisgender women who lived in normal life were not used medication process for sex transition. They were recruited for measurement of all variables in the study to compare with another group. Receives: Other: No intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Heart rate
Heart rate will be measured with automated blood pressure device (CARESCAPE V100, GE Dinamap).
Measured: Baseline
Blood pressure
Systolic blood pressure and diastolic blood pressure will be measured with automated blood pressure device (CARESCAPE V100, GE Dinamap). Mean arterial blood pressure was calculated from systolic blood pressure and diastolic blood pressure via mean arterial pressure formula.
Measured: Baseline
Body weight
Body weight and height will be measured with automated body composition machine (ioi 353, Jawon medical).
Measured: Baseline
Height
Height will be measured with automated body composition machine (ioi 353, Jawon medical).
Measured: Baseline
Resting metabolic rate
Energy expenditure will be measured by canopy study protocol with stationary gas analyzer (VMAX, Encore 29 system).
Measured: Baseline
Vascular structure
Intima-Media Thickness will be measured with ultrasonography equipment on carotid artery (EPIQ 5G, Phillips).
Measured: Baseline
Macro vascular function
Macro vascular function will be measured by brachial artery flow-mediated dilatation protocol on brachial artery with ultrasonography equipment (EPIQ 5G, Phillips).
Measured: Baseline
Arterial stiffness
Arterial stiffness will be measured with brachial-ankle pulse wave velocity (VP-1000 plus, omrom Healthcare).
Measured: Baseline
Micro vascular function
Micro vascular function will be measured by post-occlusive hyperemia protocol of fingertip cutaneous blood flow with laser doppler flowmetry device (PeriFlux system 5000, Perimed).
Measured: Baseline
Muscle mass
Muscle mass will be measured with dual energy x-ray absorptiometry (Prodigy-Pro, GE healthcaare).
Measured: Baseline
Fat mass
Fat mass will be measured with dual energy x-ray absorptiometry (Prodigy-Pro, GE healthcaare).
Measured: Baseline
Bone mineral content
Bone mineral content will be measured with dual energy x-ray absorptiometry (Prodigy-Pro, GE healthcaare).
Measured: Baseline
Bone mineral density
Bone mineral density will be measured with dual energy x-ray absorptiometry (Prodigy-Pro, GE healthcaare).
Measured: Baseline
T-score of bone density
T-score will be measured with dual energy x-ray absorptiometry (Prodigy-Pro, GE healthcaare). T-score was separated into 3 categories, 1 or higher of T-score that is the healthy bone, -1 to -2.5 of T-score that is osteopenia, and -2.5 or lower that is osteoporosis.
Measured: Baseline
Cardiorespiratory fitness
Maximal oxygen consumption will be measured by Bruce protocol for treadmill test with stationary gas analyzer (VMAX, Encore 29 system).
Measured: Baseline
Muscle strength and muscle endurance
Muscle strength and muscle endurance will be measured by concentric/concentric protocol with isokinetic machine (Biodex Multi-Joint System-Pro, Biodex).
Measured: Baseline
Flexibility
Sit and reach test will be measured by sit and reach protocol with sit and reach box (Grandsport).
Measured: Baseline
Agility
Agility will be measured by T-test protocol with timing gate device (SpeedLight Timing System, Swiftperformance).
Measured: Baseline
Balance
Balance will be measured by balance error scoring system (BESS) protocol with postural sway detected machine (Biosway, Biodex).
Measured: Baseline
Coordination and reaction time
Coordination and reaction time will be measured by eye-hand coordination protocol with light reacted device (FITLIGHT Trainer).
Measured: Baseline
Muscular power
Muscular power will be measured by vertical jump with force plate detected machine (Ballistic Measurement System \& FT 700 Power Cage, Fitness Technology).
Measured: Baseline
Speed
Speed will be measured by sprint test for 40 meters with timing gate device (SpeedLight Timing System, Swiftperformance).
Measured: Baseline
Anaerobic fitness
Anaerobic fitness will be measured by Wingate test protocol with ergocycle (Monark 894e).
Measured: Baseline
Secondary outcomes (2)
Quality of life level
Quality of life will level will be measured by World Health Organization Quality of Life Brief - Thai questionnaire. The scores of questionnaire were 130 points for maximum value and 26 points for minimum value. 3 levels in quality of life were less than 61 points for below normal range, 61-95 points for normal range, and more than 95 points for above normal range.
Measured: Baseline
Stress level
Stress level will be measured by Suanprung Stress Test-20 questionnaire. The scores of questionnaire were 100 points for maximum value and 20 points for minimum value. 4 levels in stress less than 24 points for low stress range, 24-41 points for normal stress range, 42-61 points for high stress range, and more than 61 points for severe stress range.
Measured: Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Nov 2023
- Study start15 Aug 2020
- Primary completion30 Jun 2021
- Study completion31 Jul 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Transgender WomenStudies of the same condition, open and under way.
- More trials run by Chulalongkorn UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Screening
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Chulalongkorn University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Prof. Dr.Daroonwan Suksom, Chulalongkorn University
- Investigators
- Daroonwan Suksom, Ph.D., Study director, Chulalongkorn University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06116201
- Sponsor's protocol ID
- SPSC-7
- Status last verified
- Nov 2023
- First submitted
- 27 May 2021
- Last updated
- 28 Nov 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Saitong A, Naeowong W, Suksom D, Tanaka H. Physical Fitness and Exercise Performance of Transgender Women. Med Sci Sports Exerc. 2025 Jan 1;57(1):134-143. doi: 10.1249/MSS.0000000000003536. Epub 2024 Aug 12.
PubMed 39140786
Study at a glance
From the registry record, last updated by the sponsor on 28 Nov 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Influences of Long Term Hormone Therapy on Physical Fitness and Vascular Function in Transgender Women
- ClinicalTrials.gov ID
- NCT06116201
- Acronym / sponsor ID
- SPSC-7
- Conditions
- Transgender Women
- Keywords
- Transgender women, Physical fitness, Vascular function, Hormone therapy
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Chulalongkorn UniversityUniversity, hospital or other
- Study start
- 15 Aug 2020 (actual)
- Primary completion
- 30 Jun 2021 (actual)
- Study completion
- 31 Jul 2021 (actual)
- First posted
- 3 Nov 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Transgender women who transitioned from male to female by hormone therapy demonstrate similar physical fitness and vascular function to males or females.
Detailed description
This cross-sectional study was to compare physical fitness and vascular function between cisgender men, cisgender women, and transgender women.
Study design
- Primary purpose
- Screening
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Transgender women with orchiectomy | Experimental | Other: EstradiolTransgender women who took medication for sex transition form male to female via estradiol hormone therapy and orchiectomy surgery. They were recruited for measurement of all variables in the study to compare with another group. |
| Transgender women without orchiectomy | Experimental | Other: Estradiol and Anti-AndrogenTransgender women who took medication for sex transition form male to female via estradiol hormone and anti-androgen hormone therapy. They were recruited for measurement of all variables in the study to compare with another group. |
| Cisgender men | Sham comparator | Other: No interventionCisgender men who lived in normal life were not used medication process for sex transition. They were recruited for measurement of all variables in the study to compare with another group. |
| Cisgender women | Sham comparator | Other: No interventionCisgender women who lived in normal life were not used medication process for sex transition. They were recruited for measurement of all variables in the study to compare with another group. |
Who may qualify
- Ages
- 20 to 35 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Cisgender men group (Body mass index between 18.5-24.9 and NO NCDs).
- Cisgender women group (Body mass index between 18.5-24.9, No pregnant, NO NCDs).
- Transgender women with orchiectomy (Body mass index between 18.5-24.9, taking estradiol, testosterone level below 10 nmol/L, NO NCDs).
- Transgender women without orchiectomy (Body mass index between 18.5-24.9, taking estradiol and anti-androgen, testosterone level below 10 nmol/L, NO NCDs).
Key exclusion criteria (1 listed)
- Participants had an injury during testing.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EstradiolEstradiol | Other | Transgender women with orchiectomy |
| Estradiol and Anti-AndrogenEstradiol and Anti-Androgen | Other | Transgender women without orchiectomy |
| No interventionNo intervention | Other | Cisgender men, Cisgender women |
Primary outcome
Heart rate
Time frame: Baseline
Heart rate will be measured with automated blood pressure device (CARESCAPE V100, GE Dinamap).
Blood pressure
Time frame: Baseline
Systolic blood pressure and diastolic blood pressure will be measured with automated blood pressure device (CARESCAPE V100, GE Dinamap). Mean arterial blood pressure was calculated from systolic blood pressure and diastolic blood pressure via mean arterial pressure formula.
Body weight
Time frame: Baseline
Body weight and height will be measured with automated body composition machine (ioi 353, Jawon medical).
Height
Time frame: Baseline
Height will be measured with automated body composition machine (ioi 353, Jawon medical).
Resting metabolic rate
Time frame: Baseline
Energy expenditure will be measured by canopy study protocol with stationary gas analyzer (VMAX, Encore 29 system).
Vascular structure
Time frame: Baseline
Intima-Media Thickness will be measured with ultrasonography equipment on carotid artery (EPIQ 5G, Phillips).
Macro vascular function
Time frame: Baseline
Macro vascular function will be measured by brachial artery flow-mediated dilatation protocol on brachial artery with ultrasonography equipment (EPIQ 5G, Phillips).
Arterial stiffness
Time frame: Baseline
Arterial stiffness will be measured with brachial-ankle pulse wave velocity (VP-1000 plus, omrom Healthcare).
Micro vascular function
Time frame: Baseline
Micro vascular function will be measured by post-occlusive hyperemia protocol of fingertip cutaneous blood flow with laser doppler flowmetry device (PeriFlux system 5000, Perimed).
Muscle mass
Time frame: Baseline
Muscle mass will be measured with dual energy x-ray absorptiometry (Prodigy-Pro, GE healthcaare).
Fat mass
Time frame: Baseline
Fat mass will be measured with dual energy x-ray absorptiometry (Prodigy-Pro, GE healthcaare).
Bone mineral content
Time frame: Baseline
Bone mineral content will be measured with dual energy x-ray absorptiometry (Prodigy-Pro, GE healthcaare).
Bone mineral density
Time frame: Baseline
Bone mineral density will be measured with dual energy x-ray absorptiometry (Prodigy-Pro, GE healthcaare).
T-score of bone density
Time frame: Baseline
T-score will be measured with dual energy x-ray absorptiometry (Prodigy-Pro, GE healthcaare). T-score was separated into 3 categories, 1 or higher of T-score that is the healthy bone, -1 to -2.5 of T-score that is osteopenia, and -2.5 or lower that is osteoporosis.
Cardiorespiratory fitness
Time frame: Baseline
Maximal oxygen consumption will be measured by Bruce protocol for treadmill test with stationary gas analyzer (VMAX, Encore 29 system).
Muscle strength and muscle endurance
Time frame: Baseline
Muscle strength and muscle endurance will be measured by concentric/concentric protocol with isokinetic machine (Biodex Multi-Joint System-Pro, Biodex).
Flexibility
Time frame: Baseline
Sit and reach test will be measured by sit and reach protocol with sit and reach box (Grandsport).
Agility
Time frame: Baseline
Agility will be measured by T-test protocol with timing gate device (SpeedLight Timing System, Swiftperformance).
Balance
Time frame: Baseline
Balance will be measured by balance error scoring system (BESS) protocol with postural sway detected machine (Biosway, Biodex).
Coordination and reaction time
Time frame: Baseline
Coordination and reaction time will be measured by eye-hand coordination protocol with light reacted device (FITLIGHT Trainer).
Muscular power
Time frame: Baseline
Muscular power will be measured by vertical jump with force plate detected machine (Ballistic Measurement System \& FT 700 Power Cage, Fitness Technology).
Speed
Time frame: Baseline
Speed will be measured by sprint test for 40 meters with timing gate device (SpeedLight Timing System, Swiftperformance).
Anaerobic fitness
Time frame: Baseline
Anaerobic fitness will be measured by Wingate test protocol with ergocycle (Monark 894e).
2 secondary outcomes
Quality of life level
Time frame: Baseline
Stress level
Time frame: Baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Nov 2023.
- Derived from this study: PubMed 39140786Saitong A, Naeowong W, Suksom D, Tanaka H. Physical Fitness and Exercise Performance of Transgender Women. Med Sci Sports Exerc. 2025 Jan 1;57(1):134-143. doi: 10.1249/MSS.0000000000003536. Epub 2024 Aug 12.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Daroonwan Suksom, Ph.D. study director
Chulalongkorn University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Estradiol and Estradiol and Anti-Androgen in people with Transgender Women, run by Chulalongkorn University at 1 site in Thailand.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Thailand. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Heart rate (time frame: Baseline). The study lists 23 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06116201, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Nov 2023.