Actively Recruiting

Age: 18Years - 50Years
All Genders
NCT06939257

Pain Outcomes Associated With Exogenous Hormone Therapy in Adults

Led by University of Kansas Medical Center · Updated on 2026-05-14

200

Participants Needed

1

Research Sites

232 weeks

Total Duration

On this page

Sponsors

U

University of Kansas Medical Center

Lead Sponsor

N

National Institute of Neurological Disorders and Stroke (NINDS)

Collaborating Sponsor

AI-Summary

What this Trial Is About

TRANSPIRE is an observational study of \~200 individuals who (1) will be initiating gender-affirming hormone therapy (GHT) or (2) are gender minority individuals who do not use GHT. The primary outcome will be to identify how the presence of chronic pain changes overtime with GHT through the use of surveys, quantitative sensory testing (QST), brain MRIs, and qualitative interviews. Following recruitment and consent, participants will complete baseline survey measures and will repeat those measures at 1 months, 3 month, 6 months, and 12 months. QST measures, brain MRIs, and Qualitative Interviews will be offered to participants in cohort (1) and will be completed at baseline and 12 months.

CONDITIONS

Official Title

Pain Outcomes Associated With Exogenous Hormone Therapy in Adults

Who Can Participate

Age: 18Years - 50Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Provided informed consent
  • Aged between 18 and 50 years
  • English speaking
  • Gender minority persons medically approved to start gender-affirming hormone therapy or not currently using hormone therapy
  • For quantitative sensory testing and MRI subgroup: stable pain medication doses for at least 30 days
  • Right handed
  • Normal or correctable vision to 20/40 for MRI instructions
  • Willing to avoid certain pain medications, alcohol, nicotine, and strenuous exercise before testing
  • Able to lie still on their back for 1.5 hours during MRI
Not Eligible

You will not qualify if you...

  • Unable to provide informed consent
  • Younger than 18 or older than 50 years
  • Severe physical impairments like blindness, deafness, or paralysis
  • Medical conditions severely affecting physical function such as cancer or autoimmune disorders
  • Pregnant or nursing
  • Liver failure, cirrhosis, or hepatitis
  • Severe cardiovascular diseases
  • Prisoner status
  • Current legal or disability claims related to chronic pain
  • Active psychotic or suicidal symptoms
  • Drug or alcohol use disorder
  • History of gonadectomy surgery
  • MRI contraindications (e.g., metal implants, pacemaker)
  • Severe claustrophobia
  • BMI over 40 or unable to lie comfortably in MRI
  • Use of artificial nails or nail enhancements recently
  • Peripheral neuropathy
  • Diagnosed epilepsy or seizure history

AI-Screening

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Trial Site Locations

Total: 1 location

1

The University of Kansas Medical Center

Kansas City, Kansas, United States, 66160

Actively Recruiting

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Research Team

E

Emily Schulze, MSc

CONTACT

M

Miranda McMillan, MSc

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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