Actively Recruiting

Age: 13Years - 16Years
All Genders
ID04596592

Pubertal Blockade and Estradiol Effects on Cardiometabolic Health for Transitioning Youth

Led by University of Colorado, Denver · Updated on 2025-06-10

90

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

U

University of Colorado, Denver

Lead Sponsor

N

National Heart, Lung, and Blood Institute (NHLBI)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying how estradiol treatment, with or without prior use of a gonadotropin releasing hormone analogue, affects insulin sensitivity and vascular function in transgender females compared to cisgender males and females aged 13 to 16 years. The study aims to understand changes in cardiometabolic health during puberty and early hormone therapy in these youth. This observational study is sponsored by the University of Colorado, Denver, and focuses on transgenderism, gender dysphoria, and insulin sensitivity. Participants include transgender females who identify as such, are between 13 and 16 years old, and either have been on gonadotropin releasing hormone analogues for more than 6 months or plan to start estradiol within 4 months. Cisgender males and females aged 13 to 16 years also participate as control groups. The study observes these groups without assigning specific treatments, tracking natural changes over a 12-month period. During the study, researchers measure insulin sensitivity and brachial artery flow mediated dilation at the start and after 12 months. Other assessments include large artery stiffness, cerebrovascular function, VO2 peak (a measure of aerobic fitness), fat mass, and fat-free mass. Participants undergo evaluations to monitor cardiometabolic health changes, with safety and procedure tolerance also observed. The total study duration for each participant is 12 months.

CONDITIONS

Brief Title

Pubertal Blockade and Estradiol Effects on Cardiometabolic Health for Transitioning Youth

Who Can Participate

Age: 13Years - 16Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Identify as a transgender female aged 13 to 16 years at enrollment
  • If using a gonadotropin releasing hormone analogue, have more than 6 months of exposure
  • Plan to start estradiol treatment within 4 months
  • Cisgender males and females aged 13 to 16 years
Not Eligible

You will not qualify if you...

  • Cognitive, psychiatric, or physical impairments that prevent tolerating study procedures
  • Use of antipsychotic medications
  • History of type 1 or type 2 diabetes
  • Polycystic ovarian syndrome in cisgender females
  • Hypertension with resting blood pressure of 140/90 mm/Hg or higher
  • Weight over 400 pounds
  • Use of oral progesterone medications, including combined oral contraceptives or etonogestrel implant
  • Pregnancy in cisgender females

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Monitoring

Duration - 12 months

Participants are observed to assess cardiometabolic health changes over time.

Trial Site Locations

Total: 1 location

1

Children's Hospital Colorado

Aurora, Colorado, United States, 80045

Actively Recruiting

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Research Team

N

Natalie Nokoff, MD, MSCS

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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