Multiple Sclerosis Clinical Trial
Official title:
A Randomized, Controlled Crossover Trial Evaluating Oral Testosterone in the Treatment of Fatigue in Male Multiple Sclerosis Patients
Fatigue is one of the most frequent symptoms reported by multiple sclerosis (MS) patients
and is often a significant source of disability. Unlike normal fatigue, multiple sclerosis
related fatigue (MSRF) occurs independently of activity level, suggesting that it is due to
dysfunction in the neural pathways that regulate the perception of energy although the
precise cause is still not understood. While MSRF can be managed through lifestyle
modifications and with drug treatment, these measures are commonly either ineffective or
only partially effective.
Administration of the male sex hormone testosterone has been shown to improve energy levels
in males with testosterone-deficiency states. Testosterone also reduces fatigue in patients
with other medical conditions not associated with low testosterone levels, suggesting that
this treatment may also be useful in symptomatic control of MSRF.
This proposed seven-month long clinical trial is designed to test the hypothesis that
administration of oral testosterone tablets to male MS patients will result in an
improvement of fatigue relative to the administration of placebo tablets. As fatigue is
frequently reported by MS patients to be one of their most frustrating and disabling
symptoms, any proven additional treatment option for MSRF would be beneficial in improving
quality of life.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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