Obesity Clinical Trial
Official title:
Clomiphene Citrate for the Treatment of Obesity Related Male Hypogonadism: Metabolic and Cardiovascular Effects.
Hypogonadism is a clinical condition that can be associated with obesity in man. Controversy exists regarding if its a condition that needs to be treated. The standard Testosterone Therapy is associated with increase in cardiovascular risks, according to some studies, and leads to infertility. The use of Clomiphene Citrate in this sub population of obese man as an alternative treatment option is not well studied. The aim of this protocol is to evaluate the cardiovascular risks, metabolic and hormonal parameters in a double blinded randomized placebo trial.
Hypogonadism (low testosterone level) in obese man is a clinical condition which treatment is
controversial. Most of this controversy remains regarding the association between
cardiovascular risk elevation and Testosterone replacement therapy in some studies.
This protocol is a double blinded randomized placebo trial and 2 groups will be followed. The
primary end-point of this research is the correlation between the serum testosterone and
flow-mediated dilatation of the brachial artery (FMDAB), circulating levels of sICAM-1,
sVCAM-1, E-selectin and progenitor endothelial cells.
The secondary end-points include:
(1) the evaluation of metabolic parameters: weight, abdominal circumference, glycaemia, total
cholesterol, fractions and triglycerides, homeostasis model assessment index (HOMA) and
bioelectrical impedance parameters; and (2) hormonal parameters: total testosterone levels,
sex hormone-binding globulin (SHBG), Luteinizing Hormone (LH) , Follicle stimulating hormone
(FSH) and Estradiol.
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