China Gender-affirming Hormone Therapy Study
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: GAHT for transgender men, GAHT for transgender women.
- Кому может быть актуально
- Состояния в реестре: Transgender, Gender Incongruence. Базовые параметры: 18 лет — 40 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Не всё понятно в терминах? Прочитайте наш гид для пациентов →
Официальное название
China Gender-affirming Hormone Therapy Study in Transgender Men and Women
Обзор
Data about transgender medical care, especially the gender-affirming hormone therapy (GAHT) is extremely insufficient in China. Few evidence exists in the physical and psychological effects of the hormonal treatment in Chinese transgender population. CGAHT is designed to describe the social and mental condition of transgender people who are seeking for formal GAHT, and to investigate the physical and psychological effects of GAHT on this population in China.
Подробное описание
CGAHT will be conducted in one of the main transgender medical centers in Chinese mainland. Participants who are seeking for the start of GAHT will be enrolled from clinical visitors. Before GAHT, participants will be interviewed with questionaries about their life experience, gender identity and social economic conditions. Evaluations on mental and physical health will be performed at baseline and during the GAHT. Participants will be followed up to 12 months. GAHT will be given to transgender people according to the protocol recommended by the international guideline (doi: 10.1210/jc.2017-01658) .
Вмешательства
- Препарат GAHT for transgender men
Testosterone undecanoate - Препарат GAHT for transgender women
Estradiol and antiandrogens (Spironolactone or Cyproterone acetate)
Первичные конечные точки
- Change from Baseline Insulin Sensitivity at 12 months [Срок оценки: 12 months]
- Change from Baseline Beta-cell Function at 12 months [Срок оценки: 12 months]
- Change from Baseline Bone Mineral Density at 12 months [Срок оценки: 12 months]
- Depression Changes from Baseline Psychological Questionnaires at 12 months [Срок оценки: 12 months]
- Anxiety Changes from Baseline Psychological Questionnaires at 12 months [Срок оценки: 12 months]
- Suicide Ideation Changes from Baseline Psychological Questionnaires at 12 months [Срок оценки: 12 months]
- Gender Dysphoria Changes from Baseline Psychological Questionnaires at 12 months [Срок оценки: 12 months]
- Social Exclusion Changes from Baseline at 12 months [Срок оценки: 12 months]
- Functional brain Change after 6 months of GAHT [Срок оценки: 6 months]
Вторичные конечные точки (10)
- Incidence of Treatment-Emergent Adverse Events [Срок оценки: Up to 12 months]
- Change from Baseline Body Mass Index at 12 months [Срок оценки: 12 months]
- Change from Baseline Waist-hip Ratio at 12 months [Срок оценки: 12 months]
- Change from Baseline Body Composition at 12 months [Срок оценки: 12 months]
- Change from Baseline Breast Volume of transgender women at 12 months [Срок оценки: 12 months]
- Change from Baseline Homeostatic Model Assessment Index (HOMA-IR) at 12 months [Срок оценки: 12 months]
- Change from Baseline Homeostatic Model Assessment of Beta-cell function (HOMA-β) at 12 months [Срок оценки: 12 months]
- Change from Baseline Serum Uric Acid at 12 months [Срок оценки: 12 months]
- Comparison of Transgender and Cisgender Functional Brain Patterns [Срок оценки: At baseline]
- Comparison of Transgender and Cisgender Cognitive Ability [Срок оценки: At baseline]
Критерии участия
Критерии включения
- Transgender men and women
- Meet criteria of Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) for gender dysphoria
- Aged between 18 to 40 years
- People desire to start the GAHT
- No previous history of gender-affirming interventions
- Having full ability to make informed consent
- Dextromanual
Критерии исключения
- Disorders of sex development
- Who has fertility demand but have not made fertility preservation
- With contradictions of GAHT
- Comorbid diseases are not under control
- Alcohol or drug abuse
- Hormonal and chromosomal disorders
- History of gender affirming surgery
- Current psychiatric disorders
- History of brain trauma or neurological pathologies
- Current use of medications with psychotropic effects within two weeks (antipsychotic or antiepileptic agents, lithium, benzodiazepines or opioid analgesics)
- Claustrophobia
- Implanted metal and medical devices (pacemakers, ceramic teeth, etc.),
- Tattoos or eyebrow tattooing (heavy metal dye)
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Китай · 1 центр
- Peking University Third Hospital — Пекин
Идентификаторы
NCT: NCT05318755 · CGAHT