Hormonal treatment effects on transgender men
Official title: Early Mental Response to Hormonal Treatment in Transgender Men - The EMRE Study
Run by Karolinska University Hospital · NCT05649605 · Data updated 2026-11-12
This study tests if giving testosterone to transgender men for six weeks can help improve their feelings about their gender and boost their mental health compared to a placebo.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 99 Years |
| Sex | Women only |
| Enrollment | 70 (estimated) |
| Sponsor | Karolinska University Hospital Academic / other |
| Locations | 1 site (Stockholm) |
| Status | Recruiting |
| Started | March 7, 2023 |
| Main results expected | December 30, 2025 |
| Study ends | December 30, 2026 |
| Registry record updated | March 8, 2023 |
| Trial ID | NCT05649605 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adult transgender men diagnosed with transsexualism who are seeking gender-confirming hormonal treatment.
✕Probably not a fit
Patients with concurrent hormonal conditions or disabilities that prevent full participation may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study investigates whether transgender men's experience of gender incongruence improves within six weeks of receiving testosterone treatment compared to a placebo. It also examines the impact of cross-sex hormone therapy on various psychological factors such as self-esteem, quality of life, and emotional reactivity. Participants will receive either testosterone via intramuscular injection or a placebo, with assessments conducted to evaluate changes in their mental health and overall well-being. The study aims to provide insights into the early effects of hormonal treatment before any physical changes occur.
Why it matters
Potential benefit: If successful, this study could enhance the understanding of how hormonal treatment affects mental health and quality of life for transgender men.
How similar studies have gone: While there have been studies on hormone therapy in transgender individuals, this specific approach focusing on early mental responses is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria: 1. Well-informed written consent to participate in the study. 2. Transgender man given the ICD-10 diagnosis of transsexualism. 3. A desire for complete gender-confirming hormonal treatment. 4. Approved for Nebido treatment by a clinically responsible Endocrinologist. Exclusion criteria: 1. A concomitant hormonal condition affecting the gonadal axis (e.g. Congenital Adrenal Hyperplasia, Poly Cystic Ovary Syndrome, Complete Androgen Insensitivity Syndrome, Partial Androgen Insensitivity Syndrome, untreated thyroid disease, untreated hypercortisolism, etc.). 2. A disability that prevents the patient from fully participating in the study. 3. Treatment with steroid hormones (androgens, estrogens, progestogens, or continuous treatment with oral corticosteroids within the last three months). 4. Previous use of hormone preparations without a doctor's prescription. 5. Laboratory samples significantly outside the normal reference range. 6. Anamnestic or investigational suspicion of breast cancer or existing or previous liver tumors. 7. Levels of P-ASAT, P-ALAT, or P-GT at the screening time that are\> 2 times the reference range. 8. Hypersensitivity to the active substance or to any of the excipients. 9. Ongoing pregnancy or wishes for a pregnancy in the near future.
Where it's running
-
Karolinska Universitetssjukhuset, ANOVA
Stockholm, Sweden Recruiting
Study contacts
- Principal investigator: Mats Holmberg, MD. PhD. — ANOVA Karolinska sjukhuset
- Study coordinator: Mats Holmberg, MD. PhD.
- Email: mats.holmberg.1@ki.se
- Phone: +46705266365
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Brain health changes after gender-affirming hormone therapy in transgender adults
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Topical estrogen cream to improve recovery for transgender men after hysterectomy
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-
Observational study on adults seeking treatment for gender incongruence
This study is looking to see how well current medical and surgical treatments for gender incongruence work and how satisfied adults are with them, to help improve care for transgender and gender-diverse individuals.
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Effects of testosterone on headaches and brain development in transmasculine youth
This study is testing how testosterone therapy affects headaches and brain development in transmasculine youth aged 12-20 who were assigned female at birth.
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Evaluating voice outcomes after gender-affirming voice surgeries
This study is testing how different gender-affirming voice surgeries affect voice quality and patient satisfaction over time.
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Evaluating hormonal treatment for adolescents with gender dysphoria
This study tests if giving cross-sex hormones to teens with gender dysphoria who have started their social transition helps them feel better and function well compared to those who don’t receive the hormones.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.