Clinical trial Recruiting at 1 site Interventional Ages 18 to 99 Women only

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 typeInterventional
Ages18 Years to 99 Years
SexWomen only
Enrollment70 (estimated)
SponsorKarolinska University Hospital
Academic / other
Locations1 site (Stockholm)
StatusRecruiting
StartedMarch 7, 2023
Main results expectedDecember 30, 2025
Study endsDecember 30, 2026
Registry record updatedMarch 8, 2023
Trial IDNCT05649605 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.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.