Evidence map›Paper›PMID 25100359›Full record

Trial reportEndocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists2014

Effects of transdermal testosterone treatment on inflammatory markers in elderly males.

Marcello Maggio, Peter J Snyder, Francesca De Vita, Gian Paolo Ceda, Yuri Milaneschi, Fulvio Lauretani, Michele Luci, Chiara Cattabiani, Helen Peachey, Giorgio Valenti and 3 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. A review of the role of testosterone in the care of the critically ill patient.The Southern African journal of critical care : the official journal of the Critical Care Society · 2024
    Review
  6. Aging versus youth: Endocrine aspects of vulnerability for COVID-19.Reviews in endocrine & metabolic disorders · 2022
    Review
  7. Examining Male Predominance of Severe COVID-19 Outcomes: A Systematic Review.Androgens: clinical research and therapeutics · 2022
    Review
  8. The Anti-Inflammatory Effects of Testosterone.Journal of the Endocrine Society · 2019
    Review
  9. Article
  10. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 3 countries.

Marcello MaggioDepartment of Clinical and Experimental Medicine, Section of Geriatrics, University of Parma, Italy Geriatric Rehabilitation Department, University Hospital of Parma, Parma, Italy.
Peter J SnyderDivision of Endocrinology, Diabetes, and Metabolism, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
Francesca De VitaGeriatric Rehabilitation Department, University Hospital of Parma, Parma, Italy.
Gian Paolo CedaDepartment of Clinical and Experimental Medicine, Section of Geriatrics, University of Parma, Italy Geriatric Rehabilitation Department, University Hospital of Parma, Parma, Italy.
Yuri MilaneschiDepartment of Psychiatry, VU University Medical Center/GGZ inGeest, Amsterdam, the Netherlands National Institute on Aging, National Institutes of Health, Baltimore, Maryland.
Fulvio LauretaniGeriatric Rehabilitation Department, University Hospital of Parma, Parma, Italy.
Michele LuciDepartment of Clinical and Experimental Medicine, Section of Geriatrics, University of Parma, Italy.
Chiara CattabianiDepartment of Clinical and Experimental Medicine, Section of Geriatrics, University of Parma, Italy.
Helen PeacheyDivision of Endocrinology, Diabetes, and Metabolism, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
Giorgio ValentiDepartment of Clinical and Experimental Medicine, Section of Geriatrics, University of Parma, Italy.
Anne R CappolaDivision of Endocrinology, Diabetes, and Metabolism, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
Dan L LongoNational Institute on Aging, National Institutes of Health, Baltimore, Maryland.
Luigi FerrucciNational Institute on Aging, National Institutes of Health, Baltimore, Maryland.
University of Parma · ITUniversity of Pennsylvania · USGGZ inGeest · NLNational Institute on Aging · USNational Institutes of Health · US

Funding

The Baltimore Longitudinal Study Of AgingZIAAG000015 · NIA · NATIONAL INSTITUTE ON AGING · PI SIMONSICK, ELEANOR MARIE · 2009 to 2025
$116.9M
THE BALTIMORE LONGITUDINAL STUDY OF HUMAN AGINGZ01AG000015 · NIA · NATIONAL INSTITUTE ON AGING · PI FERRUCCI, LUIGI · 1985 to 2008
$11.4M
Intramural NIH HHS Z01 AG000015
6 · The paper itself

Abstract

objectiveDuring the male aging process, testosterone (T) levels progressively fall and inflammatory biomarkers increase. Although a relationship between these 2 phenomena has been tested in previous clinical trials, there is inconclusive evidence about the potential anti-inflammatory action of T.

methodsA total of 108 healthy males >65 years with serum T concentration <475 ng/dL were recruited by direct mailings to alumni of the University of Pennsylvania and Temple University and randomized to 60-cm2 T or a placebo patch for 36 months. Ninety-six subjects completed the trial. Information and stored serum specimens from this trial were used to test the hypothesis of the inhibitory effect of T on inflammation. We evaluated 70 males (42 in the T group) who had banked specimens from multiple time points available for assays of T, C-reactive protein (CRP), tumor necrosis factor (TNF)-α, soluble TNF-α receptor-1 (TNFR1), interleukin-6 (IL-6), and soluble IL-6 receptors (sIL6r and sgp130).

resultsThe mean age ± SD at baseline was 71.8 ± 4.9 years. Testosterone replacement therapy for 36 months did not induce significant decreases in inflammatory markers. A trend toward a significant increase was observed in the placebo group for TNF-α (P = .03) and sgp130 (P = .01). Significant differences in estimated means of TNFR1 (but not other inflammatory markers), with lower levels in the T group, were observed at the 36-month time point. In T-treated subjects we found an almost significant treatment x time interaction term TNFR1 (P = .02) independent of total body fat content as assessed by dual energy X-ray absorptiometry (DXA). No serious adverse effect was observed.

conclusionsTransdermal T treatment of older males for 36 months is not associated with significant changes in inflammatory markers.

Indexed as

AgedBiomarkersC-Reactive ProteinDouble-Blind MethodHumansInterleukin-6MaleTestosteroneTumor Necrosis Factor-alphaBiomarkersC-Reactive ProteinInterleukin-6TestosteroneTumor Necrosis Factor-alpha

Identifiers

PMID25100359
PMCPMC5012420
OpenAlexW2167833276

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.