Evidence map›Paper›PMID 29654645›Full record

Trial reportJournal of cachexia, sarcopenia and muscle2018

A randomized trial of adjunct testosterone for cancer-related muscle loss in men and women.

Traver J Wright, E Lichar Dillon, William J Durham, Albert Chamberlain, Kathleen M Randolph, Christopher Danesi, Astrid M Horstman, Charles R Gilkison, Maurice Willis, Gwyn Richardson and 5 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cachexia, sarcopenia and muscle, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05367284 (Use of Perioperative Testosterone Replacement Therapy), which is not on this map. Cited by 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
4.4field-weighted citation impact, top 5% 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.

NCT05367284 unknown statusnot on this mapstarted 2022, after this paper: background citation

Use of Perioperative Testosterone Replacement Therapy (TRT) in Sarcopenic Male Colorectal Cancer Patients - A Single Arm Open Label Feasibility Study

TypeobservationalSponsorLondon North West Healthcare NHS TrustRan2022 to 2023Enrolled30ConditionsColorectal Cancer, Sarcopenia, Hypogonadism, Male, Perioperative CareArmsTestosterone
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. SEOM clinical guidelines for cancer anorexia-cachexia syndrome (2023).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Guideline
  2. Pooled it
  3. Anabolic Androgenic Steroids in Orthopaedic Surgery: Current Concepts and Clinical Applications.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Review
  11. Article
  12. Cancer cachexia: molecular basis and therapeutic advances.Signal transduction and targeted therapy · 2026
    Review
  13. Review
  14. Objective measurement of cancer-related fatigue.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  15. Review
  16. Hallmarks of Cancer Cachexia: Sexual Dimorphism in Related Pathways.International journal of molecular sciences · 2025
    Review
  17. Review
  18. Cancer Cachexia.Advances in experimental medicine and biology · 2025
    Review
  19. Review
  20. Effect of nutritional status on adverse clinical events in elderly patients with nonvalvular atrial fibrillation: A retrospective cohort study.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2024
    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

15 authors at 1 institution in 1 country.

Traver J WrightDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
E Lichar DillonDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
William J DurhamDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
Albert ChamberlainDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
Kathleen M RandolphDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
Christopher DanesiDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
Astrid M HorstmanDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
Charles R GilkisonDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
Maurice WillisDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
Gwyn RichardsonDepartment of Gynecologic Oncology, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
Sandra S HatchDepartment of Radiation Oncology, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
Daniel C JupiterDepartment of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
Susan McCammonDepartment of Otolaryngology, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
Randall J UrbanDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
Melinda Sheffield-MooreDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
The University of Texas Medical Branch at Galveston · US

Funding

UTMB Clinical and Translational Science AwardUL1TR001439 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI URBAN, RANDALL J · 2015 to 2024
$40.0M
UTMB Clinical and Translational Science AwardUL1TR000071 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$14.4M
Nutrition and Anabolic Interventions in Cancer CachexiaR01CA127971 · NCI · UNIVERSITY OF TEXAS MED BR GALVESTON · PI SHEFFIELD-MOORE, MELINDA · 2008 to 2014
$1.8M
NCATS NIH HHS UL1 TR000071NCATS NIH HHS UL1 TR001439NCI NIH HHS R01 CA127971
6 · The paper itself

Abstract

backgroundCancer cachexia negatively impacts cancer-related treatment options, quality of life, morbidity, and mortality, yet no established therapies exist. We investigated the anabolic properties of testosterone to limit the loss of body mass in late stage cancer patients undergoing standard of care cancer treatment.

methodsA randomized, double-blind, placebo-controlled phase II clinical trial was undertaken to assess the potential therapeutic role of adjunct testosterone to limit loss of body mass in patients with squamous cell carcinoma of the cervix or head and neck undergoing standard of care treatment including chemotherapy and chemoradiation. Patients were randomly assigned in blocks to receive weekly injections of either 100 mg testosterone enanthate or placebo for 7 weeks. The primary outcome was per cent change in lean body mass, and secondary outcomes included assessment of quality of life, tests of physical performance, muscle strength, daily activity levels, resting energy expenditure, nutritional intake, and overall survival.

resultsA total of 28 patients were enrolled, 22 patients were studied to completion, and 21 patients were included in the final analysis (12 placebo, nine testosterone). Adjunct testosterone increased lean body mass by 3.2% (95% confidence interval [CI], 0-7%) whereas those receiving placebo lost 3.3% (95% CI, -7% to 1%, P = 0.015). Although testosterone patients maintained more favourable body condition, sustained daily activity levels, and showed meaningful improvements in quality of life and physical performance, overall survival was similar in both treatment groups.

conclusionsIn patients with advanced cancer undergoing the early phase of standard of care therapy, adjunct testosterone improved lean body mass and was also associated with increased quality of life, and physical activity compared with placebo.

Indexed as

AdultAgedBiomarkersBody CompositionCachexiaEnergy MetabolismFemaleHead and Neck NeoplasmsHumansMaleMiddle AgedMotor ActivityMuscle, SkeletalMuscle StrengthMuscular AtrophyNeoplasmsBiomarkersTestosteroneCachexiaCancerFemaleMuscleQuality of lifeTestosterone

Identifiers

PMID29654645
PMCPMC5989774
OpenAlexW2796502593

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.