Evidence map›Paper›PMID 31364978›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2019

MY-T study: Symptom-based titration decisions when using testosterone nasal gel, Natesto

Jay Lee, Gerald Brock, Jack Barkin, Nathan Bryson, Matthew A Gronski, Ross Ormsby

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Testosterone Replacement Therapy in Hypogonadal Men.Endocrinology and metabolism clinics of North America · 2022
    Review
  2. Review
  3. Efficacy of Nasal Testosterone Gel (NatestoJournal of the Endocrine Society · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Jay LeeDepartment of Surgery, Division of Urology, University of Calgary, Calgary, AB, Canada.
Gerald BrockDepartment of Surgery, Division of Urology, St. Joseph's Health Care, London, ON, Canada.
Jack BarkinDepartment of Surgery, University of Toronto, Humber River Regional Hospital, Toronto, ON, Canada.
Nathan BrysonAcerus Pharmaceuticals Corporation, Mississauga, ON, Canada.
Matthew A GronskiAcerus Pharmaceuticals Corporation, Mississauga, ON, Canada.
Ross OrmsbyAcerus Pharmaceuticals Corporation, Mississauga, ON, Canada.
Humber River Regional Hospital · CASt Joseph's Health Care · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNatesto

methodsHypogonadal males on active topical testosterone therapy (TThE) or naive to any form of testosterone therapy (TThN) were treated with 22 mg TNG daily (11 mg twice daily) for 90 days. Titration was determined by the physician at day 90 wherein the dose was increased to 33 mg daily if symptoms were not properly managed. Total testosterone (TT) levels were collected at day 90 and 120 and the quantitative Androgen Deficiency in the Aging Male (qADAM) symptom questionnaire was administered on days 0, 30, 60, 90, and 120.

resultsAt study endpoint, 77.0% of all patients were in the normal TT range. Mean qADAM scores increased from 30.8 at baseline to 35.5 (6.6) at day 90. Physician assessments resulted in 37% patients being up-titrated for an additional 30 days, however, qADAM scores did not change significantly at the higher dose.

conclusionsThe majority of patients achieved the normal range of testosterone with TNG when physicians based their titration decision on an assessment of symptoms. Sexual function and energy-related symptoms were predictive of improvements resulting from treatment. These symptoms were the most relevant indicators for physicians in making decisions relating to titration.

Identifiers

PMID31364978
PMCPMC6788907
OpenAlexW2913725587

What OpenQuestion holds

Textmetadata
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.