Evidence map›Paper›PMID 39363095›Full record

Trial reportGeroScience2025

Effects of testosterone and metformin on the GlycanAge index of biological age and the composition of the IgG glycome.

Martina Vinicki, Tea Pribić, Frano Vučković, Azra Frkatović-Hodžić, Isaac Plaza-Andrades, Francisco Tinahones, Joseph Raffaele, José Carlos Fernández-García, Gordan Lauc

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in GeroScience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT02514629. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT02514629 phase3completed

Randomized, Double-blind, Parallel, Placebo-controlled, Clinical Trial to Assess the Efficacy of Testosterone, Metformin, or Both, for the Treatment of Obesity-induced Male Hypogonadism

Ran2013Enrolled107Registered outcomes9Posted comparisons0ConditionsHypogonadism, ObesityArmsMetformin, Metformin + Testosterone Undecanoate, Placebo, Testosterone Undecanoate
Open the trial in the graph
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Immunoglobulin G in aging and cancer.Frontiers in immunology · 2026
    Review
  4. Article
  5. Review
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

9 authors.

Martina VinickiGlycoscience Research Laboratory, Genos Ltd, Borongajska Cesta 83H, Zagreb, Croatia.
Tea PribićGlycoscience Research Laboratory, Genos Ltd, Borongajska Cesta 83H, Zagreb, Croatia.
Frano VučkovićGlycoscience Research Laboratory, Genos Ltd, Borongajska Cesta 83H, Zagreb, Croatia.
Azra Frkatović-HodžićGlycoscience Research Laboratory, Genos Ltd, Borongajska Cesta 83H, Zagreb, Croatia.
Isaac Plaza-AndradesGrupo de Oncología Traslacional, Centro de Investigación Médico-Sanitario (CIMES), Laboratorio Inmunobiota, Malaga, Spain.
Francisco TinahonesDepartment of Endocrinology and Nutrition, Faculty of Medicine, Hospital Virgen de La Victoria (IBIMA), University of Malaga, Malaga, Spain.
Joseph RaffaelePhysioAge Systems, New York, NY, 10019, USA.
José Carlos Fernández-García *Spanish Biomedical Research Center in Physiopathology of Obesity and Nutrition (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain. jcfernandez@uma.es.ORCID 0000-0003-2229-8488
Gordan Lauc *Glycoscience Research Laboratory, Genos Ltd, Borongajska Cesta 83H, Zagreb, Croatia. glauc@genos.hr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With aging, the body's ability to maintain regular functions declines, increasing susceptibility to age-related diseases. Therapeutic interventions targeting the underlying biological changes of aging hold promise for preventing or delaying multiple age-related diseases. Metformin, a drug commonly used for diabetes treatment, has emerged as a potential gerotherapeutic agent due to its established safety record and preclinical and clinical data on its anti-aging effects. Glycosylation, one of the most common and complex co- and post-translational protein modifications, plays a crucial role in regulating protein function and has been linked to aging and various diseases. Changes in immunoglobulin G (IgG) glycosylation patterns have been observed with age, and these alterations may serve as valuable biomarkers for disease predisposition, diagnosis, treatment monitoring, and overall health assessment. In this study, we analyzed the IgG glycosylation patterns of white men from Europe, aged 29-45 years, under treatment with metformin, testosterone, metformin plus testosterone, and placebo (trial registration number NCT02514629, 2013/07/04), and investigated the longitudinal changes in glycosylation over time. We observed statistically significant differences in the IgG glycome composition between participants on testosterone therapy and placebo, with decreased agalactosylation and increased galactosylation and sialylation. However, metformin therapy did not result in statistically significant changes in glycosylation patterns. These findings contribute to our understanding of the impact of therapeutic interventions on IgG glycosylation and confirm the value of IgG glycosylation as a significant biomarker, capable of assessing biological age using the GlycanAge index and providing insight into overall health compared to chronological age.

Indexed as

AgingHypoglycemic AgentsImmunoglobulin GMetforminTestosteroneAdultBiomarkersGlycosylationHumansMaleMiddle AgedBiomarkersHypoglycemic AgentsImmunoglobulin GMetforminTestosteroneAgingGlycosylationIgGMetforminTestosterone

Identifiers

PMID39363095
PMCPMC11979073

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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.