Evidence map›Paper›PMID 39722695›Full record

ArticleFrontiers in neurology2024

Musculoskeletal and body composition response to high-dose testosterone with finasteride after chronic incomplete spinal cord injury-a randomized, double-blind, and placebo-controlled pilot study.

Dana M Otzel, Larissa Nichols, Christine F Conover, Stephen A Marangi, Jayachandra R Kura, Dominic K Iannaccone, David J Clark, Chris M Gregory, Christopher F Sonntag, Anita Wokhlu and 7 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02248701 (Higher-Than-Replacement Testosterone Plus Finasteride Treatment After SCI), which is not on this map. 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.

NCT02248701 phase2terminatednot on this map

Higher-Than-Replacement Testosterone Plus Finasteride Treatment After SCI

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2017 to 2021Enrolled33ConditionsSpinal Cord Injury, Spinal Cord Injuries, Trauma, Nervous System, Wounds and InjuriesArmsTestosterone Enanthate, Finasteride, Placebo injection, Placebo pill
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  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

17 authors.

Dana M OtzelBrain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.
Larissa NicholsBrain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.
Christine F ConoverBrain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.
Stephen A MarangiBrain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.
Jayachandra R KuraBrain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.
Dominic K IannacconeBrain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.
David J ClarkBrain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.
Chris M GregoryDepartment of Health Sciences and Research, Medical University of South Carolina, Charleston, SC, United States.
Christopher F SonntagDiagnostic Imaging Service - Radiology, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.
Anita WokhluMedical Specialties Service - Cardiology, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.
Hans K GhayeeDivision of Endocrinology, Diabetes, and Metabolism, Department of Medicine, University of Florida College of Medicine, Gainesville, FL, United States.
Michael J McPhaulQuest Diagnostics Nichols Institute, San Juan Capistrano, CA, United States.
Charles E LevyPhysical Medicine and Rehabilitation Service, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.
Charles A PlumleePhysical Medicine and Rehabilitation Service, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.
Robert B SammelSpinal Cord Injury Service, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.
Kevin T WhiteMichael Bilirakis VA Spinal Cord Injury/Disorders Center, James A. Haley Department of Veterans Affairs Medical Center, Tampa, FL, United States.
Joshua F YarrowBrain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL, United States.

Funding

Higher-Than-Replacement Testosterone Plus Finasteride Treatment After SCII01RX001449 · VA · VETERANS HEALTH ADMINISTRATION · PI YARROW, JOSHUA F. · 2015 to 2021
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RRD VA I01 RX001449
6 · The paper itself

Abstract

Background: High-dose testosterone replacement therapy (TRT), paired with finasteride (type II 5α-reductase inhibitor), improves body composition, muscle strength, and bone mineral density (BMD) in older men, without inducing prostate enlargement-a side effect associated with TRT. Men with spinal cord injury (SCI) exhibit neuromuscular impairment, muscle atrophy, bone loss, and increased central adiposity, along with low testosterone. However, sparse evidence supports TRT efficacy after SCI. Methods: This parallel-group, double-blind, placebo-controlled, and randomized clinical trial (RCT) is a pilot study that enrolled men ( Results: TRT + finasteride consistently increased testosterone ( Conclusion: These data provide proof-of-concept and rationale for larger RCTs aimed at discerning the impact of TRT + finasteride on body composition, musculoskeletal health, and physical function in men with SCI, along with effect sizes and variance of responses to assist in planning subsequent trials. Clinical trial registration: ClinicalTrials.gov, identifier NCT02248701.

Indexed as

androgenboneestrogenfathypogonadismmusclespinal cord injurytestosterone replacement

Identifiers

PMID39722695
PMCPMC11668665

What OpenQuestion holds

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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.