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Testosterone Treatment for Boys with Klinefelter Syndrome: A Study on Body Composition Changes During Puberty

Verified siteInvestigationalNo placebo
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What is this trial about?

A plain-language summary of the goals, design and what participants do

This clinical trial is focused on studying Klinefelter syndrome, a genetic condition that affects males and is characterized by an extra X chromosome. The study will explore the effects of testosterone treatment during puberty in boys with this condition. The treatment involves using a gel called AndroGel 1%, which is applied to the skin. Some participants will receive a placebo, which is a gel that looks the same but does not contain the active ingredient.

The purpose of the study is to evaluate how two years of testosterone replacement therapy can affect body composition, which includes changes in body fat and muscle mass. Participants will be monitored for various health indicators, including growth and development during puberty, hormone levels, and bone health. The study will also assess other factors such as cholesterol levels, blood sugar, and overall physical development.

Throughout the study, participants will undergo regular health assessments, including scans and blood tests, to track changes in their bodies. The study aims to provide valuable insights into how testosterone treatment can benefit boys with Klinefelter syndrome during their critical developmental years. The trial is expected to continue until the end of 2029.

The research process

The trial runs in 10 steps – from screening to follow-up. Each step says what happens and what the team monitors.

  1. Step 1

    Joining the study

    Upon joining the study, participation is confirmed for boys aged 10-14 years with Klinefelter syndrome, verified by specific genetic tests. Consent from parents is required.

  2. Step 2

    Treatment initiation

    The study involves the use of AndroGel 1%, a gel containing testosterone, applied to the skin. A placebo gel, identical in appearance, is also used for comparison. The treatment is administered daily for a duration of two years.

  3. Step 3

    Monitoring body composition

    Body composition is evaluated using a DEXA scan, which measures body fat percentage, the ratio between different types of fat, and muscle mass.

  4. Step 4

    Pubertal development assessment

    Pubertal development is monitored through Tanner staging, voice frequency analysis, and hormone level measurements in the blood.

  5. Step 5

    Physical measurements

    Measurements include height, weight, sitting height, head circumference, and arm span. Blood tests are conducted to measure specific growth factors and evaluate bone age through x-rays.

  6. Step 6

    Metabolic health evaluation

    Blood tests are performed to assess cholesterol levels, triglycerides, glucose, insulin, and other metabolic markers.

  7. Step 7

    Neuropsychological assessment

    A neuropsychological assessment is conducted before and after the two-year treatment period to evaluate cognitive and psychological changes.

  8. Step 8

    Bone health monitoring

    Bone health is evaluated using DEXA scans and various blood markers related to bone turnover and health.

  9. Step 9

    Strength and heart health evaluation

    Grip strength is measured, and an electrocardiogram (ECG) is performed to evaluate heart health.

  10. Step 10

    Optional semen analysis

    If the participant is able and willing, a semen sample may be collected to assess semen quality.

Who can join the trial?

5 criteria

  • Boys with **Klinefelter syndrome**. This is a condition where a boy has an extra X chromosome, making it 47,XXY instead of the usual 46,XY.
  • Age between 10 and 14 years old.
  • **LH** (Luteinizing Hormone) levels must be higher than +2 standard deviations. This means the hormone level is higher than what is typically expected for boys of the same age. This is measured using a very sensitive test.
  • **Free T** (Free Testosterone) levels must be less than +2 standard deviations. This means the testosterone level is lower than what is typically expected for boys of the same age.
  • Parents must provide signed consent for their child to participate in the study.

Who cannot join the trial?

4 criteria

  • Individuals who do not have **Klinefelter syndrome**. This is a condition where a male is born with an extra X chromosome.
  • Individuals who are not male. The study is only for males.
  • Individuals who are not in the age range specified for the study. The study is for a specific age group.
  • Individuals who are not considered part of a vulnerable population. The study is for those who are considered vulnerable.
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Investigated drugs

Testosterone is a hormone therapy used in this study to evaluate its effects on boys with Klinefelter syndrome during puberty. The therapy aims to assess changes in body composition over a two-year period.

What is already known about the treatment

Testosterone – Testosterone is administered as an injection or topical gel, and it is currently being studied for its effects during puberty in boys with Klinefelter syndrome. This hormone is well-documented in medical literature as a key treatment for conditions involving low testosterone levels. The main therapeutic indication for testosterone in this study is to address changes in body composition associated with Klinefelter syndrome. At the molecular level, testosterone works by binding to androgen receptors, influencing the expression of specific genes that regulate male characteristics and body composition. It is classified pharmacologically as an androgen and anabolic steroid.

Investigated diseases

Klinefelter Syndrome – Klinefelter syndrome is a genetic condition that affects males, typically caused by an extra X chromosome, resulting in a 47,XXY karyotype. This condition can lead to physical, developmental, and hormonal changes, often becoming noticeable during puberty. Common features include reduced muscle mass, less facial and body hair, and enlarged breast tissue. Individuals may also experience learning difficulties and challenges with speech and language development. The syndrome can affect fertility, with many affected individuals having low testosterone levels and reduced sperm production. The progression of symptoms can vary widely among individuals, with some experiencing more pronounced effects than others.
Trial detailsLast updated 2 Oct 2026
Age0-17PhasePhase IIITrial ID2023-505854-16-00Estimated enrolment32 patientsSponsorRigshospitalet

sourced from the EU Clinical Trials Register and site verification

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On this site, “treatment” means an investigational medicine being studied in a clinical trial. Its safety and efficacy for the use being studied have not yet been confirmed, some participants may receive a placebo or a comparator medicine, and taking part does not guarantee any health benefit. The decision to take part is made by the doctor at the research site. This site is for information only and does not replace medical advice.

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