Cardiometabolic Profiles of Boys With Klinefelter Syndrome

NCT02723305 — Completed, 31 participants, University of Colorado, Denver

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Cardiometabolic Profiles of Pubertal Boys With Klinefelter Syndrome With or Without One Year of Exogenous Testosterone Treatment

RegistryNCT02723305
StatusCompleted
Study typeObservational
Enrollment31 (Actual)
SponsorUniversity of Colorado, Denver (Other)
ConditionsKlinefelter Syndrome, 47,XXY, Sex Chromosome Aneuploidy, XXY Syndrome
InterventionsNo intervention (Other)
Datesstart 2016-05-01, primary completion 2017-12-01, completion 2017-12-01, first posted 2016-03-30, last updated 2022-03-08
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Klinefelter Syndrome All trials for 47,XXY All trials of No intervention

-Summary

This study plans to learn more about how to measure the way the the body's energy system works in boys with Klinefelter syndrome, including the heart, lungs, muscles, and liver. This is important to know so that investigators understand how hormones and an extra X chromosome relate to diseases such as diabetes, extra weight gain, heart disease and liver diseases.

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+Detailed description

Klinefelter syndrome (KS) is the most common chromosomal abnormality in males and is associated with primary gonadal failure in adolescence and a high morbidity and mortality from cardiovascular-related diseases (CVD) in adulthood. Recent studies in children and adolescent boys with KS have found a high prevalence of CVD risk markers, however the underlying mechanisms have not been explored. Our central hypothesis is that pubertal boys with KS have relative testosterone deficiency resulting in abnormal energy metabolism that predisposes them to later CVD, and that exogenous testosterone will modify these abnormalities.

In this study, investigators will measure markers of cardiometabolic risk in pubertal boys with KS.

+Arms and interventions

ArmTypeInterventionsDescription
Testosterone NaiveOther: No interventionBoys with Klinefelter syndrome age 12-17 who are Tanner 3, 4, or 5. No exogenous testosterone exposure in the past 5 years
Testosterone exposedOther: No interventionBoys with Klinefelter syndrome age 12-17 who are Tanner 3, 4, or 5. +topical testosterone treatment for >1 year
  • No intervention (Other)

+Outcome measures

Primary outcomes

  • VO2 peak [baseline]: The primary outcome will be peak oxygen consumption (VO2 peak) during exercise on a bicycle ergometer

Secondary outcomes

  • Body composition [baseline]: Percent body fat by dual-energy x-ray absorptiometry
  • Liver fat [baseline]: Intrahepatic fat by abdominal magnetic resonance imaging
  • Muscle mitochondrial metabolism [baseline]: Rate of mitochondrial phosphorylation by 31-phosphorus magnetic resonance spectroscopy of the calf muscles
  • Insulin sensitivity [baseline]: oral disposition index with Glucola

+Eligibility

Sex: Male, ages: 12 Years to 17 Years

Inclusion Criteria:

* Male, 47,XXY karyotype (non-mosaic)
* Age 12-17 years
* Tanner stage 3-5 pubic hair
* T naïve group only: No exogenous androgen exposure within the past 5 years
* T exposed group only: currently on topical testosterone, with duration of treatment between 1-2 years.

Exclusion Criteria:

* Cognitive, psychiatric, or physical impairment resulting in inability to tolerate the study procedures
* MRI incompatible metal
* Diagnosis of type 1 or type 2 diabetes
* Hypertension greater than 140/90 mm/Hg at rest (would make exercise studies unsafe)
* Weight > 300 lbs (limit for DEXA)
* Testosterone treatment for <1 year or >2 years

+Locations (1)

FacilityCityCountryStatus
Children's Hospital ColoradoAurora, ColoradoUnited States

+Publications

  • Results publication: Davis SM, DeKlotz S, Nadeau KJ, Kelsey MM, Zeitler PS, Tartaglia NR. High prevalence of cardiometabolic risk features in adolescents with 47,XXY/Klinefelter syndrome. Am J Med Genet C Semin Med Genet. 2020 Jun;184(2):327-333. doi: 10.1002/ajmg.c.31784. Epub 2020 Jun 16. PMID 32542985

+Investigators

  • Shanlee M Davis, MD, Principal investigator, University of Colorado/Children's Hospital Colorado

+Funding

NIH grants: UL1TR001082