PMID- 17538639 OWN - NLM STAT- MEDLINE DCOM- 20070828 LR - 20131121 IS - 0955-9930 (Print) IS - 0955-9930 (Linking) VI - 19 IP - 4 DP - 2007 Jul-Aug TI - Transdermal testosterone gel increases serum testosterone levels in hypogonadal men in Taiwan with improvements in sexual function. PG - 411-7 AB - A randomized, double-blind, placebo-controlled trial was conducted to (1) evaluate efficacy and safety of transdermal testosterone gel (AndroGel) for hypogonadal men in Taiwan, and (2) observe improvements in sexual function through international index of erectile function (IIEF) scores. Eligible hypogonadal men were randomized to receive 50 mg/day transdermal testosterone gel (TTG) or placebo for 3 months. Primary end point was change from baseline in total testosterone (TT) and free testosterone (FT). Secondary end points were change from baseline in serum hormone levels (such as dihydrotestosterone (DHT), estradiol (E2), luteinizing hormone (LH), follicle-stimulating hormone (FSH) and sex-hormone-binding globulin (SHBG)) and changes in IIEF scores. Safety evaluations included adverse events (AEs) and skin irritation assessment. Compared with baseline, the TTG group (n=20) had statistically significant increases in mean TT levels at month 1 (P=0.024) and month 2 (P=0.025), but no significant changes at month 3. TT levels in the placebo group (n=18) showed no statistically significant change at any visit. Changes in FT levels paralleled changes in TT levels in both groups. TTG group IIEF scores were significantly increased at month 3 (P=0.01), compared with a decline in placebo scores. No drug-related AEs occurred in the TTG group; the placebo group had 2 AEs (mild skin rash). In conclusion, TTG effectively restores serum TT and FT levels to a normal physiological range for hypogonadal men in Taiwan and improves sexual function. FAU - Chiang, H S AU - Chiang HS AD - Division of Urology, Department of Surgery, Shin Kong WHS Memorial Hospital, Taipei, Taiwan, ROC. FAU - Hwang, T I S AU - Hwang TI FAU - Hsui, Y S AU - Hsui YS FAU - Lin, Y C AU - Lin YC FAU - Chen, H E AU - Chen HE FAU - Chen, G C AU - Chen GC FAU - Liao, C H AU - Liao CH LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20070531 PL - England TA - Int J Impot Res JT - International journal of impotence research JID - 9007383 RN - 0 (Gonadal Steroid Hormones) RN - 3XMK78S47O (Testosterone) SB - IM MH - Administration, Cutaneous MH - Adult MH - Aged MH - Double-Blind Method MH - Erectile Dysfunction/drug therapy/etiology MH - Gonadal Steroid Hormones/blood MH - Humans MH - Hypogonadism/*blood/*drug therapy MH - Male MH - Middle Aged MH - Penile Erection/physiology/psychology MH - Pilot Projects MH - Prospective Studies MH - Sexuality/*drug effects MH - Taiwan MH - Testosterone/*administration & dosage/blood/*therapeutic use EDAT- 2007/06/01 09:00 MHDA- 2007/08/29 09:00 CRDT- 2007/06/01 09:00 PHST- 2007/06/01 09:00 [pubmed] PHST- 2007/08/29 09:00 [medline] PHST- 2007/06/01 09:00 [entrez] AID - 3901562 [pii] AID - 10.1038/sj.ijir.3901562 [doi] PST - ppublish SO - Int J Impot Res. 2007 Jul-Aug;19(4):411-7. doi: 10.1038/sj.ijir.3901562. Epub 2007 May 31.