Table 2.
All patients |
MetS patients |
Type 2 diabetic patients |
||||
---|---|---|---|---|---|---|
Testosterone | Placebo | Testosterone | Placebo | Testosterone | Placebo | |
Glucose metabolism | ||||||
Fasting serum insulin (pmol/L) | ||||||
Baseline | 151.68 ± 153.26 | 137.65 ± 147.46 | 162.17 ± 166.29 | 153.76 ± 163.02 | 145.08 ± 158.55 | 126.19 ± 109.17 |
n | 102 | 105 | 82 | 81 | 64 | 65 |
Phase 1: Month 6 | 124.59 ± 98.65 | 128.20 ± 99.76 | 125.08 ± 86.89 | 135.50 ± 104.45 | 121.61 ± 102.01 | 136.40 ± 117.44 |
n | 101 | 101 | 83 | 80 | 65 | 63 |
Phase 2: Month 12 | 134.25 ± 108.57 | 126.89 ± 94.31 | 135.50 ± 100.92 | 131.33 ± 98.47 | 130.91 ± 113.99 | 131.96 ± 104.30 |
n | 103 | 101 | 85 | 80 | 65 | 63 |
FPG (mmol/L) | ||||||
Baseline | 7.94 ± 2.99 | 7.59 ± 2.62 | 7.60 ± 2.41 | 7.60 ± 2.71 | 9.05 ± 3.18 | 8.49 ± 2.84 |
n | 104 | 107 | 84 | 83 | 67 | 67 |
Phase 1: Month 6 | 7.84 ± 3.03 | 7.99 ± 2.86 | 7.67 ± 2.82 | 7.88 ± 2.99 | 8.91 ± 3.31 | 9.09 ± 2.97 |
n | 102 | 101 | 84 | 80 | 65 | 63 |
Phase 2: Month 12 | 7.97 ± 3.45 | 8.14 ± 3.19 | 7.74 ± 3.25 | 8.05 ± 3.41 | 9.18 ± 3.75 | 9.35 ± 3.46 |
n | 102 | 101 | 84 | 80 | 65 | 63 |
HOMA-B† | ||||||
Baseline | 104.8 ± 77.5 | 99.9 ± 75.8 | 110.5 ± 78.3 | 104.7 ± 74.7 | 83.3 ± 67.0 | 84.1 ± 74.0 |
n | 99 | 105 | 80 | 81 | 64 | 66 |
Phase 1: Month 6 | 100.7 ± 78.9 | 98.3 ± 72.7 | 103.9 ± 79.4 | 106.0 ± 74.9 | 79.4 ± 66.0 | 75.3 ± 58.2 |
n | 105 | 108 | 86 | 84 | 67 | 67 |
Phase 2: Month 12 | 102.0 ± 79.5 | 99.4 ± 70.8 | 105.1 ± 80.1 | 105.4 ± 70.2 | 79.1 ± 65.4 | 79.3 ± 66.5 |
n | 105 | 109 | 86 | 85 | 67 | 68 |
Lipid parameters | ||||||
Lpa (µmol/L) | ||||||
Baseline | 1.44 ± 1.56 | 1.40 ± 1.17 | 1.50 ± 1.64 | 1.42 ± 1.21 | 1.36 ± 1.36 | 1.37 ± 1.28 |
n | 98* | 102 | 81** | 79 | 62 | 64 |
Phase 1: Month 6 | 1.22 ± 1.19 | 1.59 ± 1.80 | 1.22 ± 1.20 | 1.49 ± 1.65 | 1.20 ± 1.16 | 1.61 ± 2.15 |
n | 96* | 98 | 80** | 79 | 62 | 60 |
Phase 2: Month 9 | 1.39 ± 1.39 | 1.90 ± 1.94 | 1.37 ± 1.43 | 1.77 ± 1.58 | 1.51 ± 1.52 | 1.96 ± 2.34 |
n | 51* | 56 | 43 | 44 | 35 | 35 |
Phase 2: Month 12 | 1.26 ± 1.22 | 1.62 ± 1.82 | 1.26 ± 1.24 | 1.49 ± 1.38 | 1.29 ± 1.26 | 1.65 ± 2.19 |
n | 99 | 100 | 83** | 80 | 63 | 61 |
TC (mmol/L) | ||||||
Baseline | 4.65 ± 1.18 | 4.87 ± 1.11 | 4.79 ± 1.22 | 4.98 ± 1.09 | 4.51 ± 1.17 | 4.55 ± 1.01 |
n | 106 | 108 | 86 | 84 | 67 | 67 |
Phase 1: Month 6 | 4.52 ± 1.11 | 4.89 ± 1.13 | 4.56 ± 1.11 | 5.05 ± 1.13 | 4.44 ± 1.12 | 4.57 ± 0.97 |
n | 103 | 102 | 85** | 81 | 66 | 63 |
Phase 2: Month 9 | 4.55 ± 1.24 | 4.80 ± 1.12 | 4.61 ± 1.24 | 4.95 ± 1.10 | 4.32 ± 1.14 | 4.59 ± 1.13 |
n | 62 | 65 | 54 | 52 | 42 | 39 |
Phase 2: Month 12 | 4.49 ± 1.16 | 4.77 ± 1.07 | 4.52 ± 1.17 | 4.88 ± 1.05 | 4.31 ± 1.05 | 4.52 ± 0.95 |
n | 104 | 102 | 86 | 81 | 66 | 63 |
LDL cholesterol (mmol/L) | ||||||
Baseline | 2.78 ± 0.99 | 2.89 ± 0.96 | 2.89 ± 1.02 | 2.98 ± 0.95 | 2.61 ± 0.91 | 2.61 ± 0.82 |
n | 106 | 108 | 86 | 84 | 67 | 67 |
Phase 1: Month 6 | 2.65 ± 0.91 | 2.85 ± 0.91 | 2.70 ± 0.95 | 2.99 ± 0.93 | 2.60 ± 0.85 | 2.55 ± 0.70 |
n | 103 | 102 | 85* | 81 | 66 | 63 |
Phase 2: Month 9 | 2.67 ± 1.01 | 2.77 ± 0.88 | 2.70 ± 1.01 | 2.90 ± 0.90 | 2.53 ± 0.93 | 2.51 ± 0.77 |
n | 62 | 65 | 54 | 52 | 42 | 39 |
Phase 2: Month 12 | 2.59 ± 0.91 | 2.75 ± 0.89 | 2.62 ± 0.93 | 2.85 ± 0.91 | 2.49 ± 0.82 | 2.50 ± 0.70 |
n | 104 | 102 | 86 | 81 | 66 | 63 |
HDL cholesterol (mmol/L) | ||||||
Baseline | 1.19 ± 0.30 | 1.23 ± 0.28 | 1.21 ± 0.31 | 1.21 ± 0.26 | 1.16 ± 0.31 | 1.23 ± 0.29 |
n | 106 | 108 | 86 | 84 | 67 | 67 |
Phase 1: Month 6 | 1.12 ± 0.26* | 1.21 ± 0.25 | 1.12 ± 0.24 | 1.20 ± 0.24 | 1.09 ± 0.27 | 1.21 ± 0.26 |
n | 103 | 102 | 85* | 81 | 66* | 63 |
Phase 2: Month 9 | 1.14 ± 0.31 | 1.20 ± 0.27 | 1.14 ± 0.28 | 1.18 ± 0.27 | 1.12 ± 0.33 | 1.20 ± 0.27 |
n | 62 | 65 | 54* | 52 | 42 | 39 |
Phase 2: Month 12 | 1.14 ± 0.30 | 1.21 ± 0.26 | 1.14 ± 0.28 | 1.20 ± 0.25 | 1.09 ± 0.30 | 1.21 ± 0.27 |
n | 104 | 102 | 86 | 81 | 66 | 63 |
Triglycerides (mmol/L) | ||||||
Baseline | 1.92 ± 1.36 | 2.10 ± 1.44 | 1.94 ± 1.42 | 2.21 ± 1.52 | 2.06 ± 1.58 | 2.05 ± 1.30 |
n | 106 | 108 | 86 | 84 | 67 | 67 |
Phase 1: Month 6 | 1.93 ± 1.23 | 2.04 ± 1.28 | 1.92 ± 1.05 | 2.10 ± 1.34 | 1.98 ± 1.31 | 2.07 ± 1.30 |
n | 103 | 102 | 85 | 81 | 66 | 63 |
Phase 2: Month 9 | 2.00 ± 1.21 | 2.23 ± 1.71 | 2.07 ± 1.26 | 2.29 ± 1.76 | 1.91 ± 0.98 | 2.36 ± 1.99 |
n | 62 | 65 | 54 | 52 | 42 | 39 |
Phase 2: Month 12 | 1.90 ± 1.15 | 2.14 ± 1.49 | 1.91 ± 1.06 | 2.16 ± 1.54 | 1.90 ± 1.17 | 2.19 ± 1.49 |
n | 104 | 102 | 86 | 81 | 66 | 63 |
Abdominal obesity and body composition | ||||||
Body fat (%) | ||||||
Baseline | 33.60 ± 6.54 | 32.24 ± 6.33 | 33.99 ± 6.69 | 32.37 ± 6.17 | 33.58 ± 5.43 | 32.54 ± 6.55 |
n | 108 | 112 | 88 | 88 | 68 | 69 |
Phase 1: Month 6 | 33.01 ± 6.83 | 32.31 ± 5.77 | 33.31 ± 6.82 | 32.43 ± 5.59 | 32.86 ± 5.92 | 32.33 ± 5.88 |
n | 94 | 98 | 78 | 78 | 61 | 62 |
Phase 2: Month 12 | 32.81 ± 7.08 | 32.63 ± 5.57 | 33.08 ± 7.18 | 32.66 ± 5.51 | 32.69 ± 6.44 | 32.68 ± 5.71 |
n | 100 | 98 | 83 | 78 | 63 | 62 |
BMI (kg/m2) | ||||||
Baseline | 32.87 ± 6.58 | 31.29 ± 5.44 | 33.27 ± 6.80 | 31.63 ± 5.07 | 32.76 ± 6.12 | 31.56 ± 5.87 |
n | 108 | 112 | 88 | 88 | 68 | 69 |
Phase 1: Month 6 | 33.07 ± 6.96 | 31.45 ± 5.26 | 33.28 ± 7.28 | 31.67 ± 5.03 | 33.16 ± 6.35 | 31.70 ± 5.55 |
n | 97 | 99 | 80 | 79 | 62 | 62 |
Phase 2: Month 12 | 32.90 ± 7.01 | 31.43 ± 5.27 | 33.17 ± 7.35 | 31.53 ± 5.07 | 32.92 ± 6.52 | 31.73 ± 5.57 |
n | 102 | 99 | 84 | 79 | 64 | 62 |
Waist circumference (cm) | ||||||
Baseline | 112.7 ± 13.22 | 110.1 ± 13.77 | 113.3 ± 13.43 | 110.8 ± 12.65 | 112.7 ± 13.35 | 111.7 ± 15.23 |
n | 108 | 112 | 88 | 88 | 68 | 69 |
Phase 1: Month 6 | 111.9 ± 13.64 | 110.2 ± 13.36 | 112.0 ± 13.62 | 110.3 ± 12.02 | 113.1 ± 13.57 | 111.8 ± 14.46 |
n | 96 | 99 | 80 | 79 | 61 | 62 |
Phase 2: Month 12 | 111.6 ± 13.89 | 110.6 ± 13.96 | 112.0 ± 13.92 | 110.8 ± 12.52 | 111.9 ± 13.79 | 112.4 ± 15.52 |
n | 100 | 99 | 83 | 79 | 63* | 62 |
Blood pressure | ||||||
Systolic blood pressure (mmHg) | ||||||
Baseline | 138.6 ± 17.30 | 136.7 ± 17.12 | — | — | — | — |
n | 108 | 112 | ||||
Phase 2: Month 12 | 138.7 ± 15.15 | 134.9 ± 16.49 | — | — | — | — |
n | 50 | 58 | ||||
Diastolic blood pressure (mmHg) | ||||||
Baseline | 82.5 ± 10.23 | 81.6 ± 9.50 | ||||
n | 108 | 112 | ||||
Phase 2: Month 12 | 82.8 ± 9.72 | 80.3 ± 9.80 | — | — | — | — |
n | 50 | 58 | ||||
Sexual dysfunction | ||||||
IIEF total score | ||||||
Baseline | 32.4 ± 18.47 | 32.8 ± 21.24 | — | — | — | — |
n | 94 | 98 | ||||
Phase 1: Month 6 | 41.3 ± 19.97 | 39.3 ± 22.12 | — | — | — | — |
n | 82* | 81 | ||||
Phase 2: Month 12 | 40.9 ± 20.34 | 37.3 ± 22.08 | — | — | — | — |
n | 88* | 88 | ||||
Erectile function domain score | ||||||
Baseline | 12.0 ± 9.07 | 11.9 ± 10.02 | ||||
n | 101 | 103 | ||||
Phase 1: Month 6 | 15.6 ± 9.53 | 15.1 ± 10.49 | — | — | — | — |
n | 84 | 89 | ||||
Phase 2: Month 12 | 15.2 ± 9.71 | 14.4 ± 10.42 | — | — | — | — |
n | 90 | 93 | ||||
Orgasmic function domain score | ||||||
Baseline | 4.6 ± 3.80 | 4.7 ± 4.20 | — | — | — | |
n | 105 | 107 | ||||
Phase 1: Month 6 | 5.9 ± 3.89 | 5.8 ± 4.18 | — | — | — | — |
n | 88 | 90 | ||||
Phase 2: Month 12 | 5.5 ± 3.91 | 5.3 ± 4.23 | — | — | — | — |
n | 95 | 93 | ||||
Sexual desire domain score | ||||||
Baseline | 5.3 ± 2.13 | 5.6 ± 2.47 | — | — | — | |
n | 105 | 106 | ||||
Phase 1: Month 6 | 6.5 ± 2.27 | 5.9 ± 2.38 | — | — | — | — |
n | 89** | 91 | ||||
Phase 2: Month 12 | 6.3 ± 2.21 | 5.8 ± 2.55 | — | — | — | — |
n | 94** | 95 | ||||
Intercourse satisfaction domain score | ||||||
Baseline | 4.7 ± 4.58 | 4.7 ± 4.84 | — | — | — | — |
n | 106 | 108 | ||||
Phase 1: Month 6 | 6.2 ± 4.95 | 6.3 ± 4.99 | — | — | — | — |
n | 88 | 91 | ||||
Phase 2: Month 12 | 6.4 ± 5.01 | 5.7 ± 4.89 | — | — | — | — |
n | 94* | 92 | ||||
Overall sexual satisfaction domain score | ||||||
Baseline | 4.7 ± 2.46 | 4.8 ± 2.68 | — | — | — | — |
n | 96 | 99 | ||||
Phase 1: Month 6 | 6.0 ± 2.62 | 5.7 ± 2.81 | — | — | — | — |
n | 85 | 89 | ||||
Phase 2: Month 12 | 5.9 ± 2.70 | 5.5 ± 2.73 | — | — | — | — |
n | 91 | 94 | ||||
AMS total score | ||||||
Baseline | 40.6 ± 11.44 | 39.9 ± 11.46 | — | — | — | — |
n | 88 | 96 | ||||
Phase 1: Month 6 | 37.1 ± 11.72 | 36.1 ± 10.60 | — | — | — | — |
n | 80 | 86 | ||||
Phase 2: Month 12 | 36.4 ± 11.16 | 37.8 ± 11.57 | — | — | — | — |
n | 89 | 92 |
Data are means ± SD or n.
*P < 0.05.
**P < 0.01 between groups.
†HOMA-B = (20 x FPI [mIU/L])/(FPG [mmol/L]−3.5) (calculated excluding FPG values ≤ 3.5 mmol/L [formula invalid] and atypical insulin values [≥249 pmol/L screening values substituted when baseline values unavailable]).