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. Author manuscript; available in PMC: 2017 Jan 4.
Published in final edited form as: N Engl J Med. 2016 Feb 18;374(7):611–624. doi: 10.1056/NEJMoa1506119

Table 4.

Adverse Events during the First Year (Treatment Period) of the Testosterone Trials.*

Event Placebo (N = 394) Testosterone (N = 394)
no. of participants
Prostate-related event

 Increase in PSA level by ≥1.0 ng/ml 8 23

 Prostate cancer 0 1

 IPSS >19 26 27

Hemoglobin ≥17.5 g/dl 0 7

Cardiovascular event

 Myocardial infarction (definite or probable) 1 2

 Stroke (definite or probable) 5 5

 Death from cardiovascular causes 1 0

 Myocardial infarction, stroke, or death from cardiovascular causes 7 7

Serious adverse events

 Death 7 3

 Hospitalization 78 68

 Other§ 6 7
*

PSA denotes prostate-specific antigen.

The International Prostate Symptom Score (IPSS) questionnaire is used to identify symptoms of benign prostatic hyperplasia. Scores range from 0 to 35, with higher scores indicating more severe symptoms. A score of more than 19 indicates moderately severe lower urinary tract symptoms.

Data on cardiovascular adverse events were collected with the use of a specific questionnaire administered at each visit and also identified from the adverse-event log and the form for reporting serious adverse events (see the protocol). Myocardial infarction, stroke, and death from cardiovascular causes were assessed by two adjudicators.

§

Other serious adverse events were defined as congenital anomaly, disability, a life-threatening event, or an event that may not be immediately life-threatening but is clearly of major clinical significance.