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. 2020 Nov 28;2020(11):CD013138. doi: 10.1002/14651858.CD013138.pub2

Krasean 2019.

Study name Anti‐androgenic effects comparison between cyproterone acetate and spironolactone in transgender women: a randomised controlled trial (Trial ID: TCTR20190404001)
Methods Allocation: randomised
Study design: randomised controlled trial
Control: active
Study endpoint classification: efficacy study
Intervention model: Parallel
Number of arms: 2
Masking: double blind (Masked roles: participant caregiver, investigator)
Primary purpose: treatment
Study phase: phase 4
Participants Gender: male
Age limit: minimum 18 years: maximum 40 years
Condition: Gender dysphoria patients diagnosed from DSM V
Male to female transgender
Not undergone orchidectomy
No psychological disease or mental disability
Interventions Arm 1:
Intervention name: cyproterone acetate
Type: active comparator
Classification: drug
Descriptions: participants (gender dysphoria patients) will receive estradiol valerate (4 mg daily) combined with cyproterone acetate (25 mg daily) for cross‐sex hormone treatment.
Arm: 2
Intervention name: spironolactone
Type: experimental
Classification: drug
Descriptions: participants (gender dysphoria patients) will be received estradiol valerate (4 mg daily) combined with spironolactone (100 mg daily) for cross‐sex hormone treatment.
Outcomes Primary outcome(s):
Outcome name: testosterone level
Measurement: Electrochemiluminescent Immunoassay (ECLIA) of total testosterone level
Time point: three months after intervention
Safety issue: no
Key secondary outcomes:
Outcome name: physical and metabolic changes
Measurement: physical examination, metabolic profile parameters
Time point: three months after intervention
Safety Issue: no
Starting date April 3, 2019 (estimated end date: June 16, 2020)
Contact information Contact: Krasean Panyakhamlerd
Degree: Assoc. Prof.
Phone: 0926536415
Email: krasean@hotmail.com
Postal Address: 1873 Rama 4 Road, Patumwan
State/Province: Bangkok
Postal Code: 10400
Country: Thailand
Notes Source(s) of monetary or material supports: Ratchadapisek Sompoch Fund, Faculty of Medicine, Chulalongkorn University
Declarations of interest not reported