Osteoporosis & bone health

Testosterone Treatment and Fractures in Men with Hypogonadism

N Engl J MedPublished Secondary analysis of the TRAVERSE randomised trial

Primary result · Clinical fractureResult — go to the resultHazard ratio 1.43 95% CI 1.04–1.97

Authors' conclusion

Among middle-aged and older men with hypogonadism, testosterone treatment did not result in a lower incidence of clinical fracture than placebo. The fracture incidence was numerically higher among men who received testosterone than among those who received placebo.

Study context

Population
Men 45 to 80 years with hypogonadism (≥1 symptom; two morning testosterone <300 ng per deciliter) and preexisting, or high risk of, CVDfull-analysis population
Participants
5,204 men
Comparison
Daily testosterone gel vs placebo gel
  • Testosteronen = 2,601
  • Placebon = 2,603reference
Primary endpoint
Clinical fracture (time-to-event)
Follow-up
Median 3.19 years
Methodological detailssubtrial, double-blind, placebo-controlled, time-to-event analysis, Fractures self-reported at every visit; medical records obtained and adjudicated
  • Subtrial
  • Double-blind
  • Placebo-controlled
  • Time-to-event analysis
  • Fractures self-reported at every visit; medical records obtained and adjudicated

Primary result

Clinical fracture

Hazard ratio

1.43

95% CI 1.04–1.97

Events by treatment group

Testosteronevs Placebo
HR 1.43 (95% CI 1.04–1.97)

As reported in the abstract

Further findings

Fracture incidence appeared higher in the testosterone group for all other fracture end points

Original publication

Testosterone Treatment and Fractures in Men with Hypogonadism. N Engl J Med. Published 18 January 2024. doi:10.1056/nejmoa2308836

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