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The purpose is to evaluate Sal-T against standard biomarkers of male gonadal status based on serum T, calculated free T and BAT. The optimal salivary sampling in terms of fasting and time of day will also be defined.
The ultimate aim is to add Sal-T into the Trust's repertoire of tests in investigating suspected hypogonadism in men.
To investigate whether salivary (free) testosterone is subject to similar prandial variations reported for serum total testosterone.
Study 1:
Assessment of diurnal variation in salivary testosterone adjusted for prandial state in 20 healthy men.
Study 2:
Measurement of salivary and serum testosterone and related biomarkers before and after a standard 75g oral glucose load in 40 men.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| diurnal variation assessment | Assessment of diurnal variation in salivary testosterone adjusted for prandial state |
| |
| Glucose load measurements | Measurement of salivary and serum testosterone and related biomarkers before and after a standard 75g oral glucose load |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Testosterone Measurements in healthy volunteers after fasting | Other | salivary testosterone measurements taken in morning and evening and a single blood test for testosterone taken |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in salivary testosterone during the day independent of prandial state | testosterone levels | 24 hours |
| Changes in salivary testosterone following an oral glucose load | testosterone levels | 2 hours |
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For 1st part of study -volunteers:
Inclusion Criteria:
Exclusion Criteria:
Subjects with learning disability or those lacking mental capacity to give consent.
On (prescribed and over-the-counter) medication and herbal remedies known to affect androgen metabolism.
Known hypogonadism.
Conditions known to affect androgen metabolism, including chronic inflammatory diseases, chronic liver disease, chronic kidney disease and thyroid dysfunction.
Any co-morbidity.
Periodontal disease.
Dental work 48 hours prior to the test.
Exercise on the day, prior to and during sampling periods.
Brushed teeth within 1hr prior to sample collection.
Obesity defined as a body mass index (BMI) of greater than 29.9 kg/m2As
2nd part of study for glucose load - oral glucose tolerance test (OGTT):
Inclusion criteria:
Exclusion criteria:
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Healthy volunteers and patients attending hospital for their OGTT as part of their stnadard care.
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| Name | Affiliation | Role |
|---|---|---|
| R Gama | The Royal Wolverhampton NHS Trust | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Royal Wolverhampton NHS Trust | Wolverhampton | West Midlands | WV10 0QP | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38591370 | Result | Fenn J, Gill H, Starbrook L, Ford L, Sharrod-Cole H, Kalaria T, Ford C, Gama R. Salivary testosterone changes during oral glucose tolerance tests in overweight and obese men - Postprandial or circadian variation? Ann Clin Biochem. 2024 Sep;61(5):391-398. doi: 10.1177/00045632241249087. Epub 2024 May 9. |
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| ID | Term |
|---|---|
| D005058 | Eunuchism |
| ID | Term |
|---|---|
| D007006 | Hypogonadism |
| D006058 | Gonadal Disorders |
| D004700 | Endocrine System Diseases |
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serum and saliva samples
| Testosterone Measurements after glucose loading | Other | salivary tstosterone and blood testosterone measurements |
|