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participating institutions:
Johns Hopkins University AIDS Service, New York State DOH AIDS Institute, The CORE Center, Cook County Hospital



NEWS AND NEW DEVELOPMENTS



A Double-blind, Placebo-Controlled Trial of Testosterone Therapy for HIV-Positive Men with Hypogonadal Symptoms [JG Rabkin, et al. Arch Gen Psych 2000;57:141]: The authors enrolled 74 hypogonadal patients in a placebo-controlled trial of testosterone with biweekly injections versus placebo over six weeks with the option of open label treatment for an additional 18 weeks. Results are summarized in the following table:

Testosterone Therapy for Hypogonadal Men:
Results of a Double Blind-Placebo Controlled 6-Week Study
  Testosterone
n = 38
Placebo
n = 32
Improved libido 74%* 19%
Improved fatigue 59%* 25%
Improved depression 58% 14%
    Increased mm mass (mean) 1.6 kg* -
* P <0.05

Comment: This is an excellent study demonstrating the potential benefits of testosterone therapy in hypogonadal men with HIV infection. Testosterone may be one of the more important treatments to offer patients, but it is commonly overlooked, perhaps because it is not promoted aggressively by the pharmaceutical industry. posted 6/6/2000





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