The National Institutes of Health has awarded $5.7M for a five-year, multicenter study which will be the first in the U.S. to evaluate the long-term outcomes of medical treatment for transgender youth. This study will provide essential, evidence-based information on the physiological and psychosocial impact, as well as safety, of hormone blockers and cross-sex hormone use in this population.
The multicenter study will be located at four academic medical centers with dedicated transgender youth clinics. The co-investigators and their institutions include:
“We are pleased to see transgender medicine taking its place on the national health agenda,” said Dr. Olson, medical director of the Center for Transyouth Health at Children’s Hospital Los Angeles. “Results of this study will help physicians across the country provide the best and safest possible care for transgender youth.”
The study — which will begin enrollment in fall 2015 — will include 280 transgender youth with gender dysphoria, those who are persistently distressed by the incongruity between their gender of identity and the gender they were assigned at birth. Participants will be those who seek medical intervention to align their physical bodies with their gender identity and alleviate gender dysphoria and its associated negative effects, including anxiety, depression, and substance abuse.
The study will include youth from two age groups: younger children in early puberty, who will receive hormone blockers, called GnRH agonists, used to suspend the process of puberty – preventing the development of undesired secondary sex characteristics; and older adolescents, who will begin use of masculinizing or feminizing cross-sex hormones that allow them to go through the ‘right’ puberty – consistent with their gender of identification.
For the cohort in the earliest stages of puberty, the study will evaluate the impact of treatment on mental health, psychological well-being, physiologic parameters, and bone health, and will document the safety of hormone blockers. In the older group, the study will document the safety of administering cross-sex hormones for phenotypic gender transition, as well as evaluate its impact on mental health, psychological well-being, and certain metabolic/physiological parameters.