The Androgen Society Endorses FDA's Class-Wide Labeling Changes for Testosterone Products

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* It is important to note that long-term studies including TRAVERSE, T4DM, and T-Trials have not demonstrated blood pressure increases at periods of one year or greater. The Androgen Society acknowledges that these findings warrant careful consideration in the implementation of blood pressure-related labeling changes.

* The FDA's recommended changes regarding the cardiovascular safety of testosterone therapy align with The Androgen Society's Position Statement published in the November 2024 issue of Mayo Clinic Proceedings (Morgentaler A, Dhindsa S, Dobs AS, Hackett G, Jones TH, Kloner RA, Miner M, Zitzmann M, Traish AM).







The Androgen Society Endorses FDA's Class-Wide Labeling Changes for Testosterone Products

March 5, 2025
- The Androgen Society welcomes the U.S. Food and Drug Administration's (FDA) recent announcement regarding class-wide labeling changes for testosterone products. These changes reflect important new clinical evidence and align with The Androgen Society's position on the cardiovascular safety of testosterone therapy.




Key Labeling Changes

Based on recent findings from the TRAVERSE trials, the FDA is implementing several significant changes to testosterone product labeling:


  • Addition of TRAVERSE trial results to all testosterone product labels
  • Retention of "Limitation of Use" language for age-related hypogonadism
  • Removal of language from the Boxed Warning related to increased risk of adverse cardiovascular outcomes



Additionally, following Ambulatory Blood Pressure Monitoring (ABPM) studies, the FDA is requiring:

  • Product-specific information on increased blood pressure for testosterone products with completed ABPM studies
  • A new warning about increased blood pressure for testosterone products that currently lack such warnings



Scientific Context

It is important to note that long-term studies including TRAVERSE, T4DM, and T-Trials have not demonstrated blood pressure increases at periods of one year or greater. The Androgen Society acknowledges that these findings warrant careful consideration in the implementation of blood pressure-related labeling changes.

The FDA's recommended changes regarding the cardiovascular safety of testosterone therapy align with The Androgen Society's Position Statement published in the November 2024 issue of Mayo Clinic Proceedings (Morgentaler A, Dhindsa S, Dobs AS, Hackett G, Jones TH, Kloner RA, Miner M, Zitzmann M, Traish AM).


The Androgen Society continues to support evidence-based guidelines for testosterone therapy and remains committed to advancing research and education on the safe and effective use of testosterone products.
 
 
 

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Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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