Pulmonary vascular disease & thromboembolism

Association of testosterone-induced increase in neutrophil and monocyte counts with thromboembolic events: The TRAVERSE trial

Am Heart JPublished Secondary analysis of the TRAVERSE randomised trial

Authors' conclusion

TRT increased circulating neutrophils and monocytes and decreased lymphocytes and platelets in men with hypogonadism. Changes in monocyte and neutrophil counts were associated with increased risk of VTE.

Study context

Population
Men 45–80 years with hypogonadism and preexisting or increased risk of cardiovascular disease (CVD)
Participants
5,204 men
Comparison
Transdermal testosterone vs placebo gel
Primary endpoint
Effect of TRT on neutrophils, monocytes, lymphocytes and platelets; association of changes with MACE and venous thromboembolism (VTE)
Methodological detailsplacebo-controlled
  • Placebo-controlled

Primary result

As reported in the abstract

  • Testosterone replacement therapy (TRT): significantly greater increase in neutrophils and monocytes, greater decrease in lymphocytes and platelets vs placebo

Further findings

OutcomeOR (CI)
MACE, by neutrophil and monocyte counts (OR per 1 SD increase)Adjusted for treatment1.25 (1.12–1.40)

Change in leukocyte subsets and platelets

TRT: significantly greater increase in neutrophils and monocytes and greater decrease in lymphocytes and platelets than placebo

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association of testosterone-induced increase in neutrophil and monocyte counts with thromboembolic events: The TRAVERSE trial. Am Heart J. Published 15 April 2025. doi:10.1016/j.ahj.2025.04.004

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