Pediatric endocrinology

Puberty‐Promoting Treatment and Psychosocial Well‐Being in Boys With Constitutional Delay of Puberty: A Randomized Controlled Trial

Clin Endocrinol (Oxf)Published Randomised controlled trial

Authors' conclusion

Overall, boys with CDGP exhibited a generally docile temperament. The administration of puberty-promoting treatments did not result in any adverse psychosocial effects on the temperament characteristics assessed.

Study context

Population
Boys with constitutional delay of growth and puberty (CDGP)randomized
Participants
30 participants
Comparison
Letrozole vs testosterone
  • Lzn = 15
  • Tn = 15reference
Primary endpoint
Temperament characteristics emotionality, activity and sociability (emotionality, activity, and sociability (EAS)), standardized validated questionnaire
Follow-up
0, 6 and 12 months
Methodological detailsopen-label
  • Open-label

Primary result

Sociability · after 6-month treatment

Difference

−0.48

95% CI 0.89 to −0.08

P = 0.019

As reported in the abstract

Further findings

OutcomeDifference (95% CI)P value
Sociability · 12-month follow-upTvs LzSociability higher with Lz−0.72 (−1.12 to −0.32)P = 0.001

Temperament of boys with CDGP vs local peers

More withdrawn
P = 0.02
Less anger
P = 0.02
Less fear
P = 0.02

Emotionality of boys with CDGP vs local and national controls

CDGP boys less negatively emotional than peers
P = 0.04

Original publication

Puberty‐Promoting Treatment and Psychosocial Well‐Being in Boys With Constitutional Delay of Puberty: A Randomized Controlled Trial. Clin Endocrinol (Oxf). Published 6 October 2025. doi:10.1111/cen.70039

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