Review Article

Pulmonary Rehabilitation: The Reference Therapy for Undernourished Patients with Chronic Obstructive Pulmonary Disease

Table 1

Clinical studies and trials having tested different protocols of androgen therapy in COPD patients.

StudyDrug/administration route GOLD stageFat-free mass (FFM) lossMethod of FFM assessmentDoseFrequencyDuration

Schols et al. [70]Dandrolone decanoate/IM217II, IIIFFM < 67% (men)/<63% (women) of ideal weightBIAM: 50 mg
W: 25 mg
1x/2 weeks6 weeks
Ferreira et al. [71]Mixture of testosterone phenylpropionate, isocaproate, propionate, caproate/IM unique dose, and then
stanozolol/PO
Total = 23,
17 completed study
II, IIIDEXAM: 250 mg
M: 12 mg
“Charging dose”
1x/day
Unique dose
27 weeks
Yeh et al. [68]Oxandrolone/POTotal = 128
55 included in 4-month analysis
II, IIIBIAM: 10 mg
W: 10 mg
2x/day
2x/day
16 weeks
Casaburi et al. [25]Testosterone enanthate/IMTotal = 53
47 completed protocol
II, III, IVDEXAM: 100 mg1x/week10 weeks
Pison et al. [72]Testosterone undecanoate/ PO126II, III, IV<25th percentile of predicted FFMI: <18 (men)
<15 (women)
BIAM: 80 mg
W: 40 mg
2x/day
2x/day
12 weeks
Svartberg et al. [69]Testosterone enanthate/IM29II, IIIDEXAM: 250 mg1x/4 weeks26 weeks

BIA: bioelectrical impedance analysis; DEXA: dual energy X-ray absorptiometry; FFM: fat-free mass; FFMI: fat-free mass index (=FFM (kg)/height (m)2; IM: intramuscular; M: men; PO: per os; W: women.