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UK Regulators Approve NHS Trial of Puberty Blockers for Children

Set to recruit early next year, the Pathways trial aims to fill the evidence gap identified by the Cass Review to guide NHS care.

Overview

  • The King’s College London–led study plans to enroll roughly 226 to 250 patients aged about 10 to 15 with parental consent under a delayed-start design.
  • Participants will be randomised so one group receives puberty blockers for two years while a second begins after a 12‑month delay, with both groups followed for two years.
  • Researchers will monitor brain development with scans alongside bone health, fertility and mental health, with initial findings expected in about four years.
  • Some participants may remain on puberty suppression after the trial if clinicians deem it appropriate, despite the current NHS ban for under‑18s.
  • The £10.7m NHS/NIHR‑funded Pathways programme also includes a separate brain‑imaging study, as critics condemn the trial and threaten a High Court challenge.