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Nebido Versus Placebo in Elderly Men With Typical Symptoms of Late Onset Hypogonadism Over a Period of 54 Weeks

Primary Purpose

Hypogonadism

Status
Withdrawn
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
NEBIDO
PLACEBO
Sponsored by
Bayer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypogonadism focused on measuring NEBIDO,, Hypogonadism,, Symptomatic late onset,, Testosterone deficiency

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Men aged 50 years and older
  • Symptomatic hypogonadism as defined by a) and b):
  • a) Total testosterone below 12nmol/l
  • b) Aging males symptom score above 36
  • Willing to avoid significant change in the pattern of physical exercise and lifestyle for the duration of the study
  • Willing to voluntarily sign a statement of informed consent to participate in the study.

Exclusion Criteria:

  • Use of androgen therapy or anabolic steroids
  • Suspicion or known history of liver tumors, prostate or breast cancer
  • Hypersensitivity to the active substances or any of the excipients of NEBIDO e.g. Benzyl benzoate and castor oil. Hypercalcemia accompanying malignant tumors
  • Blood coagulation irregularities presenting an increased risk of bleeding after intramuscular injections sleep apnea
  • Polycythemia
  • Hematocrit level >50% at entry to the study (i.e. screening visit/visit 1)
  • Patients using 5-a-reductase inhibitors such as finasteride or dutasteride should be excluded from the study.
  • Prolactin level >25ng/ml
  • Organic hypothalamic-pituitary pathology
  • Prostate specific antigen (PSA) level ≥ 4ng/ml
  • Severe symptomatic benign prostatic hyperplasia (IPSS sum score ≥ 20)
  • Epilepsy not adequately controlled by treatment
  • Migraine not adequately controlled by treatment
  • Patients requiring or undergoing fertility treatment
  • Any clinically significant chronic disease that might, in the opinion of the investigator, compromise patient's safety interfere with the evaluations, or preclude completion of the trial (e.g. hemochromatosis, chronic lung disease, chronic malabsorption disease)
  • Known history of alcohol or drug abuse
  • Medical, psychiatric or other conditions that compromise the patient's ability to understand the patient information, to give informed consent, to comply with the trial protocol, or to complete the study.
  • Hypertension which is not adequately controlled on therapy
  • Severe cardiac, hepatic or renal insufficiency
  • Coronary heart disease not stabilized by therapy as assessed by the investigator
  • Metal implants in the body (metal implants in the head will not exclude patients from participation)
  • Concomitant participation in another clinical trial within 1 month of entry into this study (i.e. randomized and has taken study medication).

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Arm 1

Arm 2

Arm Description

Outcomes

Primary Outcome Measures

To assess the change from baseline in lean body mass after 54 weeks of treatment with NEBIDO compared to placebo

Secondary Outcome Measures

Change from baseline in total body mass
Change from baseline in fat mass
Change from baseline in bone mineral density
Aging Male Symptoms (AMS) rating scale
International Index of Erectile Function- erectile function domain (IIEF-EF)
Change in serum levels of testosterone (central laboratory)
Change in waist circumference

Full Information

First Posted
July 2, 2008
Last Updated
November 22, 2012
Sponsor
Bayer
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1. Study Identification

Unique Protocol Identification Number
NCT00710827
Brief Title
Nebido Versus Placebo in Elderly Men With Typical Symptoms of Late Onset Hypogonadism Over a Period of 54 Weeks
Official Title
A 54 Week Treatment, Randomized, Multi Center, Double Blind, Placebo Controlled Study to Assess the Safety and Efficacy of NEBIDO 1000 mg (4 ml) in Elderly Men With Symptomatic Late Onset Hypogonadism (SLOH)
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Withdrawn
Study Start Date
October 2008 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
October 2008 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Bayer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To evaluate the safety and efficacy of Nebido compared to placebo in elderly men aged 50 and over with symptomatic late onset hypogonadism
Detailed Description
Explorative objectives: Change in grip strength (Subgroup only: optional for sites with experienced in testing muscle function); Change in physical performance test i.e. lower limb muscle strength (subgroup only; optional for sites experienced in testing muscle function). Please note that the 2 explorative objectives mentioned above must be performed together. All measured at baseline, week 30, week 54, no safety measure. Safety parameters Prostate safety: digital rectal examination (DRE) Measured at screening, week 30+ 54, safety measure. International prostate symptom score (IPSS): International prostate symptom score (IPSS) Measured at screening, week 18, 30, 42, 54, safety measure. Laboratory tests for lipids (total cholesterol, LDL-cholesterol, HDL-cholesterol and triglycerides) and liver function tests (aspartate aminotransferase (AST) and alanine transaminase (ALT)) Measured at screening, week 6, 18, 30, 42, 54, safety measure. Standard laboratory tests for androgen treatment: prostate specific antigen (PSA); hemoglobin; hematocritMeasured at screening, week 6, 18, 30, 42, 54, safety measureAdverse eventsMeasured at screening, baseline, week 6, 18, 30, 42, 54Vital signsMeasured at screening, week 18, 30, 42, 54, safety measure.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypogonadism
Keywords
NEBIDO,, Hypogonadism,, Symptomatic late onset,, Testosterone deficiency

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm 1
Arm Type
Experimental
Arm Title
Arm 2
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
NEBIDO
Intervention Description
Patients will receive 54 weeks of treatment with Nebido, 5 intramuscular injections of 4ml Nebido (at baseline, week 6, 18, 30, 42)
Intervention Type
Drug
Intervention Name(s)
PLACEBO
Intervention Description
Patients will receive 54 weeks of treatment with placebo, 5 intramuscular injections of 4ml placebo (at baseline, week 6, 18, 30, 42)
Primary Outcome Measure Information:
Title
To assess the change from baseline in lean body mass after 54 weeks of treatment with NEBIDO compared to placebo
Time Frame
Baseline, week 30, week 54
Secondary Outcome Measure Information:
Title
Change from baseline in total body mass
Time Frame
Baseline, week 30, week 54
Title
Change from baseline in fat mass
Time Frame
Baseline, week 30, week 54
Title
Change from baseline in bone mineral density
Time Frame
Baseline, week 30, week 54
Title
Aging Male Symptoms (AMS) rating scale
Time Frame
Baseline, week 30, week 54
Title
International Index of Erectile Function- erectile function domain (IIEF-EF)
Time Frame
Baseline, week 30, week 54
Title
Change in serum levels of testosterone (central laboratory)
Time Frame
Baseline, week 30, week 54
Title
Change in waist circumference
Time Frame
Baseline, week 30, week 54

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men aged 50 years and older Symptomatic hypogonadism as defined by a) and b): a) Total testosterone below 12nmol/l b) Aging males symptom score above 36 Willing to avoid significant change in the pattern of physical exercise and lifestyle for the duration of the study Willing to voluntarily sign a statement of informed consent to participate in the study. Exclusion Criteria: Use of androgen therapy or anabolic steroids Suspicion or known history of liver tumors, prostate or breast cancer Hypersensitivity to the active substances or any of the excipients of NEBIDO e.g. Benzyl benzoate and castor oil. Hypercalcemia accompanying malignant tumors Blood coagulation irregularities presenting an increased risk of bleeding after intramuscular injections sleep apnea Polycythemia Hematocrit level >50% at entry to the study (i.e. screening visit/visit 1) Patients using 5-a-reductase inhibitors such as finasteride or dutasteride should be excluded from the study. Prolactin level >25ng/ml Organic hypothalamic-pituitary pathology Prostate specific antigen (PSA) level ≥ 4ng/ml Severe symptomatic benign prostatic hyperplasia (IPSS sum score ≥ 20) Epilepsy not adequately controlled by treatment Migraine not adequately controlled by treatment Patients requiring or undergoing fertility treatment Any clinically significant chronic disease that might, in the opinion of the investigator, compromise patient's safety interfere with the evaluations, or preclude completion of the trial (e.g. hemochromatosis, chronic lung disease, chronic malabsorption disease) Known history of alcohol or drug abuse Medical, psychiatric or other conditions that compromise the patient's ability to understand the patient information, to give informed consent, to comply with the trial protocol, or to complete the study. Hypertension which is not adequately controlled on therapy Severe cardiac, hepatic or renal insufficiency Coronary heart disease not stabilized by therapy as assessed by the investigator Metal implants in the body (metal implants in the head will not exclude patients from participation) Concomitant participation in another clinical trial within 1 month of entry into this study (i.e. randomized and has taken study medication).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bayer Study Director
Organizational Affiliation
Bayer
Official's Role
Study Director
Facility Information:
City
Bonn
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
53105
Country
Germany
City
Halle
State/Province
Sachsen-Anhalt
ZIP/Postal Code
06097
Country
Germany
City
Milano
ZIP/Postal Code
20132
Country
Italy
City
Napoli
ZIP/Postal Code
80131
Country
Italy
City
Roma
ZIP/Postal Code
00155
Country
Italy
City
Riga
ZIP/Postal Code
LV-1002
Country
Latvia
City
Lodz
ZIP/Postal Code
91-425
Country
Poland
City
Warszawa
ZIP/Postal Code
01-432
Country
Poland
City
Warszawa
ZIP/Postal Code
01-809
Country
Poland
City
Warszawa
ZIP/Postal Code
02-777
Country
Poland
City
Wroclaw
ZIP/Postal Code
50-088
Country
Poland
City
Moscow
ZIP/Postal Code
117036
Country
Russian Federation
City
Moscow
ZIP/Postal Code
123367
Country
Russian Federation
City
Novosibirsk
ZIP/Postal Code
630091
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
197022
Country
Russian Federation
City
Volgograd
ZIP/Postal Code
400138
Country
Russian Federation
City
Reading
State/Province
Berkshire
ZIP/Postal Code
RG2 7AG
Country
United Kingdom
City
Lichfield
State/Province
Staffordshire
ZIP/Postal Code
WS14 9JL
Country
United Kingdom
City
Glasgow
State/Province
Stratchclyde
ZIP/Postal Code
G81 2DR
Country
United Kingdom
City
Birmingham
State/Province
West Midlands
ZIP/Postal Code
B15 2SQ
Country
United Kingdom
City
Cardiff
ZIP/Postal Code
CF14 5GJ
Country
United Kingdom
City
Chorley
ZIP/Postal Code
PR7 7NA
Country
United Kingdom
City
London
ZIP/Postal Code
NW3 2QG
Country
United Kingdom
City
London
ZIP/Postal Code
NW9 9NH
Country
United Kingdom
City
Manchester
ZIP/Postal Code
M15 6SX
Country
United Kingdom

12. IPD Sharing Statement

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Nebido Versus Placebo in Elderly Men With Typical Symptoms of Late Onset Hypogonadism Over a Period of 54 Weeks

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