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Normalization of Morning Testosterone Levels in Men With Secondary Hypogonadism

Primary Purpose

Secondary Hypogonadism

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Placebo
topical testosterone
Androxal
Sponsored by
Repros Therapeutics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Secondary Hypogonadism

Eligibility Criteria

21 Years - 65 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Healthy males between the ages of 21 and 65 years of age
  • All clinical laboratory tests within normal ranges (any clinically significant deviation of laboratory results will require approval of sponsor)
  • Previously or concurrently diagnosed as having secondary hypogonadism and confirmed morning testosterone <250ng/dL (two assessments at least 10 days apart)
  • Ability to complete the study in compliance with the protocol
  • Ability to understand and provide written informed consent
  • Agreement to use double barrier contraception if with a fertile female partner
  • Agreement to provide a semen sample in the clinic

Exclusion Criteria:

  • Use of an injectable, oral, topical, or subcutaneous pelleted testosterone within 6 months prior to study
  • Use of spironolactone, cimetidine, Clomid, 5α-reductase inhibitors, hCG, androgen, estrogen, anabolic steroid, DHEA, or herbal hormone products during the study
  • Use of Clomid in the past year
  • Uncontrolled hypertension or diabetes mellitus based on the Investigator's assessment at baseline. Subjects treated for Type II diabetes but exhibiting glycemic control will be allowed into the study
  • A hematocrit >50% or a hemoglobin >17 g/dL
  • Clinically significant abnormal findings on screening examination
  • Use of an investigational drug or product, or participation in a drug or medical device research study within 30 days prior to receiving study medication
  • Known hypersensitivity to Clomid
  • Symptomatic cataracts (nuclear sclerosis cataract or cortical cataract grade > 2 based on 0-4 scale or any trace of posterior subcapsular cataract)
  • Any condition which in the opinion of the investigator would interfere with the participant's ability to provide informed consent, comply with study instructions, possibly confound interpretation of study results, or endanger the participant if he took part in the study
  • Irreversibly infertile or compromised fertility (cryptorchism, Kallman Syndrome, primary hypogonadism, vasectomy, or tumors of the pituitary)
  • Current or history of breast cancer
  • Current or history of prostate cancer or a suspicion of prostate disease unless ruled out by prostate biopsy, or a PSA>3.6
  • Presence or history of hyperprolactinemia with or without a tumor
  • Chronic use of medications use such as glucocorticoids
  • Subjects with cystic fibrosis (mutation of the CFTR gene)
  • Subjects unable to provide a semen sample in the clinic
  • Subject has a BMI >36 kg/m2

Sites / Locations

  • Paradigm Clinical Inc.
  • Northern California Research Corp
  • Medical Center for Clinical Research
  • Los Angeles Biomedical Research Institute
  • Affiliated Clinical Research
  • Affiliated Clinical Research Inc.
  • Weill Cornell Medical College and Smith Institute
  • Jed Kaminetsky
  • Natan Bar-Chama
  • Michael A Werner
  • Discovery Clinical Trials
  • Research Across America
  • Texas Urology Specialist
  • Centex Research
  • Endocrine and Psychiatry Center
  • Protenium Clinical Research
  • R/D Clinical Research
  • Cetero Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Active Comparator

Experimental

Experimental

Arm Label

Placebo

Testim (topical testosterone)

Androxal 12.5 mg

Androxal 25 mg

Arm Description

Placebo

Testim (topical testosterone)

Androxal 12.5 mg/day

Androxal 25 mg/day

Outcomes

Primary Outcome Measures

Change in Total Morning Testosterone
Changes in values from baseline in total morning testosterone levels at month 3 comparing Androxal 12.5 and 25 mg to placebo and Testim

Secondary Outcome Measures

Change in Luteinizing Hormone Levels
Changes in values from baseline in LH at month 3
Change in FSH After 3 Months of Treatment
Reproductive Safety
Change from baseline in sperm concentration

Full Information

First Posted
January 4, 2011
Last Updated
June 27, 2014
Sponsor
Repros Therapeutics Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01270841
Brief Title
Normalization of Morning Testosterone Levels in Men With Secondary Hypogonadism
Official Title
A Randomized, Double Blind, Placebo and Active Controlled, Parallel, Multi-Center Phase IIb Study to Evaluate Normalization of Morning Testosterone Levels in Men With Secondary Hypogonadism
Study Type
Interventional

2. Study Status

Record Verification Date
June 2014
Overall Recruitment Status
Completed
Study Start Date
January 2011 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Repros Therapeutics Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The Purpose of the study is to determine the effects of Androxal on morning testosterone and reproductive status in men with secondary hypogonadism(confirmed morning Testosterone less than 250 ng/dL), compared to changes with placebo, or Testim (topical testosterone). The effects of Testim versus placebo on reproductive status will also be examined. Study subjects must not be currently using a topical testosterone.
Detailed Description
This study is a phase IIb, 4 arm study with three month active dosing period. Three of the four treatment groups will be randomized to either Androxal or placebo in a double-blind fashion, and the fourth treatment group will receive open-label Testim. The doses of Androxal in the blinded portion of the study will be 12.5 mg and 25 mg, in capsule form.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Secondary Hypogonadism

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
83 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Arm Title
Testim (topical testosterone)
Arm Type
Active Comparator
Arm Description
Testim (topical testosterone)
Arm Title
Androxal 12.5 mg
Arm Type
Experimental
Arm Description
Androxal 12.5 mg/day
Arm Title
Androxal 25 mg
Arm Type
Experimental
Arm Description
Androxal 25 mg/day
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo capsule 1x daily for 3 months
Intervention Type
Drug
Intervention Name(s)
topical testosterone
Other Intervention Name(s)
Testim, AndroGel
Intervention Description
testosterone gel applied 1x daily for 3 months
Intervention Type
Drug
Intervention Name(s)
Androxal
Other Intervention Name(s)
Enclomiphene citrate
Intervention Description
Capsule of either 12.5 mg or 25 mg Androxal, 1x daily for 3 months
Primary Outcome Measure Information:
Title
Change in Total Morning Testosterone
Description
Changes in values from baseline in total morning testosterone levels at month 3 comparing Androxal 12.5 and 25 mg to placebo and Testim
Time Frame
3 months
Secondary Outcome Measure Information:
Title
Change in Luteinizing Hormone Levels
Description
Changes in values from baseline in LH at month 3
Time Frame
3 months
Title
Change in FSH After 3 Months of Treatment
Time Frame
3 months
Title
Reproductive Safety
Description
Change from baseline in sperm concentration
Time Frame
3 months

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Healthy males between the ages of 21 and 65 years of age All clinical laboratory tests within normal ranges (any clinically significant deviation of laboratory results will require approval of sponsor) Previously or concurrently diagnosed as having secondary hypogonadism and confirmed morning testosterone <250ng/dL (two assessments at least 10 days apart) Ability to complete the study in compliance with the protocol Ability to understand and provide written informed consent Agreement to use double barrier contraception if with a fertile female partner Agreement to provide a semen sample in the clinic Exclusion Criteria: Use of an injectable, oral, topical, or subcutaneous pelleted testosterone within 6 months prior to study Use of spironolactone, cimetidine, Clomid, 5α-reductase inhibitors, hCG, androgen, estrogen, anabolic steroid, DHEA, or herbal hormone products during the study Use of Clomid in the past year Uncontrolled hypertension or diabetes mellitus based on the Investigator's assessment at baseline. Subjects treated for Type II diabetes but exhibiting glycemic control will be allowed into the study A hematocrit >50% or a hemoglobin >17 g/dL Clinically significant abnormal findings on screening examination Use of an investigational drug or product, or participation in a drug or medical device research study within 30 days prior to receiving study medication Known hypersensitivity to Clomid Symptomatic cataracts (nuclear sclerosis cataract or cortical cataract grade > 2 based on 0-4 scale or any trace of posterior subcapsular cataract) Any condition which in the opinion of the investigator would interfere with the participant's ability to provide informed consent, comply with study instructions, possibly confound interpretation of study results, or endanger the participant if he took part in the study Irreversibly infertile or compromised fertility (cryptorchism, Kallman Syndrome, primary hypogonadism, vasectomy, or tumors of the pituitary) Current or history of breast cancer Current or history of prostate cancer or a suspicion of prostate disease unless ruled out by prostate biopsy, or a PSA>3.6 Presence or history of hyperprolactinemia with or without a tumor Chronic use of medications use such as glucocorticoids Subjects with cystic fibrosis (mutation of the CFTR gene) Subjects unable to provide a semen sample in the clinic Subject has a BMI >36 kg/m2
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Larry Lipshultz, MD
Organizational Affiliation
Baylor College of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Paradigm Clinical Inc.
City
Garden Grove
State/Province
California
ZIP/Postal Code
92844
Country
United States
Facility Name
Northern California Research Corp
City
Sacramento
State/Province
California
ZIP/Postal Code
95831
Country
United States
Facility Name
Medical Center for Clinical Research
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
Los Angeles Biomedical Research Institute
City
Torrance
State/Province
California
ZIP/Postal Code
90502
Country
United States
Facility Name
Affiliated Clinical Research
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89109
Country
United States
Facility Name
Affiliated Clinical Research Inc.
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89144
Country
United States
Facility Name
Weill Cornell Medical College and Smith Institute
City
Great Neck
State/Province
New York
ZIP/Postal Code
11021
Country
United States
Facility Name
Jed Kaminetsky
City
New york
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Natan Bar-Chama
City
New York
State/Province
New York
ZIP/Postal Code
10022
Country
United States
Facility Name
Michael A Werner
City
Purchase
State/Province
New York
ZIP/Postal Code
10577
Country
United States
Facility Name
Discovery Clinical Trials
City
Austin
State/Province
Texas
ZIP/Postal Code
78758
Country
United States
Facility Name
Research Across America
City
Carrollton
State/Province
Texas
ZIP/Postal Code
75010
Country
United States
Facility Name
Texas Urology Specialist
City
Houston
State/Province
Texas
ZIP/Postal Code
77024
Country
United States
Facility Name
Centex Research
City
Houston
State/Province
Texas
ZIP/Postal Code
77062
Country
United States
Facility Name
Endocrine and Psychiatry Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77095
Country
United States
Facility Name
Protenium Clinical Research
City
Hurst
State/Province
Texas
ZIP/Postal Code
76054
Country
United States
Facility Name
R/D Clinical Research
City
Lake Jackson
State/Province
Texas
ZIP/Postal Code
77566
Country
United States
Facility Name
Cetero Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
25044085
Citation
Wiehle RD, Fontenot GK, Wike J, Hsu K, Nydell J, Lipshultz L; ZA-203 Clinical Study Group. Enclomiphene citrate stimulates testosterone production while preventing oligospermia: a randomized phase II clinical trial comparing topical testosterone. Fertil Steril. 2014 Sep;102(3):720-7. doi: 10.1016/j.fertnstert.2014.06.004. Epub 2014 Jul 17.
Results Reference
derived
Links:
URL
http://www.reprosrx.com
Description
Sponsor website
URL
http://www.helpmylowT.com
Description
Website

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Normalization of Morning Testosterone Levels in Men With Secondary Hypogonadism

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