Testosterone Pellets Plus Vitamin D and E Versus Vitamin D and E Alone for the Treatment of Peyronie's Disease (PD+)
Primary Purpose
Peyronie's Disease
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Vitamin D2
Vitamin E
Testosterone Pellets
Sponsored by
About this trial
This is an interventional treatment trial for Peyronie's Disease focused on measuring low testosterone, penile curvature
Eligibility Criteria
Inclusion Criteria:
- acquired penile curvature of > 30 degrees and < 90 degrees associated with palpable penile plaque on physical examination
- onset of curvature within 18 months prior to signing consent form
- serum TT < 500 ng/dl at the screening visit
Exclusion Criteria:
- prior history of treatment for PD that includes intra-lesional injections, topical creams, or surgery
- prior treatment with oral therapy at least 2 weeks prior to signing consent form (e.g. Potaba, Vitamin E, colchicines) will be acceptable for inclusion
- prior history of treatment for testosterone deficiency
- presence of dense calcified plaque by US or plain radiograph
- taking the medication Coumadin
- hypersensitivity to testosterone, stearic acid, or polyvinyl pyrolidone (the constituents of Testopel)
- unable to achieve adequate erection with penile injection to access degree of curvature
- undergone definitive treatment for prostate cancer, bladder cancer, or other pelvic malignancies including surgery, external beam radiation therapy, brachytherapy, cryotherapy.
- prior history of prostate cancer, hematologic disorders, chronic liver disease including cirrhosis and hepatitis C, disorders affecting the immune system, including infection with human immunodeficiency virus, or psychiatric disorders including major depression, schizophrenia, bipolar disease
- history of cerebrovascular accident, history of deep venous thrombosis within the past 5 years or history of untreated or severe sleep apnea
- PSA > 4.0 ng/dL at the screening visit, unless prostate cancer has been excluded to the investigator's satisfaction
- clinically significant abnormal lab results that would put the subject at increased risk or compromise the integrity of the study data, in the opinion of the investigator
- received any other investigational drug within 30 days
Sites / Locations
- Men's Health Boston
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Active Comparator
Arm Label
Vitamin D and E
Testosterone Pellets and Vitamin D and E
Arm Description
Oral Vitamin D and E alone in men with penile curvature due to PD.
Testosterone in combination with oral Vitamin D an E supplementation in men with penile curvature due to PD.
Outcomes
Primary Outcome Measures
penile curvature
The primary outcome to be assessed will be the change in penile curvature from baseline.
Secondary Outcome Measures
sexual function
Secondary outcomes will incluce overall satisfaction with sexual function (patient satisfaction with treatment, quality of erections and quality of life).
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01578473
Brief Title
Testosterone Pellets Plus Vitamin D and E Versus Vitamin D and E Alone for the Treatment of Peyronie's Disease
Acronym
PD+
Official Title
An Open-Label, Nine-Month Randomized Controlled Study of Testosterone (Testopel) Pellets Plus Vitamin D and E Versus Vitamin D and E Alone for the Treatment of Peyronie's Disease
Study Type
Interventional
2. Study Status
Record Verification Date
March 2018
Overall Recruitment Status
Completed
Study Start Date
May 23, 2013 (Actual)
Primary Completion Date
July 7, 2013 (Actual)
Study Completion Date
November 13, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Men's Health Boston
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Two recent studies have identified low levels of serum testosterone in association with Peyronie's Disease (PD), with a significant correlation noted between severity of testosterone deficiency and severity of curvature. The study hypothesis is to determine whether treatment with testosterone may help men with PD and penile curvature.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peyronie's Disease
Keywords
low testosterone, penile curvature
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
75 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Vitamin D and E
Arm Type
Active Comparator
Arm Description
Oral Vitamin D and E alone in men with penile curvature due to PD.
Arm Title
Testosterone Pellets and Vitamin D and E
Arm Type
Active Comparator
Arm Description
Testosterone in combination with oral Vitamin D an E supplementation in men with penile curvature due to PD.
Intervention Type
Drug
Intervention Name(s)
Vitamin D2
Other Intervention Name(s)
21st Century Dietary Supplement
Intervention Description
oral softgel 2000 IU once daily 9 months
Intervention Type
Drug
Intervention Name(s)
Vitamin E
Other Intervention Name(s)
GERI-CARE
Intervention Description
oral softgels 400 IU and 200 IU 1 softgel of 400 IU daily
1 softgel of 200 IU daily 9 months
Intervention Type
Drug
Intervention Name(s)
Testosterone Pellets
Other Intervention Name(s)
Testopel 75 mg testosterone pellets
Intervention Description
subcutaneous implantation pellets 75 mg based on testosterone levels from resulting bloodwork 9 months
Primary Outcome Measure Information:
Title
penile curvature
Description
The primary outcome to be assessed will be the change in penile curvature from baseline.
Time Frame
9 months
Secondary Outcome Measure Information:
Title
sexual function
Description
Secondary outcomes will incluce overall satisfaction with sexual function (patient satisfaction with treatment, quality of erections and quality of life).
Time Frame
9 months
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
acquired penile curvature of > 30 degrees and < 90 degrees associated with palpable penile plaque on physical examination
onset of curvature within 18 months prior to signing consent form
serum TT < 500 ng/dl at the screening visit
Exclusion Criteria:
prior history of treatment for PD that includes intra-lesional injections, topical creams, or surgery
prior treatment with oral therapy at least 2 weeks prior to signing consent form (e.g. Potaba, Vitamin E, colchicines) will be acceptable for inclusion
prior history of treatment for testosterone deficiency
presence of dense calcified plaque by US or plain radiograph
taking the medication Coumadin
hypersensitivity to testosterone, stearic acid, or polyvinyl pyrolidone (the constituents of Testopel)
unable to achieve adequate erection with penile injection to access degree of curvature
undergone definitive treatment for prostate cancer, bladder cancer, or other pelvic malignancies including surgery, external beam radiation therapy, brachytherapy, cryotherapy.
prior history of prostate cancer, hematologic disorders, chronic liver disease including cirrhosis and hepatitis C, disorders affecting the immune system, including infection with human immunodeficiency virus, or psychiatric disorders including major depression, schizophrenia, bipolar disease
history of cerebrovascular accident, history of deep venous thrombosis within the past 5 years or history of untreated or severe sleep apnea
PSA > 4.0 ng/dL at the screening visit, unless prostate cancer has been excluded to the investigator's satisfaction
clinically significant abnormal lab results that would put the subject at increased risk or compromise the integrity of the study data, in the opinion of the investigator
received any other investigational drug within 30 days
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Abraham Morgentaler, MD
Organizational Affiliation
Men's Health Boston
Official's Role
Principal Investigator
Facility Information:
Facility Name
Men's Health Boston
City
Chestnut Hill
State/Province
Massachusetts
ZIP/Postal Code
02467
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Testosterone Pellets Plus Vitamin D and E Versus Vitamin D and E Alone for the Treatment of Peyronie's Disease
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