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Subcutaneous Testosterone Replacement Efficacy and Safety in Adult Men Diagnosed With Hypogonadism (STEADY)

Primary Purpose

Hypogonadism

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Testosterone enanthate auto-injector
Sponsored by
Antares Pharma Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypogonadism focused on measuring Hypogonadism, Testosterone enanthate

Eligibility Criteria

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

Inclusion Criteria:

  • Adult males aged ≥ 18 year of age with a documented diagnosis of hypogonadism
  • Total testosterone levels < 300 ng/dL at two qualification visits
  • Patients in good general health

Exclusion Criteria:

  • Allergy to sesame or testosterone products
  • BMI ≥ 40 kg/m2
  • Hematocrit ≥ 52%
  • History or current evidence of breast or prostate cancer
  • Elevated PSA (Prostate-Specific Antigen) for age.
  • Abnormal DRE (digital rectal examination)
  • Obstructive uropathy of prostatic origin
  • Poorly controlled diabetes
  • Congestive heart failure
  • Within 6 months of screening, MI (myocardial ischemia), unstable angina leading to hospitalization, percutaneous coronary intervention, coronary artery bypass graft, uncontrolled cardiac arrhythmia, stroke transient ischemia attack, ceratoid revascularization, endovascular procedure, or surgical intervention for peripheral vascular disease.
  • History or current treatment of thromboembolic disease.
  • Use of ACTH (adrenocorticotropic hormone) or oral/depot corticosteroids within 6 weeks of screening.
  • History of severe, untreated sleep apnea
  • Subjects with any clinically significant medical condition which, in the opinion of the investigator, would make the subject an unsuitable candidate for enrollment in the study
  • Positive serology for HIV, hepatitis B or hepatitis C
  • Current evidence of drug or alcohol abuse.
  • Skin conditions in injection site that could confound injection site assessments.
  • Administration of other investigational compounds within one month of screening or 5 half-lives of the investigational compound, whichever is longer).
  • Use of estrogen, GnRH (gonadotropin-releasing hormone) or growth hormone within 12 months of screening.
  • Use of other androgens (DHEA(Dehydroepiandrosterone), anabolic steroids, other sex hormones) or other substances/supplements know to affect the PK (pharmacokinetics) of testosterone enanthate
  • Considered or scheduled surgical or dental procedures associated with blood loss ≥500 mL during study.
  • Donation of plasma or blood within 56 days of screening or history of donation of > 50 mL of blood or plasma within 3 months of screening.
  • Donation of plasma or blood during study

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Testosterone enanthate auto-injector

Arm Description

Testosterone enanthate 50 mg / 75 mg / 100 mg administered subcutaneously once each week with possible titration to a higher or lower dose at scheduled intervals during study.

Outcomes

Primary Outcome Measures

Percentage of Patients With Total Testosterone Cavg(0-168h) Serum Concentrations Within the Normal Range (300-1100 ng/dL)
The primary objective of this study was to demonstrate the efficacy of QST (QuickShot Testosterone) administered subcutaneously once each week to adult males with hypogonadism.

Secondary Outcome Measures

Safety and Tolerability
Incidence of adverse events throughout the study Incidence and severity of injection site reactions throughout the study

Full Information

First Posted
June 6, 2014
Last Updated
January 11, 2018
Sponsor
Antares Pharma Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02159469
Brief Title
Subcutaneous Testosterone Replacement Efficacy and Safety in Adult Men Diagnosed With Hypogonadism
Acronym
STEADY
Official Title
A Multiple-dose, 52-week Study to Evaluate the Efficacy and Safety of Testosterone Enanthate Administered Subcutaneously Once Each Week to Adult Males With Hypogonadism
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Completed
Study Start Date
July 2014 (undefined)
Primary Completion Date
February 2015 (Actual)
Study Completion Date
November 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Antares Pharma Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Evaluation of efficacy and safety of testosterone enanthate administered subcutaneously using an auto-injector
Detailed Description
This study will evaluate, if testosterone enanthate administered subcutaneously once each week by an auto-injector to men with low testosterone, can raise their levels into the normal range. The study will investigate the ability to adjust testosterone enanthate dose levels using single point blood concentrations. Safety and tolerability of testosterone administration will be evaluated along with the patient's ability to use the auto-injector and follow the instructions for auto-injector use.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypogonadism
Keywords
Hypogonadism, Testosterone enanthate

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
150 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Testosterone enanthate auto-injector
Arm Type
Experimental
Arm Description
Testosterone enanthate 50 mg / 75 mg / 100 mg administered subcutaneously once each week with possible titration to a higher or lower dose at scheduled intervals during study.
Intervention Type
Combination Product
Intervention Name(s)
Testosterone enanthate auto-injector
Other Intervention Name(s)
Testosterone, Testosterone enanthate, QuickShot® Testosterone (QST)
Intervention Description
Dose Adjustment to 50 mg or 75 mg or 100 mg based upon Testosterone levels
Primary Outcome Measure Information:
Title
Percentage of Patients With Total Testosterone Cavg(0-168h) Serum Concentrations Within the Normal Range (300-1100 ng/dL)
Description
The primary objective of this study was to demonstrate the efficacy of QST (QuickShot Testosterone) administered subcutaneously once each week to adult males with hypogonadism.
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Safety and Tolerability
Description
Incidence of adverse events throughout the study Incidence and severity of injection site reactions throughout the study
Time Frame
52 weeks

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult males aged ≥ 18 year of age with a documented diagnosis of hypogonadism Total testosterone levels < 300 ng/dL at two qualification visits Patients in good general health Exclusion Criteria: Allergy to sesame or testosterone products BMI ≥ 40 kg/m2 Hematocrit ≥ 52% History or current evidence of breast or prostate cancer Elevated PSA (Prostate-Specific Antigen) for age. Abnormal DRE (digital rectal examination) Obstructive uropathy of prostatic origin Poorly controlled diabetes Congestive heart failure Within 6 months of screening, MI (myocardial ischemia), unstable angina leading to hospitalization, percutaneous coronary intervention, coronary artery bypass graft, uncontrolled cardiac arrhythmia, stroke transient ischemia attack, ceratoid revascularization, endovascular procedure, or surgical intervention for peripheral vascular disease. History or current treatment of thromboembolic disease. Use of ACTH (adrenocorticotropic hormone) or oral/depot corticosteroids within 6 weeks of screening. History of severe, untreated sleep apnea Subjects with any clinically significant medical condition which, in the opinion of the investigator, would make the subject an unsuitable candidate for enrollment in the study Positive serology for HIV, hepatitis B or hepatitis C Current evidence of drug or alcohol abuse. Skin conditions in injection site that could confound injection site assessments. Administration of other investigational compounds within one month of screening or 5 half-lives of the investigational compound, whichever is longer). Use of estrogen, GnRH (gonadotropin-releasing hormone) or growth hormone within 12 months of screening. Use of other androgens (DHEA(Dehydroepiandrosterone), anabolic steroids, other sex hormones) or other substances/supplements know to affect the PK (pharmacokinetics) of testosterone enanthate Considered or scheduled surgical or dental procedures associated with blood loss ≥500 mL during study. Donation of plasma or blood within 56 days of screening or history of donation of > 50 mL of blood or plasma within 3 months of screening. Donation of plasma or blood during study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jed Kaminetsky, MD
Organizational Affiliation
Manhattan Medical Research Practice
Official's Role
Principal Investigator
Facility Information:
City
Birmingham
State/Province
Alabama
Country
United States
City
Huntsville
State/Province
Alabama
Country
United States
City
Tucson
State/Province
Arizona
Country
United States
City
Burbank
State/Province
California
Country
United States
City
Torrance
State/Province
California
Country
United States
City
Upland
State/Province
California
Country
United States
City
Jacksonville
State/Province
Florida
Country
United States
City
Oviedo
State/Province
Florida
Country
United States
City
Lexington
State/Province
Kentucky
Country
United States
City
Shreveport
State/Province
Louisiana
Country
United States
City
Brookline
State/Province
Massachusetts
Country
United States
City
Methuen
State/Province
Massachusetts
Country
United States
City
Kansas City
State/Province
Missouri
Country
United States
City
Lawrenceville
State/Province
New Jersey
Country
United States
City
Albany
State/Province
New York
Country
United States
City
New York
State/Province
New York
Country
United States
City
Rochester
State/Province
New York
Country
United States
City
Franklin
State/Province
Ohio
Country
United States
City
Medford
State/Province
Oregon
Country
United States
City
Warwick
State/Province
Rhode Island
Country
United States
City
Mount Pleasant
State/Province
South Carolina
Country
United States
City
Nashville
State/Province
Tennessee
Country
United States
City
San Antonio
State/Province
Texas
Country
United States
City
Sugar Land
State/Province
Texas
Country
United States
City
West Valley City
State/Province
Utah
Country
United States
City
Norfolk
State/Province
Virginia
Country
United States
City
Richmond
State/Province
Virginia
Country
United States
City
Renton
State/Province
Washington
Country
United States

12. IPD Sharing Statement

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Subcutaneous Testosterone Replacement Efficacy and Safety in Adult Men Diagnosed With Hypogonadism

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