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Safety Study of Enclomiphene Citrate in the Treatment of Men With Secondary Hypogonadism

Primary Purpose

Secondary Hypogonadism

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
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

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

Inclusion Criteria:

  1. Secondary hypogonadal males between the ages of 18 and 65
  2. Men currently using topical testosterone products should wash-out for at least 7 days before Visit 1.
  3. All clinical laboratory tests within normal ranges (any clinically significant deviation of laboratory results will require approval of sponsor)
  4. Previously or concurrently diagnosed as having secondary hypogonadism and confirmed with morning testosterone level < 350 ng/dL for men age < 55 and < 300ng/dl for men age 55-65
  5. LH < 15mIU/mL (at Visit 1 only)
  6. Ability to complete the study in compliance with the protocol
  7. Ability to understand and provide written informed consent.

Exclusion Criteria:

  1. Use of an injectable pelleted testosterone within 6 months prior to study (men currently on topical testosterone products may be enrolled in the study after a 7-day washout period).
  2. Use testosterone injection, spironolactone, cimetidine, Clomid, 5α-reductase inhibitors, hCG, androgen, estrogen, anabolic steroid, DHEA, or herbal hormone products during the study
  3. Use of Clomid in the past year
  4. Uncontrolled hypertension based on the Investigator's assessment at baseline. Subjects treated for Type II diabetes will be allowed into the study.
  5. A hematocrit ≥ 51% or a hemoglobin ≥ 17 g/dL
  6. Clinically significant abnormal findings on screening examination, based on the Investigator's assessment.
  7. 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.
  8. Known hypersensitivity to Clomid
  9. Symptomatic cataracts (nuclear sclerosis cataract or cortical cataract grade > 2 based on 0-4 scale or any trace of posterior subcapsular cataract)
  10. 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
  11. Irreversibly infertile or compromised fertility (cryptorchism, Kallman Syndrome, primary hypogonadism, or tumors of the pituitary)
  12. Current or history of breast cancer
  13. Current or history of prostate cancer or a suspicion of prostate disease unless ruled out by prostate biopsy, or a PSA > 3.6
  14. Presence or history of known hyperprolactinemia with or without a tumor
  15. Chronic use of medications use such as glucocorticoids
  16. Chronic use of narcotics
  17. Subjects know to be positive for HIV
  18. End stage renal disease
  19. Subjects with cystic fibrosis (mutation of the CFTR gene)
  20. Enrollment in a previous Androxal study

Sites / Locations

  • Clinical Research Advantage
  • Clinical Research Advantage
  • Baptist Health Center for Clinical Research
  • Catalina Research Institute
  • SC Clinical Research
  • South Orange County Endocrinology
  • Anthony Mills, MD
  • SD Uro-Research
  • San Diego Sexual Medicine
  • SC Clinical Research
  • West Coast Clinical Research
  • Clinical Research Advantage
  • Clinical Research Advantage
  • Meridien Research
  • Florida Fertility Institute
  • Therafirst Medical Center
  • East Coast Institute for Clinical Research
  • East Coast Institute for Research
  • East Coast Institute for Research
  • Cetero Research
  • Well Pharma Medical Research
  • DMI Research
  • Ebon Bourne, MD
  • Meridien Research
  • IRC Clinics
  • Premier Urology Associates
  • Advances in Health
  • Breco Research
  • Center of Reproductive Medicine
  • Lone Peak Family Medicine
  • Granger Medical Clin ic

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Androxal 12.5 mg

Androxal 25 mg

Arm Description

Androxal 12.5 mg daily

Androxal 25 mg daily

Outcomes

Primary Outcome Measures

Change From Baseline in Total Morning Testosterone at 26 Weeks
Changes in values from baseline of total morning testosterone levels at Week 26
Change From Baseline in LH
Mean change from baseline in LH at end of treatment (26 weeks)
Absolute Values of Morning Testosterone
Absolute values of morning testosterone at end of treatment (26 weeks)
Mean Change From Baseline FPG
Mean changes in Fasting Plasma Glucose from baseline to end of treatment (26 weeks)
Change From Baseline in BMI
Mean change from baseline in BMI at end of treatment (26 weeks)
Change From Baseline in FSH
Change from baseline in FSH at end of treatment (26 weeks)

Secondary Outcome Measures

Full Information

First Posted
February 9, 2012
Last Updated
June 27, 2014
Sponsor
Repros Therapeutics Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01534208
Brief Title
Safety Study of Enclomiphene Citrate in the Treatment of Men With Secondary Hypogonadism
Official Title
An Open Label, Escalating Dose, 6 Month Phase III Safety Study Of Enclomiphene Citrate in the Treatment of Men With Secondary Hypogonadism
Study Type
Interventional

2. Study Status

Record Verification Date
June 2014
Overall Recruitment Status
Completed
Study Start Date
May 2012 (undefined)
Primary Completion Date
October 2013 (Actual)
Study Completion Date
October 2013 (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
ZA-300 is meant to determine the safety profile of Androxal (enclomiphene citrate) in men with secondary hypogonadism.
Detailed Description
This study is a phase III, open label safety study with a six month active dosing period. All subjects will be started at 12.5 mg Androxal and titrated to 25 mg if needed. Safety will be assessed by physical and visual acuity exams, slit lamp eye exams, clinical laboratory tests and adverse event reporting.

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 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
499 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Androxal 12.5 mg
Arm Type
Experimental
Arm Description
Androxal 12.5 mg daily
Arm Title
Androxal 25 mg
Arm Type
Experimental
Arm Description
Androxal 25 mg daily
Intervention Type
Drug
Intervention Name(s)
Androxal
Other Intervention Name(s)
Enclomiphene citrate
Intervention Description
Androxal, oral, 12.5 mg capsule, taken once daily. Dose may be increased from 12.5 mg to 25 mg if indicated
Primary Outcome Measure Information:
Title
Change From Baseline in Total Morning Testosterone at 26 Weeks
Description
Changes in values from baseline of total morning testosterone levels at Week 26
Time Frame
6 months
Title
Change From Baseline in LH
Description
Mean change from baseline in LH at end of treatment (26 weeks)
Time Frame
6 months
Title
Absolute Values of Morning Testosterone
Description
Absolute values of morning testosterone at end of treatment (26 weeks)
Time Frame
6 months
Title
Mean Change From Baseline FPG
Description
Mean changes in Fasting Plasma Glucose from baseline to end of treatment (26 weeks)
Time Frame
6 months
Title
Change From Baseline in BMI
Description
Mean change from baseline in BMI at end of treatment (26 weeks)
Time Frame
6 months
Title
Change From Baseline in FSH
Description
Change from baseline in FSH at end of treatment (26 weeks)
Time Frame
6 months

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Secondary hypogonadal males between the ages of 18 and 65 Men currently using topical testosterone products should wash-out for at least 7 days before Visit 1. 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 with morning testosterone level < 350 ng/dL for men age < 55 and < 300ng/dl for men age 55-65 LH < 15mIU/mL (at Visit 1 only) Ability to complete the study in compliance with the protocol Ability to understand and provide written informed consent. Exclusion Criteria: Use of an injectable pelleted testosterone within 6 months prior to study (men currently on topical testosterone products may be enrolled in the study after a 7-day washout period). Use testosterone injection, 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 based on the Investigator's assessment at baseline. Subjects treated for Type II diabetes will be allowed into the study. A hematocrit ≥ 51% or a hemoglobin ≥ 17 g/dL Clinically significant abnormal findings on screening examination, based on the Investigator's assessment. 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, 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 known hyperprolactinemia with or without a tumor Chronic use of medications use such as glucocorticoids Chronic use of narcotics Subjects know to be positive for HIV End stage renal disease Subjects with cystic fibrosis (mutation of the CFTR gene) Enrollment in a previous Androxal study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joseph S Podolski
Organizational Affiliation
Repros Therapeutics Inc.
Official's Role
Study Chair
Facility Information:
Facility Name
Clinical Research Advantage
City
Glendale
State/Province
Arizona
ZIP/Postal Code
85306
Country
United States
Facility Name
Clinical Research Advantage
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85020
Country
United States
Facility Name
Baptist Health Center for Clinical Research
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
Catalina Research Institute
City
Chino
State/Province
California
ZIP/Postal Code
91710
Country
United States
Facility Name
SC Clinical Research
City
Garden Grove
State/Province
California
ZIP/Postal Code
92844
Country
United States
Facility Name
South Orange County Endocrinology
City
Laguna Hills
State/Province
California
ZIP/Postal Code
92653
Country
United States
Facility Name
Anthony Mills, MD
City
Los Angeles
State/Province
California
ZIP/Postal Code
90069
Country
United States
Facility Name
SD Uro-Research
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
San Diego Sexual Medicine
City
San Diego
State/Province
California
ZIP/Postal Code
92120
Country
United States
Facility Name
SC Clinical Research
City
Santa Ana
State/Province
California
ZIP/Postal Code
92703
Country
United States
Facility Name
West Coast Clinical Research
City
Tarzana
State/Province
California
ZIP/Postal Code
91356
Country
United States
Facility Name
Clinical Research Advantage
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80906
Country
United States
Facility Name
Clinical Research Advantage
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80922
Country
United States
Facility Name
Meridien Research
City
Bradenton
State/Province
Florida
ZIP/Postal Code
34208
Country
United States
Facility Name
Florida Fertility Institute
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33759
Country
United States
Facility Name
Therafirst Medical Center
City
Fort Lauderdale
State/Province
Florida
ZIP/Postal Code
33308
Country
United States
Facility Name
East Coast Institute for Clinical Research
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32204
Country
United States
Facility Name
East Coast Institute for Research
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32204
Country
United States
Facility Name
East Coast Institute for Research
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32258
Country
United States
Facility Name
Cetero Research
City
Miami Gardens
State/Province
Florida
ZIP/Postal Code
33169
Country
United States
Facility Name
Well Pharma Medical Research
City
Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
DMI Research
City
Pinellas Park
State/Province
Florida
ZIP/Postal Code
33782
Country
United States
Facility Name
Ebon Bourne, MD
City
Plantation
State/Province
Florida
ZIP/Postal Code
33324
Country
United States
Facility Name
Meridien Research
City
St. Petersburg
State/Province
Florida
ZIP/Postal Code
33709
Country
United States
Facility Name
IRC Clinics
City
Towson
State/Province
Maryland
ZIP/Postal Code
21204
Country
United States
Facility Name
Premier Urology Associates
City
Lawrenceville
State/Province
New Jersey
ZIP/Postal Code
08648
Country
United States
Facility Name
Advances in Health
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Breco Research
City
Sugar Land
State/Province
Texas
ZIP/Postal Code
77479
Country
United States
Facility Name
Center of Reproductive Medicine
City
Webster
State/Province
Texas
ZIP/Postal Code
77598
Country
United States
Facility Name
Lone Peak Family Medicine
City
Draper
State/Province
Utah
ZIP/Postal Code
84020
Country
United States
Facility Name
Granger Medical Clin ic
City
Riverton
State/Province
Utah
ZIP/Postal Code
84065
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.reprosrx.com
Description
Sponsor home page

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Safety Study of Enclomiphene Citrate in the Treatment of Men With Secondary Hypogonadism

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