Time to Eugonadal Range, Time to Steady State and Drying Time
Primary Purpose
Male Hypogonadism
Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
testosterone gel 2%
Sponsored by
About this trial
This is an interventional treatment trial for Male Hypogonadism focused on measuring testosterone deficiency, hypogonadism
Eligibility Criteria
Inclusion Criteria:
- Men aged 18 to 65 years.
Have a diagnosis of primary or secondary hypogonadism with a:
- Single morning serum total testosterone concentration <250 ng/dL or
- Two (2) consecutive morning serum total testosterone concentrations <300 ng/dL (determined at least 1 week apart during a 3 week screening period) Total serum testosterone sampling must occur between 7 AM and 11 AM at screening
- Have a body mass index (BMI) ≥22 kg/m2 and ≤35 kg/m2.
- Have a hematocrit level ≤50% at screening
Use of reliable contraception for subjects who have sexual partners of childbearing potential (women not of childbearing potential are defined as postmenopausal, ie, amenorrhea ≥1 year or permanently sterile). Reliable methods of contraception are:
- Barrier type devices (eg, condom, female condom, diaphragm, contraceptive sponge) only in combination with a spermicide.
- Intra-uterine devices.
- Oral, injectable, transdermal or implantable hormonal contraceptives.
- Is able to understand and give written informed consent
Exclusion Criteria:
- Severe concomitant illness, which in the opinion of the Investigator, may put the subject at risk when participating in the trial or may influence the results of the trial or affect the subjects' ability to take part in the trial.
- Acute or chronic renal impairment [(Cr ≥ 1.5x ULN (upper limit of normal)].
- Acute or chronic hepatic impairment will be excluded.
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels >2.5 × ULN (upper limit of normal).
- Clinically significant, abnormal, baseline laboratory result(s), which in the opinion of the Investigator affect(s) the subject's suitability for the trial.
- History of, or any existing, clinically significant cardiac disease (New York Heart Association [NYHA] Class III and IV).
- Clinically significant electrocardiogram (ECG) abnormalities such as QTcB or QTcF ≥450 msec; or QTc ≥480 msec in subjects with bundle branch block.
- Prostate specific antigen (PSA) level >4 ng/mL.
- An abnormality on digital rectal examination deemed to be suspicious or worrisome for cancer, such as a nodule or asymmetric induration.
- Severe symptomatic benign prostatic hyperplasia or International Prostate Symptom Score (IPSS) >19 (at screening).
- Sleep apnea which is untreated, or subjects with sleep apnea which is treated (including c-PAP treatment) but in the opinion of the investigator has been clinically unstable during the 3 months prior to screening.
- Current eczema, psoriasis, sunburn, or any other clinically significant skin condition at the application site.
- Current abrasions at site of application.
- Malignancy (or suspected malignancy) of any type except a basal cell carcinoma. Subjects with a history of malignancy must have a disease free status ≥5 years prior to starting study treatment. Subjects who have had prostate or breast cancer are not permitted to participate in the study.
- Known to be sensitive and/or has had an adverse skin reaction to testosterone hormone replacement therapy or topical products containing alcohol.
- Actively or potentially trying to start a family or requiring fertility treatment or with a spouse/partner who is pregnant.
- Participated in any experimental drug or device study within 30 days prior to starting study treatment.
- History of alcohol or substance abuse within the last year.
- Taking opioids for any reason within 3 days of screening
Receiving the following medications:
- Androgen treatments.
- Androgen antagonists.
- Application of any lotions, ointments, or steroids to the application site.
- 5alpha-reductase inhibitors (eg, finasteride, dutasteride).
- Any subjects receiving testosterone hormone replacement treatments must abide by the indicated washout period prior to screening total serum testosterone measurement
Sites / Locations
- Quality of Life Medical & Research Center
- Connecticut Clinical Research
- Compass Research East, LLC
- Southeastern Research Group, Inc.
- Men's Health Boston
- Tory Internal Medicine, PC
- Matrix Research, LLC
- Cetero Research
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
40 mg daily dose of testosterone gel 2%
Arm Description
testosterone gel 2%
Outcomes
Primary Outcome Measures
Time to Target Eugonadal Range
The time to eugonadal range (ie, testosterone ≥300 ng/dL) was assessed based on the 24-hour PK serum concentration data.
Time to Steady State (SS)
Trough total testosterone levels were obtained at Day 2, Day 3, Day 4, Day 7, and Day 14 to assess time to steady state. Trough concentrations over the 14-day period were used to calculate time SS.
Gel Drying Time
Testosterone gel 2% drying time was assessed with a stopwatch. On Day 14 at the time of application of the gel directly to the first anteromedial thigh, the subject started a stopwatch. The gel was spread as evenly as possible over an area of 1 g/100 cm2. The total coverage area on the thigh was approximately equal to two (2) 3"× 5" postcards. The subject gently rubbed the gel with his fingertip in a circular motion (avoiding contact with the scrotal region) until the gel was dry. At this time, the stopwatch was stopped and the time expended was recorded in the eCRF.
Secondary Outcome Measures
Full Information
NCT ID
NCT01228071
First Posted
October 22, 2010
Last Updated
September 7, 2017
Sponsor
Endo Pharmaceuticals
1. Study Identification
Unique Protocol Identification Number
NCT01228071
Brief Title
Time to Eugonadal Range, Time to Steady State and Drying Time
Official Title
Assessment of Time to Eugonadal Testosterone Range After Initial Fortesta (Testosterone) Gel 2% Application, Time to Steady State After Initiation of Fortesta, And Gel Drying Time After Fortesta Application
Study Type
Interventional
2. Study Status
Record Verification Date
September 2017
Overall Recruitment Status
Completed
Study Start Date
November 2010 (Actual)
Primary Completion Date
May 2011 (Actual)
Study Completion Date
May 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Endo Pharmaceuticals
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a multicenter, open-label, single arm trial to evaluate the time to eugonadal testosterone range after initial testosterone gel 2% application, time to steady state after after initiation of testosterone gel 2%, and drying time after application of testosterone gel 2%.
Detailed Description
Assessment of Time to Eugonadal Testosterone Range After Initial Fortesta (Testosterone) Gel 2% Application, Time to Steady State After Initiation of Fortesta, And Gel Drying Time After Fortesta Application
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Male Hypogonadism
Keywords
testosterone deficiency, hypogonadism
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
34 (Actual)
8. Arms, Groups, and Interventions
Arm Title
40 mg daily dose of testosterone gel 2%
Arm Type
Experimental
Arm Description
testosterone gel 2%
Intervention Type
Drug
Intervention Name(s)
testosterone gel 2%
Other Intervention Name(s)
EN3350
Intervention Description
40 mg testosterone gel 2%
Primary Outcome Measure Information:
Title
Time to Target Eugonadal Range
Description
The time to eugonadal range (ie, testosterone ≥300 ng/dL) was assessed based on the 24-hour PK serum concentration data.
Time Frame
24 hours
Title
Time to Steady State (SS)
Description
Trough total testosterone levels were obtained at Day 2, Day 3, Day 4, Day 7, and Day 14 to assess time to steady state. Trough concentrations over the 14-day period were used to calculate time SS.
Time Frame
14 days
Title
Gel Drying Time
Description
Testosterone gel 2% drying time was assessed with a stopwatch. On Day 14 at the time of application of the gel directly to the first anteromedial thigh, the subject started a stopwatch. The gel was spread as evenly as possible over an area of 1 g/100 cm2. The total coverage area on the thigh was approximately equal to two (2) 3"× 5" postcards. The subject gently rubbed the gel with his fingertip in a circular motion (avoiding contact with the scrotal region) until the gel was dry. At this time, the stopwatch was stopped and the time expended was recorded in the eCRF.
Time Frame
1 day; drying time measured following gel application on Day 14
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:
Men aged 18 to 65 years.
Have a diagnosis of primary or secondary hypogonadism with a:
Single morning serum total testosterone concentration <250 ng/dL or
Two (2) consecutive morning serum total testosterone concentrations <300 ng/dL (determined at least 1 week apart during a 3 week screening period) Total serum testosterone sampling must occur between 7 AM and 11 AM at screening
Have a body mass index (BMI) ≥22 kg/m2 and ≤35 kg/m2.
Have a hematocrit level ≤50% at screening
Use of reliable contraception for subjects who have sexual partners of childbearing potential (women not of childbearing potential are defined as postmenopausal, ie, amenorrhea ≥1 year or permanently sterile). Reliable methods of contraception are:
Barrier type devices (eg, condom, female condom, diaphragm, contraceptive sponge) only in combination with a spermicide.
Intra-uterine devices.
Oral, injectable, transdermal or implantable hormonal contraceptives.
Is able to understand and give written informed consent
Exclusion Criteria:
Severe concomitant illness, which in the opinion of the Investigator, may put the subject at risk when participating in the trial or may influence the results of the trial or affect the subjects' ability to take part in the trial.
Acute or chronic renal impairment [(Cr ≥ 1.5x ULN (upper limit of normal)].
Acute or chronic hepatic impairment will be excluded.
Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels >2.5 × ULN (upper limit of normal).
Clinically significant, abnormal, baseline laboratory result(s), which in the opinion of the Investigator affect(s) the subject's suitability for the trial.
History of, or any existing, clinically significant cardiac disease (New York Heart Association [NYHA] Class III and IV).
Clinically significant electrocardiogram (ECG) abnormalities such as QTcB or QTcF ≥450 msec; or QTc ≥480 msec in subjects with bundle branch block.
Prostate specific antigen (PSA) level >4 ng/mL.
An abnormality on digital rectal examination deemed to be suspicious or worrisome for cancer, such as a nodule or asymmetric induration.
Severe symptomatic benign prostatic hyperplasia or International Prostate Symptom Score (IPSS) >19 (at screening).
Sleep apnea which is untreated, or subjects with sleep apnea which is treated (including c-PAP treatment) but in the opinion of the investigator has been clinically unstable during the 3 months prior to screening.
Current eczema, psoriasis, sunburn, or any other clinically significant skin condition at the application site.
Current abrasions at site of application.
Malignancy (or suspected malignancy) of any type except a basal cell carcinoma. Subjects with a history of malignancy must have a disease free status ≥5 years prior to starting study treatment. Subjects who have had prostate or breast cancer are not permitted to participate in the study.
Known to be sensitive and/or has had an adverse skin reaction to testosterone hormone replacement therapy or topical products containing alcohol.
Actively or potentially trying to start a family or requiring fertility treatment or with a spouse/partner who is pregnant.
Participated in any experimental drug or device study within 30 days prior to starting study treatment.
History of alcohol or substance abuse within the last year.
Taking opioids for any reason within 3 days of screening
Receiving the following medications:
Androgen treatments.
Androgen antagonists.
Application of any lotions, ointments, or steroids to the application site.
5alpha-reductase inhibitors (eg, finasteride, dutasteride).
Any subjects receiving testosterone hormone replacement treatments must abide by the indicated washout period prior to screening total serum testosterone measurement
Facility Information:
Facility Name
Quality of Life Medical & Research Center
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85712
Country
United States
Facility Name
Connecticut Clinical Research
City
Middlebury
State/Province
Connecticut
ZIP/Postal Code
06762
Country
United States
Facility Name
Compass Research East, LLC
City
Oviedo
State/Province
Florida
ZIP/Postal Code
32765
Country
United States
Facility Name
Southeastern Research Group, Inc.
City
Tallahassee
State/Province
Florida
ZIP/Postal Code
32308
Country
United States
Facility Name
Men's Health Boston
City
Brookline
State/Province
Massachusetts
ZIP/Postal Code
02445
Country
United States
Facility Name
Tory Internal Medicine, PC
City
Troy
State/Province
Michigan
ZIP/Postal Code
48098
Country
United States
Facility Name
Matrix Research, LLC
City
Greer
State/Province
South Carolina
ZIP/Postal Code
29650
Country
United States
Facility Name
Cetero Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
12. IPD Sharing Statement
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Time to Eugonadal Range, Time to Steady State and Drying Time
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