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Evaluation of efficacy and safety of testosterone enanthate administered subcutaneously using an auto-injector
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Testosterone enanthate auto-injector | Experimental | 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Testosterone enanthate auto-injector | Combination Product | Dose Adjustment to 50 mg or 75 mg or 100 mg based upon Testosterone levels |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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. | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability |
| 52 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jed Kaminetsky, MD | Manhattan Medical Research Practice | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Birmingham | Alabama | United States | ||||
The study was designed to ensure a minimum of 100 patients completed a collection of 26 weeks of safety data, and a minimum of 50 patients completed a collection of 52 weeks of safety data. Minimum enrollment goals were exceeded.
Approximately 150 patients were enrolled in this study. 128 patients completed through at least Week 26, 98 patients completed through Week 52, and 97 patients completed the full study (through the Follow-up Visit).
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| ID | Title | Description |
|---|---|---|
| FG000 | QST 50 mg / 75 mg / 100 mg | Testosterone enanthate 50 mg / 75 mg / 100 mg dose administered subcutaneously once each week with possible titration to a higher or lower dose at scheduled intervals during study. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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|
| Huntsville |
| Alabama |
| United States |
| Tucson | Arizona | United States |
| Burbank | California | United States |
| Torrance | California | United States |
| Upland | California | United States |
| Jacksonville | Florida | United States |
| Oviedo | Florida | United States |
| Lexington | Kentucky | United States |
| Shreveport | Louisiana | United States |
| Brookline | Massachusetts | United States |
| Methuen | Massachusetts | United States |
| Kansas City | Missouri | United States |
| Lawrenceville | New Jersey | United States |
| Albany | New York | United States |
| New York | New York | United States |
| Rochester | New York | United States |
| Franklin | Ohio | United States |
| Medford | Oregon | United States |
| Warwick | Rhode Island | United States |
| Mt. Pleasant | South Carolina | United States |
| Nashville | Tennessee | United States |
| San Antonio | Texas | United States |
| Sugar Land | Texas | United States |
| West Valley City | Utah | United States |
| Norfolk | Virginia | United States |
| Richmond | Virginia | United States |
| Renton | Washington | United States |
| Completed 12 Week |
|
| COMPLETED |
|
| NOT COMPLETED |
|
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Masked dose assignment based upon Testosterone levels; Individual patients may receive all three dose levels.
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| ID | Title | Description |
|---|---|---|
| BG000 | Testosterone Enanthate Auto-injector | Testosterone enanthate administered subcutaneously once each week with possible titration to a higher or lower dose at scheduled intervals during study. Testosterone enanthate auto-injector Dose Adjustment: 50 mg / 75 mg / 100 mg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | 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. | The Population consisted of all patients who received at least 1 dose of the investigational product. Percentage was calculated using the number of patients in the column heading as the denominator. | Posted | Count of Participants | Participants | 12 weeks |
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| ||||||||||||||||||||||||||
| Secondary | Safety and Tolerability |
| TEAE (Treatment-emergent adverse event)s were defined as any event that started on or after the first dosing of IP (Investigational Product), or existed prior to the first dose and worsened in severity or relatedness to IP after dosing. The Population consisted of all patients who received at least 1 dose of the investigational product. | Posted | Count of Participants | Participants | 52 weeks |
|
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Incidence of Adverse Events Throughout the Study, During the 12-Week Titration Phase, and During the Extended Treatment Phase up to 52 weeks
Treatment-emergent adverse events were defined as any event that started in the study on or after the first dosing of IP, or existed prior to the first dose and worsened in severity or relatedness to IP after dosing. Percentage was calculated using the number of patients in the column heading as the denominator.
In total, 125 (83.3%) patients had TEAEs during the study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Testosterone Enanthate Auto-injector | Testosterone enanthate administered subcutaneously once each week with possible titration to a higher or lower dose at scheduled intervals during study. Testosterone enanthate auto-injector Dose Adjustment 50 mg / 75 mg / 100 mg | 1 | 150 | 3 | 150 | 125 | 150 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Depression | Psychiatric disorders | MedDRA 10.0 | Systematic Assessment | Worsening depressive disorder |
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| Suicide | Psychiatric disorders | MedDRA 10.0 | Systematic Assessment | SUICIDE, METHOD UNKNOWN |
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| Vertigo | Ear and labyrinth disorders | MedDRA 10.0 | Systematic Assessment | Vertigo |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hematocrit increased | Investigations | MedDRA 10.0 | Systematic Assessment |
| |
| Prostatic specific antigen increased | Investigations | MedDRA 10.0 | Systematic Assessment |
| |
| Blood creatine phosphokinase increased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Blood testosterone increased | Investigations | MedDRA 10.0 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Sinusitis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Bronchitis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Influenza | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Injection site bruising | General disorders | MedDRA 13.1 | Systematic Assessment |
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| Injection site hemorrhage | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Injection site erythema | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Edema peripheral | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Fatigue | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Acne | Skin and subcutaneous tissue disorders | MedDRA 10.0 | Systematic Assessment |
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| Eczema | Skin and subcutaneous tissue disorders | MedDRA 10.0 | Systematic Assessment |
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| Hypertension | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 10.0 | Systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Sinus congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Sleep apnea syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Hemorrhoids | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
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| Prostatitis | Reproductive system and breast disorders | MedDRA 10.0 | Systematic Assessment |
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| Hematuria | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
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| Polycythemia | Blood and lymphatic system disorders | MedDRA 10.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jonathan Jaffe, MD | Antares Pharma, Inc. | 609-359-3020 | jjaffe@antarespharma.com |
| ID | Term |
|---|---|
| D007006 | Hypogonadism |
| ID | Term |
|---|---|
| D006058 | Gonadal Disorders |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D013739 | Testosterone |
| C004648 | testosterone enanthate |
| ID | Term |
|---|---|
| D000737 | Androstenols |
| D000736 | Androstenes |
| D000731 | Androstanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D045165 | Testosterone Congeners |
| D012739 | Gonadal Steroid Hormones |
| D042341 | Gonadal Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
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| Unknown or Not Reported |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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