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| Name | Class |
|---|---|
| Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center | OTHER |
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Determine the serum pharmacokinetic profile for two oral formulations of T-esters (one TE and one TU) administered once -(QD) and twice-daily (BID) to hypogonadal men.
Five period cross-over study in which subjects received a single day of dosing in each period. Dosing was either QD or BID with one of two T esters (T-enanthate (TE) or T-undecanoate (TU)). Dosing was within 5 minutes of meals (breakfast and for BID dosing dinner). There was a minimum of a 5-day washout between periods. Subjects were hypogonadal men.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Testosterone undecanoate | Experimental | Period 2 - 200 mg T (as TU) QD Period 3 - 200 mg T (as TU) BID (100 mg/dose) Period 4 - 400 mg T (as TU) BID (200 mg/dose) |
|
| Testosterone enanthate | Active Comparator | Period 1 - 400 mg T (as TE) QD Period 5 - 800 mg T (as TE) BID (400 mg/dose) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Testosterone undecanoate | Drug | Single-day dose as QD or BID for 3 of 5 crossover periods |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean Serum Testosterone Cavg | The objective of the study was to determine the single day serum pharmacokinetic profile for two oral formulations of T-esters (one TE and one TU formulation) administered once- and twice-daily to hypogonadal men. | Concentrations at -0.5, 0, 1, 2, 4, 8, 12, 13, 14, 16, 20, 24 and 34 hours post dose |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Serum Dihydrotestosterone Cmax | The objective of the study was to determine the single day serum pharmacokinetic profile for two oral formulations of T-esters (one TE and one TU formulation) administered once- and twice-daily to hypogonadal men. | 24 hours post-dose in each period |
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Inclusion Criteria:
Male, ages 18 to 65 Serum total testosterone less than or equal to 250 ng/dL Naive to androgen replacement therapy Subject must be on stable doses of thyroid or adrenal replacement hormones for at least 14 days prior to enrollment
Exclusion Criteria:
Significant intercurrent disease of any type, in particular, liver, kidney or heart disease, uncontrolled diabetes mellitus or psychiatric illness. Patients with treated hyperlipidemia will not be excluded provided they have been stable on their lipid-lowering mediation for at least three months. For non-insulin dependent diabetic subjects, HbA1c>9%.
Abnormal prostate digital rectal examination, elevated PSA (serum PSA >4ng/mL), AUA Sympton Score greater than or equal to 15 points, and a history or prostate cancer.
Serum transaminases >2X upper limit of normal (ULN) or serum bilirubin >2.0 mg/dL.
History of severe or multiple allergies, severe adverse drug reaction or leucopenia. Known hypersensitivity to lidocaine or all surgical dressings.
History of abnormal bleeding tendencies. Oral, topical, or buccal T therapy within the previous week, or intramuscular T injection within the previous 4 week.
Use of dietary supplements that may increase serum T, such as androstenedione or DHEA, within the previous 4 weeks.
Know malabsorption syndrome and/or current treatment with oral lipase inhibitors, bile acid-binding resins, colestipol, fibric acid derivatives, gemfibrozil, and probucol.
Smokers who are unable to refrain from smoking during confinement periods. History of, or current evidence of, abuse of alcohol or any drug substance. Poor compliers or those unlikely to attend. Receipt of any drug as part of a research study within 30 days of inital dose administration in this study.
Blood donation (usually 550 mL) within the 12-week period before the initial study dose.
Hematocrit less than 35%. Known clinical polycythemia or hematocrit greater than 50%. Current use of paroxetine and clomipramine, antiandrogens, estrogens, p450 enzyme inducers, or barbiturates.
History of sleep apnea.
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| Name | Affiliation | Role |
|---|---|---|
| Ronald S Swerdloff, MD | Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center | Principal Investigator |
| Sherwyn Schwartz, MD | dgd Research, Inc. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center | Los Angeles | California | 90502 | United States | ||
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Cross over study with 5 periods. Twelve subjects enrolled and completed 5 crossover periods each.
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| ID | Title | Description |
|---|---|---|
| FG000 | Testosterone Enanthate and Testosterone Undecanoate | Testosterone Enanthate Periods 1 and 5 Single-day dose as QD Period 1 and BID Period 5 Testosterone Undecanoate: Single-day dose as QD Period 2 and BID Periods 3 and 4 |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TE Period 1 - 400 mg QD |
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| TU Period 2 - 200 mg QD |
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| TU Period 3 - 200 mg BID |
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| TU Period 4 - 400 BID |
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| TE Period 5 - 800 mg BID |
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| ID | Title | Description |
|---|---|---|
| BG000 | Testosterone Enanthate and Testosterone Undecanoate | Period 1 - 400 mg T (as TE) QD Period 5 - 800 mg T (as TE) BID (400 mg/dose) Testosterone enanthate: Single-day dose for 2 of 5 crossover periods Period 2 - 200 mg T (as TU) QD Period 3 - 200 mg T (as TU) BID (100 mg/dose) Period 4 - 400 mg T (as TU) BID (200 mg/dose) Testosterone undecanoate: Single-day dose as QD or BID for 3 of 5 crossover periods |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of 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 | Mean Serum Testosterone Cavg | The objective of the study was to determine the single day serum pharmacokinetic profile for two oral formulations of T-esters (one TE and one TU formulation) administered once- and twice-daily to hypogonadal men. | Posted | Mean | Standard Deviation | ng/dL | Concentrations at -0.5, 0, 1, 2, 4, 8, 12, 13, 14, 16, 20, 24 and 34 hours post dose |
|
Subjects received doses on 5 dosing days spanning approximately 4 weeks.
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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 400 mg QD | Period 1: Testosterone Enanthate 400 mg QD | 0 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| headache | General disorders | Systematic Assessment | frontal headache |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Theodore Danoff, MD, PhD | Clarus Therapeutics | 847-562-4300 | 212 | tdanoff@clarustherapeutics.com |
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| ID | Term |
|---|---|
| D007006 | Hypogonadism |
| D005058 | Eunuchism |
| ID | Term |
|---|---|
| D006058 | Gonadal Disorders |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| C010792 | testosterone undecanoate |
| C004648 | testosterone enanthate |
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| Testosterone enanthate | Drug | Single-day dose for 2 of 5 crossover periods |
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| dgd Research, Inc |
| San Antonio |
| Texas |
| 78229 |
| United States |
| Participants |
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| Age, Continuous | Mean | Full Range | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Units | Counts |
|---|---|
| Participants |
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| Secondary | Mean Serum Dihydrotestosterone Cmax | The objective of the study was to determine the single day serum pharmacokinetic profile for two oral formulations of T-esters (one TE and one TU formulation) administered once- and twice-daily to hypogonadal men. | Posted | Mean | Standard Deviation | ng/dL | 24 hours post-dose in each period |
|
|
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| 12 |
| 0 |
| 12 |
| 3 |
| 12 |
| EG001 | Testosterone Undecanoate 200 mg QD | Period 2: Testosterone Undecanoate 200 mg QD | 0 | 12 | 0 | 12 | 3 | 12 |
| EG002 | Testosterone Undecanoate 100 mg BID | Period 3: Testosterone Undecanoate 100 mg BID | 0 | 12 | 0 | 12 | 3 | 12 |
| EG003 | Testosterone Undecanoate 200 mg BID | Period 4: Testosterone Undecanoate 200 mg BID | 0 | 12 | 0 | 12 | 4 | 12 |
| EG004 | Testosterone Enanthate 400 mg BID | Period 5: Testosterone Enanthate 400 mg BID | 0 | 12 | 0 | 12 | 2 | 12 |
| Gout | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| indigestion | Gastrointestinal disorders | Systematic Assessment |
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| lethargic | General disorders | Systematic Assessment |
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| night sweats | General disorders | Systematic Assessment |
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| upper respiratory tract infection | Infections and infestations | Systematic Assessment | runny nose/ sinus congestion/stuffy nose/ nasal congestion/ sneezing/ cough |
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| Anemia | Blood and lymphatic system disorders | Systematic Assessment | anemia/low hemoglobin/ low hematocrit |
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| Title | Measurements |
|---|---|
|
| TU Period 4 200 mg BID |
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| TE Period 5 400 mg BID |
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