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| Name | Class |
|---|---|
| Azidus Brasil Scientific Research and Development Ltda | OTHER |
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This is a phase III study for evaluation of Nasotestt efficacy compared to Androgel in the treatment of male participants with hypogonadism condition (reduced levels of testosterone) that have clinical indication of hormonal replacement with testosterone.
This efficacy and safety study will evaluate the superiority of Nasotestt (nasal gel) treatment compared to Androgel (topic gel) after 60 days of starting use. The efficacy endpoint will be verified through the percentage of participants which presented at the end of 60 days normalized levels of total testosterone (<300 ng/dL to >1050 ng/dL). Secondary efficacy endpoints will be collected throughout the study through: evaluation of symptoms of erectile dysfunction (The International Index of Erectile Function - IIEF), symptoms of prostatic disease (International Prostate Symptom Score - IPSS), measurement of abdominal perimeter and clinical global response to treatment (CGI-I questionnaire). As exploratory investigation, the satisfaction/comfort of Nasotestt use will be assessed by a specific questionnaire that will be applied to participants at the end of study. Safety evaluation data will include report of all adverse events, including type, frequency, intensity, seriousness, severity and action taken related to the investigational product of the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nasotestt 5 mg | Experimental | Participants randomized to this arm must administer one packet of Nasotestt 5 mg in each nostril (3 times a day - T.I.D) for 60 days. |
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| Androgel 50 mg | Active Comparator | Participants randomized to this arm must administer one packet of Androgel 50 mg applied once daily to skin of shoulder for 60 days. |
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| Androgel Placebo | Placebo Comparator | Participants must administer one packet of Androgel placebo applied once daily to skin of shoulder in addition to an experimental drug for 60 days. |
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| Nasotestt Placebo | Placebo Comparator | Participants must administer one packet of Nasotestt Placebo in each nostril (3 times a day - T.I.D) in addition to an experimental drug for 60 days. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nasotestt 5 mg | Drug | The 114 participants randomized to this arm must administer one packet of testosterone 5 mg nasal gel (Nasotestt) in each nostril 3 times a day for 60 days. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Superiority Efficacy of Nasotestt comparing to Androgel on normalization of the blood testosterone levels | The success of treatment will be evaluated through statistical comparison of percentage of participants that achieved normal blood testosterone levels after 60 days of use. | 60 days |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement of erectile dysfunction symptoms | Will be evaluated by statistical comparison between IIEF baseline values and results observed throughout study. | 60 and 90 days after starting treatment. |
| Improvement of prostatic symptoms |
| Measure | Description | Time Frame |
|---|---|---|
| Satisfaction and comfort of Nasotestt use | Will be evaluated by specific questionnaire application at the end of study. | After 120 days |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Maxuel Monteiro, Regulatory | Contact | +55(62)3333-3500 | 3612 | maxuel.monteiro@fbmfarma.com.br |
| Luciana Ferrara, CRO | Contact | +55(19)3829-6160 | luciana.ferrara@azidusbrasil.com.br |
| Name | Affiliation | Role |
|---|---|---|
| Alessandro Silva, Director | FBM Indústria Farmacêutica Ltda. | Study Director |
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It is believed that after the data analysis and presentation to the National Commission on Research Ethics, all data wil become public.
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| ID | Term |
|---|---|
| D007006 | Hypogonadism |
| ID | Term |
|---|---|
| D006058 | Gonadal Disorders |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D013739 | Testosterone |
| ID | Term |
|---|---|
| D000737 | Androstenols |
| D000736 | Androstenes |
| D000731 | Androstanes |
| D013256 | Steroids |
| D000072473 |
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Due to the differences on test and comparator product a double-dummy design will be used retaining the blind of the study. Therefore each participant will receive an active product and inactive medication (placebo).
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| Androgel 50 mg | Drug | The 114 participants randomized to this arm must administer one packet of testosterone 50 mg topic gel (Androgel) applied once daily to skin of shoulders for 60 days. |
|
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| Nasotestt Placebo | Other | The participants randomized to this arm must administer one packet of placebo testosterone nasal gel (Nasotestt Placebo) in each nostril 3 times a day in addition to an active drug for 60 days. |
|
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| Androgel Placebo | Other | The participants randomized to this arm must administer one packet of placebo testosterone topic gel (Androgel Placebo) applied once daily to skin of shoulders in addition to an active drug for 60 days. |
|
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Will be evaluated by statistical comparison between I-PSS baseline values and results observed throughout study.
| 60 and 90 days after starting treatment. |
| Improvement of abdominal perimeter | Will be evaluated by statistical comparison between baseline perimeter observed and other results obtained throughout study. | 60 and 90 days after starting treatment. |
| Global Clinical Response to treatment | Will be assessed by a CGI - I questionnaire applied at the end of study. This instrument evaluate the improvement observed by physician throughout the study compared to condition observed at the baseline visit. | 90 days after starting treatment. |
| Incidence of adverse events | Will be evaluated by periodic monitoring of adverse events, including changes in clinical laboratory parameters and vital signs occurred throughout the study. | During 120 days |
| 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 |