Phase 3
N=715
A Study in Men With Low Testosterone to Measure the Effects of Testosterone Solution on Testosterone Levels, Sex Drive and Energy
Hypogonadism
Bottom Line
View on ClinicalTrials.gov: NCT01816295 ↗Enrolled (actual)
715
Serious AEs
2.8%
Results posted
Oct 2015
Primary outcome: Primary: Number of Participants With Total Serum Testosterone Concentration Within Normal Range at Week 12 — 43; 217 participants — p=<0.001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Testosterone Solution (Drug); Placebo Solution (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- Male
- Sponsor
- Eli Lilly and Company
- Primary completion
- Oct 2014
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Total Serum Testosterone Concentration Within Normal Range at Week 12 |
43; 217 | <0.001 sig |
| SECONDARY Change From Baseline to Week 12 in Sexual Arousal, Interest, and Drive (SAID) Scale Scores |
6.3; 11.4 | <0.001 sig |
| SECONDARY Change From Baseline to Week 12 in Hypogonadism Energy Diary (HED) Scores |
7.5; 10.5 | 0.019 sig |
| SECONDARY Number of Participants With Prostate Specific Antigen (PSA) >4 Nanogram/Milliliter (ng/mL) |
1; 0; 3; 4; 0; 0 | — |
Summary
The main purpose of this study is to evaluate if testosterone solution can raise testosterone hormone levels into the normal range, and also improve levels of sexual arousal, interest and drive and/or energy level, in men with low testosterone and decreased sexual arousal, interest and drive and/or decreased energy. The study will last about 16 weeks, followed by an optional 24 week open label treatment phase to investigate the long term safety of testosterone solution.
Eligibility Criteria
Inclusion Criteria
- Total testosterone level 37 kilogram per square meter (kg/m^2) at screening
- Severe lower urinary tract symptoms and/or significant prostate enlargement
- Prolactin lab test result of >30 ng/mL at screening
- Hemoglobin A1c (HbA1c) >11% at screening
- Hematocrit ≥50% (>54% at elevated altitude) at screening
- Current use of any medications, herbal, and/or nutritional supplements that can interfere with testosterone
- Dermatologic condition in underarm area that might interfere with testosterone absorption (for example, eczema) or be exacerbated by topical testosterone replacement therapy
- Currently receiving treatment with cancer chemotherapy or antiandrogens
- Chronic use of systemic glucocorticoids (use for >14 days within the 3 months prior to screening); use of non-testosterone anabolic steroids within 12 months prior to screening
- Competitive athletes involved in a sport in which they may be screened for anabolic steroids
- History of use of estrogenizing agents within 12 months prior to screening
- History of luteinizing hormone-releasing hormone antagonist or agonist treatment in the last 6 months prior to screening
- History of clomiphene or other anti-estrogen treatment in the 3 months prior to screening
- Use of finasteride within 3 months prior to screening, or use of dutasteride within 6 months prior to screening
- Current use of warfarin or phenprocoumon
- History of frequent opioid use: >1 time/week during any week within 30 days prior to screening
- Current use of dopamine receptor agonists (cabergoline, pergolide, bromocriptine)
- Have a history of significant central nervous system injuries or disease (including stroke, spinal cord injury, or multiple sclerosis) within 6 months prior to screening
- Systolic blood pressure >170 or 100 or 100 beats per minute (bpm)] at rest, or have any history of spontaneous or induced sustained ventricular tachycardia (heart rate >100 bpm for ≥30 seconds), or use of an automatic internal cardioverter-defibrillator
- Have a history of sudden cardiac arrest
- Exhibit any evidence of congestive heart failure [New York Heart Association (NYHA) Class 2 or above], within 6 months prior to screening
- Have had a new, significant cardiac conduction defect within 90 days prior to screening
- Clinical suspicion (or history) of prostate cancer during digital rectal examination at screening
- Known or suspected breast cancer (or history of breast cancer) or other active cancer (with the exception of nonmelanotic skin cancer)
- Exhibit evidence of severe renal impairment [creatinine clearance <30 milliliter per minute (mL/min) as determined by the Cockcroft-Gault formula] at screening
- Exhibit a history of severe liver disease or clinical evidence of hepatic impairment at screening
- Have a history of human immunodeficiency virus (HIV) infection
- Severe sleep apnea
- Untreated hypothyroidism, hypercortisolism or other significant endocrinopathy (other than hypogonadism) that contributes to symptoms of low energy or fatigue
Data sourced from ClinicalTrials.gov (NCT01816295). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.