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Phase 3 N=17 Treatment

Efficacy and Safety of Corifollitropin Alfa (MK-8962) in Combination With Human Chorionic Gonadotropin (hCG) in Adolescent Males With Hypogonadotropic Hypogonadism (HH) (MK-8962-043)

Hypogonadotropic Hypogonadism

Enrolled (actual)
17
Serious AEs
5.9%
Results posted
Apr 2021
Primary outcome: Primary: Change From Baseline in Log-Transformed Testicular Volume (TV) to Week 64 — 1.5; 14.5 mL

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Corifollitropin alfa (Drug); hCG (Drug)
Age
Pediatric · 14+ yrs
Sex
Male
Sponsor
Organon and Co
Primary completion
May 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Log-Transformed Testicular Volume (TV) to Week 64
1.5; 14.5
PRIMARY
Number of Participants Who Experienced an Adverse Event (AE)
16
PRIMARY
Number of Participants Who Discontinued Study Treatment Due to an AE
1
PRIMARY
Percentage of Participants With Anti-Corifollitropin Alfa (CFA) Antibodies
SECONDARY
Change From Baseline in Serum Inhibin B Concentration to Week 64
31.92; 91.46
SECONDARY
Growth Velocity at Week 36
8.3
SECONDARY
Growth Velocity at Week 64
7.6
SECONDARY
Change From Baseline in Tanner Stage (TS) of Pubertal Development for Pubic Hair to Week 12, Week 36, and Week 64
6; 6; 1; 0; 0; 5
SECONDARY
Change From Baseline in TS of Pubertal Development for Genital Growth to Week 12, Week 36, and Week 64
12; 1; 0; 0; 0; 9
SECONDARY
Mean Serum Concentration of CFA
0.0; 4100; 5880; 4240; 2110; 1150
SECONDARY
Change From Baseline in Testicular Echogenicity to Week 12, Week 36, and Week 64
2; 10; 1; 1; 12; 2
SECONDARY
Change From Baseline in Luteinizing Hormone (LH) to Week 12, Week 36, and Week 64
0.25; -0.08; -0.13; -0.14
SECONDARY
Change From Baseline in Calculated Free Testosterone (T) to Week 12, Week 36, and Week 64
SECONDARY
Change From Baseline in Total Testosterone (Total T) to Week 12, Week 36, and Week 64
0.11; -0.01; 4.87; 5.31
SECONDARY
Change From Baseline in Estradiol (E2) to Week 12, Week 36, and Week 64
9.51; 0.81; 37.57; 45.58
SECONDARY
Change From Baseline in Sex Hormone-Binding Globulin (SHBG) to Week 12, Week 36, and Week 64
1.53; 0.04; -0.53; -0.68
SECONDARY
Change From Baseline in Anti-Müllerian Hormone (AMH) to Week 12, Week 36, and Week 64
23.62; 17.98; -10.23; -15.83

Summary

The purpose of the study is to investigate whether corifollitropin alfa (MK-8962), administered alone for 12 weeks and then in combination with human chorionic gonadotropin (hCG) for 52 weeks, increases the testicular volume in adolescent males aged 14 to <18. In addition, the study will evaluate participants for safety, tolerability and for the development of corifollitropin alfa antibodies. No formal hypothesis will be tested for this estimation study

Eligibility Criteria

Inclusion Criteria

  • Have legal representative who understands the study procedures, alternative treatments available and risks involved with the study, and voluntarily agrees to the individual's participation by giving written informed consent, and the individual has an age-appropriate understanding of the same to give informed written assent if applicable.
  • Diagnosed with hypogonadotropic hypogonadism (either isolated or associated with panhypopituitarism), either congenital or acquired with onset prior to puberty.
  • Have bilateral pre-gonadarche testes as defined by testicular volume 35 pg/mL, but meets all of the other inclusion/exclusion criteria, either a GnRH agonist (GnRHa) stimulation test or GnRH IV infusion test may be performed.
  • In good general physical and mental health, in the opinion of the investigator/sponsor, as assessed by physical examination and routine clinical laboratory tests.
  • Have a parent/guardian able and willing to support the individual's participation by supporting adherence to study drug dosing and visit schedules.

Exclusion Criteria

  • Have a history of bilateral cryptorchidism (maldescended testes) or unilateral cryptorchidism treated after the age of 2 years.
  • Have a history or presence of clinically significant testicular problems (e.g., epididymitis, orchitis, testicular torsion, varicocele Grade III, testicular atrophy, occlusive azoospermia, etc.) that would impair participants response to treatment or has had known damage or injury to the vas deferens.
  • Had any previous treatment with GnRH, gonadotropins (e.g., hCG, FSH) or androgens (e.g., testosterone, etc.). Note: Use of GnRH and gonadotropins for diagnostic testing purposes only is allowed. Participants with use of hCG and androgen therapy prior to the age of 2 years old can be included in the trial. Participants with transient use of androgens (i.e., for less than 2 weeks) that was stopped at least 6 months prior to signing informed consent can also be included in the trial.
  • Has an untreated or inadequately treated pituitary or hypothalamic tumor.
  • Have uncontrolled endocrinopathies, including thyroid, adrenal, and pituitary disorders not on stable replacement therapies.
  • Has a history of active pituitary hypersecretion as evidenced by hyperprolactinemia or Cushing's disease, acromegaly, or any other active pituitary hypersecretion syndrome. (Note: Individuals who have been treated and are clinically stable, with no evidence of hypersecretion for at least 12 months prior to screening, may participate.
  • Has had hypophysectomy within 12 months to the start of screening.
  • Has history of oncologic chemotherapy treatment.
  • Has had brain radiotherapy within 12 months of start of treatment for a primary tumor, or any history of brain radiotherapy for metastatic disease.
  • Has diabetes mellitus.
  • Has history of Human Immunodeficiency Virus (HIV).
  • Has renal insufficiency, as determined by investigator, based on serum creatinine, blood urea nitrogen, and estimated glomerular filtration rate.
  • Has clinically significant liver disease, including active viral hepatitis or cirrhosis. Individuals with a prior history of liver disease which is now inactive or successfully treated may be enrolled if all liver function values performed within the past year have been normal and within the normal range at Visit 1.
  • Has had a recent history of recreational or illicit drug use, including marijuana; or routinely consumes >2 alcoholic drinks per day or >14 alcoholic drinks per week, or engages in binge drinking.
  • Has an allergy/sensitivity to gonadotropins or its/their excipients.
  • Has used an investigational drug and/or participated in any other clinical trial within the past 8 weeks (prior to Visit 2), or will participate in any other clinical trials (excluding surveys) during the course of this trial.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03019575). 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.

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