Evaluate the Pharmacokinetics and Gonadotropin Suppression of Nestorone®-Testosterone (NES/T) Combination Gel in Men
A Randomized, Two Center, Double-Blind Trial to Evaluate the Pharmacokinetics and Gonadotropin Suppression of Nestorone®-Testosterone (NES/T) Combination Gel in Healthy Men
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
A total of 45 subjects will be enrolled and randomized in a 2:1 ratio to one of two treatment groups. A description of each group is as follows:
- Group 1 (30 subjects): 5.0 mL of the 1.62% combined gel (containing 8.3 mg NES + 62.5 mg T) applied each day on the arms and shoulders
- Group 2 (15 subjects): 4.4 mL of the 1.62% AndrogelTM (containing 62.7 mg T) applied each day to the arms and shoulders
The total duration of treatment will be 28 days followed by a 72 hour sampling period to assess half-life and a recovery period of at least 28 days, at which point the subjects will return to the clinic for an end of study visit.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
California
-
Torrance, California, United States, 90502
- LA Biomedical Research Institute
-
-
Washington
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Seattle, Washington, United States, 98195
- University of Washington
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male volunteers in good health as confirmed by physical examination, medical history, and clinical laboratory tests of blood and urine at the time of screening;
- 18 to 50 years of age;
- BMI < 33 calculated as weight in Kg/(height in cm)2;
- No history of hormonal therapy use in the last six months prior to the first screening visit;
- Subject will agree to use a recognized effective method of contraception with his partner (i.e. at a minimum, condom for the male partner and an effective contraception for the female partner) during the course of the study treatment and recovery phase;
- In the opinion of the investigator, subject is able to comply with the protocol, understand and sign an informed consent and HIPAA form;
- Does not meet any of the exclusion criteria.
- Sperm concentration ≥ 15 million sperm per milliliter ejaculate.
Exclusion Criteria:
- Men participating in another clinical trial involving an investigational drug within the last 30 days prior to the first screening visit;
- Men not living in the catchment's area of the clinic or within a reasonable distance from the site;
- Clinically significant abnormal physical findings at screening;
- Elevated PSA (levels ≥ 4 ng/mL), according to local laboratory normal values;
- Abnormal serum chemistry values, according to local laboratory normal values that indicate liver or kidney dysfunction or that may be considered clinically significant;
- Use of androgens or body building substances within 6 months before first screening visit;
- Diastolic blood pressure (DBP) > 80 and/or Systolic (SBP) > 130 mm Hg;
- EKG abnormal and clinically significant and QTC level longer than 450msec;
- History of hypertension, including hypertension controlled with treatment;
- Known history of primary testicular disease or disorders of the hypothalamic-pituitary axis;
- Known hypersensitivity to progestins or androgen;
- Family or personal history of venous thromboembolism;
- Benign or malignant liver tumors; active liver disease;
- Known history of reproductive dysfunction including vasectomy or infertility;
- Known history of cardiovascular, renal, hepatic or prostatic disease;
- A serious systemic disease such as diabetes mellitus or morbid obesity (body weight greater than 120% of ideal body weight or BMI limitation as above);
- Known or suspected alcoholism or drug abuse that may affect metabolism/transformation of steroid hormones and study treatment compliance;
- Known dermatitis or severe skin disorder;
- Moderate or severe depression as determined by PHQ-9 score >15;
- Partner is known to be pregnant;
- Known or suspected breast or prostate cancer;
- Allergic to any ingredient in testosterone/nestorone gel, including alcohol;
- Known history of untreated sleep apnea;
- International Prostate Symptom Score (IPSS) greater than or equal to 15.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Group 1
5.0 mL of the 1.62% Nestorone® /testosterone gel (containing 8.3 mg NES + 62.5 mg T) applied each day on the arms and shoulders
|
Nestorone® /testosterone combined gel
|
|
Experimental: Group 2
4.4 mL of the 1.62% Testosterone only gel (AndrogelTM) (containing 62.7 mg T) applied each day to the arms and shoulders
|
Testosterone only gel
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Gonadotropin Suppression
Time Frame: 4 weeks
|
To quantify the gonadotropin suppressive activity of 4 weeks daily therapy of a combination transdermal gel containing 8.3 mg Nestorone® (NES) gel and 62.5 mg (1.62%) testosterone (T) gel, and of T gel (1.62%) alone.
Specifically, the proportion (and 95% CI) of men who suppress both gonadotropins (luteinizing hormone [LH] and follicle-stimulating hormone [FSH]) to ≤ 1 IU/L in each group, will be quantified.
|
4 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Gonadotropin and Follicle-stimulating Hormone Suppression
Time Frame: 4 weeks
|
• To quantify the proportion (and 95% CI) of men who suppress both gonadotropins (luteinizing hormone [LH] and follicle-stimulating hormone [FSH]) to the detection limit of the assay in each group.
|
4 weeks
|
|
Change in LH and FSH Concentrations
Time Frame: 4 weeks
|
• To quantify the median percent change from baseline to week 4 and interquartile range for serum gonadotropins (LH and FSH) concentrations for each treatment group.
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4 weeks
|
|
Acceptability and Satisfaction as Measured by the Contraceptive Gel Acceptability and Satisfaction Questionnaire by Comparing T and NES Serum Concentrations.
Time Frame: 4 weeks
|
A simple acceptability questionnaire used previously in male CCTN studies was administered at treatment Day 28 (28, 29) for subjects to answer questions about the acceptability of gel as a product and as a method for contraception over the preceding 4 weeks.
|
4 weeks
|
|
T Serum Concentrations
Time Frame: 8 weeks
|
8 weeks
|
|
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Secondary Outcome # 6 Part 1a: A Composite Safety of the Combined Gel Determined by Outcomes of CBC (Hemoglobin)
Time Frame: 4 weeks
|
General composite safety as measured various times during the study by CBC-Hemoglobin
|
4 weeks
|
|
Assessing Sexual Function by Compare Gonadotropin Suppressive Activity of T and NES Against T Alone Through the Psychosexual Daily Questionnaire.
Time Frame: 4 weeks
|
Sexual activity was rated on a scale from 0 (not at all) to 7 (very high enjoyment/pleasure).
Erections were rated on a scale of 0 (not satisfactory) to 7 (very satisfactory).
Results are change from baseline to final treatment evaluation.
|
4 weeks
|
|
Secondary Outcome # 6 Part 2a: A Composite Safety of the Combined Gel Determined by Outcomes of Chemistry
Time Frame: 4 weeks
|
Change from baseline to final treatment evaluation-Total Cholesterol, Triglycerides, HDL
|
4 weeks
|
|
Secondary Outcome # 6 Part 3a: A Composite Safety of the Combined Gel Determined by Outcomes of Vitals (Blood Pressure)
Time Frame: 4 weeks
|
Change from baseline to final treatment evaluation
|
4 weeks
|
|
Secondary Outcome # 6 Part 4: A Composite Safety of the Combined Gel Determined by Outcomes of Physical Changes
Time Frame: 4 weeks
|
Change from baseline to final treatment evaluation
|
4 weeks
|
|
Secondary Outcome # 6 Part 5: A Composite Safety of the Combined Gel Determined by Outcomes of Psychosexual Questionnaires
Time Frame: 4 weeks
|
Change from baseline to final treatment evaluation.
Sexual motivation was rated on a scale of 0 (none) to 7 (very high).
Erections were rated on a scale of 0 (not satisfactory) to 7 (very satisfactory).
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4 weeks
|
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Secondary Outcome # 6 Part 3: A Composite Safety of the Combined Gel Determined by Outcomes of Patient Health Questionnaires
Time Frame: 4 weeks
|
PHQ-9 Total Score: Change from baseline to final treatment evaluation.
The Patient Health Questionnaire (PHQ)-9 is a self-administered instrument for screening, monitoring and diagnosis of depression.
This questionnaire can be used repeatedly to monitor improvement or worsening of symptoms.
Scale range is from 0 (not at all) to 3 (nearly every day).
|
4 weeks
|
|
NES Serum Concentrations
Time Frame: 8 weeks
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8 weeks
|
|
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Secondary Outcome # 6 Part 1b: A Composite Safety of the Combined Gel Determined by Outcomes of CBC (WBC)
Time Frame: 4 weeks
|
General composite safety as measured various times during the study by CBC - WBC
|
4 weeks
|
|
Secondary Outcome # 6 Part 1c: A Composite Safety of the Combined Gel Determined by Outcomes of CBC (Hematocrit)
Time Frame: 4 weeks
|
General composite safety as measured various times during the study by CBC-Hematocrit
|
4 weeks
|
|
Secondary Outcome # 6 Part 2b: A Composite Safety of the Combined Gel Determined by Outcomes of Chemistry
Time Frame: 4 weeks
|
Change from baseline to final treatment evaluation-ALT, AST
|
4 weeks
|
|
Secondary Outcome # 6 Part 3b: A Composite Safety of the Combined Gel Determined by Outcomes of Vitals (Weight)
Time Frame: 4 weeks
|
Change from baseline to final treatment evaluation
|
4 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Christina Wang, MD, Research Site
- Principal Investigator: William Bremner, MD, Research Site
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Contraceptive Agents, Hormonal
- Antineoplastic Agents
- Physiological Effects of Drugs
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Reproductive Control Agents
- Anabolic Agents
- Androgens
- Contraceptive Agents, Female
- Contraceptive Agents
- Methyltestosterone
- Testosterone 17 beta-cypionate
- Testosterone
- Testosterone undecanoate
- Testosterone enanthate
- ST 1435
Other Study ID Numbers
Other Study ID Numbers
- CCN005A
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