Testosterone and Alendronate in Hypogonadal Men

October 10, 2023 updated by: Benjamin Leder, MD, Massachusetts General Hospital
This study will investigate the hypothesis that the combination of testosterone replacement and alendronate will improve bone density and parameters of bone quality more than either medication alone in older men with low testosterone levels and low bone density.

Study Overview

Status

Terminated

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

44

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Massachusetts
      • Boston, Massachusetts, United States, 02114
        • Massachusetts General Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

60 years to 85 years (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Male sex
  • Age 60 or above
  • Testosterone <300 ng/dL
  • DXA T score < -1 OR FRAX Score of 3% or greater for hip fracture or 20% or greater for major osteoporotic fracture

Exclusion Criteria:

  • Significant liver or kidney disease
  • Elevated prolactin level
  • Abnormal TSH
  • Abnormal 25-Vitamin D
  • PSA > 2.5
  • History of malignancy
  • Calcium > 10.6
  • Alkaline Phosphatase > 150
  • Fracture within the last 6 months
  • History of acute urinary retention
  • Hematocrit < 32% or > 50%
  • Fracture within the past 6 months
  • American Urological Association BPH symptom index > 21
  • Sleep apnea
  • Abnormalities of the esophagus which delay esophageal emptying
  • Significant cardiopulmonary disease

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Placebo Comparator: Testosterone and Placebo Alendronate
Drug: Testosterone
Testosterone Gel (Fortesta) 40mg daily.
Drug: Placebo Alendronate
A placebo alendronate tablet will be taken every week by subjects in the Testosterone and Placebo Alendronate Group.
Placebo Comparator: Alendronate and Placebo Testosterone
Drug: Alendronate
Alendronate (Fosamax) 70mg every week.
Drug: Placebo Testosterone
Placebo testosterone gel will be applied daily by subjects in the Alendronate and Placebo Testosterone group.
Experimental: Testosterone and Alendronate
Drug: Testosterone
Testosterone Gel (Fortesta) 40mg daily.
Drug: Alendronate
Alendronate (Fosamax) 70mg every week.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Percent Change in Spine Bone Density From Baseline to 12 Months
Time Frame: Baseline and 12 months
Percent Change in Spine Bone Density from Baseline (month 0) to Month 12
Baseline and 12 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Massachusetts General Hospital

Collaborators

Merck Sharp & Dohme LLC
Endo Pharmaceuticals

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2011

Primary Completion (Actual)

May 1, 2014

Study Completion (Actual)

December 1, 2014

Study Registration Dates

First Submitted

October 20, 2011

First Submitted That Met QC Criteria

October 25, 2011

First Posted (Estimated)

October 27, 2011

Study Record Updates

Last Update Posted (Actual)

October 12, 2023

Last Update Submitted That Met QC Criteria

October 10, 2023

Last Verified

October 1, 2023

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • MGH-988

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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