- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01816295
En undersøgelse af mænd med lavt testosteronniveau for at måle effekten af testosteronopløsning på testosteronniveauer, sexlyst og energi
24. november 2015 opdateret af: Eli Lilly and Company
Et randomiseret, dobbeltblindt, placebokontrolleret parallelt studie med en Open-Label-udvidelse for at vurdere effekten af testosteronopløsning på totalt testosteron, sexlyst og energi hos hypogonadale mænd
Hovedformålet med denne undersøgelse er at evaluere, om testosteronopløsning kan hæve testosteronhormonniveauet til det normale område, og også forbedre niveauet af seksuel ophidselse, interesse og drive og/eller energiniveau hos mænd med lavt testosteronniveau og nedsat seksuel ophidselse, interesse og drive og/eller nedsat energi.
Undersøgelsen vil vare omkring 16 uger, efterfulgt af en valgfri 24 ugers åben behandlingsfase for at undersøge den langsigtede sikkerhed af testosteronopløsning.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
715
Fase
- Fase 3
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Buenos Aires, Argentina
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Caba, Argentina
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Alberta
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Calgary, Alberta, Canada
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British Columbia
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Victoria, British Columbia, Canada
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Ontario
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Barrie, Ontario, Canada
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Burlington, Ontario, Canada
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Kingston, Ontario, Canada
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Kitchener, Ontario, Canada
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London, Ontario, Canada
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Quebec
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Sherbrooke, Quebec, Canada
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Barnsley, Det Forenede Kongerige
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Greater London
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London, Greater London, Det Forenede Kongerige
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Manchester
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Hathersage Road, Manchester, Det Forenede Kongerige
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Alabama
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Homewood, Alabama, Forenede Stater
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Arizona
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Chandler, Arizona, Forenede Stater
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Glendale, Arizona, Forenede Stater
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Mesa, Arizona, Forenede Stater
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Phoenix, Arizona, Forenede Stater
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Tempe, Arizona, Forenede Stater
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Tucson, Arizona, Forenede Stater
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California
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Escondido, California, Forenede Stater
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Irvine, California, Forenede Stater
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Los Angeles, California, Forenede Stater
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Spring Valley, California, Forenede Stater
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Colorado
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Colorado Springs, Colorado, Forenede Stater
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Florida
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Coral Springs, Florida, Forenede Stater
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Daytona Beach, Florida, Forenede Stater
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Fort Lauderdale, Florida, Forenede Stater
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Jacksonville, Florida, Forenede Stater
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Oviedo, Florida, Forenede Stater
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Plantation, Florida, Forenede Stater
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St. Petersburg, Florida, Forenede Stater
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Idaho
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Idaho Falls, Idaho, Forenede Stater
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Meridian, Idaho, Forenede Stater
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Illinois
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Crystal Lake, Illinois, Forenede Stater
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Indiana
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Fort Wayne, Indiana, Forenede Stater
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Indianapolis, Indiana, Forenede Stater
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Iowa
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Des Moines, Iowa, Forenede Stater
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Kansas
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Topeka, Kansas, Forenede Stater
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Louisiana
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Shreveport, Louisiana, Forenede Stater
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Maryland
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Greenbelt, Maryland, Forenede Stater
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Missouri
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Springfield, Missouri, Forenede Stater
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Nevada
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Las Vegas, Nevada, Forenede Stater
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New Jersey
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Englewood, New Jersey, Forenede Stater
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Toms River, New Jersey, Forenede Stater
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North Carolina
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Raleigh, North Carolina, Forenede Stater
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Wilmington, North Carolina, Forenede Stater
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Ohio
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Columbus, Ohio, Forenede Stater
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Pennsylvania
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Bala Cynwyd, Pennsylvania, Forenede Stater
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South Carolina
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Greer, South Carolina, Forenede Stater
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Mt. Pleasant, South Carolina, Forenede Stater
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Tennessee
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Kingsport, Tennessee, Forenede Stater
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Texas
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Austin, Texas, Forenede Stater
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Houston, Texas, Forenede Stater
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Utah
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Clinton, Utah, Forenede Stater
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Washington
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Bellevue, Washington, Forenede Stater
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Seattle, Washington, Forenede Stater
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Spokane, Washington, Forenede Stater
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Ancona, Italien
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Bergamo, Italien
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Bologna, Italien
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Catania, Italien
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Firenze, Italien
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Rome, Italien
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Rozzano, Italien
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Torino, Italien
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Goyang-Si, Korea, Republikken
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Jeon Ju-City, Korea, Republikken
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Kwang Ju, Korea, Republikken
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Pusan, Korea, Republikken
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Seoul, Korea, Republikken
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San Juan, Puerto Rico
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Aravaca, Spanien
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Barcelona, Spanien
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Coslada, Spanien
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La Coruña, Spanien
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Madrid, Spanien
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Majadahonda, Spanien
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Berlin, Tyskland
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Halle, Tyskland
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Hamburg, Tyskland
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Hettstedt, Tyskland
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Holzminden, Tyskland
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Marburg, Tyskland
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Münster, Tyskland
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år og ældre (VOKSEN, OLDER_ADULT)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Han
Beskrivelse
Inklusionskriterier:
- Samlet testosteronniveau <300 nanogram pr. deciliter (ng/dL) [10,4 nanomol pr. liter (nmol/L)] ved hvert af 2 screeningsbesøg
- Mindst 1 symptom på testosteronmangel, som skal omfatte nedsat energi eller nedsat seksualdrift
- Prostataspecifikt antigen (PSA) <4 nanogram pr. milliliter (ng/ml) ved screening
Ekskluderingskriterier:
- Seksuel partner, der er eller bliver gravid på et hvilket som helst tidspunkt under undersøgelsen
- Brug af langtidsvirkende intramuskulær (IM) testosteron undecanoat eller testosteron pellets i den 6-måneders periode før screening
- Body Mass Index (BMI) >37 kilogram pr. kvadratmeter (kg/m^2) ved screening
- Alvorlige symptomer i de nedre urinveje og/eller betydelig prostataforstørrelse
- Prolactin laboratorietestresultat på >30 ng/ml ved screening
- Hæmoglobin A1c (HbA1c) >11 % ved screening
- Hæmatokrit ≥50 % (>54 % i forhøjet højde) ved screening
- Nuværende brug af medicin, naturlægemidler og/eller kosttilskud, der kan forstyrre testosteron
- Dermatologisk tilstand i underarmsområdet, der kan forstyrre testosteronabsorptionen (f.eks. eksem) eller blive forværret af lokal testosteronerstatningsterapi
- Modtager i øjeblikket behandling med cancerkemoterapi eller antiandrogener
- Kronisk brug af systemiske glukokortikoider (brug i >14 dage inden for de 3 måneder før screening); brug af ikke-testosteron anabolske steroider inden for 12 måneder før screening
- Konkurrence-atleter involveret i en sport, hvor de kan blive screenet for anabolske steroider
- Anamnese med brug af østrogeniserende midler inden for 12 måneder før screening
- Anamnese med behandling med luteiniserende hormon-frigørende hormonantagonist eller agonist i de sidste 6 måneder før screening
- Anamnese med clomiphene eller anden anti-østrogenbehandling i de 3 måneder før screening
- Brug af finasterid inden for 3 måneder før screening eller brug af dutasterid inden for 6 måneder før screening
- Nuværende brug af warfarin eller phenprocoumon
- Anamnese med hyppig opioidbrug: >1 gang/uge i løbet af en uge inden for 30 dage før screening
- Nuværende brug af dopaminreceptoragonister (cabergolin, pergolid, bromocriptin)
- Har en historie med betydelige centralnervesystemskader eller sygdom (herunder slagtilfælde, rygmarvsskade eller dissemineret sklerose) inden for 6 måneder før screening
- Systolisk blodtryk >170 eller <90 millimeter kviksølv (mm Hg) eller diastolisk blodtryk >100 eller <50 mm Hg ved screening eller en historie med malign hypertension
- Anamnese med ustabil angina som defineret af Braunwald Klassifikation af ustabil angina eller angina, der er opstået under samleje i de sidste 6 måneder
- Anamnese med nogen af følgende koronartilstande inden for 90 dage efter screening: myokardieinfarkt, koronar bypassoperation, perkutan koronar intervention (angioplastik eller stentplacering)
- Har nogen supraventrikulær arytmi med en ukontrolleret ventrikulær respons [gennemsnitlig hjertefrekvens >100 slag i minuttet (bpm)] i hvile, eller har en historie med spontan eller induceret vedvarende ventrikulær takykardi (puls >100 slag i minuttet i ≥30 sekunder), eller brug af en automatisk intern cardioverter-defibrillator
- Har en historie med pludseligt hjertestop
- Vis tegn på kongestiv hjertesvigt [New York Heart Association (NYHA) klasse 2 eller derover] inden for 6 måneder før screening
- Har haft en ny, betydelig hjerteledningsfejl inden for 90 dage før screening
- Klinisk mistanke (eller historie) om prostatacancer under digital rektalundersøgelse ved screening
- Kendt eller mistænkt brystkræft (eller historie med brystkræft) eller anden aktiv cancer (med undtagelse af ikke-melanotisk hudkræft)
- Udvise tegn på alvorlig nyreinsufficiens [kreatininclearance <30 milliliter pr. minut (mL/min) som bestemt ved Cockcroft-Gault-formlen] ved screening
- Udvise en anamnese med alvorlig leversygdom eller kliniske tegn på nedsat leverfunktion ved screening
- Har en historie med human immundefektvirus (HIV) infektion
- Alvorlig søvnapnø
- Ubehandlet hypothyroidisme, hypercortisolisme eller anden væsentlig endokrinopati (bortset fra hypogonadisme), der bidrager til symptomer på lav energi eller træthed
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: BEHANDLING
- Tildeling: TILFÆLDIGT
- Interventionel model: PARALLEL
- Maskning: TRIPLE
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
PLACEBO_COMPARATOR: Placebo løsning
Placeboopløsning påført topisk én gang dagligt i 12 uger.
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Indgives topisk til aksiller.
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EKSPERIMENTEL: Testosteronopløsning
Testosteronopløsning 60 milligram (mg) påført topisk én gang dagligt med mulig titrering ned til 30 milligram per dag (mg/dag) eller op til 120 mg/dag i 12 uger og valgfri forlængelse i 24 uger.
|
Indgives topisk til aksiller.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Antal deltagere med total serumtestosteronkoncentration inden for normalområdet i uge 12
Tidsramme: Uge 12
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Normalområdet for totalt serum testosteron blev defineret som 300 til 1050 nanogram pr. deciliter (ng/dL).
|
Uge 12
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Skift fra baseline til uge 12 i seksuel ophidselse, interesse og drivkraft (SAID)-skalaresultater
Tidsramme: Baseline, uge 12
|
SAID-skalaen er et selvadministreret instrument, der bruges til at vurdere seksuel ophidselse, interesse og sexlyst hos mænd med symptomatisk hypogonadisme.
SAID'et består af 5 spørgsmål, der blev bedømt på en skala fra 1 til 5, hvor "5" svarer til større niveauer af seksuel ophidselse, interesse eller drive.
SAID-skalaens samlede score blev beregnet ved at summere elementscorerne og lineært transformere summen til en skala fra 0 til 100, med højere score svarende til større seksuel ophidselse, interesse og drive.
Mindste kvadraters (LS) middelændring fra baseline blev beregnet ved hjælp af en analyse af kovarians (ANCOVA) med behandlingsgruppen og basislinjeværdien som kovariater.
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Baseline, uge 12
|
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Skift fra baseline til uge 12 i Hypogonadism Energy Diary (HED) resultater
Tidsramme: Baseline, uge 12
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HED er et selvadministreret instrument, der bruges til at vurdere energiniveauer i realtid hos mænd med symptomatisk hypogonadisme.
Den består af 2 spørgsmål, der blev scoret på en skala fra 0 til 10, hvor "10" svarer til "Fuld af Energi" eller "Slet ikke træt" (Træthedsskalaen blev omvendt kortlagt, da den blev indsamlet med "10 " svarende til "Ekstrem træthed").
Spørgeskemaet blev udfyldt 3 gange dagligt (dannende 6 unikke emner) i 7 på hinanden følgende dage.
Varescore blev beregnet ved at tage et gennemsnit af værdierne for hver vare på tværs af 7 dage.
Hvis der manglede mere end 2 dage for en vare, manglede varens score.
Den samlede score blev beregnet ved at summere elementscorerne og lineært transformere summen til en skala fra 0 til 100, med højere score svarende til større energi.
Hvis der manglede en elementscore, manglede den samlede score.
LS gennemsnitlig ændring fra baseline blev beregnet ved hjælp af ANCOVA med behandlingsgruppe og basislinjeværdien som kovariater.
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Baseline, uge 12
|
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Antal deltagere med prostataspecifikt antigen (PSA) >4 nanogram/milliliter (ng/mL)
Tidsramme: Double Blind Baseline, uge 12, Open Label Baseline, uge 36
|
Double Blind Baseline, uge 12, Open Label Baseline, uge 36
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Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Ændring fra baseline i Total International Prostate Symptom Score (IPSS)
Tidsramme: Baseline, uge 12, uge 36
|
IPSS er et selvadministreret instrument, der bruges til at vurdere sværhedsgraden af symptomer i de nedre urinveje.
IPSS består af 7 spørgsmål, der blev scoret på en skala fra 0 (ingen/ingen symptomer) til 5 (hyppige symptomer), for et samlet scoreområde på 0 til 35.
Højere numeriske score fra IPSS-spørgeskemaet repræsenterer større sværhedsgrad af symptomer.
LS gennemsnitlig ændring fra baseline blev beregnet ved hjælp af ANCOVA med behandlingsgruppe og basislinjeværdien som kovariater.
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Baseline, uge 12, uge 36
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. maj 2013
Primær færdiggørelse (FAKTISKE)
1. oktober 2014
Studieafslutning (FAKTISKE)
1. april 2015
Datoer for studieregistrering
Først indsendt
19. marts 2013
Først indsendt, der opfyldte QC-kriterier
19. marts 2013
Først opslået (SKØN)
22. marts 2013
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (SKØN)
28. december 2015
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
24. november 2015
Sidst verificeret
1. november 2015
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Sygdomme i det endokrine system
- Gonadale lidelser
- Hypogonadisme
- Lægemidlers fysiologiske virkninger
- Antineoplastiske midler
- Hormoner
- Hormoner, hormonsubstitutter og hormonantagonister
- Antineoplastiske midler, hormonelle
- Androgener
- Anabolske midler
- Farmaceutiske løsninger
- Testosteron
- Methyltestosteron
- Testosteron undecanoat
- Testosteron enanthate
- Testosteron 17 beta-cypionat
Andre undersøgelses-id-numre
- 14396
- I5E-MC-TSAT (ANDET: Eli Lilly and Company)
- 2012-004866-16 (EUDRACT_NUMBER)
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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