52-wöchige Studie zur Sicherheit, PK und Wirksamkeit von XYOSTED® zum Testosteronersatz bei männlichen Jugendlichen mit Hypogonadismus
Offene, 52-wöchige Mehrfachdosisstudie zur Bewertung der Sicherheit, PK und Wirksamkeit von XYOSTED® für den Testosteronersatz bei männlichen Jugendlichen mit Mangel oder Fehlen von endogenem Testosteron aufgrund von primärem oder sekundärem Hypogonadismus
This is a 52-week open label single arm study + 24-Month long-term safety extension to investigate the effects of XYOSTED, as testosterone replacement therapy, on adolescent males with either primary or secondary hypogonadism.
The study aims to determine the effectiveness of XYOSTED measured by continuation or induction of puberty in addition to XYOSTED dosage, safety and testosterone levels.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
This is a Phase 3/4, open-label, multicenter study in approximately 100 males 12 to < 18 years of age with primary or secondary hypogonadism (congenital or acquired). Each participant will be screened for eligibility within 28 days before receiving his first dose of study drug on Day 1. During the Screening period, each participant will have a full clinical examination with pubertal staging, including 2 separate serum total testosterone (TT) measurements obtained in the early morning, where the average (Cavg) will be considered baseline value. Each participant will be categorized as having primary or secondary hypogonadism prior to dosing on Day 1.
Participants meeting all eligibility criteria will be assigned to a starting dose of XYOSTED based on their weight and Targeted Tanner Stage on Day 1. The Targeted Tanner Stage will be determined during Screening by an experienced pediatric endocrinologist.
Participants will have dose adjustments during the study to achieve their Targeted Tanner Stage. Dose adjustments will be based on reviewing the TT concentration between doses (Cmid) by measuring serum TT 14 days after the administration of XYOSTED for participants receiving the Q4W schedule, 7 days after the administration of XYOSTED for participants who are on the Q2W schedule, and 4 days after administration of XYOSTED for participants on the Q1W schedule. Participants will be evaluated for further dose adjustments approximately every 3 months to achieve the desired targeted TT level.
Following the 52-week primary study, participants may join a 24-month long-term safety extension study to continue the evaluation of XYOSTED in this population. Participants will return to the clinic at 6-month intervals for evaluation for clinical evaluations, and laboratory and pharmacokinetic assessments.
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 3
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Director Clinical Operations, MPH, CPM
- Telefonnummer: 609-331-1670
- E-Mail: jbitsura@halozyme.com
Studieren Sie die Kontaktsicherung
- Name: Chief Medical Officer, MD, PhD
- Telefonnummer: 858-344-9400
- E-Mail: ctheuer@halozyme.com
Studienorte
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California
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Los Angeles, California, Vereinigte Staaten, 90027
- Rekrutierung
- Children's Hospital Los Angeles
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Los Angeles, California, Vereinigte Staaten, 90048
- Rekrutierung
- Cedars-Sinai Medical Center
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San Diego, California, Vereinigte Staaten, 92123
- Rekrutierung
- Rady Children's Hospital - San Diego
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San Francisco, California, Vereinigte Staaten, 94143
- Rekrutierung
- University of California San Francisco
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Colorado
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Aurora, Colorado, Vereinigte Staaten, 80045
- Rekrutierung
- Children's Hospital Colorado
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Florida
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Jacksonville, Florida, Vereinigte Staaten, 32207
- Rekrutierung
- Nemours Children's Specialty Care - Jacksonville
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Illinois
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Chicago, Illinois, Vereinigte Staaten, 60611
- Rekrutierung
- Ann & Robert H. Lurie Children's Hospital of Chicago
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Massachusetts
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Boston, Massachusetts, Vereinigte Staaten, 02115
- Rekrutierung
- Boston Children's Hospital
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Worcester, Massachusetts, Vereinigte Staaten, 01655
- Rekrutierung
- University of Massachusetts Memorial Medical Center
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Minnesota
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Minneapolis, Minnesota, Vereinigte Staaten, 55454
- Rekrutierung
- M Health Fairview U Minnesota
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Missouri
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St Louis, Missouri, Vereinigte Staaten, 63110
- Rekrutierung
- Washington University School of Medicine in St. Louis
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Nevada
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Las Vegas, Nevada, Vereinigte Staaten, 89113
- Rekrutierung
- The DOCS
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New York
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The Bronx, New York, Vereinigte Staaten, 10467
- Rekrutierung
- Children's Hospital at Montefiore
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Oklahoma
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Oklahoma City, Oklahoma, Vereinigte Staaten, 73104
- Rekrutierung
- OUHSC Pediatric Diabetes & Endocrinology
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Pennsylvania
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Philadelphia, Pennsylvania, Vereinigte Staaten, 19104
- Rekrutierung
- Children's Hospital of Philadelphia
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South Carolina
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Columbia, South Carolina, Vereinigte Staaten, 29203
- Rekrutierung
- Prisma Health Children's Hospital - Midlands
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Texas
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El Paso, Texas, Vereinigte Staaten, 79902
- Rekrutierung
- MedResearch
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Houston, Texas, Vereinigte Staaten, 77030
- Rekrutierung
- Texas Children's Hospital
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Utah
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Salt Lake City, Utah, Vereinigte Staaten, 84112
- Rekrutierung
- Primary Children's Hospital
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Virginia
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Charlottesville, Virginia, Vereinigte Staaten, 22908
- Rekrutierung
- University of Virginia School of Medicine
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Washington
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Seattle, Washington, Vereinigte Staaten, 98105
- Rekrutierung
- Seattle Children's Hospital
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Tacoma, Washington, Vereinigte Staaten, 98405
- Rekrutierung
- MultiCare Institute for Research & Innovation
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
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Diagnosed with a deficiency or absence of endogenous testosterone due to primary or secondary hypogonadism of a known etiology. Children with combined hormone deficiencies are permitted to enroll (but the child must already be receiving treatment for concomitant hormonal deficiencies)
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Participants receiving prior testosterone treatment must be receiving a stable dose for at least 12 weeks prior to Screening. Treatment naive participants are permitted to enroll.
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Have parent(s) or a legal guardian who will voluntarily provide written informed consent for the child to participate in the study
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Willing to provide assent for participation in the study
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Be a male 12 to < 18 years of age at the time of consent/assent
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Have Legally Authorized Representative who is able to understand and comply with all study procedures and agrees to have the child participate in the study program as outlined in the protocol
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Requires chronic pharmacologic support for the initiation and/or continuation of pubertal maturation
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Have a body mass index (BMI)-for-age greater than the 5th percentile and weigh ≥ 30 kg.
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If sexually active with a female partner of child-bearing potential, agrees to:
- Practice true abstinence including 30 days after the last IP administration, or,
- Use 2 adequate forms of highly effective contraception, one of which should be a physical barrier, during the study and for 30 days after the last IP administration.
Exclusion Criteria:
- Has abnormal thyroid function tests at Screening. May supplement per usual clinical practice and rescreen up to two times.
- Has suspected or known constitutional growth delay in growth and puberty (CDGP)
- Has evidence of possible nutritional or gastrointestinal disorder that may impact growth (e.g., abrupt weight loss within the 3 months prior to Screening, unmanaged celiac disease, inflammatory bowel disease)
- Has a known allergy or hypersensitivity to XYOSTED, or to any of its ingredients (testosterone enanthate and sesame oil)
- Participants receiving prior treatment with testosterone who are not on a stable dose for at least 12 weeks prior to Screening.
- Has an allergy to foods or products containing sesame seeds or sesame oil
- Has Stage 1 hypertension, defined as the average of 2 or more seated right arm BP measurements exceeding the 95th percentile for age, sex, and height, or SBP ≥ 130 mm Hg and/or DBP ≥ 80 mm Hg at Screening or Day 1.
- Has a clinically significant abnormal clinical laboratory test value at Screening, as determined by the Investigator including hematocrit > 48%, or >50% for patients living at high altitude if not receiving testosterone treatment, or hematocrit > 52% if already receiving testosterone treatment.
- Has a history of deep venous thrombosis or pulmonary embolism
- Has evidence of a clinically significant 12-lead electrocardiogram (ECG) abnormality at Screening, as determined by the Investigator
- Has a current suspected or diagnosed (and unresected) tumor of the pituitary gland with the exception of Rathke's cleft cyst or a stable non-functioning pituitary microadenoma (ie, lesion size < 10 mm that has not increased in size over a period of 1 year on repeat imaging), as determined by the Investigator
- Has an active malignancy or has received treatment for a malignancy within the 12 months before Screening
- Is currently receiving antipsychotic medication for any reason or is currently receiving selective serotonin reuptake inhibitor (SSRI) medication for depression
- Is receiving any other medication or has a condition that would preclude safe participation in the study or confound the evaluation of safety, as determined by the Investigator
- Has a history of suicidal behavior (i.e., actions intended to harm oneself), suicidal ideation (i.e., thoughts and plans about suicide), or suicide attempts
- Has any affirmative responses on the Columbia Suicide Severity Rating Scale (C-SSRS) questionnaire to questions #3, #4, or #5 or any affirmative response to questions #1 or #2 within the past 12 months on the suicide ideation questions (first section) OR any affirmative response on the suicidal behavior questions (the second section).
- Is currently taking supraphysiologic doses of systemic glucocorticoids for more than 3 weeks, except for intermittent short courses of exogenous glucocorticoids as needed for the treatment of asthma
- Has received any other investigational compound within 1 month prior to screening or 5 half-lives of the investigational product (whichever is longer)
- Has received gonadotropin-releasing hormone (GnRH) agonists, aromatase inhibitors, androgens (eg, dehydroepiandrosterone [DHEA]), anabolic steroids such as oxandrolone, or other sex steroids within 12 months before the Screening visit, or would require these treatments at any time during the study.
- Receiving cytochrome P450 (CYP) 3A4 or P glycoprotein (P-gp) inhibitors/inducers or medications that are metabolized by CYP3A4 or P-gp within 30 days of enrolment.
- Has a history of alcohol or drug abuse
- Has a history or clinical manifestations of significant renal, hepatic, cardiovascular, metabolic, neurologic, psychiatric, or other conditions that would preclude participation in the study, as determined by the Investigator
- Has chronic urticaria or dermatographism
- Has 25-hydroxy-vitamin D blood level < 20 ng/mL. Participants with initial vitamin D blood measurement < 20 ng/mL may enroll while they receive supplementation per clinical practice
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: N / A
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: Participants
XYOSTED Injection (Testosterone enanthate) 25 mg / 0.5 mL, 50 mg / 0.5 mL, 75 mg / 0.5 mL, 100 mg / 0.5 mL |
XYOSTED 25 mg / 0.5 mL; XYOSTED 50 mg / 0.5 mL; XYOSTED 75 mg / 0.5 mL; XYOSTED 100 mg / 0.5 mL
Andere Namen:
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
|
Anstieg des Testosterons, bewertet anhand von PK-Parametern
Zeitfenster: Von der Einschreibung bis zur Abschlussbewertung in Woche 53
|
Von der Einschreibung bis zur Abschlussbewertung in Woche 53
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Percentage of participants demonstrating either progression through Tanner Stages of puberty or attainment of Tanner Stage 5 by the end of the study
Zeitfenster: End of Study Assessment at Week 53
|
Evaluated through clinical//physical examination |
End of Study Assessment at Week 53
|
|
• Percentage of patients that had an increase in stretched penile length
Zeitfenster: End of Study Assessment at Week 53
|
Evaluated through clinical//physical examination |
End of Study Assessment at Week 53
|
|
Change from Screening or Baseline in DEXA bone density for total body less head (TBLH) and PA spine
Zeitfenster: End of Study Assessment at Week 53
|
Evaluated through DEXA scan using age-appropriate software |
End of Study Assessment at Week 53
|
|
Change from Screening or Baseline in body composition by DEXA scan
Zeitfenster: End of Study Assessment at Week 53
|
Evaluated through DEXA scan using age-appropriate software |
End of Study Assessment at Week 53
|
|
Change from Screening or Baseline in bone age as determined by X-ray
Zeitfenster: End of Study Assessment at Week 53
|
Evaluated through X-ray using central readers |
End of Study Assessment at Week 53
|
|
Change from Screening or Baseline in BMI-for-age percentile
Zeitfenster: End of Study Assessment at Week 53
|
Evaluated through clinical//physical examination |
End of Study Assessment at Week 53
|
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• Change from Screening or Baseline in Height Velocity (HV)
Zeitfenster: End of Study Assessment at Week 53
|
Evaluated through clinical//physical examination |
End of Study Assessment at Week 53
|
Andere Ergebnismessungen
Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
PK endpoints
Zeitfenster: End of Study Assessment at Week 53
|
Total Testosterone concentration |
End of Study Assessment at Week 53
|
|
Evaluation of Safety Endpoints including Treatment-Emergent Adverse Events
Zeitfenster: End of Study Assessment at Week 53
|
Frequency and Severity of TEAEs |
End of Study Assessment at Week 53
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Erkrankungen des endokrinen Systems
- Gonadenstörungen
- Hypogonadismus
- Eunuchismus
- Hormone
- Hormone, Hormonersatzstoffe und Hormonantagonisten
- Polycyclische Verbindungen
- Steroide
- Fusions-Ring-Verbindungen
- Gonadale Steroidhormone
- Gonadalhormone
- Androstenes
- Androstanes
- Androstenole
- Testosteron -Kongenere
- Testosteron
- Testosteronpropionat
- Testosteron Enanthate
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- ATRS QST-19-007
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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