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52-tygodniowe badanie bezpieczeństwa, farmakokinetyki i skuteczności preparatu XYOSTED® w leczeniu zastępczym testosteronem u nastolatków płci męskiej z hipogonadyzmem

5 listopada 2026 zaktualizowane przez: Halozyme Therapeutics

Otwarte, 52-tygodniowe badanie z wielokrotnymi dawkami oceniające bezpieczeństwo, PK i skuteczność preparatu XYOSTED® w leczeniu zastępczym testosteronem u nastolatków płci męskiej z niedoborem lub brakiem endogennego testosteronu z powodu pierwotnego lub wtórnego hipogonadyzmu

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.

Przegląd badań

Status

Rekrutacyjny

Warunki

Interwencja / Leczenie

Szczegółowy opis

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.

Typ studiów

Interwencyjne

Zapisy (Szacowany)

100

Faza

  • Faza 3

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Kontakt w sprawie studiów

  • Nazwa: Director Clinical Operations, MPH, CPM
  • Numer telefonu: 609-331-1670
  • E-mail: jbitsura@halozyme.com

Kopia zapasowa kontaktu do badania

Lokalizacje studiów

    • California
      • Los Angeles, California, Stany Zjednoczone, 90027
        • Rekrutacyjny
        • Children's Hospital Los Angeles
      • Los Angeles, California, Stany Zjednoczone, 90048
        • Rekrutacyjny
        • Cedars-Sinai Medical Center
      • San Diego, California, Stany Zjednoczone, 92123
        • Rekrutacyjny
        • Rady Children's Hospital - San Diego
      • San Francisco, California, Stany Zjednoczone, 94143
        • Rekrutacyjny
        • University of California San Francisco
    • Colorado
      • Aurora, Colorado, Stany Zjednoczone, 80045
        • Rekrutacyjny
        • Children's Hospital Colorado
    • Florida
      • Jacksonville, Florida, Stany Zjednoczone, 32207
        • Rekrutacyjny
        • Nemours Children's Specialty Care - Jacksonville
    • Illinois
      • Chicago, Illinois, Stany Zjednoczone, 60611
        • Rekrutacyjny
        • Ann & Robert H. Lurie Children's Hospital of Chicago
    • Massachusetts
      • Boston, Massachusetts, Stany Zjednoczone, 02115
        • Rekrutacyjny
        • Boston Children's Hospital
      • Worcester, Massachusetts, Stany Zjednoczone, 01655
        • Rekrutacyjny
        • University of Massachusetts Memorial Medical Center
    • Minnesota
      • Minneapolis, Minnesota, Stany Zjednoczone, 55454
        • Rekrutacyjny
        • M Health Fairview U Minnesota
    • Missouri
      • St Louis, Missouri, Stany Zjednoczone, 63110
        • Rekrutacyjny
        • Washington University School of Medicine in St. Louis
    • Nevada
      • Las Vegas, Nevada, Stany Zjednoczone, 89113
        • Rekrutacyjny
        • The DOCS
    • New York
      • The Bronx, New York, Stany Zjednoczone, 10467
        • Rekrutacyjny
        • Children's Hospital at Montefiore
    • Oklahoma
      • Oklahoma City, Oklahoma, Stany Zjednoczone, 73104
        • Rekrutacyjny
        • OUHSC Pediatric Diabetes & Endocrinology
    • Pennsylvania
      • Philadelphia, Pennsylvania, Stany Zjednoczone, 19104
        • Rekrutacyjny
        • Children's Hospital of Philadelphia
    • South Carolina
      • Columbia, South Carolina, Stany Zjednoczone, 29203
        • Rekrutacyjny
        • Prisma Health Children's Hospital - Midlands
    • Texas
      • El Paso, Texas, Stany Zjednoczone, 79902
        • Rekrutacyjny
        • MedResearch
      • Houston, Texas, Stany Zjednoczone, 77030
        • Rekrutacyjny
        • Texas Children's Hospital
    • Utah
      • Salt Lake City, Utah, Stany Zjednoczone, 84112
        • Rekrutacyjny
        • Primary Children's Hospital
    • Virginia
      • Charlottesville, Virginia, Stany Zjednoczone, 22908
        • Rekrutacyjny
        • University of Virginia School of Medicine
    • Washington
      • Seattle, Washington, Stany Zjednoczone, 98105
        • Rekrutacyjny
        • Seattle Children's Hospital
      • Tacoma, Washington, Stany Zjednoczone, 98405
        • Rekrutacyjny
        • MultiCare Institute for Research & Innovation

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

12 lat do 17 lat (Dziecko)

Akceptuje zdrowych ochotników

Nie

Płeć kwalifikująca się do nauki

Męski

Opis

Inclusion Criteria:

  1. 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)

  2. 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.

  3. Have parent(s) or a legal guardian who will voluntarily provide written informed consent for the child to participate in the study

  4. Willing to provide assent for participation in the study

  5. Be a male 12 to < 18 years of age at the time of consent/assent

  6. 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

  7. Requires chronic pharmacologic support for the initiation and/or continuation of pubertal maturation

  8. Have a body mass index (BMI)-for-age greater than the 5th percentile and weigh ≥ 30 kg.

  9. If sexually active with a female partner of child-bearing potential, agrees to:

    1. Practice true abstinence including 30 days after the last IP administration, or,
    2. 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:

  1. Has abnormal thyroid function tests at Screening. May supplement per usual clinical practice and rescreen up to two times.
  2. Has suspected or known constitutional growth delay in growth and puberty (CDGP)
  3. 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)
  4. Has a known allergy or hypersensitivity to XYOSTED, or to any of its ingredients (testosterone enanthate and sesame oil)
  5. Participants receiving prior treatment with testosterone who are not on a stable dose for at least 12 weeks prior to Screening.
  6. Has an allergy to foods or products containing sesame seeds or sesame oil
  7. 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.
  8. 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.
  9. Has a history of deep venous thrombosis or pulmonary embolism
  10. Has evidence of a clinically significant 12-lead electrocardiogram (ECG) abnormality at Screening, as determined by the Investigator
  11. 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
  12. Has an active malignancy or has received treatment for a malignancy within the 12 months before Screening
  13. Is currently receiving antipsychotic medication for any reason or is currently receiving selective serotonin reuptake inhibitor (SSRI) medication for depression
  14. 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
  15. 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
  16. 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).
  17. 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
  18. Has received any other investigational compound within 1 month prior to screening or 5 half-lives of the investigational product (whichever is longer)
  19. 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.
  20. 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.
  21. Has a history of alcohol or drug abuse
  22. 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
  23. Has chronic urticaria or dermatographism
  24. 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

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Leczenie
  • Przydział: Nie dotyczy
  • Model interwencyjny: Zadanie dla jednej grupy
  • Maskowanie: Brak (otwarta etykieta)

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: 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

Inne nazwy:
  • Zastrzyk XYOSTED

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Ramy czasowe
Zwiększenie poziomu testosteronu oceniane za pomocą parametrów PK
Ramy czasowe: Od momentu włączenia do oceny na koniec badania w 53. tygodniu
Od momentu włączenia do oceny na koniec badania w 53. tygodniu

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
Percentage of participants demonstrating either progression through Tanner Stages of puberty or attainment of Tanner Stage 5 by the end of the study
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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 Height Velocity (HV)
Ramy czasowe: End of Study Assessment at Week 53

Evaluated through clinical//physical examination

End of Study Assessment at Week 53

Inne miary wyników

Miara wyniku
Opis środka
Ramy czasowe
PK endpoints
Ramy czasowe: 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
Ramy czasowe: End of Study Assessment at Week 53

Frequency and Severity of TEAEs

End of Study Assessment at Week 53

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Sponsor

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

7 marca 2025

Zakończenie podstawowe (Szacowany)

1 marca 2028

Ukończenie studiów (Szacowany)

1 marca 2030

Daty rejestracji na studia

Pierwszy przesłany

6 listopada 2024

Pierwszy przesłany, który spełnia kryteria kontroli jakości

13 listopada 2024

Pierwszy wysłany (Rzeczywisty)

14 listopada 2024

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

6 listopada 2026

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

5 listopada 2026

Ostatnia weryfikacja

1 listopada 2026

Więcej informacji

Terminy związane z tym badaniem

Inne numery identyfikacyjne badania

  • ATRS QST-19-007

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Tak

Bada produkt urządzenia regulowany przez amerykańską FDA

Tak

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .