Trial Outcomes & Findings for A Trial to Evaluate the Ongoing Skin Safety of Testosterone MD-Lotion Formulations (NCT NCT00857454)

NCT ID: NCT00857454

Last Updated: 2011-01-05

Results Overview

Draize score is a measurement of skin irritability of the application site based on erythema/escar and oedema. Erythema/eschar scoring ranges from 0 (no erythema) to 4 (severe erythema \[beet redness\] to slight eschar formation \[injuries in depth\]). Oedema scoring ranges from 0 (no oedema) to 4 (severe oedema \[raised more than 1 millimeter and extending beyond area of exposure\]. The total Draize score ranges from 0 to 8.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

71 participants

Primary outcome timeframe

Day 1, Day 190

Results posted on

2011-01-05

Participant Flow

This was an open-label extension to the MTE08 trial. Only participants in the MTE08 trial who consented and met eligibility criteria could be enrolled in MTE09.

Participants received 3.0 mL (60 mg) of 2% Testosterone MD-Lotion for 60 days, and may have had their dose adjusted upwards or downwards (Subjects in MTE09 were continued on the dose that they were taking at the conclusion of study MTE08. A total of 2 patients received 30 mg; 49 remained on 60 mg, 12 received 90 mg; and 8 received 120 mg).

Participant milestones

Participant milestones
Measure
Testosterone MD-lotion
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Overall Study
STARTED
71
Overall Study
COMPLETED
51
Overall Study
NOT COMPLETED
20

Reasons for withdrawal

Reasons for withdrawal
Measure
Testosterone MD-lotion
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Overall Study
Withdrawal by Subject
2
Overall Study
Lost to Follow-up
1
Overall Study
Adverse Event
2
Overall Study
Total Testosterone >1050 ng/dL
1
Overall Study
Total Testosterone <300 ng/dL
8
Overall Study
MTE09 enrollment criteria not met
6

Baseline Characteristics

A Trial to Evaluate the Ongoing Skin Safety of Testosterone MD-Lotion Formulations

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Testosterone MD-lotion
n=71 Participants
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Age Continuous
52.3 years
STANDARD_DEVIATION 12.13 • n=99 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
Sex: Female, Male
Male
71 Participants
n=99 Participants
Race/Ethnicity, Customized
Caucasian
54 participants
n=99 Participants
Race/Ethnicity, Customized
African American
6 participants
n=99 Participants
Race/Ethnicity, Customized
Hispanic
10 participants
n=99 Participants
Race/Ethnicity, Customized
Other
1 participants
n=99 Participants
Region of Enrollment
United States
71 participants
n=99 Participants
Body Mass Index (BMI)
29.78 kilograms per square metter (kg/m^2)
STANDARD_DEVIATION 3.61 • n=99 Participants
Baseline Total Testosterone Level
217.93 nanograms per deciliter (ng/dL)
STANDARD_DEVIATION 84.70 • n=99 Participants

PRIMARY outcome

Timeframe: Day 1, Day 190

Population: Participants enrolled in the study who had a baseline on MTE08 (Day 1) and a measurement at MTE09 endpoint (Day 190).

Draize score is a measurement of skin irritability of the application site based on erythema/escar and oedema. Erythema/eschar scoring ranges from 0 (no erythema) to 4 (severe erythema \[beet redness\] to slight eschar formation \[injuries in depth\]). Oedema scoring ranges from 0 (no oedema) to 4 (severe oedema \[raised more than 1 millimeter and extending beyond area of exposure\]. The total Draize score ranges from 0 to 8.

Outcome measures

Outcome measures
Measure
Testosterone MD-lotion
n=68 Participants
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Change From Baseline MTE08 to MTE09 Endpoint in Draize Score
0.0 units on a scale
Standard Deviation 0.12

SECONDARY outcome

Timeframe: Day 1, up to Day 190

Population: Participants enrolled in the study who had a baseline on MTE08 (Day 1) and a measurement at endpoint (Day 180) or Follow-Up/Early Withdrawal (Day 190).

Outcome measures

Outcome measures
Measure
Testosterone MD-lotion
n=66 Participants
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Change From Baseline MTE08 to MTE09 Follow-up in Fasting Insulin
1.43 uIU/mL
Standard Deviation 11.23

SECONDARY outcome

Timeframe: Day 1, up to Day 190

Population: Participants enrolled in the study who had a baseline on MTE08 (Day 1) and a measurement at endpoint (Day 180) or Follow-Up/Early Withdrawal (Day 190).

Outcome measures

Outcome measures
Measure
Testosterone MD-lotion
n=65 Participants
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Change From Baseline MTE08 to MTE09 Follow-up in Fasting Glucose
12.25 milligrams per deciliter (mg/dL)
Standard Deviation 35.56

SECONDARY outcome

Timeframe: Day 1, up to Day 190

Population: Participants enrolled in the study who had a baseline on MTE08 (Day 1) and a measurement at endpoint (Day 180) or Follow-Up/Early Withdrawal (Day 190).

Outcome measures

Outcome measures
Measure
Testosterone MD-lotion
n=67 Participants
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Change From Baseline MTE08 to MTE09 Follow-up in Prostatic Specific Antigen (PSA)
0.10 nanograms per milliliter (ng/mL)
Standard Deviation 0.54

SECONDARY outcome

Timeframe: Day 1, up to Day 190

Population: Participants enrolled in the study who had a baseline on MTE08 (Day 1) and a measurement at endpoint (Day 180) or Follow-Up/Early Withdrawal (Day 190).

Outcome measures

Outcome measures
Measure
Testosterone MD-lotion
n=58 Participants
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Change From Baseline MTE08 to MTE09 Follow-up in Luteinizing Hormone (LH) and Follicle Stimulating Hormone (FSH)
LH (N=50)
-1.39 mIU/mL
Standard Deviation 3.28
Change From Baseline MTE08 to MTE09 Follow-up in Luteinizing Hormone (LH) and Follicle Stimulating Hormone (FSH)
FSH (N=58)
-1.82 mIU/mL
Standard Deviation 3.87

SECONDARY outcome

Timeframe: Day 1, up to Day 190

Population: Participants enrolled in the study who had a baseline on MTE08 (Day 1) and a measurement at endpoint (Day 180) or Follow-Up/Early Withdrawal (Day 190).

Outcome measures

Outcome measures
Measure
Testosterone MD-lotion
n=32 Participants
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Change From Baseline MTE08 to MTE09 Follow-up in Estradiol
2.76 picograms per milliliter (pg/mL)
Standard Deviation 18.97

SECONDARY outcome

Timeframe: Day 1, up to Day 190

Population: Participants enrolled in the study who had a baseline on MTE08 (Day 1) and a measurement at endpoint (Day 180) or Follow-Up/Early Withdrawal (Day 190).

Outcome measures

Outcome measures
Measure
Testosterone MD-lotion
n=67 Participants
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Change From Baseline MTE08 to MTE09 Follow-up in Hemoglobin
0.54 grams per deciliter (g/dL)
Standard Deviation 1.160

SECONDARY outcome

Timeframe: Day 1, up to Day 190

Population: Participants enrolled in the study who had a baseline on MTE08 (Day 1) and a measurement at endpoint (Day 180) or Follow-Up/Early Withdrawal (Day 190).

Outcome measures

Outcome measures
Measure
Testosterone MD-lotion
n=66 Participants
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Change From Baseline MTE08 to MTE09 Follow-up in Hematocrit
0.03 percentage of red blood cells in sample
Standard Deviation 0.04

Adverse Events

Testosterone MD-lotion

Serious events: 2 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Testosterone MD-lotion
n=71 participants at risk
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Infections and infestations
Hepatitis c
1.4%
1/71 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
1.4%
1/71 • Number of events 1

Other adverse events

Other adverse events
Measure
Testosterone MD-lotion
n=71 participants at risk
30 to 120 mg of 2% Testosterone MD-Lotion administered topically once daily for 60 days
Cardiac disorders
Cardiac flutter
1.4%
1/71 • Number of events 1
Gastrointestinal disorders
Umbilical hernia
1.4%
1/71 • Number of events 1
General disorders
Application site erythema
2.8%
2/71 • Number of events 2
General disorders
Application site irritation
1.4%
1/71 • Number of events 1
General disorders
Application site oedema
1.4%
1/71 • Number of events 1
General disorders
Asthenia
1.4%
1/71 • Number of events 1
General disorders
Peripheral coldness
1.4%
1/71 • Number of events 1
Infections and infestations
Ear infection
1.4%
1/71 • Number of events 1
Infections and infestations
Herpes zoster
1.4%
1/71 • Number of events 1
Infections and infestations
Urinary tract infection
1.4%
1/71 • Number of events 1
Investigations
Alanine aminotransferase increased
1.4%
1/71 • Number of events 1
Investigations
Aspartate aminotransferase increased
1.4%
1/71 • Number of events 1
Investigations
Blood glucose increased
1.4%
1/71 • Number of events 1
Investigations
Blood insulin increased
1.4%
1/71 • Number of events 1
Investigations
Blood lactate dehydrogenase increased
1.4%
1/71 • Number of events 1
Investigations
Gamma-glutamyltransferase increased
1.4%
1/71 • Number of events 1
Investigations
Haematocrit decreased
1.4%
1/71 • Number of events 1
Investigations
Haemoglobin decreased
1.4%
1/71 • Number of events 1
Investigations
Low density lipoprotein increased
1.4%
1/71 • Number of events 1
Investigations
Prostatic specific antigen increased
1.4%
1/71 • Number of events 1
Metabolism and nutrition disorders
Hyperglycaemia
1.4%
1/71 • Number of events 1
Musculoskeletal and connective tissue disorders
Back pain
2.8%
2/71 • Number of events 2
Musculoskeletal and connective tissue disorders
Joint range of motion decreased
1.4%
1/71 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle spasms
1.4%
1/71 • Number of events 1
Musculoskeletal and connective tissue disorders
Neck pain
1.4%
1/71 • Number of events 1
Nervous system disorders
Nerve compression
1.4%
1/71 • Number of events 1
Psychiatric disorders
Libido decreased
1.4%
1/71 • Number of events 1
Reproductive system and breast disorders
Prostatitis
1.4%
1/71 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
1.4%
1/71 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Nasal congestion
1.4%
1/71 • Number of events 1
Skin and subcutaneous tissue disorders
Dry skin
2.8%
2/71 • Number of events 2
Skin and subcutaneous tissue disorders
Erythema
1.4%
1/71 • Number of events 1
Skin and subcutaneous tissue disorders
Nail discolouration
1.4%
1/71 • Number of events 1
Skin and subcutaneous tissue disorders
Rash
1.4%
1/71 • Number of events 1
Vascular disorders
Hypertension
1.4%
1/71 • Number of events 1

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60