Trial Outcomes & Findings for CYP19A1 (Cytochrome P450 Family 19 Subfamily A Member 1) Gene and Pharmacogenetics of Response to Testosterone Therapy (NCT NCT01378299)

NCT ID: NCT01378299

Last Updated: 2019-03-05

Results Overview

Percent change in bone mineral density from baseline to 18 months

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

105 participants

Primary outcome timeframe

form baseline to 18 months

Results posted on

2019-03-05

Participant Flow

Participant milestones

Participant milestones
Measure
Arm 1: Testosterone Cypionate
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into different groups of BMI. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the molecular weight 412.61.is available in two strengths, 100 mg/mL and 200 mg/mL testosterone cypionate.
Overall Study
STARTED
105
Overall Study
BMI group1
38
Overall Study
BMI Group 2
40
Overall Study
BMI Group 3
27
Overall Study
COMPLETED
74
Overall Study
NOT COMPLETED
31

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Participants were divided into BMI groups.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1: Testosterone Cypionate
n=105 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into different groups of BMI. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
Age, Continuous
BMI group 1
61.7 years
STANDARD_DEVIATION 8.5 • n=105 Participants
Age, Continuous
BMI group 2
57.3 years
STANDARD_DEVIATION 8.7 • n=105 Participants
Age, Continuous
BMI group 3
60.0 years
STANDARD_DEVIATION 7.4 • n=105 Participants
Sex: Female, Male
BMI group 1 · Female
0 Participants
n=38 Participants • Participants were divided into BMI groups.
Sex: Female, Male
BMI group 1 · Male
38 Participants
n=38 Participants • Participants were divided into BMI groups.
Sex: Female, Male
BMI group 2 · Female
0 Participants
n=40 Participants • Participants were divided into BMI groups.
Sex: Female, Male
BMI group 2 · Male
40 Participants
n=40 Participants • Participants were divided into BMI groups.
Sex: Female, Male
BMI group 3 · Female
0 Participants
n=27 Participants • Participants were divided into BMI groups.
Sex: Female, Male
BMI group 3 · Male
27 Participants
n=27 Participants • Participants were divided into BMI groups.
Race/Ethnicity, Customized
Caucasians
45 Participants
n=105 Participants
Race/Ethnicity, Customized
Blacks
11 Participants
n=105 Participants
Race/Ethnicity, Customized
Hispanics
33 Participants
n=105 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=105 Participants
Race/Ethnicity, Customized
American Indian
1 Participants
n=105 Participants
Race/Ethnicity, Customized
Not reported
14 Participants
n=105 Participants
Region of Enrollment
United States
105 Participants
n=105 Participants
Body mass index
BMI group 1
27.2 kg/m2
STANDARD_DEVIATION 1.9 • n=105 Participants
Body mass index
BMI group 2
32.1 kg/m2
STANDARD_DEVIATION 1.4 • n=105 Participants
Body mass index
BMI group 3
39.8 kg/m2
STANDARD_DEVIATION 3.9 • n=105 Participants
patients with diabetes mellitus
patients with diabetes mellitus
49 Participants
n=105 Participants
patients with diabetes mellitus
patients without diabetes mellitus
56 Participants
n=105 Participants
aromatase activity as assessed using estradiol to testosterone ratio
Tertile 1
0.069 estradiol to testosterone ratio
STANDARD_DEVIATION 0.04 • n=29 Participants • Only the first 87 participants analyzed for this assessment
aromatase activity as assessed using estradiol to testosterone ratio
Tertile 2
0.25 estradiol to testosterone ratio
STANDARD_DEVIATION 0.07 • n=29 Participants • Only the first 87 participants analyzed for this assessment
aromatase activity as assessed using estradiol to testosterone ratio
Tertile 3
1.37 estradiol to testosterone ratio
STANDARD_DEVIATION 1.12 • n=29 Participants • Only the first 87 participants analyzed for this assessment

PRIMARY outcome

Timeframe: form baseline to 18 months

Population: Analysis was by intention to treat with the last value carry forward. Those who had at least one follow-up from baseline were included in the analysis. The data from 84 subjects were available for analysis; 15 in the GG, 44 in the GA and 25 in the AA genotype.

Percent change in bone mineral density from baseline to 18 months

Outcome measures

Outcome measures
Measure
GG Genotype for RS 700518 Polymorphism of the CYP19A1 Gene
n=15 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
GA Genotype for the rs700518 Polymorphisms of the CYP19A1 Gene
n=44 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
AA Genotype for the rs700518 Polymorphism of the CYP19A1 Gene
n=25 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
Percent Change in Bone Mineral Density (BMD) According to rs700518 Polymorphism in the CYP19A1 Gene
Lumbar spine
3.69 percent change
Standard Deviation 0.87
4.13 percent change
Standard Deviation 0.52
3.82 percent change
Standard Deviation 0.70
Percent Change in Bone Mineral Density (BMD) According to rs700518 Polymorphism in the CYP19A1 Gene
Total hip
0.38 percent change
Standard Deviation 0.93
0.93 percent change
Standard Deviation 0.49
0.08 percent change
Standard Deviation 0.66
Percent Change in Bone Mineral Density (BMD) According to rs700518 Polymorphism in the CYP19A1 Gene
Femoral neck
-1.09 percent change
Standard Deviation 1.28
1.51 percent change
Standard Deviation 0.69
-1.25 percent change
Standard Deviation 0.91

PRIMARY outcome

Timeframe: baseline to 18 months

Population: Analysis was by intention to treat with the last value carry forward. Those who had at least one follow-up from baseline were included in the analysis . The data of 82 subjects were available for analysis; 14 in the GG, 38 in the GC and 32 in the CC genotype.

Percent change in bone mineral density from baseline to 18 months.

Outcome measures

Outcome measures
Measure
GG Genotype for RS 700518 Polymorphism of the CYP19A1 Gene
n=14 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
GA Genotype for the rs700518 Polymorphisms of the CYP19A1 Gene
n=38 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
AA Genotype for the rs700518 Polymorphism of the CYP19A1 Gene
n=32 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
Percent Change in Bone Mineral Density (BMD) According to the rs1062033 Polymorphism in the CYP19A1 Gene
LUMBAR SPINE
4.72 PERCENT CHANGE
Standard Deviation 0.91
2.85 PERCENT CHANGE
Standard Deviation 0.56
3.74 PERCENT CHANGE
Standard Deviation 0.63
Percent Change in Bone Mineral Density (BMD) According to the rs1062033 Polymorphism in the CYP19A1 Gene
FEMORAL NECK
-1.04 PERCENT CHANGE
Standard Deviation 1.31
0.64 PERCENT CHANGE
Standard Deviation 0.81
0.22 PERCENT CHANGE
Standard Deviation 0.96
Percent Change in Bone Mineral Density (BMD) According to the rs1062033 Polymorphism in the CYP19A1 Gene
TOTAL HIP
0.33 PERCENT CHANGE
Standard Deviation 0.84
0.70 PERCENT CHANGE
Standard Deviation 0.50
0.64 PERCENT CHANGE
Standard Deviation 0.56

SECONDARY outcome

Timeframe: baseline to 18 months

Population: Analysis was by intention to treat with the last value carry forward. Thirty subjects in BMI group 1, 31 in BMI group 2 and 23 subjects in BMI groups 3 have complete dataset available for analysis. There were a total 84 patients who were able to provide data for this outcome at 18 months.

Percent changes in bone mineral density from baseline

Outcome measures

Outcome measures
Measure
GG Genotype for RS 700518 Polymorphism of the CYP19A1 Gene
n=30 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
GA Genotype for the rs700518 Polymorphisms of the CYP19A1 Gene
n=31 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
AA Genotype for the rs700518 Polymorphism of the CYP19A1 Gene
n=23 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
Percent Change in Bone Mineral Density According to Body Mass Index (BMI)
lumbar spine
3.00 Percent change
Standard Error 0.97
4.90 Percent change
Standard Error 0.96
3.90 Percent change
Standard Error 1.24
Percent Change in Bone Mineral Density According to Body Mass Index (BMI)
Total hip
0.14 Percent change
Standard Error 0.56
1.74 Percent change
Standard Error 0.55
-0.27 Percent change
Standard Error 0.64
Percent Change in Bone Mineral Density According to Body Mass Index (BMI)
femoral neck
0.71 Percent change
Standard Error 0.83
-0.33 Percent change
Standard Error 0.86
0.16 Percent change
Standard Error 0.97

SECONDARY outcome

Timeframe: From baseline to 18 months

Population: More participants came for their 6-month blood test than for other outcomes e.g. BMD. Since our analysis was intention to treat with the last value carry forward, there were more patients with evaluable PSA data at 18 months, as some patients who had PSA but had no BMD testing etc. who dropped out of the study were also included in the analysis.

Percent change in PSA from baseline to 18 months

Outcome measures

Outcome measures
Measure
GG Genotype for RS 700518 Polymorphism of the CYP19A1 Gene
n=17 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
GA Genotype for the rs700518 Polymorphisms of the CYP19A1 Gene
n=46 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
AA Genotype for the rs700518 Polymorphism of the CYP19A1 Gene
n=26 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
Percent Change in Prostate-specific Antigen (PSA) According to the rs700518 Polymorphism of the CYP19A1 Gene
105.78 percent change
Standard Deviation 167.93
58.52 percent change
Standard Deviation 76.14
44.44 percent change
Standard Deviation 59.92

SECONDARY outcome

Timeframe: from baseline to 18 months

Population: More participants came for their 6-month blood test than for other outcomes e.g. BMD. Since our analysis was intention to treat with the last value carry forward, there were more patients with evaluable PSA data at 18 months, as some patients who had PSA but had no BMD testing etc. who dropped out of the study were also included in the analysis.

Percent change in PSA from baseline at 18 months

Outcome measures

Outcome measures
Measure
GG Genotype for RS 700518 Polymorphism of the CYP19A1 Gene
n=17 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
GA Genotype for the rs700518 Polymorphisms of the CYP19A1 Gene
n=46 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
AA Genotype for the rs700518 Polymorphism of the CYP19A1 Gene
n=26 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
Percent Change in Prostate-specific Antigen (PSA) According to the rs1062033 Polymorphism of the CYP19A1 Gene
85.15 precent change
Standard Deviation 23.84
62.86 precent change
Standard Deviation 15.74
52.93 precent change
Standard Deviation 17.11

SECONDARY outcome

Timeframe: baseline to 18 months

Population: Analysis was by intention to treat with the last value carry forward. Those who had at least one follow-up from baseline were included in the analysis. The data of 85 subjects were available for analysis; 16 subjects in the GG, 43 in the GC and 26 subjects in the CC genotype.

Percent change in hematocrit from baseline to 18 months

Outcome measures

Outcome measures
Measure
GG Genotype for RS 700518 Polymorphism of the CYP19A1 Gene
n=16 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
GA Genotype for the rs700518 Polymorphisms of the CYP19A1 Gene
n=43 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
AA Genotype for the rs700518 Polymorphism of the CYP19A1 Gene
n=26 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
Percent Change in Hematocrit According to the Genotype of the 700518 Polymorphism of the CYP19A1gene
11.32 Percent change
Standard Deviation 2.21
9.71 Percent change
Standard Deviation 1.35
9.41 Percent change
Standard Deviation 1.73

SECONDARY outcome

Timeframe: Baseline to 18 months

Population: Analysis was by intention to treat with the last value carry forward. Those who had at least one follow-up from baseline were included in the analysis. The data of 85 subjects were available for analysis; 15 subjects in the GG, 37 in the GC and 33 subjects in the CC genotype.

Percent change in hematocrit from baseline to 18 months

Outcome measures

Outcome measures
Measure
GG Genotype for RS 700518 Polymorphism of the CYP19A1 Gene
n=15 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
GA Genotype for the rs700518 Polymorphisms of the CYP19A1 Gene
n=37 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
AA Genotype for the rs700518 Polymorphism of the CYP19A1 Gene
n=33 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
Percent Change in Hematocrit According to re1062033 Polymorphism of the CYP19A1 Gene
11.56 percent change
Standard Deviation 2.28
9.67 percent change
Standard Deviation 1.45
9.46 percent change
Standard Deviation 1.54

SECONDARY outcome

Timeframe: Baseline to 6 months

Population: Gene expression studies were successful in 27 samples; 6 in the GG, 17 in the GA and 4 in the AA genotype.

Percent change in gene expression from baseline to 18 months

Outcome measures

Outcome measures
Measure
GG Genotype for RS 700518 Polymorphism of the CYP19A1 Gene
n=6 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
GA Genotype for the rs700518 Polymorphisms of the CYP19A1 Gene
n=17 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
AA Genotype for the rs700518 Polymorphism of the CYP19A1 Gene
n=4 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
Percent Change in Aromatase Gene Activity From the Buffy Coat According to the 700518 Polymorphism of the CYP19A1 Gene
25.0 percent change
Standard Deviation 120.0
65.25 percent change
Standard Deviation 71.29
113.33 percent change
Standard Deviation 146.97

SECONDARY outcome

Timeframe: Baseline to 18 months

Population: Analysis was by intention to treat with the last value carry forward. Those who had at least one follow-up from baseline were included in the analysis. The data of 79 subjects were analyzed; 15 in the GG, 43 in the GA and 21 in the AA genotype.

Percent change in bone turnover from baseline to 18 months.

Outcome measures

Outcome measures
Measure
GG Genotype for RS 700518 Polymorphism of the CYP19A1 Gene
n=15 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
GA Genotype for the rs700518 Polymorphisms of the CYP19A1 Gene
n=43 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
AA Genotype for the rs700518 Polymorphism of the CYP19A1 Gene
n=21 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
Percent Change in Bone Turnover Markers According to the rs700518 Polymorphism of the CYP19A1 Gene
C-teloepetide
41.47 perecent change
Standard Deviation 16.33
3.35 perecent change
Standard Deviation 9.64
-9.75 perecent change
Standard Deviation 13.80
Percent Change in Bone Turnover Markers According to the rs700518 Polymorphism of the CYP19A1 Gene
Osteocalcin
12.40 perecent change
Standard Deviation 133.13
-31.22 perecent change
Standard Deviation 148.00
-7.27 perecent change
Standard Deviation 112.06

SECONDARY outcome

Timeframe: Baseline to 18 months

Population: Analysis was by intention to treat with the last value carry forward. Those who had at least one follow-up from baseline were included in the analysis. The data of 79 subjects with acceptable assay coefficient of variability were available for analysis; 15 subjects in the GG, 37 in the GC and 27 in the CC genotype.

Percent change in bone turnover markers

Outcome measures

Outcome measures
Measure
GG Genotype for RS 700518 Polymorphism of the CYP19A1 Gene
n=15 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
GA Genotype for the rs700518 Polymorphisms of the CYP19A1 Gene
n=37 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
AA Genotype for the rs700518 Polymorphism of the CYP19A1 Gene
n=27 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
Percent Change in Bone Turnover Markers According to the rs1062033 Polymorphism of the CYP19A1 Gene
C-telopeptide
48.96 Percent change
Standard Deviation 98.42
5.89 Percent change
Standard Deviation 48.82
-14.49 Percent change
Standard Deviation 51.05
Percent Change in Bone Turnover Markers According to the rs1062033 Polymorphism of the CYP19A1 Gene
Osteocalcin
33.59 Percent change
Standard Deviation 118.59
-20.59 Percent change
Standard Deviation 128.37
-26.96 Percent change
Standard Deviation 144.48

SECONDARY outcome

Timeframe: Baseline to 18 months

Population: Analysis was by intention to treat with the last value carry forward. Thirty-nine subjects with diabetes mellitus group and 45 without diabetes mellitus have complete dataset available for analysis.

Percent change in bone mineral density from baseline to 18 months

Outcome measures

Outcome measures
Measure
GG Genotype for RS 700518 Polymorphism of the CYP19A1 Gene
n=39 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
GA Genotype for the rs700518 Polymorphisms of the CYP19A1 Gene
n=45 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
AA Genotype for the rs700518 Polymorphism of the CYP19A1 Gene
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
Percent Change in Bone Mineral Density According the Presence of Diabetes Mellitus
LUMBAR SPINE
4.05 Percent change
Standard Deviation 0.60
3.28 Percent change
Standard Deviation 0.51
Percent Change in Bone Mineral Density According the Presence of Diabetes Mellitus
TOTAL HIP
1.81 Percent change
Standard Deviation 0.61
0.53 Percent change
Standard Deviation 0.49
Percent Change in Bone Mineral Density According the Presence of Diabetes Mellitus
FEMORAL NECK
1.63 Percent change
Standard Deviation 0.95
-0.55 Percent change
Standard Deviation 0.79

SECONDARY outcome

Timeframe: Baseline to 18 months

Population: Analysis was by intention to treat with the last value carry forward. Thirty-seven subjects with diabetes mellitus group and 41 without diabetes mellitus have complete dataset available for analysis.

Percent change in bone turnover markers from baseline to 18 months.

Outcome measures

Outcome measures
Measure
GG Genotype for RS 700518 Polymorphism of the CYP19A1 Gene
n=37 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
GA Genotype for the rs700518 Polymorphisms of the CYP19A1 Gene
n=41 Participants
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
AA Genotype for the rs700518 Polymorphism of the CYP19A1 Gene
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Subjects were divided into the different genotypes for the rs700518 polymorphism of the CYP19A1 gene.
Percent Change in Bone Turnover Markers According the Presence of Diabetes Mellitus
C-telopeptide
73.55 Percentage Changes
Standard Error 22.88
2.05 Percentage Changes
Standard Error 16.22
Percent Change in Bone Turnover Markers According the Presence of Diabetes Mellitus
Osteocalcin
20.54 Percentage Changes
Standard Error 15.64
-6.62 Percentage Changes
Standard Error 10.54

Adverse Events

Arm 1: Testosterone Cypionate

Serious events: 18 serious events
Other events: 51 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm 1: Testosterone Cypionate
n=105 participants at risk
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
Nervous system disorders
stroke
1.9%
2/105 • 18 months
Infections and infestations
abscess
0.95%
1/105 • 18 months
Gastrointestinal disorders
appendicitis
0.95%
1/105 • 18 months
Gastrointestinal disorders
GI tract perforation
0.95%
1/105 • 18 months
Infections and infestations
infection of an appendectomy wound
0.95%
1/105 • 18 months
Psychiatric disorders
pyschiatric ilness
3.8%
4/105 • 18 months
Musculoskeletal and connective tissue disorders
knee arthroscopy
0.95%
1/105 • 18 months
Musculoskeletal and connective tissue disorders
knee replacement surgery
0.95%
1/105 • 18 months
Cardiac disorders
coronary stent
1.9%
2/105 • 18 months
Cardiac disorders
atypical chest pain
0.95%
1/105 • 18 months
Cardiac disorders
new-onset atrial fibrillation
0.95%
1/105 • 18 months
Cardiac disorders
myocardial infarction
1.9%
2/105 • 18 months

Other adverse events

Other adverse events
Measure
Arm 1: Testosterone Cypionate
n=105 participants at risk
All patients who qualify for the study will receive testosterone cypionate Testosterone Cypionate: DEPo-Testosterone Injection, for intramuscular injection, contains testosterone cypionate which is the oil-soluble 17 (beta)-cyclopentylpropionate ester of the androgenic hormone testosterone. Testosterone cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for testosterone cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1oxopropoxy)-, (178)-. Its molecular formula is CvH400a, and the mole
Cardiac disorders
Congestive heart failure
0.95%
1/105 • 18 months
Gastrointestinal disorders
appendicitis
0.95%
1/105 • 18 months
Gastrointestinal disorders
diverticulitis
1.9%
2/105 • 18 months
Gastrointestinal disorders
heartburn
0.95%
1/105 • 18 months
Hepatobiliary disorders
gallstones
0.95%
1/105 • 18 months
Gastrointestinal disorders
infected appendectomy wound
0.95%
1/105 • 18 months
Infections and infestations
infected spider bite
0.95%
1/105 • 18 months
Infections and infestations
shingles
0.95%
1/105 • 18 months
Infections and infestations
cellulitis
0.95%
1/105 • 18 months
Blood and lymphatic system disorders
high hematocrit
8.6%
9/105 • 18 months
Blood and lymphatic system disorders
hemochromatosis
0.95%
1/105 • 18 months
Respiratory, thoracic and mediastinal disorders
upper respiratory infection
0.95%
1/105 • 18 months
Respiratory, thoracic and mediastinal disorders
dyspnea
0.95%
1/105 • 18 months
Respiratory, thoracic and mediastinal disorders
lung carcinoma
0.95%
1/105 • 18 months
Reproductive system and breast disorders
priapism
0.95%
1/105 • 18 months
Reproductive system and breast disorders
mastitis
0.95%
1/105 • 18 months
Renal and urinary disorders
prostate enlargement
0.95%
1/105 • 18 months
Skin and subcutaneous tissue disorders
alopecia
0.95%
1/105 • 18 months
Skin and subcutaneous tissue disorders
acne
0.95%
1/105 • 18 months
Skin and subcutaneous tissue disorders
laceration
2.9%
3/105 • 18 months
Psychiatric disorders
mood swings
0.95%
1/105 • 18 months
Psychiatric disorders
irritability
0.95%
1/105 • 18 months
Psychiatric disorders
depression
0.95%
1/105 • 18 months
Nervous system disorders
headache
0.95%
1/105 • 18 months
Musculoskeletal and connective tissue disorders
ingrown toenail
0.95%
1/105 • 18 months
Musculoskeletal and connective tissue disorders
heel pain
0.95%
1/105 • 18 months
Musculoskeletal and connective tissue disorders
arthroplasty
2.9%
3/105 • 18 months
Musculoskeletal and connective tissue disorders
foot pain
0.95%
1/105 • 18 months
Musculoskeletal and connective tissue disorders
vertebral fracture
0.95%
1/105 • 18 months
Musculoskeletal and connective tissue disorders
osteoarthritis
2.9%
3/105 • 18 months
Musculoskeletal and connective tissue disorders
excision of bone spur
1.9%
2/105 • 18 months
Musculoskeletal and connective tissue disorders
knee replacement
0.95%
1/105 • 18 months
General disorders
sleep apnea
0.95%
1/105 • 18 months
Injury, poisoning and procedural complications
back pain
0.95%
1/105 • 18 months
Injury, poisoning and procedural complications
retinal injury
0.95%
1/105 • 18 months

Additional Information

Reina Villareal, MD

Michael E. DeBakey VA Medical Center

Phone: 713-794-7534

Results disclosure agreements

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