Trial Outcomes & Findings for Phase III Study to Evaluate Morning Testosterone Normalization in Overweight Men With Secondary Hypogonadism (NCT NCT01739595)
NCT ID: NCT01739595
Last Updated: 2015-05-27
Results Overview
Proportion (percent) of subjects with average serum concentration (Cavg) for T in the normal range (300 - 1040 ng/dL) after 12 weeks of treatment. Cavg was calculated as the numerical average of 24-hour serial testosterone assessments at 0, 1, 2, 3, 4, 6, 8, 12, 16 and 24 hours after dosing. If the lower limit of the 95% confidence interval for the Androxal treatment group at Week 12 is at least 67%, then the coprimary endpoint based on the Cavg for testosterone would have been achieved. FDA specified primary endpoint did not include comparison to placebo, thus the proportion of placebo subjects with average serum concentration (Cavg) for T in the normal range (300 - 1040 ng/dL) after 12 weeks of treatment was not calculated.
COMPLETED
PHASE3
181 participants
3 months
2015-05-27
Participant Flow
Participant milestones
| Measure |
Androxal 12.5 mg
Androxal (enclomiphene citrate), 12.5 mg oral capsules taken once daily
enclomiphene citrate: oral, capsules, taken one time daily, for 3 months
|
Androxal 25 mg
Androxal (enclomiphene citrate), 25 mg oral capsules taken once daily
enclomiphene citrate: oral, capsules, taken one time daily, for 3 months
|
Placebo
Placebo oral capsules taken one time daily
Placebo: Oral capsule taken one time daily for 3 months
|
|---|---|---|---|
|
Overall Study
STARTED
|
112
|
22
|
47
|
|
Overall Study
COMPLETED
|
99
|
21
|
45
|
|
Overall Study
NOT COMPLETED
|
13
|
1
|
2
|
Reasons for withdrawal
| Measure |
Androxal 12.5 mg
Androxal (enclomiphene citrate), 12.5 mg oral capsules taken once daily
enclomiphene citrate: oral, capsules, taken one time daily, for 3 months
|
Androxal 25 mg
Androxal (enclomiphene citrate), 25 mg oral capsules taken once daily
enclomiphene citrate: oral, capsules, taken one time daily, for 3 months
|
Placebo
Placebo oral capsules taken one time daily
Placebo: Oral capsule taken one time daily for 3 months
|
|---|---|---|---|
|
Overall Study
Adverse Event
|
3
|
0
|
0
|
|
Overall Study
Lost to Follow-up
|
2
|
0
|
0
|
|
Overall Study
Withdrawal by Subject
|
2
|
1
|
2
|
|
Overall Study
Eligibility issue
|
3
|
0
|
0
|
|
Overall Study
Protocol Violation
|
1
|
0
|
0
|
|
Overall Study
Lab assessment
|
1
|
0
|
0
|
|
Overall Study
Drug discrepancy
|
1
|
0
|
0
|
Baseline Characteristics
Phase III Study to Evaluate Morning Testosterone Normalization in Overweight Men With Secondary Hypogonadism
Baseline characteristics by cohort
| Measure |
Androxal 12.5 mg
n=112 Participants
Androxal (enclomiphene citrate), 12.5 mg oral capsules taken once daily
enclomiphene citrate: oral, capsules, taken one time daily, for 3 months
|
Androxal 25 mg
n=22 Participants
Androxal (enclomiphene citrate), 25 mg oral capsules taken once daily
enclomiphene citrate: oral, capsules, taken one time daily, for 3 months
|
Placebo
n=47 Participants
Placebo oral capsules taken one time daily
Placebo: Oral capsule taken one time daily for 3 months
|
Total
n=181 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Continuous
|
44.6 years
STANDARD_DEVIATION 9.6 • n=99 Participants
|
45.8 years
STANDARD_DEVIATION 8.6 • n=107 Participants
|
43.6 years
STANDARD_DEVIATION 10.5 • n=206 Participants
|
44.5 years
STANDARD_DEVIATION 9.7 • n=7 Participants
|
|
Sex: Female, Male
Female
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
0 Participants
n=7 Participants
|
|
Sex: Female, Male
Male
|
112 Participants
n=99 Participants
|
22 Participants
n=107 Participants
|
47 Participants
n=206 Participants
|
181 Participants
n=7 Participants
|
|
Region of Enrollment
United States
|
112 participants
n=99 Participants
|
22 participants
n=107 Participants
|
47 participants
n=206 Participants
|
181 participants
n=7 Participants
|
PRIMARY outcome
Timeframe: 3 monthsPopulation: ITT population.
Proportion (percent) of subjects with average serum concentration (Cavg) for T in the normal range (300 - 1040 ng/dL) after 12 weeks of treatment. Cavg was calculated as the numerical average of 24-hour serial testosterone assessments at 0, 1, 2, 3, 4, 6, 8, 12, 16 and 24 hours after dosing. If the lower limit of the 95% confidence interval for the Androxal treatment group at Week 12 is at least 67%, then the coprimary endpoint based on the Cavg for testosterone would have been achieved. FDA specified primary endpoint did not include comparison to placebo, thus the proportion of placebo subjects with average serum concentration (Cavg) for T in the normal range (300 - 1040 ng/dL) after 12 weeks of treatment was not calculated.
Outcome measures
| Measure |
Androxal Subjects Pooled
n=134 Participants
Androxal (enclomiphene citrate), 12.5 mg or 25 mg oral capsules taken once daily
enclomiphene citrate: oral, capsules, taken one time daily, for 3 months
|
Placebo
Placebo oral capsules taken one time daily
Placebo: Oral capsule taken one time daily for 3 months
|
|---|---|---|
|
Subjects With Testosterone in Normal Range After Treatment
|
81.3 Percentage of Subjects
Interval 73.9 to 87.0
|
—
|
PRIMARY outcome
Timeframe: 3 monthsPopulation: ITT
Proportion of subjects with a 50% or greater decrease in sperm concentration from baseline after 12 weeks of treatment in Androxal treated subjects to placebo. The difference between the proportions (placebo minus Androxal) and corresponding 95% confidence interval was determined and compared to the equivalence limit of -20%. If the lower limit of the 95% confidence interval was greater than -20%, then Androxal would be concluded to be non-inferior to placebo in causing a 50% reduction in sperm concentrations.
Outcome measures
| Measure |
Androxal Subjects Pooled
n=134 Participants
Androxal (enclomiphene citrate), 12.5 mg or 25 mg oral capsules taken once daily
enclomiphene citrate: oral, capsules, taken one time daily, for 3 months
|
Placebo
n=47 Participants
Placebo oral capsules taken one time daily
Placebo: Oral capsule taken one time daily for 3 months
|
|---|---|---|
|
Change in Sperm Concentration
|
14.2 percentage of subjects
|
4.3 percentage of subjects
|
Adverse Events
Androxal 12.5 mg
Androxal 25 mg
Placebo
Serious adverse events
| Measure |
Androxal 12.5 mg
n=112 participants at risk
Androxal (enclomiphene citrate), 12.5 mg oral capsules taken once daily
enclomiphene citrate: oral, capsules, taken one time daily, for 3 months
|
Androxal 25 mg
n=22 participants at risk
Androxal (enclomiphene citrate), 25 mg oral capsules taken once daily
enclomiphene citrate: oral, capsules, taken one time daily, for 3 months
|
Placebo
n=47 participants at risk
Placebo oral capsules taken one time daily
Placebo: Oral capsule taken one time daily for 3 months
|
|---|---|---|---|
|
Gastrointestinal disorders
Abdominal pain
|
0.89%
1/112 • Number of events 1
|
0.00%
0/22
|
0.00%
0/47
|
|
Gastrointestinal disorders
Diarrhoea
|
0.89%
1/112 • Number of events 1
|
0.00%
0/22
|
0.00%
0/47
|
|
Gastrointestinal disorders
Vomiting
|
0.89%
1/112 • Number of events 1
|
0.00%
0/22
|
0.00%
0/47
|
|
General disorders
Asthenia
|
0.89%
1/112 • Number of events 1
|
0.00%
0/22
|
0.00%
0/47
|
Other adverse events
| Measure |
Androxal 12.5 mg
n=112 participants at risk
Androxal (enclomiphene citrate), 12.5 mg oral capsules taken once daily
enclomiphene citrate: oral, capsules, taken one time daily, for 3 months
|
Androxal 25 mg
n=22 participants at risk
Androxal (enclomiphene citrate), 25 mg oral capsules taken once daily
enclomiphene citrate: oral, capsules, taken one time daily, for 3 months
|
Placebo
n=47 participants at risk
Placebo oral capsules taken one time daily
Placebo: Oral capsule taken one time daily for 3 months
|
|---|---|---|---|
|
Skin and subcutaneous tissue disorders
Rash papular
|
0.00%
0/112
|
4.5%
1/22
|
0.00%
0/47
|
|
Gastrointestinal disorders
Nausea
|
3.6%
4/112
|
4.5%
1/22
|
6.4%
3/47
|
|
Gastrointestinal disorders
Hiatus hernia
|
0.00%
0/112
|
4.5%
1/22
|
0.00%
0/47
|
|
General disorders
Fatigue
|
1.8%
2/112
|
4.5%
1/22
|
4.3%
2/47
|
|
General disorders
Pyrexia
|
0.00%
0/112
|
4.5%
1/22
|
0.00%
0/47
|
|
Infections and infestations
Body tinea
|
0.00%
0/112
|
4.5%
1/22
|
0.00%
0/47
|
|
Infections and infestations
Infection
|
0.00%
0/112
|
4.5%
1/22
|
0.00%
0/47
|
|
Infections and infestations
Influenza
|
0.00%
0/112
|
4.5%
1/22
|
0.00%
0/47
|
|
Gastrointestinal disorders
Vomiting
|
1.8%
2/112
|
4.5%
1/22
|
4.3%
2/47
|
|
Infections and infestations
URI
|
4.5%
5/112
|
0.00%
0/22
|
2.1%
1/47
|
|
Infections and infestations
Sinusitis
|
0.00%
0/112
|
4.5%
1/22
|
2.1%
1/47
|
|
Investigations
Blood testosterone decreased
|
0.00%
0/112
|
4.5%
1/22
|
0.00%
0/47
|
|
Investigations
Blood triglycerides increased
|
0.00%
0/112
|
4.5%
1/22
|
0.00%
0/47
|
|
Investigations
Hemoglobin increased
|
0.00%
0/112
|
4.5%
1/22
|
0.00%
0/47
|
|
Investigations
Weight decreased
|
0.00%
0/112
|
4.5%
1/22
|
0.00%
0/47
|
|
Metabolism and nutrition disorders
Decreased appetite
|
0.00%
0/112
|
4.5%
1/22
|
0.00%
0/47
|
|
Nervous system disorders
Headache
|
6.2%
7/112
|
0.00%
0/22
|
2.1%
1/47
|
|
Skin and subcutaneous tissue disorders
Night sweats
|
0.89%
1/112
|
4.5%
1/22
|
0.00%
0/47
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee Prior to publication, Investigator shall submit to the Sponsor a copy of any proposed publication. Sponsor shall have sixty (60) days to review the proposed publication for possible disclosure of Sponsor's Confidential Information and, upon request of Sponsor, Investigator shall delete any of Sponsor's Confidential Information or withhold submission of such publication to allow Sponsor to protect its intellectual property rights
- Publication restrictions are in place
Restriction type: OTHER