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.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

181 participants

Primary outcome timeframe

3 months

Results posted on

2015-05-27

Participant Flow

Participant milestones

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

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

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 months

Population: 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

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 months

Population: 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

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

Serious events: 1 serious events
Other events: 21 other events
Deaths: 0 deaths

Androxal 25 mg

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

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

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

Jennifer Wike

Repros Therapeutics Inc

Phone: 2817193402

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