Trial Outcomes & Findings for Pilot Pharmacokinetic Study of Oral Testosterone Ester Formulations in Hypogonadal Men (NCT NCT02697188)

NCT ID: NCT02697188

Last Updated: 2018-11-01

Results Overview

The objective of the study was to determine the single day serum pharmacokinetic profile for two oral formulations of T-esters (one TE and one TU formulation) administered once- and twice-daily to hypogonadal men.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

12 participants

Primary outcome timeframe

Concentrations at -0.5, 0, 1, 2, 4, 8, 12, 13, 14, 16, 20, 24 and 34 hours post dose

Results posted on

2018-11-01

Participant Flow

Cross over study with 5 periods. Twelve subjects enrolled and completed 5 crossover periods each.

Participant milestones

Participant milestones
Measure
Testosterone Enanthate and Testosterone Undecanoate
Testosterone Enanthate Periods 1 and 5 Single-day dose as QD Period 1 and BID Period 5 Testosterone Undecanoate: Single-day dose as QD Period 2 and BID Periods 3 and 4
TE Period 1 - 400 mg QD
STARTED
12
TE Period 1 - 400 mg QD
COMPLETED
12
TE Period 1 - 400 mg QD
NOT COMPLETED
0
TU Period 2 - 200 mg QD
STARTED
12
TU Period 2 - 200 mg QD
COMPLETED
12
TU Period 2 - 200 mg QD
NOT COMPLETED
0
TU Period 3 - 200 mg BID
STARTED
12
TU Period 3 - 200 mg BID
COMPLETED
12
TU Period 3 - 200 mg BID
NOT COMPLETED
0
TU Period 4 - 400 BID
STARTED
12
TU Period 4 - 400 BID
COMPLETED
12
TU Period 4 - 400 BID
NOT COMPLETED
0
TE Period 5 - 800 mg BID
STARTED
12
TE Period 5 - 800 mg BID
COMPLETED
12
TE Period 5 - 800 mg BID
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pilot Pharmacokinetic Study of Oral Testosterone Ester Formulations in Hypogonadal Men

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Testosterone Enanthate and Testosterone Undecanoate
n=12 Participants
Period 1 - 400 mg T (as TE) QD Period 5 - 800 mg T (as TE) BID (400 mg/dose) Testosterone enanthate: Single-day dose for 2 of 5 crossover periods Period 2 - 200 mg T (as TU) QD Period 3 - 200 mg T (as TU) BID (100 mg/dose) Period 4 - 400 mg T (as TU) BID (200 mg/dose) Testosterone undecanoate: Single-day dose as QD or BID for 3 of 5 crossover periods
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
11 Participants
n=99 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
Age, Continuous
53 years
n=99 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
Sex: Female, Male
Male
12 Participants
n=99 Participants
Region of Enrollment
United States
12 participants
n=99 Participants

PRIMARY outcome

Timeframe: Concentrations at -0.5, 0, 1, 2, 4, 8, 12, 13, 14, 16, 20, 24 and 34 hours post dose

The objective of the study was to determine the single day serum pharmacokinetic profile for two oral formulations of T-esters (one TE and one TU formulation) administered once- and twice-daily to hypogonadal men.

Outcome measures

Outcome measures
Measure
Testosterone Enanthate and Testosterone Undecanoate
n=12 Participants
Period 1 - 400 mg T (as TE) QD Period 5 - 800 mg T (as TE) BID (400 mg/dose) Testosterone enanthate: Single-day dose for 2 of 5 crossover periods Period 2 - 200 mg T (as TU) QD Period 3 - 200 mg T (as TU) BID (100 mg/dose) Period 4 - 400 mg T (as TU) BID (200 mg/dose) Testosterone undecanoate: Single-day dose as QD or BID for 3 of 5 crossover periods
Mean Serum Testosterone Cavg
TE Period 1 400 mg QD
293 ng/dL
Standard Deviation 148
Mean Serum Testosterone Cavg
TU Period 2 200 mg QD
246 ng/dL
Standard Deviation 77
Mean Serum Testosterone Cavg
TU Period 3 100 mg BID
281 ng/dL
Standard Deviation 89
Mean Serum Testosterone Cavg
TU Period 4 200 mg BID
385 ng/dL
Standard Deviation 132
Mean Serum Testosterone Cavg
TE Period 5 400 mg BID
316 ng/dL
Standard Deviation 167

SECONDARY outcome

Timeframe: 24 hours post-dose in each period

The objective of the study was to determine the single day serum pharmacokinetic profile for two oral formulations of T-esters (one TE and one TU formulation) administered once- and twice-daily to hypogonadal men.

Outcome measures

Outcome measures
Measure
Testosterone Enanthate and Testosterone Undecanoate
n=12 Participants
Period 1 - 400 mg T (as TE) QD Period 5 - 800 mg T (as TE) BID (400 mg/dose) Testosterone enanthate: Single-day dose for 2 of 5 crossover periods Period 2 - 200 mg T (as TU) QD Period 3 - 200 mg T (as TU) BID (100 mg/dose) Period 4 - 400 mg T (as TU) BID (200 mg/dose) Testosterone undecanoate: Single-day dose as QD or BID for 3 of 5 crossover periods
Mean Serum Dihydrotestosterone Cmax
TE Period 1 400 mg QD
140 ng/dL
Standard Deviation 96
Mean Serum Dihydrotestosterone Cmax
TU Period 2 200 mg QD
122 ng/dL
Standard Deviation 66
Mean Serum Dihydrotestosterone Cmax
TU Period 3 100 mg BID
97.9 ng/dL
Standard Deviation 51.2
Mean Serum Dihydrotestosterone Cmax
TU Period 4 200 mg BID
114 ng/dL
Standard Deviation 58
Mean Serum Dihydrotestosterone Cmax
TE Period 5 400 mg BID
127 ng/dL
Standard Deviation 81

Adverse Events

Testosterone Enanthate 400 mg QD

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Testosterone Undecanoate 200 mg QD

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Testosterone Undecanoate 100 mg BID

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Testosterone Undecanoate 200 mg BID

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Testosterone Enanthate 400 mg BID

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Testosterone Enanthate 400 mg QD
n=12 participants at risk
Period 1: Testosterone Enanthate 400 mg QD
Testosterone Undecanoate 200 mg QD
n=12 participants at risk
Period 2: Testosterone Undecanoate 200 mg QD
Testosterone Undecanoate 100 mg BID
n=12 participants at risk
Period 3: Testosterone Undecanoate 100 mg BID
Testosterone Undecanoate 200 mg BID
n=12 participants at risk
Period 4: Testosterone Undecanoate 200 mg BID
Testosterone Enanthate 400 mg BID
n=12 participants at risk
Period 5: Testosterone Enanthate 400 mg BID
General disorders
headache
8.3%
1/12 • Number of events 1 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
16.7%
2/12 • Number of events 2 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
8.3%
1/12 • Number of events 1 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
Musculoskeletal and connective tissue disorders
Gout
8.3%
1/12 • Number of events 1 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
8.3%
1/12 • Number of events 1 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
Gastrointestinal disorders
indigestion
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
8.3%
1/12 • Number of events 1 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
General disorders
lethargic
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
8.3%
1/12 • Number of events 1 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
General disorders
night sweats
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
8.3%
1/12 • Number of events 1 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
Infections and infestations
upper respiratory tract infection
8.3%
1/12 • Number of events 1 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
16.7%
2/12 • Number of events 2 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
25.0%
3/12 • Number of events 3 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
33.3%
4/12 • Number of events 4 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
8.3%
1/12 • Number of events 1 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
Blood and lymphatic system disorders
Anemia
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
8.3%
1/12 • Number of events 1 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
0.00%
0/12 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.
8.3%
1/12 • Number of events 2 • Subjects received doses on 5 dosing days spanning approximately 4 weeks.

Additional Information

Theodore Danoff, MD, PhD

Clarus Therapeutics

Phone: 847-562-4300

Results disclosure agreements

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