Androgens, Hypogonadism
Conditions
Brief summary
In this study we have evaluated the effects of three different doses of oral testosterone undecanoate in aging men presenting with a combination of symptoms suggestive of hypogonadism and low blood levels of the male hormone testosterone. Specifically, we have studied the effects on: * symptoms suggestive of low testosterone levels * blood testosterone and other hormone levels * bone mass * muscle mass and fat mass * muscle strength * prostate * lipids, hematocrit
Interventions
treatment for 12 months with oral TU 80 mg/d, oral TU 160 mg/d or oral TU 240 mg/d in divided doses
treatment for 12 months with placebo in divided doses
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects were at least 50 years of age * A body mass index (BMI) between 18 and 34 kg/m\^2 * Symptoms of androgen deficiency (as indicated by a positive Androgen Deficiency in Aging Males (ADAM) questionnaire) * Calculated free testosterone measurement of \<0.26 nmol/L in the morning
Exclusion criteria
* History or current diagnosis of breast or prostate cancer * any clinically significant abnormal finding on physical examination including the prostate * Clinical symptoms of obstructive benign prostate hyperplasia (International Prostate Symptom Score (IPSS) \>14) * Prostate specific antigen (PSA) level \> 4 ng/mL at screening * Cause of androgen deficiency other than aging, e.g. 'classical' diagnosis of primary or secondary hypogonadism * Hyperprolactinaemia or treatment with prolactin-lowering drugs * History of known chronic polycythemia and/or hematocrit \>50% at screening * History or presence of severe sleep apnea * Unstable or untreated endocrine disorders * History or presence of clinically significant depression or other psychiatric disorder or any clinically relevant cardiovascular, cerebrovascular, endocrine, hepatic, renal or hematological disease, thromboembolism/thrombosis etc. which, in the opinion of the investigator, might compromise the subject's participation in the trial * Use of medication that would interfere with the efficacy and safety objectives of the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline on the total score of the AMS rating scale | Month 6 |
Secondary
| Measure | Time frame |
|---|---|
| Effects on AMS rating scale, bone mineral density, bone markers, muscle and fat mass, muscle strength, hematocrit, endocrine parameters, PSA, IPSS and lipids | Month 12 |