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A Multicenter Extension Trial to Evaluate the Safety of Testosterone Gel

A Multicenter Extension Trial to Evaluate the Safety of FE 999303 (Testosterone Gel) in Adult Hypogonadal Males

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01703741
Enrollment
145
Registered
2012-10-10
Start date
2012-12-31
Completion date
2013-10-31
Last updated
2017-10-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Adult Male Hypogonadism

Brief summary

This is a multicenter extension trial in adult hypogonadal males. The purpose of this study is to evaluate the safety of testosterone gel delivered using an applicator over an extended period of time.

Interventions

DRUGTestosterone Gel (FE 999093)

Sponsors

Ferring Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Completion of the Phase 3 protocol (NCT01665599)

Exclusion criteria

* Use of another investigational product * Use of any medications that could be considered anabolic or interfere with androgen metabolism * Use of estrogens, gonadotropin releasing hormone agonists/antagonists, antiandrogens, or human growth hormone * Use of another testosterone product * Chronic use of any drug of abuse

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Subjects With a Serum Total Testosterone Level - Maximum Observed Concentration (Cmax) of 1500-1799, 1800-2499, or Above 2500 ng/dLSamples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)Measurement of total testosterone level occur after subjects have been on a stabilized dose of testosterone gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.

Secondary

MeasureTime frameDescription
Domain Scores for the International Index of Erectile Function (IIEF) QuestionnaireAt Month 6Data collected from the five domains of sexual functions were summarized by descriptive statistics. The domains are: 1. Erectile function (6 items, questions 1-5 and 15) (Score range: 1-30) 2. Orgasmic function (2 items, questions 9-10) (Score range: 0-10) 3. Sexual desire (2 items, questions 11-12) (Score range: 2-10) 4. Intercourse satisfaction (3 items, questions 6-8) (Score range: 0-15) 5. Overall satisfaction (2 items, questions 13-14) (Score range: 2-10) A score of 0-5 is awarded to questions 1-10 and a score of 1-5 is awarded to questions 11-15. Low score indicates severe dysfunction and a high score indicates no dysfunction in sexual function, in each domain.
Percentage of Subjects With a Negative Androgen Deficiency in the Aging Male (ADAM) QuestionnaireAt Month 6In ADAM questionnaire, subjects had to respond in yes or no to 10 questions. A positive result (with severity and symptoms of low testosterone) on the questionnaire was defined as an affirmative answer (yes) to questions 1 or 7, or to any 3 other questions. The data were presented using descriptive statistics.
Domain Scores for the Multidimensional Assessments of Fatigue (MAF) QuestionnaireAt Month 6The MAF contains four sub-domains: 1. Severity (2 items, questions 1-2) (Score range: 2-20) 2. Distress (1 item, question 3) (Score range: 1-10) 3. Degree of interference in activities of daily living (11 items, questions 4-14) (Score range: 11-110) 4. Timing (2 items, questions 15-16) (Score range: 5-20) A score of 1-10 is awarded to each of the 14 questions across the 3 domains. The timing domain is categorical and was converted to 1-10 scale by multiplying each score by 2.5. Lower score in each domain indicates improvement in fatigue. To calculate GFI : Score of question 15 is converted to a 0-10 scale by multiplying each score by 2.5 and then sum scores of questions 1, 2, 3, average of 4-14, and newly scored question 15. A score of zero is assigned to question 2-16, if patient select 'no fatigue' to question 1. Question 16 is not included in GFI calculation. Range of GFI: 1 (no fatigue) to 50 (severe fatigue). The data were presented using descriptive statistics.
Domain Scores for the Short Form-12 (SF-12) QuestionnaireAt Month 6Data collected from the SF-12 questionnaire was used to assess improvement in the psychometrically-based physical component summary (PCS) and mental component summary (MCS). Both PCS and MCS contains four sub-domains: PCS: General Health (1 item), Physical Functioning (2 items), Role-Physical (2 items), Bodily Pain (1 item) MCS: Role-Emotional (2 items), Mental Health (2 items), Vitality (1 item), Social Functioning (1 item) The scale scores are calculated by summing responses across scale items and then transforming these raw scores to a 0-100 scale. Computerized scoring algorithms are used to produce norm-based scores for each scale (mean of 50 and SD of 10) as well as the PCS and MCS summary scores. A zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health. The data were presented using descriptive statistics.
Percentage of Subjects With a Serum Total Testosterone Level of 1500-1799, 1800-2499, or Above 2500 ng/dLAt Month 3The data were presented using descriptive statistics.
Percentage of Subjects With a Serum Total Testosterone Level (Average Steady State Concentration [Cave]) Between 300 and 1050 ng/dL.Samples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)Measurement of total testosterone level occur after subjects have been on a stabilized dose of testosterone gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.
Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and DihydrotestosteroneSamples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)Measurement of total testosterone and DHT levels occur after subjects have been on a stabilized dose of Testosterone Gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.
Maximum Concentration Observed (Cmax) for Total Testosterone and DihydrotestosteroneSamples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)Measurement of total testosterone and DHT levels occur after subjects have been on a stabilized dose of Testosterone Gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.
Minimum Concentration Observed (Cmin) for Total Testosterone and DihydrotestosteroneSamples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)Measurement of total testosterone and DHT levels occur after subjects have been on a stabilized dose of Testosterone Gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.
Average Concentration (Cave) for Total Testosterone and DihydrotestosteroneSamples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)Measurement of total testosterone and DHT levels occur after subjects have been on a stabilized dose of Testosterone Gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.
Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and DihydrotestosteroneSamples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)Measurement of total testosterone and DHT levels occur after subjects have been on a stabilized dose of Testosterone Gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.

Countries

Canada, United States

Participant flow

Recruitment details

Subjects were recruited from 16 study centers in United States and 2 study centers in Canada.

Pre-assignment details

Of the 172 subjects who completed study 000023 (NCT01665599), 145 subjects were enrolled into this extension study and continued to receive treatment (23 mg, 46 mg or 69 mg).

Participants by arm

ArmCount
Testosterone Gel (FE 999303)
Subjects received testosterone gel with initial dose as fixed on Day 56 (23 mg, 46 mg or 69 mg) during the 000023 study. The dose could further be down titrated based on serum testosterone levels at Day 90/91 of 000023 study. Testosterone gel was applied daily in morning using an applicator, to the shoulder/upper arm in a contralateral fashion for 6 months.
145
Total145

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event2
Overall StudyLost to Follow-up3
Overall StudyPhysician Decision2
Overall StudyProtocol Violation1
Overall StudySubject cannot comply with study visits1
Overall StudySubject did not want to continue2
Overall StudySubject started testosterone injections1
Overall StudyWithdrawal by Subject6

Baseline characteristics

CharacteristicTestosterone Gel (FE 999303)
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
29 Participants
Age, Categorical
Between 18 and 65 years
116 Participants
Age, Continuous57.1 years
STANDARD_DEVIATION 9.4
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
133 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
Race (NIH/OMB)
Asian
2 Participants
Race (NIH/OMB)
Black or African American
14 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
Race (NIH/OMB)
White
127 Participants
Sex: Female, Male
Female
0 Participants
Sex: Female, Male
Male
145 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
28 / 145
serious
Total, serious adverse events
1 / 145

Outcome results

Primary

Percentage of Subjects With a Serum Total Testosterone Level - Maximum Observed Concentration (Cmax) of 1500-1799, 1800-2499, or Above 2500 ng/dL

Measurement of total testosterone level occur after subjects have been on a stabilized dose of testosterone gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.

Time frame: Samples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)

Population: PP analysis population was used which comprises data from subjects who had 24 hr PK data for testosterone, with no major protocol violations.

ArmMeasureGroupValue (NUMBER)
Testosterone Gel (FE 999303)Percentage of Subjects With a Serum Total Testosterone Level - Maximum Observed Concentration (Cmax) of 1500-1799, 1800-2499, or Above 2500 ng/dLTotal testosterone level between 1500-1799 ng/dL5.7 percentage of subjects
Testosterone Gel (FE 999303)Percentage of Subjects With a Serum Total Testosterone Level - Maximum Observed Concentration (Cmax) of 1500-1799, 1800-2499, or Above 2500 ng/dLTotal testosterone level above 2500 ng/dL2.8 percentage of subjects
Testosterone Gel (FE 999303)Percentage of Subjects With a Serum Total Testosterone Level - Maximum Observed Concentration (Cmax) of 1500-1799, 1800-2499, or Above 2500 ng/dLTotal testosterone level between 1800-2499 ng/dL2.8 percentage of subjects
Secondary

Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and Dihydrotestosterone

Measurement of total testosterone and DHT levels occur after subjects have been on a stabilized dose of Testosterone Gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.

Time frame: Samples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)

Population: PP analysis population was used which comprises data from subjects who had 24 hr PK data for testosterone, with no major protocol violations.

ArmMeasureGroupValue (MEAN)Dispersion
Testosterone Gel (FE 999303)Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and DihydrotestosteroneTotal testosterone at 23 mg7732 ng*hr/dLStandard Deviation 1874
Testosterone Gel (FE 999303)Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and DihydrotestosteroneTotal testosterone at 46 mg10583 ng*hr/dLStandard Deviation 3863
Testosterone Gel (FE 999303)Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and DihydrotestosteroneTotal testosterone at 69 mg10842 ng*hr/dLStandard Deviation 3927
Testosterone Gel (FE 999303)Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 46 mg1675 ng*hr/dLStandard Deviation 944
Testosterone Gel (FE 999303)Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 69 mg1751 ng*hr/dLStandard Deviation 801
Testosterone Gel (FE 999303)Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and DihydrotestosteroneTotal testosterone all doses10451 ng*hr/dLStandard Deviation 3836
Testosterone Gel (FE 999303)Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 23 mg1361 ng*hr/dLStandard Deviation 233
Testosterone Gel (FE 999303)Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and DihydrotestosteroneDihydrotestosterone all doses1685 ng*hr/dLStandard Deviation 827
Secondary

Average Concentration (Cave) for Total Testosterone and Dihydrotestosterone

Measurement of total testosterone and DHT levels occur after subjects have been on a stabilized dose of Testosterone Gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.

Time frame: Samples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)

Population: PP analysis population was used which comprises data from subjects who had 24 hr PK data for testosterone, with no major protocol violations.

ArmMeasureGroupValue (MEAN)Dispersion
Testosterone Gel (FE 999303)Average Concentration (Cave) for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 46 mg69.3 ng/dLStandard Deviation 39.5
Testosterone Gel (FE 999303)Average Concentration (Cave) for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 69 mg72.4 ng/dLStandard Deviation 33.4
Testosterone Gel (FE 999303)Average Concentration (Cave) for Total Testosterone and DihydrotestosteroneDihydrotestosterone all doses69.7 ng/dLStandard Deviation 34.5
Testosterone Gel (FE 999303)Average Concentration (Cave) for Total Testosterone and DihydrotestosteroneTotal testosterone at 23 mg322 ng/dLStandard Deviation 78
Testosterone Gel (FE 999303)Average Concentration (Cave) for Total Testosterone and DihydrotestosteroneTotal testosterone at 46 mg438 ng/dLStandard Deviation 161
Testosterone Gel (FE 999303)Average Concentration (Cave) for Total Testosterone and DihydrotestosteroneTotal testosterone at 69 mg449 ng/dLStandard Deviation 165
Testosterone Gel (FE 999303)Average Concentration (Cave) for Total Testosterone and DihydrotestosteroneTotal testosterone all doses433 ng/dLStandard Deviation 160
Testosterone Gel (FE 999303)Average Concentration (Cave) for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 23 mg56.6 ng/dLStandard Deviation 9.6
Secondary

Domain Scores for the International Index of Erectile Function (IIEF) Questionnaire

Data collected from the five domains of sexual functions were summarized by descriptive statistics. The domains are: 1. Erectile function (6 items, questions 1-5 and 15) (Score range: 1-30) 2. Orgasmic function (2 items, questions 9-10) (Score range: 0-10) 3. Sexual desire (2 items, questions 11-12) (Score range: 2-10) 4. Intercourse satisfaction (3 items, questions 6-8) (Score range: 0-15) 5. Overall satisfaction (2 items, questions 13-14) (Score range: 2-10) A score of 0-5 is awarded to questions 1-10 and a score of 1-5 is awarded to questions 11-15. Low score indicates severe dysfunction and a high score indicates no dysfunction in sexual function, in each domain.

Time frame: At Month 6

Population: ITT population was used which consists of all subjects who received at least one dose of the IMP. Of 145 treated subjects, 127 had available IIEF questionnaire results.

ArmMeasureGroupValue (MEAN)Dispersion
Testosterone Gel (FE 999303)Domain Scores for the International Index of Erectile Function (IIEF) QuestionnaireOverall satisfaction domain6.7 units on a scaleStandard Deviation 2.3
Testosterone Gel (FE 999303)Domain Scores for the International Index of Erectile Function (IIEF) QuestionnaireErectile function domain19.8 units on a scaleStandard Deviation 7.9
Testosterone Gel (FE 999303)Domain Scores for the International Index of Erectile Function (IIEF) QuestionnaireOrgasmic function domain7.3 units on a scaleStandard Deviation 3.2
Testosterone Gel (FE 999303)Domain Scores for the International Index of Erectile Function (IIEF) QuestionnaireSexual desire domain7.0 units on a scaleStandard Deviation 1.8
Testosterone Gel (FE 999303)Domain Scores for the International Index of Erectile Function (IIEF) QuestionnaireIntercourse satisfaction domain8.7 units on a scaleStandard Deviation 4.4
Secondary

Domain Scores for the Multidimensional Assessments of Fatigue (MAF) Questionnaire

The MAF contains four sub-domains: 1. Severity (2 items, questions 1-2) (Score range: 2-20) 2. Distress (1 item, question 3) (Score range: 1-10) 3. Degree of interference in activities of daily living (11 items, questions 4-14) (Score range: 11-110) 4. Timing (2 items, questions 15-16) (Score range: 5-20) A score of 1-10 is awarded to each of the 14 questions across the 3 domains. The timing domain is categorical and was converted to 1-10 scale by multiplying each score by 2.5. Lower score in each domain indicates improvement in fatigue. To calculate GFI : Score of question 15 is converted to a 0-10 scale by multiplying each score by 2.5 and then sum scores of questions 1, 2, 3, average of 4-14, and newly scored question 15. A score of zero is assigned to question 2-16, if patient select 'no fatigue' to question 1. Question 16 is not included in GFI calculation. Range of GFI: 1 (no fatigue) to 50 (severe fatigue). The data were presented using descriptive statistics.

Time frame: At Month 6

Population: ITT population was used which consists of all subjects who received at least one dose of the IMP. Of 145 treated subjects, 127 had available MAF questionnaire results.

ArmMeasureGroupValue (MEAN)Dispersion
Testosterone Gel (FE 999303)Domain Scores for the Multidimensional Assessments of Fatigue (MAF) QuestionnaireDegree of interference in daily activities28.3 units on a scaleStandard Deviation 19.6
Testosterone Gel (FE 999303)Domain Scores for the Multidimensional Assessments of Fatigue (MAF) QuestionnaireSeverity domain6.6 units on a scaleStandard Deviation 5
Testosterone Gel (FE 999303)Domain Scores for the Multidimensional Assessments of Fatigue (MAF) QuestionnaireDistress domain2.8 units on a scaleStandard Deviation 2.3
Testosterone Gel (FE 999303)Domain Scores for the Multidimensional Assessments of Fatigue (MAF) QuestionnaireTiming domain10.1 units on a scaleStandard Deviation 3.2
Testosterone Gel (FE 999303)Domain Scores for the Multidimensional Assessments of Fatigue (MAF) QuestionnaireGlobal fatigue index score15.3 units on a scaleStandard Deviation 11.2
Secondary

Domain Scores for the Short Form-12 (SF-12) Questionnaire

Data collected from the SF-12 questionnaire was used to assess improvement in the psychometrically-based physical component summary (PCS) and mental component summary (MCS). Both PCS and MCS contains four sub-domains: PCS: General Health (1 item), Physical Functioning (2 items), Role-Physical (2 items), Bodily Pain (1 item) MCS: Role-Emotional (2 items), Mental Health (2 items), Vitality (1 item), Social Functioning (1 item) The scale scores are calculated by summing responses across scale items and then transforming these raw scores to a 0-100 scale. Computerized scoring algorithms are used to produce norm-based scores for each scale (mean of 50 and SD of 10) as well as the PCS and MCS summary scores. A zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health. The data were presented using descriptive statistics.

Time frame: At Month 6

Population: ITT population was used which consists of all the subjects who received at least one dose of the IMP. Of 145 treated subjects, 127 had available SF-12 questionnaire results.

ArmMeasureGroupValue (MEAN)Dispersion
Testosterone Gel (FE 999303)Domain Scores for the Short Form-12 (SF-12) QuestionnairePhysical functioning domain51.7 units on a scaleStandard Deviation 8.6
Testosterone Gel (FE 999303)Domain Scores for the Short Form-12 (SF-12) QuestionnaireRole-physical domain50.2 units on a scaleStandard Deviation 8.4
Testosterone Gel (FE 999303)Domain Scores for the Short Form-12 (SF-12) QuestionnaireBodily pain domain51.1 units on a scaleStandard Deviation 8.9
Testosterone Gel (FE 999303)Domain Scores for the Short Form-12 (SF-12) QuestionnairePhysical component summary51.9 units on a scaleStandard Deviation 8.1
Testosterone Gel (FE 999303)Domain Scores for the Short Form-12 (SF-12) QuestionnaireMental health domain52.7 units on a scaleStandard Deviation 8
Testosterone Gel (FE 999303)Domain Scores for the Short Form-12 (SF-12) QuestionnaireSocial functioning domain51.2 units on a scaleStandard Deviation 8.8
Testosterone Gel (FE 999303)Domain Scores for the Short Form-12 (SF-12) QuestionnaireGeneral health domain54.3 units on a scaleStandard Deviation 8.2
Testosterone Gel (FE 999303)Domain Scores for the Short Form-12 (SF-12) QuestionnaireRole-emotional domain48.8 units on a scaleStandard Deviation 9.1
Testosterone Gel (FE 999303)Domain Scores for the Short Form-12 (SF-12) QuestionnaireVitality domain53.1 units on a scaleStandard Deviation 9.1
Testosterone Gel (FE 999303)Domain Scores for the Short Form-12 (SF-12) QuestionnaireMental component summary51.2 units on a scaleStandard Deviation 8.3
Secondary

Maximum Concentration Observed (Cmax) for Total Testosterone and Dihydrotestosterone

Measurement of total testosterone and DHT levels occur after subjects have been on a stabilized dose of Testosterone Gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.

Time frame: Samples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)

Population: PP analysis population was used which comprises data from subjects who had 24 hr PK data for testosterone, with no major protocol violations.

ArmMeasureGroupValue (MEAN)Dispersion
Testosterone Gel (FE 999303)Maximum Concentration Observed (Cmax) for Total Testosterone and DihydrotestosteroneTotal testosterone at 23 mg747 ng/dLStandard Deviation 236
Testosterone Gel (FE 999303)Maximum Concentration Observed (Cmax) for Total Testosterone and DihydrotestosteroneTotal testosterone at 46 mg1085 ng/dLStandard Deviation 742
Testosterone Gel (FE 999303)Maximum Concentration Observed (Cmax) for Total Testosterone and DihydrotestosteroneTotal testosterone at 69 mg999 ng/dLStandard Deviation 525
Testosterone Gel (FE 999303)Maximum Concentration Observed (Cmax) for Total Testosterone and DihydrotestosteroneTotal testosterone all doses1008 ng/dLStandard Deviation 602
Testosterone Gel (FE 999303)Maximum Concentration Observed (Cmax) for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 23 mg88.7 ng/dLStandard Deviation 21
Testosterone Gel (FE 999303)Maximum Concentration Observed (Cmax) for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 46 mg111 ng/dLStandard Deviation 56
Testosterone Gel (FE 999303)Maximum Concentration Observed (Cmax) for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 69 mg114 ng/dLStandard Deviation 62
Testosterone Gel (FE 999303)Maximum Concentration Observed (Cmax) for Total Testosterone and DihydrotestosteroneDihydrotestosterone all doses111 ng/dLStandard Deviation 57
Secondary

Minimum Concentration Observed (Cmin) for Total Testosterone and Dihydrotestosterone

Measurement of total testosterone and DHT levels occur after subjects have been on a stabilized dose of Testosterone Gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.

Time frame: Samples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)

Population: PP analysis population was used which comprises data from subjects who had 24 hr PK data for testosterone, with no major protocol violations.

ArmMeasureGroupValue (MEAN)Dispersion
Testosterone Gel (FE 999303)Minimum Concentration Observed (Cmin) for Total Testosterone and DihydrotestosteroneTotal testosterone all doses207 ng/dLStandard Deviation 101
Testosterone Gel (FE 999303)Minimum Concentration Observed (Cmin) for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 23 mg34.8 ng/dLStandard Deviation 7.5
Testosterone Gel (FE 999303)Minimum Concentration Observed (Cmin) for Total Testosterone and DihydrotestosteroneTotal testosterone at 23 mg162 ng/dLStandard Deviation 65
Testosterone Gel (FE 999303)Minimum Concentration Observed (Cmin) for Total Testosterone and DihydrotestosteroneTotal testosterone at 46 mg201 ng/dLStandard Deviation 98
Testosterone Gel (FE 999303)Minimum Concentration Observed (Cmin) for Total Testosterone and DihydrotestosteroneTotal testosterone at 69 mg219 ng/dLStandard Deviation 106
Testosterone Gel (FE 999303)Minimum Concentration Observed (Cmin) for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 46 mg43.5 ng/dLStandard Deviation 32.8
Testosterone Gel (FE 999303)Minimum Concentration Observed (Cmin) for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 69 mg44.8 ng/dLStandard Deviation 26.9
Testosterone Gel (FE 999303)Minimum Concentration Observed (Cmin) for Total Testosterone and DihydrotestosteroneDihydrotestosterone all doses43.4 ng/dLStandard Deviation 28.1
Secondary

Percentage of Subjects With a Negative Androgen Deficiency in the Aging Male (ADAM) Questionnaire

In ADAM questionnaire, subjects had to respond in yes or no to 10 questions. A positive result (with severity and symptoms of low testosterone) on the questionnaire was defined as an affirmative answer (yes) to questions 1 or 7, or to any 3 other questions. The data were presented using descriptive statistics.

Time frame: At Month 6

Population: ITT population was used which consists of all the subjects who received at least one dose of the IMP. Of 145 treated subjects, 127 had available ADAM questionnaire results.

ArmMeasureValue (NUMBER)
Testosterone Gel (FE 999303)Percentage of Subjects With a Negative Androgen Deficiency in the Aging Male (ADAM) Questionnaire44.1 percentage of subjects
Secondary

Percentage of Subjects With a Serum Total Testosterone Level (Average Steady State Concentration [Cave]) Between 300 and 1050 ng/dL.

Measurement of total testosterone level occur after subjects have been on a stabilized dose of testosterone gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.

Time frame: Samples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)

Population: PP analysis population was used which comprises data from subjects who had 24 hr PK data for testosterone, with no major protocol violations.

ArmMeasureValue (NUMBER)
Testosterone Gel (FE 999303)Percentage of Subjects With a Serum Total Testosterone Level (Average Steady State Concentration [Cave]) Between 300 and 1050 ng/dL.82.1 percentage of subjects
Secondary

Percentage of Subjects With a Serum Total Testosterone Level of 1500-1799, 1800-2499, or Above 2500 ng/dL

The data were presented using descriptive statistics.

Time frame: At Month 6

Population: PP analysis population was used which comprises data from subjects who had 24 hr PK data for testosterone, with no major protocol violations.

ArmMeasureGroupValue (NUMBER)
Testosterone Gel (FE 999303)Percentage of Subjects With a Serum Total Testosterone Level of 1500-1799, 1800-2499, or Above 2500 ng/dLTotal testosterone level above 2500 ng/dL1.9 percentage of subjects
Testosterone Gel (FE 999303)Percentage of Subjects With a Serum Total Testosterone Level of 1500-1799, 1800-2499, or Above 2500 ng/dLTotal testosterone level between 1500-1799 ng/dL6.7 percentage of subjects
Testosterone Gel (FE 999303)Percentage of Subjects With a Serum Total Testosterone Level of 1500-1799, 1800-2499, or Above 2500 ng/dLTotal testosterone level between 1800-2499 ng/dL2.9 percentage of subjects
Secondary

Percentage of Subjects With a Serum Total Testosterone Level of 1500-1799, 1800-2499, or Above 2500 ng/dL

The data were presented using descriptive statistics.

Time frame: At Month 3

Population: PP analysis population was used which comprises data from subjects who had 24 hr PK data for testosterone, with no major protocol violations.

ArmMeasureGroupValue (NUMBER)
Testosterone Gel (FE 999303)Percentage of Subjects With a Serum Total Testosterone Level of 1500-1799, 1800-2499, or Above 2500 ng/dLTotal testosterone level between 1500-1799 ng/dL6.6 percentage of subjects
Testosterone Gel (FE 999303)Percentage of Subjects With a Serum Total Testosterone Level of 1500-1799, 1800-2499, or Above 2500 ng/dLTotal testosterone level between 1800-2499 ng/dL5.7 percentage of subjects
Testosterone Gel (FE 999303)Percentage of Subjects With a Serum Total Testosterone Level of 1500-1799, 1800-2499, or Above 2500 ng/dLTotal testosterone level above 2500 ng/dL2.8 percentage of subjects
Secondary

Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and Dihydrotestosterone

Measurement of total testosterone and DHT levels occur after subjects have been on a stabilized dose of Testosterone Gel for at least one month in the period between Month 3 and Month 6. The data were presented using descriptive statistics.

Time frame: Samples were collected at pre-dose; 2, 4, 6, 8, 10, 12 (±15 min for all), 18 (±2 hr), and 24 (±1 hr) hours post-dose (between Month 3 and Month 6, after subjects had been on a stabilized dose of Testosterone gel for at least 1 month)

Population: PP analysis population was used which comprises data from subjects who had 24 hr PK data for testosterone, with no major protocol violations.

ArmMeasureGroupValue (MEDIAN)
Testosterone Gel (FE 999303)Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and DihydrotestosteroneTotal testosterone at 23 mg3.09 hour
Testosterone Gel (FE 999303)Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and DihydrotestosteroneTotal testosterone at 46 mg2.11 hour
Testosterone Gel (FE 999303)Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and DihydrotestosteroneTotal testosterone at 69 mg3.97 hour
Testosterone Gel (FE 999303)Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and DihydrotestosteroneTotal testosterone all doses3.88 hour
Testosterone Gel (FE 999303)Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 23 mg3.96 hour
Testosterone Gel (FE 999303)Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 46 mg4.00 hour
Testosterone Gel (FE 999303)Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and DihydrotestosteroneDihydrotestosterone at 69 mg4.00 hour
Testosterone Gel (FE 999303)Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and DihydrotestosteroneDihydrotestosterone all doses4.00 hour

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026