Adult Male Hypogonadism
Conditions
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
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Subjects With a Serum Total Testosterone Level - Maximum Observed Concentration (Cmax) of 1500-1799, 1800-2499, or Above 2500 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Domain Scores for the International Index of Erectile Function (IIEF) Questionnaire | At Month 6 | 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. |
| Percentage of Subjects With a Negative Androgen Deficiency in the Aging Male (ADAM) Questionnaire | At Month 6 | 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. |
| Domain Scores for the Multidimensional Assessments of Fatigue (MAF) Questionnaire | At Month 6 | 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. |
| Domain Scores for the Short Form-12 (SF-12) Questionnaire | At Month 6 | 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. |
| Percentage of Subjects With a Serum Total Testosterone Level of 1500-1799, 1800-2499, or Above 2500 ng/dL | At Month 3 | The 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 Dihydrotestosterone | 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 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 Dihydrotestosterone | 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 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 Dihydrotestosterone | 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 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 Dihydrotestosterone | 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 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 Dihydrotestosterone | 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 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
| Arm | Count |
|---|---|
| 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 |
| Total | 145 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 2 |
| Overall Study | Lost to Follow-up | 3 |
| Overall Study | Physician Decision | 2 |
| Overall Study | Protocol Violation | 1 |
| Overall Study | Subject cannot comply with study visits | 1 |
| Overall Study | Subject did not want to continue | 2 |
| Overall Study | Subject started testosterone injections | 1 |
| Overall Study | Withdrawal by Subject | 6 |
Baseline characteristics
| Characteristic | Testosterone 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, Continuous | 57.1 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 type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 28 / 145 |
| serious Total, serious adverse events | 1 / 145 |
Outcome results
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.
| Arm | Measure | Group | Value (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/dL | Total testosterone level between 1500-1799 ng/dL | 5.7 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/dL | Total testosterone level above 2500 ng/dL | 2.8 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/dL | Total testosterone level between 1800-2499 ng/dL | 2.8 percentage of subjects |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Testosterone Gel (FE 999303) | Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and Dihydrotestosterone | Total testosterone at 23 mg | 7732 ng*hr/dL | Standard Deviation 1874 |
| Testosterone Gel (FE 999303) | Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and Dihydrotestosterone | Total testosterone at 46 mg | 10583 ng*hr/dL | Standard Deviation 3863 |
| Testosterone Gel (FE 999303) | Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and Dihydrotestosterone | Total testosterone at 69 mg | 10842 ng*hr/dL | Standard Deviation 3927 |
| Testosterone Gel (FE 999303) | Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 46 mg | 1675 ng*hr/dL | Standard Deviation 944 |
| Testosterone Gel (FE 999303) | Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 69 mg | 1751 ng*hr/dL | Standard Deviation 801 |
| Testosterone Gel (FE 999303) | Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and Dihydrotestosterone | Total testosterone all doses | 10451 ng*hr/dL | Standard Deviation 3836 |
| Testosterone Gel (FE 999303) | Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 23 mg | 1361 ng*hr/dL | Standard Deviation 233 |
| Testosterone Gel (FE 999303) | Area Under the Concentration-time Curve (AUCτ) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone all doses | 1685 ng*hr/dL | Standard Deviation 827 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Testosterone Gel (FE 999303) | Average Concentration (Cave) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 46 mg | 69.3 ng/dL | Standard Deviation 39.5 |
| Testosterone Gel (FE 999303) | Average Concentration (Cave) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 69 mg | 72.4 ng/dL | Standard Deviation 33.4 |
| Testosterone Gel (FE 999303) | Average Concentration (Cave) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone all doses | 69.7 ng/dL | Standard Deviation 34.5 |
| Testosterone Gel (FE 999303) | Average Concentration (Cave) for Total Testosterone and Dihydrotestosterone | Total testosterone at 23 mg | 322 ng/dL | Standard Deviation 78 |
| Testosterone Gel (FE 999303) | Average Concentration (Cave) for Total Testosterone and Dihydrotestosterone | Total testosterone at 46 mg | 438 ng/dL | Standard Deviation 161 |
| Testosterone Gel (FE 999303) | Average Concentration (Cave) for Total Testosterone and Dihydrotestosterone | Total testosterone at 69 mg | 449 ng/dL | Standard Deviation 165 |
| Testosterone Gel (FE 999303) | Average Concentration (Cave) for Total Testosterone and Dihydrotestosterone | Total testosterone all doses | 433 ng/dL | Standard Deviation 160 |
| Testosterone Gel (FE 999303) | Average Concentration (Cave) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 23 mg | 56.6 ng/dL | Standard Deviation 9.6 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Testosterone Gel (FE 999303) | Domain Scores for the International Index of Erectile Function (IIEF) Questionnaire | Overall satisfaction domain | 6.7 units on a scale | Standard Deviation 2.3 |
| Testosterone Gel (FE 999303) | Domain Scores for the International Index of Erectile Function (IIEF) Questionnaire | Erectile function domain | 19.8 units on a scale | Standard Deviation 7.9 |
| Testosterone Gel (FE 999303) | Domain Scores for the International Index of Erectile Function (IIEF) Questionnaire | Orgasmic function domain | 7.3 units on a scale | Standard Deviation 3.2 |
| Testosterone Gel (FE 999303) | Domain Scores for the International Index of Erectile Function (IIEF) Questionnaire | Sexual desire domain | 7.0 units on a scale | Standard Deviation 1.8 |
| Testosterone Gel (FE 999303) | Domain Scores for the International Index of Erectile Function (IIEF) Questionnaire | Intercourse satisfaction domain | 8.7 units on a scale | Standard Deviation 4.4 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Testosterone Gel (FE 999303) | Domain Scores for the Multidimensional Assessments of Fatigue (MAF) Questionnaire | Degree of interference in daily activities | 28.3 units on a scale | Standard Deviation 19.6 |
| Testosterone Gel (FE 999303) | Domain Scores for the Multidimensional Assessments of Fatigue (MAF) Questionnaire | Severity domain | 6.6 units on a scale | Standard Deviation 5 |
| Testosterone Gel (FE 999303) | Domain Scores for the Multidimensional Assessments of Fatigue (MAF) Questionnaire | Distress domain | 2.8 units on a scale | Standard Deviation 2.3 |
| Testosterone Gel (FE 999303) | Domain Scores for the Multidimensional Assessments of Fatigue (MAF) Questionnaire | Timing domain | 10.1 units on a scale | Standard Deviation 3.2 |
| Testosterone Gel (FE 999303) | Domain Scores for the Multidimensional Assessments of Fatigue (MAF) Questionnaire | Global fatigue index score | 15.3 units on a scale | Standard Deviation 11.2 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Testosterone Gel (FE 999303) | Domain Scores for the Short Form-12 (SF-12) Questionnaire | Physical functioning domain | 51.7 units on a scale | Standard Deviation 8.6 |
| Testosterone Gel (FE 999303) | Domain Scores for the Short Form-12 (SF-12) Questionnaire | Role-physical domain | 50.2 units on a scale | Standard Deviation 8.4 |
| Testosterone Gel (FE 999303) | Domain Scores for the Short Form-12 (SF-12) Questionnaire | Bodily pain domain | 51.1 units on a scale | Standard Deviation 8.9 |
| Testosterone Gel (FE 999303) | Domain Scores for the Short Form-12 (SF-12) Questionnaire | Physical component summary | 51.9 units on a scale | Standard Deviation 8.1 |
| Testosterone Gel (FE 999303) | Domain Scores for the Short Form-12 (SF-12) Questionnaire | Mental health domain | 52.7 units on a scale | Standard Deviation 8 |
| Testosterone Gel (FE 999303) | Domain Scores for the Short Form-12 (SF-12) Questionnaire | Social functioning domain | 51.2 units on a scale | Standard Deviation 8.8 |
| Testosterone Gel (FE 999303) | Domain Scores for the Short Form-12 (SF-12) Questionnaire | General health domain | 54.3 units on a scale | Standard Deviation 8.2 |
| Testosterone Gel (FE 999303) | Domain Scores for the Short Form-12 (SF-12) Questionnaire | Role-emotional domain | 48.8 units on a scale | Standard Deviation 9.1 |
| Testosterone Gel (FE 999303) | Domain Scores for the Short Form-12 (SF-12) Questionnaire | Vitality domain | 53.1 units on a scale | Standard Deviation 9.1 |
| Testosterone Gel (FE 999303) | Domain Scores for the Short Form-12 (SF-12) Questionnaire | Mental component summary | 51.2 units on a scale | Standard Deviation 8.3 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Testosterone Gel (FE 999303) | Maximum Concentration Observed (Cmax) for Total Testosterone and Dihydrotestosterone | Total testosterone at 23 mg | 747 ng/dL | Standard Deviation 236 |
| Testosterone Gel (FE 999303) | Maximum Concentration Observed (Cmax) for Total Testosterone and Dihydrotestosterone | Total testosterone at 46 mg | 1085 ng/dL | Standard Deviation 742 |
| Testosterone Gel (FE 999303) | Maximum Concentration Observed (Cmax) for Total Testosterone and Dihydrotestosterone | Total testosterone at 69 mg | 999 ng/dL | Standard Deviation 525 |
| Testosterone Gel (FE 999303) | Maximum Concentration Observed (Cmax) for Total Testosterone and Dihydrotestosterone | Total testosterone all doses | 1008 ng/dL | Standard Deviation 602 |
| Testosterone Gel (FE 999303) | Maximum Concentration Observed (Cmax) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 23 mg | 88.7 ng/dL | Standard Deviation 21 |
| Testosterone Gel (FE 999303) | Maximum Concentration Observed (Cmax) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 46 mg | 111 ng/dL | Standard Deviation 56 |
| Testosterone Gel (FE 999303) | Maximum Concentration Observed (Cmax) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 69 mg | 114 ng/dL | Standard Deviation 62 |
| Testosterone Gel (FE 999303) | Maximum Concentration Observed (Cmax) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone all doses | 111 ng/dL | Standard Deviation 57 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Testosterone Gel (FE 999303) | Minimum Concentration Observed (Cmin) for Total Testosterone and Dihydrotestosterone | Total testosterone all doses | 207 ng/dL | Standard Deviation 101 |
| Testosterone Gel (FE 999303) | Minimum Concentration Observed (Cmin) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 23 mg | 34.8 ng/dL | Standard Deviation 7.5 |
| Testosterone Gel (FE 999303) | Minimum Concentration Observed (Cmin) for Total Testosterone and Dihydrotestosterone | Total testosterone at 23 mg | 162 ng/dL | Standard Deviation 65 |
| Testosterone Gel (FE 999303) | Minimum Concentration Observed (Cmin) for Total Testosterone and Dihydrotestosterone | Total testosterone at 46 mg | 201 ng/dL | Standard Deviation 98 |
| Testosterone Gel (FE 999303) | Minimum Concentration Observed (Cmin) for Total Testosterone and Dihydrotestosterone | Total testosterone at 69 mg | 219 ng/dL | Standard Deviation 106 |
| Testosterone Gel (FE 999303) | Minimum Concentration Observed (Cmin) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 46 mg | 43.5 ng/dL | Standard Deviation 32.8 |
| Testosterone Gel (FE 999303) | Minimum Concentration Observed (Cmin) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 69 mg | 44.8 ng/dL | Standard Deviation 26.9 |
| Testosterone Gel (FE 999303) | Minimum Concentration Observed (Cmin) for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone all doses | 43.4 ng/dL | Standard Deviation 28.1 |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Testosterone Gel (FE 999303) | Percentage of Subjects With a Negative Androgen Deficiency in the Aging Male (ADAM) Questionnaire | 44.1 percentage of subjects |
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.
| Arm | Measure | Value (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 |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Testosterone Gel (FE 999303) | Percentage of Subjects With a Serum Total Testosterone Level of 1500-1799, 1800-2499, or Above 2500 ng/dL | Total testosterone level above 2500 ng/dL | 1.9 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/dL | Total testosterone level between 1500-1799 ng/dL | 6.7 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/dL | Total testosterone level between 1800-2499 ng/dL | 2.9 percentage of subjects |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Testosterone Gel (FE 999303) | Percentage of Subjects With a Serum Total Testosterone Level of 1500-1799, 1800-2499, or Above 2500 ng/dL | Total testosterone level between 1500-1799 ng/dL | 6.6 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/dL | Total testosterone level between 1800-2499 ng/dL | 5.7 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/dL | Total testosterone level above 2500 ng/dL | 2.8 percentage of subjects |
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.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Testosterone Gel (FE 999303) | Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and Dihydrotestosterone | Total testosterone at 23 mg | 3.09 hour |
| Testosterone Gel (FE 999303) | Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and Dihydrotestosterone | Total testosterone at 46 mg | 2.11 hour |
| Testosterone Gel (FE 999303) | Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and Dihydrotestosterone | Total testosterone at 69 mg | 3.97 hour |
| Testosterone Gel (FE 999303) | Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and Dihydrotestosterone | Total testosterone all doses | 3.88 hour |
| Testosterone Gel (FE 999303) | Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 23 mg | 3.96 hour |
| Testosterone Gel (FE 999303) | Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 46 mg | 4.00 hour |
| Testosterone Gel (FE 999303) | Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone at 69 mg | 4.00 hour |
| Testosterone Gel (FE 999303) | Time at Which the Maximum Concentration (Tmax) Occurs for Total Testosterone and Dihydrotestosterone | Dihydrotestosterone all doses | 4.00 hour |