Hypogonadism
Conditions
Brief summary
The purpose of this study is to evaluate the safety and efficacy of Testogel® 50mg/5g gel administered once daily (QD, morning dosing) compared to placebo administered once daily (QD, morning dosing), for 3 months, in hypogonadal men with testosterone deficiency being confirmed by clinical features and biochemical tests. For men with hypogonadism, treatment aims to restore testosterone levels to normal physiological range.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Male ages 18-68 years diagnosed as having testosterone deficiency with clinical symptoms * A morning (8:00-10:00) serum Total Testosterone concentration of ≤ 300 ng/dL, confirmed by a second measurement of morning serum Total Testosterone concentration ≤ 300 ng/dL (samples to be taken 1 - 3 weeks apart)
Exclusion criteria
* Abnormal prostate as evidenced by prostatic symptoms, prostatic masses or induration on rectal examination, or elevated levels of prostate specific antigen (PSA \> 4ng/ml) or a maximum urine flow rate of less than 12 ml/sec(of a urine volume greater than 150ml) (and/or an International Prostate Symptom Score IPSS score \>19) * Hematocrit \> 50% * Major psychiatric illness * Unable to understand the protocol or to give informed consent * Use of paroxetine and clomipramine * Active alcoholism * History of drug abuse within the past five years; * Use of drugs that might interfere with the results of the study (e.g., antiandrogen, estrogens or P 450 enzyme inducers, barbiturates); * BMI \< 18 or \> 30 according to Chinese BMI references; * Generalized skin disease that may affect absorption of T (e.g., psoriasis) or a known skin intolerance to alcohol; * Prolactin \> 40 mcg/L; * Untreated severe obstructive sleep apnea;. * Uncontrolled or poorly controlled heart failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of patients with morning serum Total Testosterone concentration within the physiological range (300 - 1000 ng/dL or 10.4 - 34.7 nmol/L) after 3 months of Testogel treatment compared to placebo-treatment | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| morning serum Total Testosterone (TT) concentration compared to placebo treatment | 3 months |
| morning serum Total Testosterone (TT) concentration compared to baseline values | 3 months |
| serum concentrations of TT, calculated free testosterone (cFT), DHT, E2, LH, and FSH, SHBG | 3 months |
| prostate assessments (PSA, urine flow rate, DRE, ultrasound B) | 3 months |
| skin integrity | 3 months |
Countries
China