Trial Outcomes & Findings for Follicle Stimulating Hormone (FSH) to Improve Testicular Development in Men With Hypogonadism (NCT NCT00064987)

NCT ID: NCT00064987

Last Updated: 2017-07-07

Results Overview

Average Luteinizing Hormone levels after treatment.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

19 participants

Primary outcome timeframe

month 4 of GnRH treatment

Results posted on

2017-07-07

Participant Flow

Two subjects were deemed ineligible for the study. One subject was lost to follow up before being assigned to Group 1 or Group 2.

Participant milestones

Participant milestones
Measure
Group 1 (FSH)
Patients in Group 1 will receive subcutaneous FSH injections daily, titrated to achieve a FSH level of 4-8 IU/L, for 4 months. Patients will then receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion.
Group 2 (GnRH)
Patients in Group 2 will receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion. Patients in Group 2 will not receive prior FSH administration.
Overall Study
STARTED
10
6
Overall Study
COMPLETED
7
6
Overall Study
NOT COMPLETED
3
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Group 1 (FSH)
Patients in Group 1 will receive subcutaneous FSH injections daily, titrated to achieve a FSH level of 4-8 IU/L, for 4 months. Patients will then receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion.
Group 2 (GnRH)
Patients in Group 2 will receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion. Patients in Group 2 will not receive prior FSH administration.
Overall Study
Physician Decision
3
0

Baseline Characteristics

Follicle Stimulating Hormone (FSH) to Improve Testicular Development in Men With Hypogonadism

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1 (FSH)
n=10 Participants
Patients in Group 1 will receive subcutaneous FSH injections daily, titrated to achieve a FSH level of 4-8 IU/L, for 4 months. Patients will then receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion.
Group 2 (GnRH)
n=6 Participants
Patients in Group 2 will receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion. Patients in Group 2 will not receive prior FSH administration.
Total
n=16 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
6 Participants
n=7 Participants
16 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
6 Participants
n=7 Participants
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=5 Participants
6 Participants
n=7 Participants
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
6 Participants
n=7 Participants
14 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
10 Participants
n=5 Participants
6 Participants
n=7 Participants
16 Participants
n=5 Participants

PRIMARY outcome

Timeframe: month 4 of GnRH treatment

Average Luteinizing Hormone levels after treatment.

Outcome measures

Outcome measures
Measure
Group 1 (FSH)
n=7 Participants
Patients in Group 1 will receive subcutaneous FSH injections daily, titrated to achieve a FSH level of 4-8 IU/L, for 4 months. Patients will then receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion.
Group 2 (GnRH)
n=6 Participants
Patients in Group 2 will receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion. Patients in Group 2 will not receive prior FSH administration.
LH
12.7 IU/L
Standard Deviation .5
16.5 IU/L
Standard Deviation .7

PRIMARY outcome

Timeframe: month 4 of GnRH treatment

Average Follicle Stimulating Hormone levels after treatment.

Outcome measures

Outcome measures
Measure
Group 1 (FSH)
n=7 Participants
Patients in Group 1 will receive subcutaneous FSH injections daily, titrated to achieve a FSH level of 4-8 IU/L, for 4 months. Patients will then receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion.
Group 2 (GnRH)
n=6 Participants
Patients in Group 2 will receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion. Patients in Group 2 will not receive prior FSH administration.
FSH
9.9 IU/L
Standard Deviation .4
15.6 IU/L
Standard Deviation 1.1

PRIMARY outcome

Timeframe: month 4 of GnRH treatment

Average Testosterone levels after treatment.

Outcome measures

Outcome measures
Measure
Group 1 (FSH)
n=7 Participants
Patients in Group 1 will receive subcutaneous FSH injections daily, titrated to achieve a FSH level of 4-8 IU/L, for 4 months. Patients will then receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion.
Group 2 (GnRH)
n=6 Participants
Patients in Group 2 will receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion. Patients in Group 2 will not receive prior FSH administration.
Testosterone
299 ng/dL
Standard Deviation 14
330 ng/dL
Standard Deviation 15

PRIMARY outcome

Timeframe: month 4 of GnRH treatment

Average Inhibin B Levels after treatment.

Outcome measures

Outcome measures
Measure
Group 1 (FSH)
n=7 Participants
Patients in Group 1 will receive subcutaneous FSH injections daily, titrated to achieve a FSH level of 4-8 IU/L, for 4 months. Patients will then receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion.
Group 2 (GnRH)
n=6 Participants
Patients in Group 2 will receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion. Patients in Group 2 will not receive prior FSH administration.
Inhibin B
110 pg/mL
Standard Deviation 5
74 pg/mL
Standard Deviation 4

PRIMARY outcome

Timeframe: at baseline and month 4 of GnRH treatment

Average testicular volume after treatment.

Outcome measures

Outcome measures
Measure
Group 1 (FSH)
n=7 Participants
Patients in Group 1 will receive subcutaneous FSH injections daily, titrated to achieve a FSH level of 4-8 IU/L, for 4 months. Patients will then receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion.
Group 2 (GnRH)
n=6 Participants
Patients in Group 2 will receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion. Patients in Group 2 will not receive prior FSH administration.
Testicular Size (Volume)
Before Treatment
1.1 mL
Standard Deviation .2
.8 mL
Standard Deviation .2
Testicular Size (Volume)
After Treatment
9.3 mL
Standard Deviation 1.7
6.6 mL
Standard Deviation 1.3

PRIMARY outcome

Timeframe: month 4 of GnRH treatment

Average sperm count after treatment.

Outcome measures

Outcome measures
Measure
Group 1 (FSH)
n=7 Participants
Patients in Group 1 will receive subcutaneous FSH injections daily, titrated to achieve a FSH level of 4-8 IU/L, for 4 months. Patients will then receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion.
Group 2 (GnRH)
n=6 Participants
Patients in Group 2 will receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion. Patients in Group 2 will not receive prior FSH administration.
Sperm Count
5.8 10^6 sperms/mL
Standard Deviation 2.3
2.6 10^6 sperms/mL
Standard Deviation 1.5

SECONDARY outcome

Timeframe: 24 months

Population: Four subjects in Group 1 and two subjects in Group 2 were actively trying to conceive. Fertility was not tracked in subjects not trying to conceive.

Participants actively seeking to conceive.

Outcome measures

Outcome measures
Measure
Group 1 (FSH)
n=4 Participants
Patients in Group 1 will receive subcutaneous FSH injections daily, titrated to achieve a FSH level of 4-8 IU/L, for 4 months. Patients will then receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion.
Group 2 (GnRH)
n=2 Participants
Patients in Group 2 will receive GnRH therapy for 18 months. GnRH will be administered via a portable infusion pump at 2-hour intervals to stimulate endogenous LH secretion. Patients in Group 2 will not receive prior FSH administration.
Fertility
4 Participants
1 Participants

Adverse Events

Group 1 (FSH)

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

Group 2 (GnRH)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. William Crowley

Massachusetts General Hospital

Phone: 617-724-2470

Results disclosure agreements

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