Study of Transdermal Testosterone Patches in Menopausal Women With Low Libido

NCT ID: NCT00131495

Last Updated: 2013-04-17

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE3
• Total Enrollment: 814 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2004-07-31
• Study Completion Date: 2007-02-28

Brief Summary

This study is designed to evaluate the efficacy and safety of 2 doses of the transdermal testosterone patch in naturally or surgically menopausal women with low libido who are not receiving systemic estrogen or estrogen progestin therapy.

Detailed Description

Detailed Description:

Hypoactive sexual desire disorder (HSDD) is a condition suffered by as many as 32% of the menopausal population. It is generally defined as a low libido which causes distress. Testosterone therapy (transdermal patch) is currently under investigation for this disorder and results of three phase 3 trials have shown evidence of efficacy in menopausal patients on hormone replacement therapy. Low libido does not discriminate between those women utilizing hormone replacement therapy and those who do not. This study is designed to evaluate the efficacy and safety of 2 doses of the transdermal testosterone patch in naturally or surgically menopausal women with low libido who are not receiving systemic estrogen or estrogen progestin therapy. Persons could elect to go into a single blind study for one year after completing the first yeat double blind

Conditions

Hypoactive Sexual Desire Disorder

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

1

Placebo patch

Group Type: PLACEBO_COMPARATOR

Placebo patch

Intervention Type: DRUG

placebo patch changed twice a week for one year

2

Testosterone patch (300mcg/day, changed twice a week for one year

Group Type: EXPERIMENTAL

Testosterone (transdermal patches)

Intervention Type: DRUG

Testosterone patch (300mcg/day, changed twice a week for one year

Interventions

Testosterone (transdermal patches)

Testosterone patch (300mcg/day, changed twice a week for one year

Intervention Type: DRUG

Placebo patch

placebo patch changed twice a week for one year

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• Be a generally healthy surgically menopausal woman (12 months), 20 to 70 years of age, not receiving any systemic estrogen or estrogen progestin therapy
• Be a generally healthy naturally menopausal woman (2 years since last period), 40 to 70 years of age, not receiving any systemic estrogen or estrogen progestin therapy.
• Be, in their own judgment, in a stable monogamous sexual relationship for at least one year prior to study entry that is perceived to be secure and communicative with the same partner who is sexually functional and physically present at least 50% of the time.
• Answer affirmatively to ALL of the following questions:

1. Was the patient's sex life before menopause good and satisfying in general?

2. Since menopause, has a meaningful loss in the level of desire for sex occurred?

3. Since menopause, has a significant decrease in sexual activity occurred?

4. Is the current level of desire for or interest in sex bothering or concerning?

5. Is an increase in the level of interest in or desire for sex and sexual activity desired?

Exclusion Criteria

• Physical limitations that would interfere with normal sexual function;
• Estrogen use in the last 12 weeks (vaginal estriol or low dose vaginal estradiol accepted)
• Use of any of the following medications:

• antiandrogen therapy or topical minoxidil (last 5 years),
• androgen therapy (past 3 months/implantable past 7 months),
• systemic corticosteroids,
• selective serotonin reuptake inhibitors (SSRIs),
• tricyclic anti-depressants,
• anti-androgens,
• systemic beta-blockers,
• anti-adrenergics,
• spironolactone,
• apomorphine,
• phosphodiesterase type 5 (PDE5) inhibitors (e.g., Viagra, tibolone or selective estrogen receptor modulators (SERMs), including tamoxifen (last 12 weeks))
• Be experiencing any chronic or acute life stress relating to any major life change that may significantly interfere with sexual function;
• Have significant psychiatric disorder (including mild depressive disorder - Beck Depression Inventory-II score of > 14;
• Have current severe dermatological problems or a known suspected hypersensitivity or allergy to any adhesive or any of the constituents of the transdermal testosterone patch
• Have evidence of or history of malignancy (estrogen dependent or any gynecological cancer) within the last 5 years;
• Have diabetes mellitus, active gallbladder disease, unstable thyroid disease, history of cerebrovascular disease, thrombo-embolic disorders, myocardial infarction or angina within the last 5 years or other significant organic disease that would prevent the patient from completing the study, or otherwise affect the outcome of the study.
• Have significant abnormal pretreatment laboratory parameters.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Warner Chilcott

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Sue Davis, MD

Role: PRINCIPAL_INVESTIGATOR

Monash Medical School, The Alfred Hospital

Locations

Monash Medical School, The Alfred Hospital

Prahran, Victoria, Australia

Countries

Australia

References

Davis SR, Moreau M, Kroll R, Bouchard C, Panay N, Gass M, Braunstein GD, Hirschberg AL, Rodenberg C, Pack S, Koch H, Moufarege A, Studd J; APHRODITE Study Team. Testosterone for low libido in postmenopausal women not taking estrogen. N Engl J Med. 2008 Nov 6;359(19):2005-17. doi: 10.1056/NEJMoa0707302.

Reference Type: DERIVED

PMID: 18987368 (View on PubMed)

Other Identifiers

2004031 and Yr 2 SB

Identifier Type: -

Identifier Source: org_study_id