Study of DHT-Gel to Treat the Symptoms of Low Testosterone in Men 55-80

NCT ID: NCT00163566

Last Updated: 2022-08-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

128 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-10-31

Study Completion Date

2006-09-25

Brief Summary

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The purpose of this study is to evaluate whether DHT-Gel, when applied daily to the skin, can relieve the symptoms of low testosterone in men aged 55-80. These symptoms include reduced muscle strength, increase fat mass, low libido, feeling blue or moody

Detailed Description

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Background - In the context of hypogonadism, androgen supplementation is clearly beneficial, particularly in younger males. The benefits of therapy in men with milder degrees of hypogonadism, and elderly males with testosterone deficiency, are less clear-cut. Several options are available for androgen replacement in adult men. Oral testosterone, intramuscular injections, subcutaneous implants and transdermal therapy have all been used. Each mode of delivery has advantages and drawbacks. Several alkylated derivatives of T are available for oral or sublingual use, including methyl testosterone and fluoxymesterone. However, they are not recommended for use as replacement therapy because of their associated adverse effects.

Study Design - This is a multi-center, double-blind, placebo-controlled, parallel group, randomized study of DHT-Gel versus placebo gel in male subjects ages 55-80 years inclusive with low serum testosterone and symptoms compatible with the clinical diagnosis of hypogonadism. Total enrollment for this study will be approximately 120 subjects (40 subjects for each treatment group). Subjects will be treated with 35 mg/day DHT, 70 mg/day DHT, or placebo gel for 6 months. All subjects will apply the gel once daily. Up to 9 months of study participation, including up to 2 months of screening and a 1-month follow-up period, will be required by the protocol.

The primary efficacy endpoint in this study is change in body composition as determined by DEXA scan. Secondary endpoints in this study include change in sexual libido, and overall function and mood, and normalization of serum androgen levels. A subset of sites will perform strength assessments, which will include handgrip dynamometry, and upper and lower body strength tests.

Conditions

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Hypogonadism Late Onset Hypogonadism Low Testosterone

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Placebo gel

Placebo gel twice per day

Group Type PLACEBO_COMPARATOR

Dihydrotestosterone (0.7%) in hydroalcoholic gel

Intervention Type DRUG

transdermal gel, 0.7% DHT, 0.35 mg/day or 0.70 mg/day total daily dose (or placebo gel), applied twice per day

0.7% DHT gel, Dose 1

0.7% DHT gel twice per day, 35 mg/day

Group Type ACTIVE_COMPARATOR

Dihydrotestosterone (0.7%) in hydroalcoholic gel

Intervention Type DRUG

transdermal gel, 0.7% DHT, 0.35 mg/day or 0.70 mg/day total daily dose (or placebo gel), applied twice per day

0.7% DHT gel, Dose 2

0.7% DHT gel twice per day, 70 mg/day

Group Type ACTIVE_COMPARATOR

Dihydrotestosterone (0.7%) in hydroalcoholic gel

Intervention Type DRUG

transdermal gel, 0.7% DHT, 0.35 mg/day or 0.70 mg/day total daily dose (or placebo gel), applied twice per day

Interventions

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Dihydrotestosterone (0.7%) in hydroalcoholic gel

transdermal gel, 0.7% DHT, 0.35 mg/day or 0.70 mg/day total daily dose (or placebo gel), applied twice per day

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Men aged 55-80 Serum Testosterone \< 275 Symptoms of Hypogonadism as determined by AMS scale In good overall health

Exclusion Criteria

* Abnormal Prostate Exam for age Prostate or Breast Cancer Significant illness Weight \>300lbs Generalized skin disease Unstable sleep apnea
Minimum Eligible Age

55 Years

Maximum Eligible Age

80 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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ASCEND Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Neta R Nelson

Role: STUDY_DIRECTOR

ASCEND Therapeutics

Locations

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Radiant Research - Phoenix

Phoenix, Arizona, United States

Site Status

Harbor UCLA Medical Reserach and Education Institute

Torrance, California, United States

Site Status

Malcom Randall VA Medical Center

Gainesville, Florida, United States

Site Status

Genesis Research Consultants

Longwood, Florida, United States

Site Status

Pensacola Research Consultants

Pensacola, Florida, United States

Site Status

North Indiana Research

Fort Wayne, Indiana, United States

Site Status

University of Louisville

Louisville, Kentucky, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Bethesda Health Research

Bethesda, Maryland, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Oregon Health Sciences Center

Portland, Oregon, United States

Site Status

VA Medical Center

Houston, Texas, United States

Site Status

Radiant Research - San Antonio

San Antonio, Texas, United States

Site Status

University of Utah School of Medicine

Salt Lake City, Utah, United States

Site Status

McGuire VA Medical Center

Richmond, Virginia, United States

Site Status

VA Puget Sound Health Care

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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03-DHT-01

Identifier Type: -

Identifier Source: org_study_id

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