Trial Outcomes & Findings for AndroGel in Men With Major Depression and Incomplete Response to Antidepressant Treatment (NCT NCT00304746)

NCT ID: NCT00304746

Last Updated: 2010-11-24

Results Overview

The HAM-D generates a score ranging from 0 (no depressive symptoms) to 64 (most severe depression).

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

100 participants

Primary outcome timeframe

9 weeks (1-week placebo lead-in and 8 weeks of blinded medication treatment)

Results posted on

2010-11-24

Participant Flow

The study was conducted at two sites - McLean Hospital in Belmont Massachusetts, USA and the Chaim Sheba Medical Center in Tel Hashomer, Israel. Using advertisements at each site, we recruited men age 30-65 with major depressive disorder incompletely responsive to a serotonergic antidepressant, and showing a total testosterone level ≤ 350 ng/dL.

At baseline, participants began a 1-week, single-blind placebo lead-in of one packet of placebo gel daily. Men exhibiting ≥ 50% improvement on either the Hamilton Depression Rating Scale (HAM-D) or Montgomery-Asberg Depression Rating Scale (MADRS) after placebo lead-in were withdrawn; all others were randomized to study medication.

Participant milestones

Participant milestones
Measure
Testosterone Gel
AndroGel, (1% testosterone transdermal gel), 2.5 g - 10 g daily
Placebo Gel
Placebo gel identical in appearance to the testosterone gel
Overall Study
STARTED
50
50
Overall Study
COMPLETED
50
50
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

AndroGel in Men With Major Depression and Incomplete Response to Antidepressant Treatment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Testosterone Gel
n=50 Participants
AndroGel, (1% testosterone transdermal gel), 2.5 g - 10 g daily
Placebo Gel
n=50 Participants
Placebo gel identical in appearance to the testosterone gel
Total
n=100 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
50 Participants
n=5 Participants
50 Participants
n=7 Participants
100 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age Continuous
50.6 years
STANDARD_DEVIATION 8.2 • n=5 Participants
49.9 years
STANDARD_DEVIATION 7.1 • n=7 Participants
50.3 years
STANDARD_DEVIATION 7.7 • 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
50 Participants
n=5 Participants
50 Participants
n=7 Participants
100 Participants
n=5 Participants
Region of Enrollment
United States
29 participants
n=5 Participants
24 participants
n=7 Participants
53 participants
n=5 Participants
Region of Enrollment
Israel
21 participants
n=5 Participants
26 participants
n=7 Participants
47 participants
n=5 Participants

PRIMARY outcome

Timeframe: 9 weeks (1-week placebo lead-in and 8 weeks of blinded medication treatment)

Population: All of the 100 randomized participants are included in the Last Observation Carried Forward (LOCF) analysis presented here online, which provides the mean and SD of this outcome measure for each study arm. Full details of all analyses are provided in the published paper presenting the results of the study.

The HAM-D generates a score ranging from 0 (no depressive symptoms) to 64 (most severe depression).

Outcome measures

Outcome measures
Measure
Testosterone Gel
n=50 Participants
AndroGel, (1% testosterone transdermal gel), 2.5 g - 10 g daily
Placebo Gel
n=50 Participants
Placebo gel identical in appearance to the testosterone gel
21-item Hamilton Depression Rating Scale Score (HAM-D)
13.5 units on a scale
Standard Deviation 7.1
15.6 units on a scale
Standard Deviation 6.2

SECONDARY outcome

Timeframe: 9 weeks (1 week of placebo lead-in and 8 weeks of blinded medication treatment)

Population: All of the 100 randomized participants are included in the Last Observation Carried Forward (LOCF) analysis presented here online, which provides the mean and SD of this outcome measure for each study arm. Full details of all analyses are provided in the published paper presenting the results of the study.

The Montgomery Asberg Depression Rating Scale (MADRS) is a clinician-assessed scale that rates depressive symptoms on a scale from 0 (no depressive symptoms) to 60 (maximal depressive symptoms).

Outcome measures

Outcome measures
Measure
Testosterone Gel
n=50 Participants
AndroGel, (1% testosterone transdermal gel), 2.5 g - 10 g daily
Placebo Gel
n=50 Participants
Placebo gel identical in appearance to the testosterone gel
Montgomery Asberg Depression Rating Scale (MADRS)
17.9 units on a scale
Standard Deviation 9.0
19.9 units on a scale
Standard Deviation 8.4

Adverse Events

Testosterone Gel

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Placebo Gel

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Testosterone Gel
n=50 participants at risk
AndroGel, (1% testosterone transdermal gel), 2.5 g - 10 g daily
Placebo Gel
n=50 participants at risk
Placebo gel identical in appearance to the testosterone gel
Nervous system disorders
headache
6.0%
3/50 • Number of events 3 • Adverse events were assessed at all study visits throughout the eight-week blinded phase of the study.
0.00%
0/50 • Adverse events were assessed at all study visits throughout the eight-week blinded phase of the study.

Additional Information

Harrison G Pope Jr., M.D.

McLean Hospital

Phone: 617-855-2911

Results disclosure agreements

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