Assessing the Safety/Efficacy of Transdermal Testosterone in Female Patients With Symptomatic Heart Failure

NCT ID: NCT00957034

Last Updated: 2012-01-13

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2010-05-31

Brief Summary

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Heart failure (HF) is a complex condition resulting from structural or functional heart diseases that impair the ability of the heart to fill with or pump out blood. The main manifestations of HF are shortness of breath and tiredness which may limit the ability to exercise or perform simple daily physical activities such as walking. Heart disease leading to HF is associated with reduced muscle mass and reduced strength and low blood levels of testosterone; a hormone normally produced by the human (male and female) body. Recent studies have shown improvements of symptoms and ability to exercise in patients with heart failure receiving testosterone.

This is a placebo controlled study to determine the efficacy and safety of low dose testosterone (300 and 450 microgram/day) delivered by a transdermal system (patch) in women with significant HF.

Detailed Description

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Conditions

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Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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placebo

placebo patch

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

placebo patch

300 µg/day testosterone

300 micrograms/day transdermal testosterone patch

Group Type EXPERIMENTAL

testosterone

Intervention Type DRUG

300 or 450 micrograms/day transdermal testosterone patch

450 µg/day testosterone

450 micrograms/day transdermal testosterone patch

Group Type EXPERIMENTAL

testosterone

Intervention Type DRUG

300 or 450 micrograms/day transdermal testosterone patch

Interventions

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placebo

placebo patch

Intervention Type DRUG

testosterone

300 or 450 micrograms/day transdermal testosterone patch

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Female 50 years of age or older; post-menopausal (≥ 12 Mo/ from last menstruation)
* Documented left ventricular ejection fraction (LVEF) of 20-40% within 90 days prior to the baseline visit
* History of HF for more than 90 days and a diagnosis of symptomatic HF (Class III NYHA) for at least 30 days prior to the baseline visit
* Ambulatory (i.e., able to walk without assistance of another person or device such as cane or walker)

Exclusion Criteria

* Neuromuscular or rheumatologic conditions that limit the to their ability to improve walking distance
* Pulmonary edema or multiorgan failure or cardiogenic shock within 30 days prior to the baseline visit
* Congenital heart disease, infiltrative myocardial disease
* Unstable angina or myocardial infarction within 30 days prior to the baseline visit
* Undiagnosed abnormal genital bleeding
* History of breast cancer, breast surgery, or breast disease contraindicating estrogen/hormone therapy
* Polycystic ovary syndrome or any other condition known to be adversely affected by testosterone treatment
* Resting heart rate \> 120 bpm
* Systolic blood pressure \> 180 mmHg or diastolic blood pressure \> 100 mmHg
* Known or suspected hypersensitivity or allergy to any adhesive or to any of the components of the testosterone transdermal system (TTS)
* Use of SERMS, SARMS, SPRMs, tibolone, testosterone, estrogen, progesterone agonists and antagonists or taking any prescription and over the counter medications/ nutraceuticals (eg, phyto-estrogens) that may have anabolic or steroid hormonal effects within 30 days prior to the baseline visit
* Use of marketed or investigational oral, sub-lingual, topical, transdermal injectable, or vaginal androgen therapy including dehydroepiandrosterone (DHEA) at any time within 3 months prior to the baseline visit
* Use of systemic corticosteroids within 30 days prior to the baseline visit (acute use for fewer than 7 days is acceptable)
Minimum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Warner Chilcott

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jose Brum, MD

Role: STUDY_DIRECTOR

Procter and Gamble

Locations

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Research Site

Phoenix, Arizona, United States

Site Status

Research Site

Tucson, Arizona, United States

Site Status

Research Site

Lakewood, California, United States

Site Status

Research Site

Riverside, California, United States

Site Status

Research Site

Stamford, Connecticut, United States

Site Status

Research Site

Melbourne, Florida, United States

Site Status

Research Site

Pensacola, Florida, United States

Site Status

Research Site

Savannah, Georgia, United States

Site Status

Research Site

Munster, Indiana, United States

Site Status

Research Site

Brooklyn, New York, United States

Site Status

Research Site

Wilmington, North Carolina, United States

Site Status

Research Site

Greer, South Carolina, United States

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Research Site

Chattanooga, Tennessee, United States

Site Status

Research Site

Germantown, Tennessee, United States

Site Status

Research Site

San Antonio, Texas, United States

Site Status

Research Site

Tacoma, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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2009015

Identifier Type: -

Identifier Source: org_study_id

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