Study to Evaluate the Efficacy of Androxal in Controlling Blood Glucose in Men With Type-2 Diabetes Mellitus

NCT ID: NCT01191320

Last Updated: 2014-07-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2
• Total Enrollment: 102 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2010-10-31
• Study Completion Date: 2011-12-31

Brief Summary

The purpose of this study is to determine the effect the investigative drug has on glycemic control in men with type 2 diabetes mellitus (T2DM) and secondary hypogonadism

Detailed Description

A phase IIB, multi-center, randomized, parallel, placebo- and active-controlled trial in adult male subjects with secondary hypogonadism who have been treated with OHAs but are not in glycemic control. All subjects currently treated with exogenous testosterone will discontinue at screening for at least 21 days and remain off testosterone for the course of the study. One hundred twenty to 150 subjects will be randomly assigned to one of three treatment groups according to a 1:1:1 ratio. Subjects will receive one of two dose strengths of Androxal or placebo in addition to their usual dose of mono- or combination OHAs for three months. Following an initial screening period, subjects will return monthly for 3 months and 1 month later for a follow-up visit.

Conditions

Type 2 Diabetes Mellitus; Secondary Hypogonadism

Study Design

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

Study Groups

Placebo

Placebo

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: DRUG

Placebo capsule 1x daily for 3 months

Androxal 12.5 mg

12.5 mg/day

Group Type: EXPERIMENTAL

Androxal

Intervention Type: DRUG

Capsules 12.5 mg or 25 mg 1x daily for 3 months

Androxal 25 mg

25 mg/day

Group Type: EXPERIMENTAL

Androxal

Intervention Type: DRUG

Capsules 12.5 mg or 25 mg 1x daily for 3 months

Interventions

Placebo

Placebo capsule 1x daily for 3 months

Intervention Type: DRUG

Androxal

Capsules 12.5 mg or 25 mg 1x daily for 3 months

Intervention Type: DRUG

Other Intervention Names

Enclomiphene citrate

Eligibility Criteria

Inclusion Criteria

• Males, ages 20 to 80-years-old, inclusive
• A diagnosis of type 2 diabetes mellitus by American Diabetes Association (ADA) criteria for at least 6 months
• Treatment with a stable but sub-optimum dose of OHAs for at least 2 months prior to screening based on a lack of control of blood glucose
• Previous diagnosis of adult-onset idiopathic hypogonadotropic hypogonadism (AIHH) and have undergone treatment with a topical testosterone gel, Low-to-borderline morning total testosterone (TT), after at least a two week wash-out period, and normal or low normal serum luteinizing hormone (LH)at screening and at baseline
• No previous diagnosis of AIHH but present as naïve patients with low morning TT and normal or low normal serum LH at screening and at baseline
• Body Mass Index (BMI) between 26 and 40 kg/m2
• Fasting blood (plasma or serum) glucose (FBG) between 125 and 240 mg/dL
• HemoglobinA1c in serum as (HbA1c) between 7% and 9.5%
• Comprehends informed consent
• Otherwise normal healthy males
• All clinical laboratory test within normal ranges (any deviation outside the normal range will require approval of investigator)
• Ability to complete the study in compliance with the protocol
• Ability to understand and provide written informed consent

Exclusion Criteria

• A history of testicular failure, Kallmann Syndrome or other infertility condition
• Clinically significant medical condition rendering the subjects infertile including tumors of the pituitary, laboratory abnormalities, or having received an investigational drug in the past 30 days prior to study
• Prostate nodules or induration, a history of, known, or suspect prostate cancer not ruled out by a negative biopsy, or a prostate specific antigen (PSA) higher than 3.5;
• Hematocrit in excess of 47% or a hemoglobin (Hb) greater than 16 g/dl
• Previous treatment with androgens, estrogens, DHEA, testosterone or testosterone analogues in injectable, oral, topical or other forms for the treatment of AIHH who have not discontinued at the start of the treatment phase;
• Primary hypogonadism as typified as a serum LH greater than 15 and a TT value less than 300 ng/dL
• Continuous use of corticosteroids
• History of or current diagnosis of major macrovascular complications of T2DM: myocardial infarction (MI) or stroke within 6 months, or any history of coronary revascularization, unstable angina, congestive heart failure (CHF) of New York Heart Association (NYHA) greater than or equal to 2
• Uncontrolled sitting blood pressure (BP) greater than 150/95, serum creatinine (Cr) greater than 1.5 ULN or estimated glomerular filtration rate (eGFR) less than mL/min/1.73 m2
• Retinopathy requiring continuing ophthalmologic assessments
• Cataracts
• Other significant history of diabetic complications (proteinuria greater than 1 g/d, retinopathy, clear neuropathy)
• Aspartate transaminase (AST), alanine transaminase (ALT), or alkaline phosphatase greater than 3 times the upper limits of normal (ULN)
• Total bilirubin greater than 2.0 mg/dL (>34 µmol/L);
• Injectable testosterone within 120 days of Screening (Visit 1)
• Reported substance abuse at screening
• Taking insulin therapy;
• Clinically significant abnormal findings on screening examination as determined by the investigator
• Known hypersensitivity to clomiphene citrate;
• Current or history of breast cancer
• Any condition which in the opinion of the investigator would interfere with the participant's ability to provide informed consent, comply with the study instructions, possibly confound interpretation of the study results, or endanger the participant if he took part in the study.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: MALE
• Accepts Healthy Volunteers: No

Sponsors

Repros Therapeutics Inc.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Glenn Cunningham, MD

Role: PRINCIPAL_INVESTIGATOR

Baylor College of Medicine

Locations

Paradigm Clinical Research

Garden Grove, California, United States

Northern California Research Corp

Sacramento, California, United States

LABioMed

Torrance, California, United States

Lahey Clinic

Peabody, Massachusetts, United States

Affiliated Clinical Research

Las Vegas, Nevada, United States

Affiliated Clinical Research

Las Vegas, Nevada, United States

Dr. Bruce Gilbert

Great Neck, New York, United States

University Urology

New York, New York, United States

Mount Sinai School of Medicine

New York, New York, United States

Dr. Michael Werner

Purchase, New York, United States

Discovery Clinical Trials

Austin, Texas, United States

Research Across America

Carrollton, Texas, United States

TX Urology Associate

Houston, Texas, United States

Centex Research

Houston, Texas, United States

Dr. Rakesh Patel

Houston, Texas, United States

Protenium Clinical Research

Hurst, Texas, United States

R/D Clinical Research

Lake Jackson, Texas, United States

Cetero Research

San Antonio, Texas, United States

Countries

United States

Related Links

http://www.reprosrx.com

Sponsor website

Other Identifiers

ZA-202

Identifier Type: -

Identifier Source: org_study_id