Trial Outcomes & Findings for PK Study of Testosterone Nasal Gel (TBS-2) in Healthy Premenopausal Women (NCT NCT01364623)

NCT ID: NCT01364623

Last Updated: 2019-10-16

Results Overview

Area under the concentration time curve from time zero to the last measurable concentration time point (AUC0-t) for single dose and AUCtau shown for multiple dose.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

Based on blood samples collected -0.25, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 16, 20, 23.5h relative to dosing

Results posted on

2019-10-16

Participant Flow

Participant milestones

Participant milestones
Measure
Low Dose TBS-2 Single Dose
Low dose testosterone nasal gel: Single dose administration
Medium Dose TBS-2 Single Dose
Medium dose testosterone nasal gel: Single dose administration
High Dose TBS-2 Single Dose
High dose testosterone nasal gel: single dose administration
Medium Dose TBS-2 Multiple-Dose
High dose testosterone nasal gel: multiple dose administration
Single Dose
STARTED
8
8
8
0
Single Dose
COMPLETED
8
8
8
0
Single Dose
NOT COMPLETED
0
0
0
0
Multiple Dose
STARTED
0
0
0
8
Multiple Dose
COMPLETED
0
0
0
8
Multiple Dose
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

PK Study of Testosterone Nasal Gel (TBS-2) in Healthy Premenopausal Women

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Low Dose TBS-2
n=8 Participants
Low dose testosterone nasal gel: Single dose administration
Medium Dose TBS-2
n=8 Participants
Medium dose testosterone nasal gel: Single dose administration Medium dose testosterone nasal gel: Multiple dose administration
High Dose TBS-2
n=8 Participants
High dose testosterone nasal gel: Single dose administration
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
32.5 years
STANDARD_DEVIATION 5.73 • n=93 Participants
29.8 years
STANDARD_DEVIATION 4.43 • n=4 Participants
27.0 years
STANDARD_DEVIATION 6.57 • n=27 Participants
29.8 years
STANDARD_DEVIATION 5.86 • n=483 Participants
Sex: Female, Male
Female
8 Participants
n=93 Participants
8 Participants
n=4 Participants
8 Participants
n=27 Participants
24 Participants
n=483 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=93 Participants
5 Participants
n=4 Participants
4 Participants
n=27 Participants
11 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=93 Participants
3 Participants
n=4 Participants
4 Participants
n=27 Participants
13 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
1 Participants
n=483 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=93 Participants
2 Participants
n=4 Participants
1 Participants
n=27 Participants
4 Participants
n=483 Participants
Race (NIH/OMB)
White
7 Participants
n=93 Participants
6 Participants
n=4 Participants
6 Participants
n=27 Participants
19 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants

PRIMARY outcome

Timeframe: Based on blood samples collected -0.25, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 16, 20, 23.5h relative to dosing

Area under the concentration time curve from time zero to the last measurable concentration time point (AUC0-t) for single dose and AUCtau shown for multiple dose.

Outcome measures

Outcome measures
Measure
Low Dose TBS-2 Single Dose
n=8 Participants
Low dose testosterone nasal gel: Single dose administration
Medium Dose TBS-2 Single Dose
n=8 Participants
Medium dose testosterone nasal gel: Single dose administration
High Dose TBS-2 Single Dose
n=8 Participants
High dose testosterone nasal gel: single dose administration
Medium Dose TBS-2 Multiple-Dose
n=8 Participants
Medium dose testosterone nasal gel: Multiple dose administration
Bioavailability (AUC0-t) of Total Testosterone Through Pharmacokinetic (PK) Profiles
223.981 ng*h/dL
Geometric Coefficient of Variation 39
328.002 ng*h/dL
Geometric Coefficient of Variation 35.8
834.391 ng*h/dL
Geometric Coefficient of Variation 49.7
553.325 ng*h/dL
Geometric Coefficient of Variation 41.4

PRIMARY outcome

Timeframe: Based on blood samples collected -0.25, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 16, 20, 23.5h relative to dosing

Cmax - maximum concentration of total testosterone observed after dosing of TBS-2

Outcome measures

Outcome measures
Measure
Low Dose TBS-2 Single Dose
n=8 Participants
Low dose testosterone nasal gel: Single dose administration
Medium Dose TBS-2 Single Dose
n=8 Participants
Medium dose testosterone nasal gel: Single dose administration
High Dose TBS-2 Single Dose
n=8 Participants
High dose testosterone nasal gel: single dose administration
Medium Dose TBS-2 Multiple-Dose
n=8 Participants
Medium dose testosterone nasal gel: Multiple dose administration
Bioavailability (Cmax) of Total Testosterone Through Pharmacokinetic Profiles
34.058 ng/dL
Geometric Coefficient of Variation 61.1
62.880 ng/dL
Geometric Coefficient of Variation 48.6
113.912 ng/dL
Geometric Coefficient of Variation 44.3
137.555 ng/dL
Geometric Coefficient of Variation 41.5

PRIMARY outcome

Timeframe: -0.25, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 16, 20, 24, 32, 40, 48h after Day 3 dosing

Outcome measures

Outcome measures
Measure
Low Dose TBS-2 Single Dose
n=8 Participants
Low dose testosterone nasal gel: Single dose administration
Medium Dose TBS-2 Single Dose
Medium dose testosterone nasal gel: Single dose administration
High Dose TBS-2 Single Dose
High dose testosterone nasal gel: single dose administration
Medium Dose TBS-2 Multiple-Dose
Medium dose testosterone nasal gel: Multiple dose administration
Medium Dose TBS-2 Multiple Dose Average Steady-state Concentration (Cavg) of Total Testosterone
0.944 ng/dL
Standard Deviation 0.408

SECONDARY outcome

Timeframe: Based on blood samples collected -0.25, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 16, 20, 23.5h relative to dosing

AUCt shown for single dose and AUCtau for multiple dose.

Outcome measures

Outcome measures
Measure
Low Dose TBS-2 Single Dose
n=8 Participants
Low dose testosterone nasal gel: Single dose administration
Medium Dose TBS-2 Single Dose
n=8 Participants
Medium dose testosterone nasal gel: Single dose administration
High Dose TBS-2 Single Dose
n=8 Participants
High dose testosterone nasal gel: single dose administration
Medium Dose TBS-2 Multiple-Dose
n=8 Participants
Medium dose testosterone nasal gel: Multiple dose administration
Area Under the Plasma Concentration Versus Time Curve (AUC) for Dihydrotestosterone Following TBS-2
23.515 ng*h/dL
Geometric Coefficient of Variation 74.9
38.457 ng*h/dL
Geometric Coefficient of Variation 49.1
85.180 ng*h/dL
Geometric Coefficient of Variation 64.2
122.194 ng*h/dL
Geometric Coefficient of Variation 40.0

SECONDARY outcome

Timeframe: Based on blood samples collected -0.25, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 6, 8, 12, 16, 20, 23.5h relative to dosing

AUCt shown for single dose and AUCtau for multiple dose.

Outcome measures

Outcome measures
Measure
Low Dose TBS-2 Single Dose
n=8 Participants
Low dose testosterone nasal gel: Single dose administration
Medium Dose TBS-2 Single Dose
n=8 Participants
Medium dose testosterone nasal gel: Single dose administration
High Dose TBS-2 Single Dose
n=8 Participants
High dose testosterone nasal gel: single dose administration
Medium Dose TBS-2 Multiple-Dose
n=8 Participants
Medium dose testosterone nasal gel: Multiple dose administration
Area Under the Plasma Concentration Versus Time Curve (AUC) for Estradiol Following TBS-2
105.763 pg*h/mL
Geometric Coefficient of Variation 118.7
75.97 pg*h/mL
Geometric Coefficient of Variation 82.2
43.97 pg*h/mL
Geometric Coefficient of Variation 197.9
400.264 pg*h/mL
Geometric Coefficient of Variation 54.0

Adverse Events

Low Dose TBS-2 Single Dose

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Medium Dose TBS-2 Single Dose

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

High Dose TBS-2 Single Dose

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

Medium Dose TBS-2 Multiple Dose

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Low Dose TBS-2 Single Dose
n=8 participants at risk
Low dose testosterone nasal gel: Single dose administration
Medium Dose TBS-2 Single Dose
n=8 participants at risk
Medium dose testosterone nasal gel: Single dose Administration
High Dose TBS-2 Single Dose
n=8 participants at risk
High dose testosterone nasal gel: single dose Administration
Medium Dose TBS-2 Multiple Dose
n=8 participants at risk
Medium dose testosterone nasal gel: multiple dose administration
Gastrointestinal disorders
Abdominal pain upper
12.5%
1/8 • 36 days
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
General disorders
Catheter site erythema
12.5%
1/8 • 36 days
12.5%
1/8 • 36 days
12.5%
1/8 • 36 days
0.00%
0/8 • 36 days
General disorders
Catheter site hemorrhage
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
25.0%
2/8 • 36 days
0.00%
0/8 • 36 days
General disorders
Catheter site inflammation
25.0%
2/8 • 36 days
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
General disorders
Catheter site pain
0.00%
0/8 • 36 days
12.5%
1/8 • 36 days
0.00%
0/8 • 36 days
12.5%
1/8 • 36 days
Infections and infestations
Vulvitis
12.5%
1/8 • 36 days
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
Nervous system disorders
Dizziness
0.00%
0/8 • 36 days
12.5%
1/8 • 36 days
12.5%
1/8 • 36 days
0.00%
0/8 • 36 days
Nervous system disorders
Headache
0.00%
0/8 • 36 days
12.5%
1/8 • 36 days
0.00%
0/8 • 36 days
12.5%
1/8 • 36 days
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/8 • 36 days
25.0%
2/8 • 36 days
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
Respiratory, thoracic and mediastinal disorders
Nasal mucosal disorder
0.00%
0/8 • 36 days
12.5%
1/8 • 36 days
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
Respiratory, thoracic and mediastinal disorders
Rhinalgia
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
12.5%
1/8 • 36 days
12.5%
1/8 • 36 days
Respiratory, thoracic and mediastinal disorders
Rhinorrhea
12.5%
1/8 • 36 days
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
Gastrointestinal disorders
Dyspepsia
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
12.5%
1/8 • 36 days
General disorders
Catheter site phlebitis
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
0.00%
0/8 • 36 days
12.5%
1/8 • 36 days

Additional Information

Dr. Nathan Bryson, Vice President, Scientific Affairs

Acerus Pharmaceuticals Corporation

Phone: 1-416-679-0776

Results disclosure agreements

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