A Study of the Effect of Topical Testosterone Replacement Therapy on Blood Pressure in Adult Male Participants With Hypogonadism

NCT ID: NCT04274894

Last Updated: 2022-12-15

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

246 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-12

Study Completion Date

2022-01-07

Brief Summary

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Hypogonadism is an endocrine disorder characterized by absent or deficient testosterone levels along with signs and symptoms of androgen deficiency, including delayed development or regression of sexual characteristics, impaired sexual function and sense of well-being, depressed mood, decreased muscle strength associated with loss of muscle mass and reduced bone mineral density. AndroGel 1.62% has demonstrated its ability to increase total testosterone levels in the blood by absorption of testosterone through the skin when applied topically. This study evaluated the effect of AndroGel 1.62% on systolic blood pressure using ambulatory blood pressure monitoring in hypogonadal men who used testosterone replacement therapy.

AndroGel 1.62% is a drug used for the treatment of hypogonadism, which is associated with low or no testosterone. This was an open-label study which means that both the study doctor and study participants knew what drug and what dose is being used. All participants in this study were in the same group, called a treatment arm. Adult male participants with hypogonadism were enrolled and received AndroGel 1.62%. This was a multi-center study with 190 participants enrolled (initially planned) in approximately 45 sites in the United States to yield 171 subjects in the per protocol (PP) population. A blinded sample size re-estimation (BSSR) was performed when around 70% of the planned subjects in the PP population had completed the end of treatment visit. Sample size was increased at BSSR and 246 participants were actually enrolled.

Participants received daily topical gel doses of AndroGel 1.62% for approximately 16 weeks.

There may have been a higher burden for participants in this study compared to standard of care. Participants attended 8 study visits during the course of the study at a hospital or clinic and received 2 study phone calls. The effect of the treatment was checked by medical assessments, blood tests (including pharmacokinetic sampling), and 24-hour blood pressure monitors.

Detailed Description

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Conditions

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Hypogonadism

Keywords

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Hypogonadism Testosterone Replacement Therapy AndroGel

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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AndroGel 1.62%

AndroGel 1.62% was applied topically once daily in the morning beginning at the Day 1 Visit after confirmed valid ambulatory blood pressure monitoring (ABPM) assessment and was applied at approximately the same time each day after that during the study, for approximately 16 weeks. The starting dose of AndroGel 1.62% was 40.5 mg of T (2 pump actuations, applied to the upper arms and shoulders) and was titrated up or down by 20.25 mg or remained the same as assessed by morning serum T levels at Weeks 2 and 4.

Group Type EXPERIMENTAL

AndroGel 1.62%

Intervention Type DRUG

AndroGel 1.62% was packaged in pump bottles with quantities sufficient to accommodate study design and could have been dose adjusted between a minimum of 20.25 mg of T (1 pump actuation) and a maximum of 81.0 mg of testosterone (4 pump actuations). For the first study drug administration at the Day 1 Visit, and also at Week 2, Week 4, Week 16 ambulatory blood pressure monitoring (ABPM,) and End of Treatment Visits, participants applied the study drug while on site so that the site staff could observe the proper administration of study drug. If participants forgot to apply their AndroGel 1.62% dose at their regularly scheduled dosing time, they were to take the next dose at the next dosing time.

Interventions

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AndroGel 1.62%

AndroGel 1.62% was packaged in pump bottles with quantities sufficient to accommodate study design and could have been dose adjusted between a minimum of 20.25 mg of T (1 pump actuation) and a maximum of 81.0 mg of testosterone (4 pump actuations). For the first study drug administration at the Day 1 Visit, and also at Week 2, Week 4, Week 16 ambulatory blood pressure monitoring (ABPM,) and End of Treatment Visits, participants applied the study drug while on site so that the site staff could observe the proper administration of study drug. If participants forgot to apply their AndroGel 1.62% dose at their regularly scheduled dosing time, they were to take the next dose at the next dosing time.

Intervention Type DRUG

Other Intervention Names

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Testosterone gel

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of hypogonadism with the presence of at least one of the following symptoms that may be related to low testosterone values and is/are consistent with hypogonadism:

* Decreased sexual desire or libido
* Decreased spontaneous erections (e.g. morning erections)
* Decreased energy or fatigue/feeling tired
* Low mood or depressed mood
* Loss of body (axillary and pubic) hair or reduced shaving
* Hot flashes AND
* Confirmed by 2 serum testosterone levels \< 300 ng/dL by blood samples drawn at least 48 hours apart. These samples should be obtained between 5 am and 11 am local time.
* Blood pressure \>100/60 mmHg and \<140/90 mmHg

Exclusion Criteria

* Unprovoked deep vein thrombosis (DVT), unprovoked pulmonary embolism (PE), or known thrombophilia
* Polycythemia vera or secondary polycythemia, such as polycythemia due to untreated sleep apnea or severe chronic obstructive pulmonary disease
* Prostate or breast cancer
* Any active malignancy
* Clinically significant medical conditions or any other reason that the investigator determines would interfere with participation in this study or would make the participant an unsuitable candidate to receive study drug
* Work night shifts or is otherwise required to perform strenuous manual labor while wearing the Ambulatory Blood Pressure Monitor (ABPM).
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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G & L Research, LLC /ID# 216793

Foley, Alabama, United States

Site Status

NewportNativeMD, Inc. /ID# 216992

Newport Beach, California, United States

Site Status

Valley Renal Medical Group Research /ID# 216321

Northridge, California, United States

Site Status

West Coast Research LLC /ID# 216813

San Ramon, California, United States

Site Status

Lynn Institute of Denver /ID# 216863

Aurora, Colorado, United States

Site Status

Innovative Research of West Florida /ID# 216364

Clearwater, Florida, United States

Site Status

Seidman Clinical Trials,Delray /ID# 216794

Delray Beach, Florida, United States

Site Status

Invesclinic, U.S., LLC /ID# 216778

Fort Lauderdale, Florida, United States

Site Status

Indago Research and Health Cen /ID# 216319

Hialeah, Florida, United States

Site Status

Care Partners Clinical Research /ID# 216773

Jacksonville, Florida, United States

Site Status

Pharmax Research Clinic /ID# 216343

Miami, Florida, United States

Site Status

Care Research center Inc. /ID# 216367

Miami, Florida, United States

Site Status

West Orange Endocrinology /ID# 217106

Ocoee, Florida, United States

Site Status

North Georgia Clinical Research /ID# 216864

Woodstock, Georgia, United States

Site Status

Solaris Clinical Research /ID# 216772

Meridian, Idaho, United States

Site Status

Loretto Hospital.Affnity Clinical Research Institute /ID# 216884

Chicago, Illinois, United States

Site Status

Affinity Clinical Research /ID# 216807

Oak Brook, Illinois, United States

Site Status

Investigative Clinical Research of Indiana, LLC /ID# 216943

Elwood, Indiana, United States

Site Status

Iowa Diabetes and Endocrinology Research Center /ID# 216316

West Des Moines, Iowa, United States

Site Status

PRN Professional Research Network of Kansas, LLC /ID# 216805

Wichita, Kansas, United States

Site Status

The Research Grp of Lexington /ID# 216451

Lexington, Kentucky, United States

Site Status

Centennial Medical Group /ID# 216340

Elkridge, Maryland, United States

Site Status

Advanced Biomedical Research of America /ID# 216797

Las Vegas, Nevada, United States

Site Status

Amici Clinical Research /ID# 216779

Warren Township, New Jersey, United States

Site Status

NM Clinical Research & Osteoporosis Center, Inc /ID# 216808

Albuquerque, New Mexico, United States

Site Status

AccuMed Research Associates /ID# 216775

Garden City, New York, United States

Site Status

Randolph Health Internal Medicine /ID# 216366

Asheboro, North Carolina, United States

Site Status

OnSite Clinical Solutions, LLC /ID# 216279

Charlotte, North Carolina, United States

Site Status

OnSite Clinical Solutions, LLC /ID# 216368

Charlotte, North Carolina, United States

Site Status

Triad Clinical Trials /ID# 216792

Greensboro, North Carolina, United States

Site Status

Lucas Research /ID# 216487

Morehead City, North Carolina, United States

Site Status

Diabetes and Endocrinology Associates of Stark County Inc /ID# 216362

Canton, Ohio, United States

Site Status

Intend Research /ID# 216320

Norman, Oklahoma, United States

Site Status

Tristar Clinical Investigations PC /ID# 216944

Philadelphia, Pennsylvania, United States

Site Status

Frontier Clinical Research /ID# 216365

Smithfield, Pennsylvania, United States

Site Status

New Phase Research & Development /ID# 216774

Knoxville, Tennessee, United States

Site Status

Clinical Neuroscience Solutions - Memphis /ID# 216790

Memphis, Tennessee, United States

Site Status

Arlington Family Research Center, Inc /ID# 216363

Arlington, Texas, United States

Site Status

Associates in Medicine, P.A. /ID# 216781

Houston, Texas, United States

Site Status

FMC Science /ID# 216318

Lampasas, Texas, United States

Site Status

Discovery Clinical Trials-San Antonio /ID# 216866

San Antonio, Texas, United States

Site Status

Northwest Houston Clinical Research PLLC /ID# 216358

Tomball, Texas, United States

Site Status

Burke Internal Medicine & Research /ID# 216322

Burke, Virginia, United States

Site Status

Manassas Clinical Research Center /ID# 216313

Manassas, Virginia, United States

Site Status

Virginia Research Center /ID# 216341

Midlothian, Virginia, United States

Site Status

Countries

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United States

References

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Weber MA, Aslam S, Efros MD, Chan A, Khan N, Li X, Dubcenco E, Miller MG. Single-arm study of testosterone gel replacement therapy and ambulatory blood pressure outcomes in men with hypogonadism. Andrology. 2025 Sep;13(6):1390-1401. doi: 10.1111/andr.13779. Epub 2024 Oct 9.

Reference Type DERIVED
PMID: 39385523 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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M19-161

Identifier Type: -

Identifier Source: org_study_id