Opioid Antagonism in Hypogonadotropic Hypogonadism

NCT ID: NCT04975334

Last Updated: 2025-12-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

23 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-18

Study Completion Date

2025-09-26

Brief Summary

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The goal of this study is to evaluate the effects of opioid antagonists on the hypothalamic-pituitary-gonadal axis in subjects with hypogonadotropic hypogonadism (HH).

Detailed Description

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Assignment: Each study subject will serve as their own control.

Delivery of Interventions:

* Prior to the study visit, subjects will undergo a review of their medical history and screening laboratories.
* During the study, the subjects will undergo the following:

* Undergo q10 min blood sampling for 3 hours
* Receive a naloxone bolus at the midpoint of q10 min sampling

Conditions

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Hypogonadotropic Hypogonadism Low Testosterone

Keywords

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Hypogonadotropic Hypogonadism naloxone

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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naloxone

one period of frequent blood sampling with IV administration of naloxone (one bolus)

Group Type EXPERIMENTAL

Naloxone

Intervention Type DRUG

One bolus of naloxone

Interventions

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Naloxone

One bolus of naloxone

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male
* Age 18-75 years
* Confirmed diagnosis of hypogonadotropic hypogonadism (low testosterone)
* All medical conditions stable
* Normal blood pressure (systolic BP \< 140 mm Hg, diastolic \< 90 mm Hg)
* Negative urine drug screening panel
* Hemoglobin
* Men on adequate testosterone replacement therapy: normal male reference range
* Men off testosterone replacement therapy: no lower than 0.5 gm/dL below the lower limit of the reference range for normal women

Exclusion

* Any condition (medical, mental, or behavioral) that, in the opinion of a study investigator, would likely interfere with participation in/completion of the protocol
* Current or recent use of a medication (including hormonal replacement) that, in the opinion of a study investigator, can modulate the reproductive axis and, if applicable, unwilling to complete an appropriate washout for that particular medication and its method of administration
* Current or recent use of a medication that affects the opioid pathway
* Active illicit drug use
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Stephanie B. Seminara, MD

OTHER

Sponsor Role lead

Responsible Party

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Stephanie B. Seminara, MD

Chief, Reproductive Endocrine Unit; Professor of Medicine, Harvard Medical School; Director, MGH Harvard Center for Reproductive Medicine

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Stephanie Seminara, MD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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313510

Identifier Type: -

Identifier Source: org_study_id