A Study to Monitor Ambulatory Blood Pressure Monitoring in Hypogonadal Men Treated With Nasal Testosterone Gel

NCT ID: NCT04976595

Last Updated: 2022-07-06

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

218 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-01

Study Completion Date

2022-12-31

Brief Summary

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The purpose of this study is to assess the change in 24-hour ambulatory blood pressure monitoring (ABPM) between baseline (Day 0) and Day 120 following 4 months of testosterone therapy with Natesto.

Detailed Description

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Conditions

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Hypogonadism

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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Natesto

Participants will administer Natesto, gel, intranasally, three times daily up to Day 120. A multiple-dose dispenser will be used for gel deposition into the nasal cavity.

Group Type EXPERIMENTAL

Natesto

Intervention Type DRUG

Nasal gel containing testosterone 11 mg/dose (5.5 mg/nostril) three times daily.

Interventions

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Natesto

Nasal gel containing testosterone 11 mg/dose (5.5 mg/nostril) three times daily.

Intervention Type DRUG

Other Intervention Names

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Testosterone Nasal Gel

Eligibility Criteria

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Inclusion Criteria

* Voluntarily sign and date the study consent form(s) which have been approved by an Institutional Review Board (IRB). Written consent must be obtained prior to the initiation of any study procedures.
* Male between 18 and 80 years of age, inclusive, with documented onset of hypogonadism prior to age 65.
* Serum total testosterone \< 300 ng/dL based on 2 consecutive blood samples obtained no greater than 1-4 weeks apart between 6 and 10 AM following an appropriate washout of current androgen replacement therapy if not testosterone naive. Historical values from the past 6 months may be used.
* Testosterone Therapy naive, OR off any testosterone therapy for at least 4 months OR agree to a 4-month washout of current testosterone therapy prior to entry at Visit 1.
* Average office blood pressure measurement \<140 millimetre of mercury (mmHg) SBP -AND- \<90 mmHg DBP.
* If the participant is on an antihypertensive regimen, he has been on it for at least 4 weeks.
* Judged to be in good general health as determined by the principal investigator based upon the results of a medical history, physical examination, vital signs, laboratory profile and a 12-lead electrocardiogram (ECG).

Exclusion Criteria

* History of significant sensitivity or allergy to androgens, castor oil or product excipients.
* Clinically significant findings in the pre-study examinations including abnormal breast examination requiring follow-up, an abnormal ECG.
* Abnormal prostate digital rectal examination (DRE) with palpable nodule(s) or International Prostate Symptom Score (I-PSS) score \> 19 points.
* Body mass index (BMI) ≥ 35 kg/m\^2.
* Clinically significant abnormal laboratory value, in the opinion of the investigator, in serum chemistry, hematology, or urinalysis including but not limited to:

* Prostate specific antigen (PSA) \> 4 ng/mL
* Hematocrit \< 35% or \> 50%
* Baseline hemoglobin \> 16 g/dL
* Hemoglobin A1C (HbA1C) \> 9.0%
* Estimated glomerular filtration rate (eGFR) \<45
* History of seizures or convulsions, including febrile, alcohol or drug withdrawal seizures.
* History of any clinically significant illness, infection, or surgical procedure within 4 weeks prior to study drug administration except for diabetes, or renal disease.
* History of stroke or myocardial infarction within the past 5 years.
* History of, or current or suspected, prostate or breast cancer.
* History of diagnosed, severe, untreated, obstructive sleep apnea.
* History of abuse of alcohol or any drug substance in the opinion of the investigator within the previous 2 years.
* Currently using tobacco, e-cigarettes or other nicotine containing products.
* History of nasal disorders such as nasal surgery; nasal trauma resulting in nasal fracture within the previous 6 months or nasal fracture that caused a deviated anterior nasal septum; or sinus surgery or sinus disease.
* Receipt of any investigational product within 4 weeks of study start.
* Inability to understand and provide written informed consent for the study.
* Considered by the investigator or the sponsor-designated physician, for any reason, as an unsuitable candidate to receive Natesto.
* Participants working night-shifts.
* Participants performing strenuous manual labor while wearing the ABPM monitor.
* Participants with chronic atrial fibrillation (interferes with the ability to obtain precise ambulatory recordings).
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Acerus Pharmaceuticals Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Alabama Clinical Therapeutics

Birmingham, Alabama, United States

Site Status RECRUITING

Horizon Clinical Research Associates

Phoenix, Arizona, United States

Site Status WITHDRAWN

Eclipse Clinical Research

Tucson, Arizona, United States

Site Status WITHDRAWN

Preferred Research Partners

Little Rock, Arkansas, United States

Site Status RECRUITING

Valley Clinical Trials

Northridge, California, United States

Site Status RECRUITING

Lynn Institute of the Rockies

Colorado Springs, Colorado, United States

Site Status WITHDRAWN

Excel Medical Clinical Trials

Boca Raton, Florida, United States

Site Status RECRUITING

Florida Healthcare Associates

Boynton Beach, Florida, United States

Site Status RECRUITING

University of Miami

Miami, Florida, United States

Site Status RECRUITING

New Horizon Research Center

Miami, Florida, United States

Site Status RECRUITING

NanoHealth Associates

Miami Beach, Florida, United States

Site Status RECRUITING

Urology Center of Florida

Pompano Beach, Florida, United States

Site Status RECRUITING

Precision Clinical Research

Sunrise, Florida, United States

Site Status RECRUITING

Investigative Clinical Research of Indiana

Elwood, Indiana, United States

Site Status RECRUITING

Urology of Indiana

Indianapolis, Indiana, United States

Site Status RECRUITING

Tandem Clinical Research GI, LLC

Marrero, Louisiana, United States

Site Status RECRUITING

Advanced Biomedical Research of America

Las Vegas, Nevada, United States

Site Status RECRUITING

Premier Urology Group

Edison, New Jersey, United States

Site Status RECRUITING

ProHEALTH Care Associates

Garden City, New York, United States

Site Status RECRUITING

AccuMed Research Associates

Garden City, New York, United States

Site Status RECRUITING

NYU Langone Health

New York, New York, United States

Site Status RECRUITING

The Research Foundation for the State University of New York at Buffalo

Williamsville, New York, United States

Site Status RECRUITING

Lynn Health Science Institute

Oklahoma City, Oklahoma, United States

Site Status WITHDRAWN

Warren Alpert School of Medicine Brown University

Providence, Rhode Island, United States

Site Status WITHDRAWN

Coastal Carolina Research Center

North Charleston, South Carolina, United States

Site Status RECRUITING

North Austin Urology

Austin, Texas, United States

Site Status WITHDRAWN

Coastal Bend Clinical Research

Corpus Christi, Texas, United States

Site Status WITHDRAWN

Prime Revival Research Institute

Flower Mound, Texas, United States

Site Status RECRUITING

Baylor College of Medicine

Houston, Texas, United States

Site Status RECRUITING

Crossroads Clinical Research

Victoria, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Dr. C. Sorli Chief Medical Officer

Role: CONTACT

+1 289 326 5762

Other Identifiers

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NAT-2020-01

Identifier Type: -

Identifier Source: org_study_id

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