Natesto Testosterone Nasal Gel for Hypogonadal Men

NCT ID: NCT05484167

Last Updated: 2022-12-21

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

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-01

Study Completion Date

2025-04-01

Brief Summary

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To determine if testosterone deficient men who are using daily Tadalafil (a phosphodiesterase-5 Inhibitor), will have a significant improvement in erectile function and satisfaction with erectile dysfunction treatment when using on-demand Testosterone Nasal Gel (TNG) prior to sexual activity compared to placebo.

Detailed Description

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The purpose of this study is to determine if testosterone deficient men whose primary symptom is erectile dysfunction, who are using daily Tadalafil (a phosphodiesterase-5 Inhibitor), will have a significant improvement in erectile function and satisfaction with erectile dysfunction treatment when using on-demand Testosterone Nasal Gel (TNG) prior to sexual activity compared to placebo.

Conditions

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Erectile Dysfunction Sexual Dysfunction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

The patient crosses over at 90 days
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Double-Blind

Study Groups

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Natesto

Natesto™ is a testosterone nasal gel that is FDA approved to treat low testosterone. It delivers testosterone through the nasal passages and it is then absorbed into the blood stream. The nasal pump is placed at the opening of each nostril and then the participant would press down on the nasal pump to apply the gel. Each application takes about 10 seconds and the nasal pump applies a thin layer of gel that absorbs through the lining of the nose.

Group Type ACTIVE_COMPARATOR

Natesto Nasal Product

Intervention Type DRUG

Nasal Gel used for 90 days then crossed over to placebo gel

Placebo

This study involves a placebo. The placebo will look like the Natesto™ nasal pump and will contain a nasal gel, but without any active ingredients.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

A nasal gel with no active ingredients

Interventions

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Natesto Nasal Product

Nasal Gel used for 90 days then crossed over to placebo gel

Intervention Type DRUG

Placebo

A nasal gel with no active ingredients

Intervention Type DRUG

Other Intervention Names

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Natesto Nasal Gel

Eligibility Criteria

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Inclusion Criteria

* Ability to understand and provide written informed consent for the study.
* Ability to read and complete electronic questionnaires in English.
* Adult males between the ages of 18-64 years
* Mild-moderate ED based on SHIM score between 8-21 at study entry
* Ability to take daily Tadalafil
* Ability to undergo venipuncture
* Ability to provide ejaculated semen sample
* Stable female sexual partner with sexual activity at least 1-3 times/month
* Hypogonadism defined as two (one done as SOC within the last 6 months and one done at the time of screening) early morning total testosterone lab values \<300

Exclusion Criteria

* Morbid Obesity - BMI \>35
* History of Diabetes (HBA1c \>6.0)
* Hematocrit \< 35% or \> 54% at study entry
* Concurrent or Prior use of other exogenous testosterone or hormone therapy (SERM, aromatase inhibitor, gonadotropins) within the last 3 months.
* Concurrent use of other prescription medications for ED including PDE5 inhibitors, intracavernosal injection therapy, urethral suppositories
* Concurrent use of nitrates in any form
* History of pelvic radiation
* Spinal cord injury
* Any progressive neurologic disease (Alzheimer's, Parkinson's, multiple sclerosis, etc).
* History of penile prosthesis
* History of prostatectomy
* History of transurethral resection of prostate
* History of stroke or myocardial infarction within the past 6 months
* History of congestive heart failure
* History of untreated obstructive sleep apnea
* History of liver disease (Serum transaminases \> 2.5 times upper limit of normal)
* History of chronic kidney disease (GFR\<60 or Serum Cr \>2)
* History of, current or suspected, prostate (abnormal DRE or elevated PSA \>4.0) or breast cancer.
* History of azoospermia or oligospermia (\<15 million/ml)
* History of vasectomy
* History of Priapism
* History of Polycythemia Vera
* Receipt of any investigational product within 4 weeks of study enrollment
* Recurrent upper respiratory or sinus infection (\>3 times/month for \>6 months)
* Recurrent epistaxis (\>3 times/month for \>6 months)
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Acerus Pharmaceuticals Corporation

INDUSTRY

Sponsor Role collaborator

University of Utah

OTHER

Sponsor Role lead

Responsible Party

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Jim Hotaling

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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James Hotaling, MS, MS

Role: PRINCIPAL_INVESTIGATOR

University of Utah, Division of Urology, Department of Surgery

Locations

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University of Utah, Division of Urology

Salt Lake City, Utah, United States

Site Status

Countries

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United States

Other Identifiers

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00144770

Identifier Type: -

Identifier Source: org_study_id