A Titration Trial to Determine the Effectiveness of Testosterone MD-Lotion (Cutaneous Solution) Formulations
A Phase III Open-label Titration Trial to Evaluate the Effectiveness and Safety of Different Doses of a Dermal Application of Testosterone MD-Lotion® (Cutaneous Solution) in Hypogonadal Men
3 other identifiers
interventional
155
6 countries
27
Brief Summary
Testosterone replacement treatment is the most effective way of treating hypogonadism in men. Acrux has a propriety testosterone replacement product- Testosterone MD-Lotion (cutaneous solution), and this study will evaluate the efficacy via pharmacokinetics of various doses of this product. The study will also assess safety of the product.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Jun 2008
Shorter than P25 for phase_3
27 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2008
CompletedFirst Submitted
Initial submission to the registry
June 19, 2008
CompletedFirst Posted
Study publicly available on registry
June 20, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2009
CompletedResults Posted
Study results publicly available
January 5, 2011
CompletedJuly 25, 2011
July 1, 2011
1.1 years
June 19, 2008
December 15, 2010
July 21, 2011
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With 24-Hour Average Concentration [Cavg(0-24h)] Total Testosterone Within Normal Range at Day 120
Cavg(0-24) is the average serum concentration calculated over the 24 hour period on Day 120. Calculated as the AUC(0-24) divided by 24 hours. Normal range for Total Testosterone was defined as 300 - 1050 nanograms per deciliter (ng/dL).
Day 120
Secondary Outcomes (14)
Percentage of Participants With Maximum Serum Concentration (Cmax) >1500 ng/dL
Day 120
Percentage of Participants With Cmax Between 1800 and 2500 ng/dL
Day 120
Percentage of Participants With Cmax >2500 ng/dL
Day 120
Percentage of Participants With Minimum Concentration (Cmin) <300 ng/dL
Day 120
Change From Baseline to Endpoint in Psychosexual Daily Questionnaire
Baseline, Day 120
- +9 more secondary outcomes
Study Arms (1)
Testosterone MD-Lotion
EXPERIMENTALParticipants received Testosterone Metered Dose (MD)-Lotion for 120 days. Participants started by receiving 3.0 mL (60 mg) of 2% Testosterone MD-Lotion, and based upon restoration to eugonadal levels, may have had their dose of testosterone adjusted upwards or downwards on Days 45 and 90. Doses could be titrated to one of the following: 1.5 mL (30 mg) of 2% Testosterone MD-Lotion applied daily by 1 dose to the axilla (1.5 mL to one axilla). 3.0 mL (60 mg) of 2% Testosterone MD-Lotion applied daily by 2 doses to the axilla (1.5 mL to each axilla). 4.5 mL (90 mg) of 2% Testosterone MD-Lotion applied daily by 3 doses to the axilla (2 x 1.5 mL to one axilla and 1 x 1.5 mL to the other axilla). 6.0 mL (120 mg) of 2% Testosterone MD-Lotion applied daily by 4 doses to the axilla (2 x 1.5 mL to each axilla).
Interventions
30 mg to 120 mg administered topically once daily for 120 days
Eligibility Criteria
You may qualify if:
- Male subjects with a prior documented definitive diagnosis of hypogonadism as evidenced by previously documented:
- Hypothalamic, pituitary or testicular disorder or age related idiopathic hypogonadism
- Screening serum testosterone of less than or equal to 300 ng/dL (based on the average of two morning samples taken at least 30 minutes apart)
- Were currently receiving treatment for hypogonadism in accordance with approved labelling, or in the Investigator's opinion are eligible to receive such treatment
- Body Mass Index (BMI) \< 35.0 kg/m\^2
- Haemoglobin levels at screening greater than or equal to 11.5 g/dL
- Adequate venous access on left or right arm to allow collection of a number of samples by venipuncture
- Ability to communicate with the trial staff, understand the Trial Information Sheet and sign the Written Informed Consent Forms; willing to follow the Protocol requirements and comply with Protocol restrictions and procedures
You may not qualify if:
- Current use of long acting testosterone injectables such as Nebido®
- Any significant history of allergy and/or sensitivity to the drug products or their excipients, including any history of sensitivity to testosterone and/or sunscreens
- Any clinically significant chronic illness or finding on screening physical exam and/or laboratory testing that makes it undesirable for the Investigator to enrol the trial subject in the trial and/or that in the Investigator's opinion, would interfere with the trial objectives or safety of the subject
- Chronic skin disorder (e.g. eczema, psoriasis) likely to interfere with transdermal drug absorption
- Men with suspected reversible hypogonadism
- Any man in whom testosterone therapy was contraindicated, which included those with:
- Known or suspected carcinoma (or history of carcinoma) of the prostate or clinically significant symptoms of benign prostatic hyperplasia and/or clinically significant symptoms of lower urinary obstruction and International Prostate Symptom Scores (IPSS) scores of greater than or equal to 19
- Known or suspected carcinoma (or history of carcinoma) of the breast
- Severe liver disease (i.e. cirrhosis, hepatitis or liver tumours or liver function tests \>2 times the upper limit of the normal range values)
- Active deep vein thrombosis, thromboembolic disorders or a documented history of these conditions
- Current significant cerebrovascular or coronary artery disease
- Untreated sleep apnoea
- Haematocrit of \> 51
- Untreated moderate to severe depression
- Men with clinically significant prostate exam (such as irregularities or nodules palpated) or clinically significant elevated serum Prostate Specific Antigen (PSA) levels (\>4 ng/mL), or age adjusted reference range of PSA values
- +9 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (27)
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Birmingham, Alabama, United States
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Tuscon, Arizona, United States
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Burbank, California, United States
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Torrance, California, United States
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Colorado Springs, Colorado, United States
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New Britain, Connecticut, United States
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Ocala, Florida, United States
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Boise, Idaho, United States
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Shawnee Mission, Kansas, United States
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Shreveport, Louisiana, United States
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Omaha, Nebraska, United States
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San Antonio, Texas, United States
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Sydney, New South Wales, Australia
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Adelaide, South Australia, Australia
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Melbourne, Victoria, Australia
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Perth, Western Australia, Australia
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Lyon, France
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Nice, France
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Nîmes, France
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Bonn, Germany
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Freiburg im Breisgau, Germany
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Halle, Germany
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Malmo, Sweden
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Stockholm, Sweden
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Barnsley, United Kingdom
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Newcastle upon Tyne, United Kingdom
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Swansea, United Kingdom
Related Publications (2)
Wang C, Ilani N, Arver S, McLachlan RI, Soulis T, Watkinson A. Efficacy and safety of the 2% formulation of testosterone topical solution applied to the axillae in androgen-deficient men. Clin Endocrinol (Oxf). 2011 Dec;75(6):836-43. doi: 10.1111/j.1365-2265.2011.04152.x.
PMID: 21689131RESULTMuram D, Ni X. Utility of a single serum testosterone measurement to determine response to topical testosterone replacement in hypogonadal men. Curr Med Res Opin. 2016;32(2):263-9. doi: 10.1185/03007995.2015.1117434. Epub 2015 Dec 15.
PMID: 26549704DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
June 19, 2008
First Posted
June 20, 2008
Study Start
June 1, 2008
Primary Completion
July 1, 2009
Study Completion
July 1, 2009
Last Updated
July 25, 2011
Results First Posted
January 5, 2011
Record last verified: 2011-07