Safety and Efficacy of Weekly Testosterone Cypionate Auto-Injector in Men With Hypogonadism
A Single-Blind, Single-Arm, Multiple-Dose Study Evaluating the Safety and Efficacy of Testosterone Cypionate Administered Subcutaneously Via a Weekly Auto-Injector in Adult Males With Hypogonadism Through Week 24
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 31, 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Brief Summary
The goal of this Phase 3 clinical trial is to evaluate the safety, efficacy, and usability of a weekly subcutaneous testosterone cypionate auto-injector in adult males with hypogonadism. The main questions it aims to answer are:
Does weekly testosterone cypionate administered using an auto-injector maintain testosterone levels within the normal range in adult males with hypogonadism?
What side effects and safety outcomes occur during treatment with testosterone cypionate auto-injector?
Is the auto-injector easy for participants to use and self-administer? All participants will receive testosterone cypionate administered subcutaneously once weekly through an auto-injector. Treatment will begin at a 75 mg weekly dose, with dose adjustments to 50 mg or 100 mg based on testosterone levels measured during the study. Participants will:
Receive weekly testosterone cypionate injections using an auto-injector for up to 52 weeks.
Attend regular clinic visits for physical examinations, laboratory tests, blood pressure monitoring, and safety assessments.
Provide blood samples to measure testosterone and other hormone levels and evaluate pharmacokinetics.
Complete questionnaires related to symptoms, quality of life, and ease of use of the auto-injector.
Record self-administration and treatment compliance in a study diary. This study will enroll adult males aged 18 to 75 years with hypogonadism and low testosterone concentrations to evaluate treatment through Week 24, with continued safety follow-up through Week 52.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
recruiting
Estimated enrollment
190 participants
Study completion date
December 31, 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Listed locations
1 countries · 10 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
September 28, 2026
Actual (reported)
First Submitted
October 21, 2026
Actual (reported)
First Posted
October 27, 2026
Actual (reported)
Primary Completion
March 31, 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 31, 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Percentage of Participants With Average Serum Total Testosterone Concentration Within 300-1100 ng/dL at Week 12
The percentage of participants whose average serum total testosterone concentration (Cavg) over the 168-hour (7-day) dosing interval at Week 12 is within the predefined range of 300-1100 ng/dL. Serum total testosterone concentrations will be measured using blood samples collected before and at specified time points after dosing through 168 hours. Cavg will be calculated by dividing the area under the serum concentration-time curve from 0 to 168 hours (AUC0-168h) by 168 hours. The primary efficacy criterion is met if at least 75% of participants achieve the specified range, with the lower bound of the two-sided 95% confidence interval at least 65%. The assessment will be based on the protocol-defined full pharmacokinetic population.
Week 12 (over the 168-hour dosing interval following the Week 12 dose)
Secondary Outcomes (11)
Percentage of Participants With Maximum Serum Total Testosterone Concentration (Cmax) Below 1500 ng/dL at Week 12
Week 12 (0-168 hours after dosing)
Percentage of Participants With Maximum Serum Total Testosterone Concentration (Cmax) Between 1800 and 2500 ng/dL at Week 12
Week 12 (0-168 hours after dosing)
Number of Participants With Maximum Serum Total Testosterone Concentration (Cmax) Above 2500 ng/dL at Week 12
Week 12 (0-168 hours after dosing)
Number and Percentage of Participants With Minimum Serum Total Testosterone Concentration (Cmin) Below 300 ng/dL at Week 12
Week 12 (0-168 hours after dosing)
Percentage of Participants Receiving 75 mg With Average Serum Total Testosterone Concentration Within 300-1100 ng/dL at Week 12
Week 12 (0-168 hours after dosing)
+6 more secondary outcomes
Study Arms (3)
Testosterone Cypionate Auto-Injector (75 mg)
EXPERIMENTAL
Participants with hypogonadism will receive testosterone cypionate injection administered subcutaneously into the abdomen once weekly using an auto-injector. All participants will initiate treatment at 75 mg once weekly.
Drug: Testosterone Cypionate 75 mg
Testosterone Cypionate Auto-Injector (50 mg)
EXPERIMENTAL
Participants with hypogonadism will receive testosterone cypionate injection administered subcutaneously into the abdomen once weekly using an auto-injector. All participants will initiate treatment at 75 mg once weekly. The dose may be adjusted to 50 mg based on serum total testosterone trough concentrations and protocol-defined dose titration criteria.
Testosterone cypionate injectable solution formulated in cottonseed oil, supplied in a single-use auto-injector containing 75 mg/0.5 mL. The study drug will be administered subcutaneously into the abdomen once weekly. All participants will initiate treatment at 75 mg once weekly, with dose adjustments in 25 mg increments to 50 mg or 100 mg based on serum total testosterone trough concentrations according to protocol-defined criteria. Treatment will continue through the 24-week primary evaluation period, with eligible participants permitted to continue once-weekly treatment through Week 52 for extended safety assessment.
Gender Eligibility DetailsOnly individuals who self-identify as male are eligible to participate in this study, provided they are male at birth and meet the protocol-defined eligibility criteria for hypogonadism.
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Adults assigned male at birth, aged 18 to 75 years.
Masking is limited to the assigned testosterone cypionate dose strength. Participants and designated clinical staff responsible for study assessments will remain blinded to dose strength, as applicable. The Principal Investigator and designated unblinded study personnel will have access to dose information for safety monitoring and dose adjustments.
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: This is a multicenter, single-arm study in which all participants will receive testosterone cypionate administered subcutaneously once weekly via an autoinjector, starting at a dose of 75 mg. Dose adjustments to 50 mg or 100 mg may be made based on protocol-defined serum total testosterone concentrations. There is no comparator or control group.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Study Record Dates
First Submitted
October 21, 2026
First Posted
October 27, 2026
NCT02081300
Safety and Efficacy of Oral LPCN 1021 in Men With Low Testosterone or Hypogonadism
Participants with hypogonadism will receive testosterone cypionate injection administered subcutaneously into the abdomen once weekly using an auto-injector. All participants will initiate treatment at 75 mg once weekly. The dose may be adjusted to100 mg based on serum total testosterone trough concentrations and protocol-defined dose titration criteria. Treatment will continue through the 24-week primary evaluation period. Participants completing Week 24 may continue once-weekly treatment with ongoing safety assessments through Week 52. The first dose will be administered by designated study personnel, followed by participant self-administration as specified in the protocol.
Drug: Testosterone cypionate 100 mg
Testosterone cypionate injectable solution formulated in cottonseed oil, supplied in a single-use auto-injector containing 50 mg/0.5 mL. The study drug will be administered subcutaneously into the abdomen once weekly. All participants will initiate treatment at 75 mg once weekly, with dose adjustments in 25 mg increments to 50 mg or 100 mg based on serum total testosterone trough concentrations according to protocol-defined criteria. Treatment will continue through the 24-week primary evaluation period, with eligible participants permitted to continue once-weekly treatment through Week 52 for extended safety assessment.
Testosterone cypionate injectable solution formulated in cottonseed oil, supplied in a single-use auto-injector containing 100 mg/0.5 mL. The study drug will be administered subcutaneously into the abdomen once weekly. All participants will initiate treatment at 75 mg once weekly, with dose adjustments in 25 mg increments to 50 mg or 100 mg based on serum total testosterone trough concentrations according to protocol-defined criteria. Treatment will continue through the 24-week primary evaluation period, with eligible participants permitted to continue once-weekly treatment through Week 52 for extended safety assessment.
Testosterone Cypionate Auto-Injector (100 mg)
Documented diagnosis of hypogonadism (low testosterone) with at least one associated symptom, such as reduced sexual desire, erectile dysfunction, fatigue, reduced energy, loss of muscle mass, decreased body hair, or mood changes.
Fasting morning serum total testosterone concentration below 300 ng/dL on two separate occasions, at least 72 hours apart, during screening. One additional test may be allowed if one of the initial measurements is 300 ng/dL or higher.
Body mass index (BMI) between 18.5 and 39.9 kg/m².
Prostate-specific antigen (PSA) level between 0 and 2.5 ng/mL for participants aged 50 years or younger, or between 0 and 4.0 ng/mL for participants older than 50 years.
Willingness to use effective contraception throughout the study and for 30 days after the last dose of study medication.
Hemoglobin level of 16 g/dL or lower for participants without previous testosterone replacement therapy, or 17 g/dL or lower for participants who received testosterone replacement therapy within 30 days before screening.
Participants with diabetes must have been on a stable antidiabetic treatment regimen for at least 4 weeks before screening and have HbA1c of 9.0% or lower, or have diabetes considered adequately controlled by the investigator.
Participants with high cholesterol or other lipid disorders must have been on stable lipid-lowering treatment for at least 4 weeks before screening or have their condition considered adequately controlled by the investigator.
Participants with high blood pressure must have been on stable antihypertensive treatment for at least 1 month before screening or have blood pressure considered adequately controlled by the investigator. Participants with normal blood pressure who are not receiving antihypertensive treatment are also eligible.
Participants previously receiving testosterone replacement therapy must complete the required washout period before qualifying testosterone measurements: generally 2 weeks for oral, buccal, or transdermal treatment as specified in the protocol; 5 weeks for intramuscular testosterone; or the required interval following testosterone implants.
Adequate venous access for collection of multiple blood samples.
Willing and able to provide written informed consent and comply with all study procedures, treatment requirements, and scheduled visits.
You may not qualify if:
Known allergy, hypersensitivity, or unusual reaction to testosterone products or cottonseed oil.
Current opioid use, subject to the protocol's specific medication restrictions.
Two serum total testosterone measurements below 100 ng/dL during screening.
Hematocrit of 52% or higher at the initial screening visit.
Current or previous prostate cancer.
Any cancer diagnosed or treated within the previous 5 years, except non-melanoma skin cancer.
A prostate nodule or abnormal hardening detected during digital rectal examination.
Significant urinary obstruction due to prostate disease or severe lower urinary tract symptoms, including an International Prostate Symptom Score (I-PSS) greater than 19.
Severe congestive heart failure classified as New York Heart Association Class III or IV.
Heart attack, stroke, transient ischemic attack, unstable angina requiring hospitalization, coronary angioplasty, coronary bypass surgery, uncontrolled cardiac arrhythmia, carotid artery procedure, or major peripheral vascular procedure within 6 months before screening.
Clinically significant electrocardiogram (ECG) abnormality, history of long QT syndrome, or unexplained sudden death in a first-degree relative.
History of or current treatment for blood clots or conditions associated with increased blood clotting, including deep vein thrombosis, pulmonary embolism, or known thrombophilia. Low-dose aspirin (81 mg) is permitted.
Untreated sleep apnea.
History of polycythemia vera or secondary polycythemia (an abnormally high red blood cell count).
Clinically significant cardiovascular, kidney, liver, blood, psychiatric, neurological, endocrine, gastrointestinal, or respiratory disorder that could interfere with study participation or place the participant at increased risk, as determined by the investigator.
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 31, 2027
Estimated
Planned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
October 27, 2026
Record last verified: 2026-10
Data Sharing
IPD Sharing
Will not share
Source record
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