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Acquired Hypogonadotropic HypogonadismPhase 2NCT02651688

A Multi-Center Study in Men With Acquired Hypogonadotropic Hypogonadism to Compare Changes in Body Composition and Metabolic Parameters With Diet and Exercise in Conjunction With Treatment With 12.5 mg or 25 mg Enclomiphene

A Phase 2 study testing Enclomiphene in people with Acquired Hypogonadotropic Hypogonadism and Obesity, run by Repros Therapeutics Inc. at 5 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to compare the effects of 12 months of treatment with enclomiphene 12.5 mg, 25 mg, or placebo capsules on body composition and metabolic parameters in overweight men with acquired hypogonadotropic hypogonadism [confirmed morning testosterone (T) ≤300 ng/dL] following a 6 month diet and 15… Read more about this study

Who is it for?
Ages 18 to 60 years, men only
What is being tested?
Enclomiphene
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
5 sitesUnited States
Study dates
11 Jan 2016to 2 May 2017
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • Men only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Overweight (Body Mass Index (BMI) 30 to 42 (kg/m^2) inclusive) males age 18 to 60 inclusive.
  • Waist circumference ≥ 40 inches (101.6 cm).
  • Previously or concurrently diagnosed as having secondary hypogonadism.
  • Must have 2 morning testosterone assessments at Visit 1, collected before 10 AM, 2-4 days apart, and both of which must be ≤ 300 (ng/dL).
  • Luteinizing hormone (LH) >1.4 and < 9.4 milli International units per milliliter (mIU/mL) (at Visit 1 only).
  • Glycated hemoglobin A1c (HbA1c) ≤7.5.
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  • Stable weight for last 3 months (+/- 10 pounds).
  • Participant lives or works within 10 miles of the gym that will be used for the study.
  • Must be fit enough to participate in the fitness program.
  • Ability to complete the study in compliance with the protocol requirements.
  • Ability to understand and provide written informed consent.

Who cannot join

  • Any use of testosterone products (injectable, pelleted, transdermal or sublingual) in the 6 months prior to the study or any prior use of testosterone products for 12 months or longer at any time.
  • Use of testosterone, Clomid, 5α-reductase inhibitors, human chorionic gonadotropin (hCG), androgen, estrogen, anabolic steroid, dehydroepiandrosterone (DHEA), or herbal hormone products during the study.
  • Use of Clomid in the past year.
  • Known hypersensitivity to Clomid.
  • Allergy to soy, peanuts or latex.
  • Chronic use of glucocorticoids (chronic use of inhaled or topical glucocorticoids is acceptable).
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  • History of drug abuse or chronic narcotic use including methadone.
  • A recent history of alcoholism or illegal substance or steroid abuse (<2 years) or presence of moderate alcohol use (>21 drinks per week).
  • Use of an investigational drug or product, or participation in a drug or medical device research study within 30 days prior to receiving study medication.
  • A hematocrit >54%.
  • Presence or known history of hyperprolactinemia with or without a tumor (prolactin >20 ng/mL).
  • Current or history of prostate cancer or a suspicion of prostate disease unless ruled out by prostate biopsy, or a prostate specific antigen (PSA)>3.6.
  • Current or history of breast cancer.
  • Uncontrolled hypertension based on the Investigator's assessment at screening.
  • History of bulimia nervosa or binge eating.
  • Participant has (had) a lap band or undergone gastric bypass surgery.
  • Participant has celiac disease or gluten intolerance.
  • Participant has Type I diabetes.
  • Participant has any condition which in the opinion of the investigator would interfere with the participant's ability to provide informed consent, comply with study instructions, possibly confound interpretation of study results, or endanger the participant if he took part in the study.
  • Enrolled and randomized (if applicable) in a previous enclomiphene study.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • Study site

    Albany, New York, 12208

  • Study site

    Garden City, New York, 11530

  • Study site

    Norfolk, Virginia, 23507

  • Study site

    Providence, Rhode Island, 02903

  • Study site

    Riverton, Utah, 84065

Other trials in United States

About this study

Official title: A Randomized, Double Blind, Placebo-Controlled, Multi-Center Study in Men With Acquired Hypogonadotropic Hypogonadism to Compare Changes in Body Composition and Metabolic Parameters With Diet and Exercise in Conjunction With Treatment With 12.5 mg or 25 mg Enclomiphene

The purpose of this study is to compare the effects of 12 months of treatment with enclomiphene 12.5 mg, 25 mg, or placebo capsules on body composition and metabolic parameters in overweight men with acquired hypogonadotropic hypogonadism [confirmed morning testosterone (T) ≤300 ng/dL] following a 6 month diet and 15 month exercise program.

Read the detailed description

To compare the effects of 12 months of treatment with enclomiphene 12.5 mg, 25 mg, or placebo capsules on body composition and metabolic parameters in overweight men with acquired hypogonadotropic hypogonadism (confirmed morning T≤300 ng/dL) following a 6 month diet and 15 month exercise program. Participants must not have been treated with testosterone products in the 6 months prior to the study and must not ever have used testosterone products for a year or longer.

Being tested
Placebo, Enclomiphene
Medical subject headings
Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    One matching placebo capsule daily in the morning with approximately 8 ounces of water for up to 12 months.

  • EnclomipheneDrug

    Enclomiphene capsule daily in the morning with approximately 8 ounces of water for up to 12 months.

Study groups in NCT02651688
Study groupRoleWhat they receive
Enclomiphene 12.5 mgExperimentalEnclomiphene 12.5 milligram (mg) capsule daily in the morning with approximately 8 ounces of water for up to 12 months. Participant followed a commercial diet plan and exercised with a personal trainer at least 3 times a week.
Receives: Drug: Enclomiphene
Enclomiphene 25 mgExperimentalEnclomiphene 25 mg capsule daily in the morning with approximately 8 ounces of water for up to 12 months. Participant followed a commercial diet plan and exercised with a personal trainer at least 3 times a week.
Receives: Drug: Enclomiphene
PlaceboPlacebo comparatorOne matching placebo capsule daily in the morning with approximately 8 ounces of water for up to 12 months. Participant followed a commercial diet plan and exercised with a personal trainer at least 3 times a week.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Lean Body Mass (LBM) at Week 48

    LBM was assessed using dual-energy X-ray absorptiometry (DXA). A positive change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  2. Change From Baseline in Body Strength (Chest Press Weight) at Week 48

    Body strength was assessed from maximum chest and leg press weight achieved, using an inclined plane leg press and vertical chest press. A positive change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  3. Change From Baseline in Body Strength (Leg Press Weight) at Week 48

    Body strength was assessed from maximum chest and leg press weight achieved, using an inclined plane leg press and vertical chest press. A positive change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  4. Change From Baseline in Blood Luteinizing Hormone (LH) Level at Week 48

    A blood sample was collected at Baseline and Week 48 for the assessment of the hormone parameter LH measured in milli-International Units per milliliter (mIU/mL). A positive change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  5. Change From Baseline in Blood Testosterone (T) Level at Week 48

    A blood sample was collected at Baseline and Week 48 for the assessment of the hormone parameter T. A positive change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  6. Change From Baseline in Blood Dihydrotestosterone (DHT) Level at Week 48

    A blood sample was collected at Baseline and Week 48 for the assessment of the hormone parameter DHT. A positive change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  7. Change From Baseline in Blood Estradiol (E2) Level at Week 48

    A blood sample was collected at Baseline and Week 48 for the assessment of the hormone parameter E2. A positive change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  8. Change From Baseline in Ratio of Testosterone: Estradiol (T:E2) at Week 48

    The T:E2 ratio was calculated as the value of T/value of E2 using the same units. A positive change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  9. Change From Baseline in Ratio of Dihydrotestosterone: Testosterone (DHT:T) at Week 48

    The DHT:T ratio was calculated as the value of DHT/value of T using the same units. A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  10. Change From Baseline in Glycated Hemoglobin A1c (HbA1c) at Week 48

    A blood sample was collected at Baseline and Week 48 for the assessment of the metabolic parameter HbA1c. A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  11. Change From Baseline in Blood Glucose Level at Week 48

    A blood sample was collected at Baseline and Week 48 for the assessment of the metabolic parameter Glucose. A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  12. Change From Baseline in Blood C-reactive Protein (CRP) Level at Week 48

    A blood sample was collected at Baseline and Week 48 for the assessment of the metabolic parameter CRP. A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  13. Change From Baseline in Blood Interleukin-6 (IL-6) Level at Week 48

    A blood sample was collected at Baseline and Week 48 for the assessment of the metabolic parameter IL-6. A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  14. Change From Baseline in Blood Tumor Necrosis Factor Alpha (TNF-α) Level at Week 48

    A blood sample was collected at Baseline and Week 48 for the assessment of the metabolic parameter TNF-α . A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  15. Change From Baseline in Blood Leptin Level at Week 48

    A blood sample was collected at Baseline and Week 48 for the assessment of the metabolic parameter leptin. A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  16. Change From Baseline in Homeostatic Model of Assessment - Insulin Resistance (HOMA-IR) at Week 48

    The HOMA-IR is the product of the blood Glucose and Insulin levels, divided by a constant. HOMA-IR is expressed as the following: HOMA-IR = fasting serum insulin (μU/mL) × fasting plasma glucose (mmol/L)/22.5. A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  17. Change From Baseline in Blood Quantose-Insulin Resistance (IR) Score at Week 48

    Quantose-IR is a laboratory-developed test that assesses insulin resistance. Quantose-IR score is based on a linear regression algorithm utilizing the quantitative measures (natural log transformed) of alpha-hydroxybutyrate, oleate, linoleoylglycerophosphocholine and insulin and was designed to estimate the natural log of insulin-induced glucose infusion rate normalized by whole body mass. The algorithm score is converted to the Quantose-IR score within a range of 1-120 by an arithmetic calculation where higher scores denote greater insulin resistance. A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  18. Change From Baseline in Body Mass Index (BMI) at Week 48

    BMI is calculated as weight (kg)/height(cm^2). A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  19. Change From Baseline in Waist Circumference at Week 48

    A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

  20. Change From Baseline in Weight at Week 48

    A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 48

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jan 2016 (estimated)
  2. Study start11 Jan 2016
  3. Primary completion2 May 2017
  4. Study completion2 May 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02651688
Sponsor's protocol ID
ZA-205
Status last verified
Jun 2019
First submitted
7 Jan 2016
Last updated
27 Jun 2019
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Enclomiphene in people with Acquired Hypogonadotropic Hypogonadism and Obesity, run by Repros Therapeutics Inc. at 5 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 14 Jun 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Lean Body Mass (LBM) at Week 48 (time frame: Baseline (Day 0) to Week 48). The study lists 20 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jun 2019; AzTrials last refreshed its copy on 26 Oct 2026.

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