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Hypogonadism, MalePhase 3NCT03198728

Efficacy and Safety of Oral Testosterone Undecanoate in Hypogonadal Men

A Phase 3 study testing SOV2012-F1 and AndroGel in people with Hypogonadism, Male, run by Marius Pharmaceuticals at 36 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

This will be a randomized, multicenter, open-label, active-controlled, efficacy, and safety study in adult hypogonadal men. The study duration is 12 months (365 days), including a 90-day, open-label efficacy period and a 9-month (275-day) safety evaluation period. Read more about this study

Who is it for?
Ages 18 to 65 years, men only
Conditions the study is for
Hypogonadism, Male
What is being tested?
SOV2012-F1 and AndroGel
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
314 participants
Where
36 sitesUnited States
Study dates
5 Jul 2017to 1 May 2020
Phase
Phase 3
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 65 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male aged 18 to 65 years, inclusive, at the time of providing informed consent to participate in the study.
  • Hypogonadism defined as having 2 consecutive serum total T levels≤ 281 ng/dL based on a blood sample, drawn at least 3 days apart, between 7 a.m. and 10 a.m.
  • At least 1 clinical feature consistent with male hypogonadism. If a subject is receiving commercial TRT prior to Screening Visit 1, he must have a history of at least 1 clinical feature consistent with male hypogonadism.
  • Must be naïve to androgen replacement therapy or washed out adequately of prior androgen replacement therapies; willing to cease current T treatment; or currently not taking any T treatment. Subjects must remain off all forms of T, except for dispensed study drug, throughout the entire study.
  • No unstable ongoing concomitant medical conditions. Treated and well-controlled conditions such as type 2 diabetes, hypertension, or dyslipidemia are acceptable with stable medication in place for at least 3 months prior to study entry:
  • Hemoglobin A1c ≤ 8.0%
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  • BP < 150/90 mm Hg
  • Low-density lipoprotein cholesterol < 190 mg/dL.
  • Subjects with an endocrine disorder requiring treatment other than hypogonadism must be on a stable dose of replacement medication for at least 3 months prior to study entry.
  • Adequate venous access to allow collection of a number of blood samples via a venous cannula.
  • Written informed consent to participate in the study and ability to comply with all study requirements.

Who cannot join

  • Serum PSA > 2.5 ng/ml and/or abnormal prostate gland on palpation, eg, palpable nodes, at Screening Visit 2.
  • Received oral, topical, intranasal, or buccal T therapy within the previous 2 weeks, intramuscular T injection of short-acting duration within the previous 4 weeks, intramuscular T injection of long-acting duration within the previous 20 weeks, or T implantable pellets within the previous 6 months.
  • Use of any drug that could interfere with measurement or assessment of serum androgen levels, including 5 alpha-reductase inhibitors, anabolic steroids, and drugs with antiandrogenic properties (eg, spironolactone, cimetidine, flutamide, bicalutamide, and ketoconazole). These drugs must be stopped for at least 1 month prior to study entry (6 months in the case of dutasteride). Patients taking potent, long-acting opiate therapy on a daily basis are not eligible for the study. Conversely, ad hoc use of potent, short-acting opiates for a period of less than 7 days may be permitted after discussion with the Marius Pharmaceuticals medical monitor.
  • Use of over-the-counter products, including natural health products (eg, food supplements and herbal supplements such as saw palmetto or phytoestrogens) that may affect total T levels, within 7 days prior to study entry.
  • History of drug or alcohol abuse within the past 2 years that in the opinion of the investigator could interfere with study participation and/or influence study efficacy and safety endpoints assessments.
  • Unstable or chronic disease that could interfere with participation in the study or patient safety, including psychiatric disorders.
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  • Myocardial infarction, coronary artery surgery, heart failure, stroke, unstable angina, or other unstable cardiovascular disease within the past 6 months.
  • Abnormal ECG considered clinically significant by investigator at Screening.
  • Diagnosis of any cancer within the previous 5 years other than basal or squamous cell skin cancer with clear margins.
  • Any surgical or medical condition that might alter administration of the study drug or comparator, including history of gastric surgery, cholecystectomy, vagotomy, bowel resection, or any surgical procedure that might interfere with gastrointestinal motility, pH, or absorption of TU.
  • Duodenal or gastric ulcers, or gastrointestinal/rectal bleeding during the 3 months prior to screening.
  • Chronic skin conditions on the chest or upper arms that would prevent administration of AndroGel in a manner designed to ensure reliable and consistent absorption thereof.
  • Human immunodeficiency virus (HIV) infection.
  • Chronic hepatitis B virus and/or hepatitis C virus (HCV) infection (as determined by positive testing for hepatitis B virus surface antigen or HCV antibody with confirmatory testing, ie, detectable serum HCV ribonucleic acid [RNA]).
  • Clinically significant abnormal laboratory values at screening including but not limited to:
  • Elevated liver enzymes (aspartate aminotransferase [AST], alanine aminotransferase [ALT] > 2x upper limit of normal)
  • Estimated glomerular filtration rate < 60 ml/min/1.73m2 as calculated by the Modification of Diet in Renal Disease formula
  • Hemoglobin < 11.0 g/dL or > 16.0 g/dL. For a subject previously on testosterone replacement therapy with less than 30 days washout prior to screening Visit 2, hemoglobin < 11.0 g/dL or > 17.0 g/dL.
  • Severe and untreated obstructive sleep apnea syndrome.
  • Severe lower urinary tract symptoms (American Urological Association/ IPSS ≥ 19).
  • History of any clinically significant illness, infection, or surgical procedure within 1 month prior to study entry.
  • Past, current, or suspected prostate or breast cancer.
  • History of long QT syndrome or unexplained sudden death in a first-degree relative (parent, sibling, or child).
  • Concurrent treatment with medications that may impact the absorption, distribution, metabolism, or excretion of TU or place the subject at risk for treatment with T.
  • Subject has a partner who is currently pregnant or planning pregnancy during the course of the study.
  • Treatment with any other investigational drug within 30 days of study entry or > 5 half-lives (whichever is longer) and at any time during the study.
  • History of noncompliance to medical regimens or potential unreliability in the opinion of the investigator.
  • Unwilling or unable to comply to the dietary requirements for this study.
  • History of polycythemia, either idiopathic or associated with TRT.
  • Donated blood (≥ 500 mL) within the 12-week period prior to study entry.
  • History of an abnormal bleeding tendency or thrombophlebitis within the previous 2 years that is not linked to venipuncture or intravenous cannulation.
  • Onset of gynecomastia within the previous 6 months.
  • For adrenocorticotropic hormone (ACTH) stimulation substudy only: Primary or secondary adrenal insufficiency.
  • For Bioanalytical Sample Stability Substudy only: subjects with a hemoglobin less than 13 g/dL at most recent assessment* [should be excluded].

Trial locations and contacts

36 sites in 1 country.

36 sites in 1 country

United States36 sites
  • Primary Care Research Group

    Atlanta, Georgia, 30312

  • South Florida Medical Research

    Aventura, Florida, 33180

  • Urologic Consultants of SE Pennsylvania

    Bala-Cynwyd, Pennsylvania, 19004

  • Central Research Associates, Inc.

    Birmingham, Alabama, 35205

  • Alabama Clinical Therapeutics, LLC

    Birmingham, Alabama, 35235

  • Northwest Clinical Trials

    Boise, Idaho, 83704

  • PAB Clinical Research

    Brandon, Florida, 33511

  • University Diabetes Endocrine Consultants

    Chattanooga, Tennessee, 37411

  • Men's Health Boston

    Chestnut Hill, Massachusetts, 02467

  • Innovative Research of West Florida, Inc.

    Clearwater, Florida, 33756

  • Aventiv Research, Inc.

    Columbus, Ohio, 43213

  • Rapha Institute For Clinical Research

    Fayetteville, North Carolina, 28314

  • Accumed Research Associates

    Garden City, New York, 11530

  • Centex Studies, Inc.

    Houston, Texas, 77058

  • Pioneer Research Solutions, Inc.

    Houston, Texas, 77099

  • Jacksonville Impotence Treatment Center

    Jacksonville, Florida, 32223

  • Health Awareness, Inc.

    Jupiter, Florida, 33458

  • Centex Studies, Inc.

    Lake Charles, Louisiana, 70601

  • Meridien Research

    Lakeland, Florida, 33805

  • Palm Research Center, Inc.

    Las Vegas, Nevada, 89148

  • Central Kentucky Research Associates

    Lexington, Kentucky, 40509

  • Advanced Clinical Research

    Meridian, Idaho, 83642

  • My Community Research Center

    Miami, Florida, 33155

  • Coastal Clinical Research, Inc.

    Mobile, Alabama, 36608

  • Coastal Carolina Research Center

    Mt. Pleasant, South Carolina, 29464

  • Manhattan Medical Research Practice, PLLC

    New York, New York, 10016

  • Clinical Research Associates of Tidewater

    Norfolk, Virginia, 23507

  • Quality Clinical Research, Inc.

    Omaha, Nebraska, 68114

  • Oviedo Medical Research, LLC

    Oviedo, Florida, 32765

  • Rainier Clinical Research Center, Inc.

    Renton, Washington, 98057

  • Mid-Columbia Research

    Richland, Washington, 99352

  • National Clinical Research, Inc.

    Richmond, Virginia, 23294

  • San Diego Sexual Medicine

    San Diego, California, 92120

  • Meridien Research

    St. Petersburg, Florida, 33709

  • Quality of Life Medical and Research Centers, LLC

    Tucson, Arizona, 85712

  • Advanced Clinical Research

    West Jordan, Utah, 84088

Other trials in United States

About this study

Official title: A 12-Month, Randomized, Active-controlled, Open-label Study of the Efficacy and Safety of Oral Testosterone Undecanoate in Hypogonadal Men (RE-TUne)

This will be a randomized, multicenter, open-label, active-controlled, efficacy, and safety study in adult hypogonadal men. The study duration is 12 months (365 days), including a 90-day, open-label efficacy period and a 9-month (275-day) safety evaluation period.

Read the detailed description

MRS-TU-2019 was a 12-month study designed to determine the efficacy of oral SOV2012-F1 as measured by the percentage of male hypogonadal subjects with average total testosterone (T Cavg) in plasma within the normal range after 90 days of treatment. This study included an AndroGel™ arm as a safety comparator; after the 90-day efficacy period, dosing continued for 9 additional months in both arms to gather safety data. This study also examined the percentage of SOV2012-F1-treated subjects with maximum total testosterone (Cmax) in plasma values after 90 days of treatment: a. ≤1.5 X upper limit of normal (ULN); b. 1.8 X ULN to 2.5 X ULN' and c. >2.5 X ULN. The study also included an adrenal cortical function substudy conducted in 30 SOV2012-F1 subjects and 15 AndroGel subjects. Four patient-reported outcome measures were also used during the study: IPSS, PDQ, SF-36 and IIEF.

Being tested
SOV2012-F1, AndroGel
Medical subject headings
Eunuchism

What participants receive

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

  • SOV2012-F1Drug

    oral preparation of testosterone undecanoate (TU)

  • AndroGelDrug

    topical testosterone gel 1.62%

Study groups in NCT03198728
Study groupRoleWhat they receive
SOV2012-F1-treatedExperimental200 patients treated with SOV2012-F1, starting dose of 600 mg - (400 mg with morning meal and 200 mg with evening meal). Dose titrated on Days 28 and 56 up to a maximum of 600 mg TU in the morning and 400 mg in the evening or down to 200 mg TU in the morning based on plasma T at Days 14 and 42.
Receives: Drug: SOV2012-F1
Andro-Gel™ treatedActive comparator100 patients treated with AndroGel, starting dose of 40.5 mg QD. Dose titrated according to approved label, using samples from Days 14 and 42 and dose adjustments on Days 28 and 56.
Receives: Drug: AndroGel

What is being measured

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

  1. Percentage of Male Hypogonadal Subjects With Average NaF/EDTA Plasma Total Testosterone (T Cavg) Within the Normal Range Using Oral SOV2012-F1.

    Efficacy assessment includes T Cavg calculated from NaF/EDTA plasma testosterone. The T Cavg is calculated as the 24-hour area under the curve (AUC), divided by 24, at Day 90, based on a fifteen blood samples (PK samples) taken over the 24-hours. The T concentration in each sample is measured using a validated LC-MS/MS method. The use of NaF/EDTA plasma tubes chilled after sample collection provides the most accurate values, as the prodrug TU may degrade post-sample collection, artificially inflating testosterone values.

    Measured: 90 days

Secondary outcomes (1)
  1. Percentages of Participants in Each Category for Maximum Plasma Concentration

    To determine the percentage of treated subjects with maximum plasma testosterone concentration (T Cmax) values (a) < 1.5X Upper Limit of Normal (ULN); (b) 1.8X to 2.5X ULN; and (c) > 2.5X ULN. For NaF/EDTA plasma, thresholds are 1200, 1440 and 2000 ng/dL of T. For serum, thresholds are 1500, 1800 and 2500 ng/dL of T. Note that the endpoint concerns only the investigational treatment SOV2012-F1 and the AndroGel results are reported for completeness. The reported percentages do not sum to 100% as the FDA criteria do not specify the percentage of subjects in the window of ≥ 1.5X and ≤ 1.8X the ULN.

    Measured: 90 days

Timeline

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

  1. First posted26 Jun 2017
  2. Study start5 Jul 2017
  3. Primary completion1 May 2020
  4. Study completion1 May 2020

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
314 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03198728
Sponsor's protocol ID
MRS-TU-2019
Status last verified
Jun 2023
First submitted
21 Jun 2017
Last updated
28 Jun 2023
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bernstein JS, Dhingra OP. A phase III, single-arm, 6-month trial of a wide-dose range oral testosterone undecanoate product. Ther Adv Urol. 2024 Apr 10;16:17562872241241864. doi: 10.1177/17562872241241864. eCollection 2024 Jan-Dec.

    PubMed 38606384

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing SOV2012-F1 and AndroGel in people with Hypogonadism, Male, run by Marius Pharmaceuticals at 36 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 34 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 28 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 28 Jun 2023). 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?

Percentage of Male Hypogonadal Subjects With Average NaF/EDTA Plasma Total Testosterone (T Cavg) Within the Normal Range Using Oral SOV2012-F1. (time frame: 90 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03198728, which also lists 1 linked publication.

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 28 Jun 2023.

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