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Hypogonadism, MalePhase 3NCT03868059

Ambulatory Blood Pressure Monitoring in Oral Testosterone Undecanoate (TU, LPCN 1021) Treated Hypogonadal Men

A Phase 3 study testing LPCN 1021 in people with Hypogonadism, Male, run by Lipocine Inc. at 16 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

This is an open-label, multi-center, single arm study evaluating the blood pressure (BP) changes from baseline (Visit 3) to post-treatment (Visit 5) assessed by ambulatory blood pressure monitoring (ABPM) in LPCN 1021 treated adult hypogonadal male subjects. Read more about this study

Who is it for?
Ages 18 to 80 years, men only
Conditions the study is for
Hypogonadism, Male
What is being tested?
LPCN 1021
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
138 participants
Where
16 sitesUnited States
Study dates
30 Apr 2018to 21 Feb 2019
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 80 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Voluntarily sign and date the study consent form(s) which have been approved by an Institutional Review Board (IRB). Written consent must be obtained prior to the initiation of any study procedures.
  • Male between 18 and 80 years of age, inclusive, with documented onset of hypogonadism prior to age 65.
  • Subjects should be diagnosed to be primary (congenital or acquired) or secondary hypogonadal (congenital or acquired).
  • Serum total T below lab normal range (300 ng/dL) based on two consecutive blood samples obtained between 6 and 10 AM, on two separate days at approximately the same time of day, following an appropriate washout of current androgen replacement therapy, if required.
  • Naïve to androgen replacement or has discontinued current treatment and completed adequate washout of prior androgen therapy. Washout must be completed prior to collection of baseline serum T samples to determine study eligibility.
  • Judged to be in good general health as determined by the investigator at screening.

Who cannot join

  • History of significant sensitivity or allergy to androgens, or product excipients.
  • Clinically significant abnormal laboratory value, in the opinion of the investigator, in serum chemistry, hematology, or urinalysis including but not limited to:
  • Hemoglobin < 11.5 g/dL or > 16.5 g/dL
  • Hematocrit < 35% or > 54%
  • Serum transaminases > 2.5 times upper limit of normal
  • Serum bilirubin > 2.0 mg/dL
Show all 29Show fewer
  • Creatinine > 2.0 mg/dL
  • PSA > 4 ng/mL
  • Prolactin > 17.7 ng/mL.
  • Clinically significant findings in the pre-study examinations including abnormal breast examination requiring follow-up.
  • Subjects with screening systolic BP or diastolic BP above 160 mmHg or 100 mmHg, respectively.
  • Subjects with symptoms of moderate to severe benign prostatic hyperplasia.
  • History of seizures or convulsions occurring after age 5, including alcohol or drug withdrawal seizures.
  • History of gastric surgery, cholecystectomy, vagotomy, bowel resection or any surgical procedure that might interfere with gastrointestinal motility, pH or absorption.
  • History of any clinically significant illness, infection, or surgical procedure within 1 month prior to study drug administration.
  • Known tolerability issues with ABPM devices.
  • History of stroke, myocardial infarction, transient ischemic attack, or acute coronary syndrome within the past 5 years.
  • History of long QT syndrome (or QTcB > 450) or unexplained sudden death (including cardiac death) or history of long QT syndrome in a first degree relative (parent, sibling, or child).
  • Subjects who are not on stable dose of current medication (no changes in medication in the last 3 months).
  • History of current or suspected prostate or breast cancer.
  • History of untreated obstructive sleep apnea or not compliant with sleep apnea treatment.
  • Active alcohol or any drug substance abuse, or history of abuse that will interfere with the subject's ability to participate in the study in the judgement of the investigator.
  • Use of known inhibitors (e.g., ketoconazole) or inducers (e.g., dexamethasone, phenytoin, rifampin, carbamazepine) of cytochrome P450 3A (CYP3A) within 30 days prior to study drug administration and through the end of the study. A list of prohibited medications is provided in Appendix C.
  • Use of any investigational drug within 5 half-lives of the last dose in the past 6 months prior to Study Day -2 without principal investigator and/or sponsor approval.
  • Receipt of any investigational drug by injection within 30 days or 10 half-lives (whichever is longer) prior to study drug administration without principal investigator and/or sponsor approval.
  • Subject who is not willing to use adequate contraception for the duration of the study.
  • Any contraindications to a MRI scan (i.e. subjects with non-removable ferromagnetic implants, pacemakers, aneurysm clips or other foreign bodies), and/or subjects with claustrophobic symptoms and/or inability to fit into an MRI scanner.
  • Inability to understand and provide written informed consent for the study.
  • Considered by the investigator or the sponsor-designated physician, for any reason, that the subject is an unsuitable candidate to receive LPCN 1021 (exact reason should be specified by the investigator).

Trial locations and contacts

16 sites in 1 country.

16 sites in 1 country

United States16 sites
  • South Florida Medical Research

    Aventura, Florida, 33180

  • Alabama Clinical Therapeutics

    Birmingham, Alabama, 35235

  • Aventiv Research, Inc.

    Columbus, Ohio, 43213

  • Clinical Research of South Florida

    Coral Gables, Florida, 33134

  • Prestige Clinical Research

    Franklin, Ohio, 45005

  • AccuMed Research Associates

    Garden City, New York, 11530

  • Neostart Corporation dba AGA Clinical Trials

    Hialeah, Florida, 33012

  • Jacksonville Impotence Treatment Center

    Jacksonville, Florida, 32223

  • Central Kentucky Research Associates, Inc.

    Lexington, Kentucky, 40509

  • Clinical Research Associates, Inc.

    Nashville, Tennessee, 37203

  • Manhattan Medical Research Practice PLLC

    New York, New York, 10016

  • Oviedo Medical Research, LLC

    Oviedo, Florida, 32765

  • Clinical Research Center of Florida

    Pompano Beach, Florida, 33060

  • Rainier Clinical Research Center

    Renton, Washington, 98057

  • Regional Urology

    Shreveport, Louisiana, 71106

  • Granger Medical Clinic

    West Valley City, Utah, 84096

Other trials in United States

About this study

This is an open-label, multi-center, single arm study evaluating the blood pressure (BP) changes from baseline (Visit 3) to post-treatment (Visit 5) assessed by ambulatory blood pressure monitoring (ABPM) in LPCN 1021 treated adult hypogonadal male subjects.

Read the detailed description

This is an open-label, multi-center, single arm study evaluating the blood pressure (BP) changes from baseline (Visit 3) to post-treatment (Visit 5) assessed by ambulatory blood pressure monitoring (ABPM) in LPCN 1021 treated adult hypogonadal male subjects.

The study is comprised of six scheduled visits: Visit 1 and 2 are for screening, Visit 3 is to assess subject's baseline BP and pulse rate (PR) via ABPM. Visit 4 is to enroll subjects, and to provide subjects with study medication for the start of dosing. Visit 5 is to assess subject's post-treatment BP and PR via ABPM. Visit 6 is to perform exit visit procedures.

Being tested
LPCN 1021
Medical subject headings
Eunuchism

What participants receive

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

  • LPCN 1021Drug

    Also called TLANDO

    LPCN 1021 is gelatin capsule product provided as 112.5 mg testosterone undecanoate per capsule.

Study groups in NCT03868059
Study groupRoleWhat they receive
LPCN 1021ExperimentalLPCN 1021 at a 225 mg dose taken twice daily (total daily dose of 450 mg taken as 225 mg in the morning and 225 mg in the evening),
Receives: Drug: LPCN 1021

What is being measured

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

  1. Change in Ambulatory Blood Pressure Monitoring (ABPM)-Measured Average 24-hour Systolic Blood Pressure (SBP)

    Change in average systolic blood pressure as measured by ambulatory blood pressure monitoring (ABPM) from Visit 3 (Baseline) to Visit 5 (End of Study)

    Measured: Baseline to end of study (approximately 4 months).

Secondary outcomes (17)
  1. Change in ABPM-measured Average Daytime SBP

    Change in average daytime SBP as measured by ABPM from Visit 3 to Visit 5

    Measured: Baseline to End of Study (approximately 4 months)

  2. Change in ABPM-measured Average Nighttime SBP

    Change in average nighttime SBP as measured by ABPM from Visit 3 to Visit 5

    Measured: Baseline to End of Study (approximately 4 months)

  3. Change in ABPM-measured Average 24-hour Diastolic Blood Pressure (DBP)

    Change in average 24-hour DBP as measured by ABPM from Visit 3 to Visit 5

    Measured: Baseline to End of Study (approximately 4 months)

  4. Change in ABPM-measured Average Daytime DBP

    Change in average daytime DBP as measured by ABPM from Visit 3 to Visit 5

    Measured: Baseline to End of Study (approximately 4 months)

  5. Change in ABPM-measured Average Nighttime DBP

    Change in average nighttime DBP as measured by ABPM from Visit 3 to Visit 5

    Measured: Baseline to End of Study (approximately 4 months)

  6. Change in ABPM-measured Average 24-hour Pulse Rate (PR)

    Change in average 24-hour pulse rate as measured by ABPM from Visit 3 to Visit 5

    Measured: Baseline to End of Study (approximately 4 months)

  7. Change in ABPM-measured Average Daytime PR

    Change in average daytime pulse rate as measured by ABPM from Visit 3 to Visit 5

    Measured: Baseline to End of Study (approximately 4 months)

  8. Change in ABPM-measured Average Nighttime PR

    Change in average nighttime pulse rate as measured by ABPM from Visit 3 to Visit 5

    Measured: Baseline to End of Study (approximately 4 months)

  9. Change in Morning SBP Measured in Triplicate at the Clinic

    Change in morning systolic blood pressure measured in triplicate at the clinic from Visit 3 to Visit 5

    Measured: Baseline to End of Study (approximately 4 months)

  10. Change in Morning DBP Measured in Triplicate at the Clinic

    Change in morning diastolic blood pressure measured in triplicate at the clinic from Visit 3 to Visit 5

    Measured: Baseline to End of Study (approximately 4 months)

  11. Change in Morning PR Measured in Triplicate at the Clinic

    Change in morning pulse rate measured in triplicate at the clinic from Visit 3 to Visit 5

    Measured: Baseline to End of Study (approximately 4 months)

  12. Change in Patient Reported Sexual Distress

    Change in patient reported sexual distress from visit 3 to Visit 5 Female Sexual Distress Scale - Revised, Item 13 Possible scores range from 0 (better) to 4 (worse)

    Measured: Baseline to End of Study (approximately 4 months)

  13. Change in Patient Reported Sexual Desire

    Change in patient reported sexual desire from visit 3 to Visit 5 Psychosexual Daily Questionnaire Possible scores range from 0 (worse) to 5 (better)

    Measured: Baseline to End of Study (approximately 4 months)

  14. Percent Relative Change in MRI-PDFF From Baseline (MRI-1) to Interim Analysis (MRI-2)- Subgroup: MRI-PDFF of ≥5%

    Percent Relative Change in Magnetic Resonance Imaging-Proton Density Fat Fraction (MRI-PDFF) from Baseline (MRI-1) to Interim Analysis (MRI-2) in subjects with a baseline MRI-PDFF of ≥5%

    Measured: Baseline (MRI-1) to Interim Analysis (MRI-2) (Approximately 8 Weeks)

  15. Percent Relative Change in MRI-PDFF From Baseline (MRI-1) to Post-Treatment Analysis (MRI-3)- Subgroup: MRI-PDFF of ≥5%

    Percent Relative Change in Magnetic Resonance Imaging-Proton Density Fat Fraction (MRI-PDFF) from Baseline (MRI-1) to Post-Treatment Analysis (MRI-3) in subjects with a baseline MRI-PDFF of ≥5%

    Measured: Baseline (MRI-1) to Post-Treatment Analysis (MRI-3) (Approximately 16 Weeks)

  16. Percent Relative Change in MRI-PDFF From Baseline (MRI-1) to Interim Analysis (MRI-2)- Subgroup: MRI-PDFF of ≥10%

    Percent Relative Change in Magnetic Resonance Imaging-Proton Density Fat Fraction (MRI-PDFF) from Baseline (MRI-1) to Interim Analysis (MRI-2) in subjects with a baseline MRI-PDFF of ≥10%

    Measured: Baseline (MRI-1) to Interim Analysis (MRI-2) (Approximately 8 Weeks)

  17. Percent Relative Change in MRI-PDFF From Baseline (MRI-1) to Post-Treatment Analysis (MRI-3)- Subgroup: MRI-PDFF of ≥10%

    Percent Relative Change in Magnetic Resonance Imaging-Proton Density Fat Fraction (MRI-PDFF) from Baseline (MRI-1) to Post-Treatment Analysis (MRI-3) in subjects with a baseline MRI-PDFF of ≥10%

    Measured: Baseline (MRI-1) to Post-Treatment Analysis (MRI-3) (Approximately 16 Weeks)

Timeline

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

  1. First posted8 Mar 2019
  2. Study start30 Apr 2018
  3. Primary completion19 Feb 2019
  4. Study completion21 Feb 2019

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
138 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03868059
Sponsor's protocol ID
LPCN 1021-18-001
Status last verified
May 2021
First submitted
21 Feb 2019
Last updated
10 Jun 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • White WB, Dobs A, Carson C, DelConte A, Khera M, Miner M, Shahid M, Kim K, Chidambaram N. Effects of a Novel Oral Testosterone Undecanoate on Ambulatory Blood Pressure in Hypogonadal Men. J Cardiovasc Pharmacol Ther. 2021 Nov;26(6):630-637. doi: 10.1177/10742484211027394. Epub 2021 Jun 30.

    PubMed 34191621

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing LPCN 1021 in people with Hypogonadism, Male, run by Lipocine Inc. at 16 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 6 inclusion and 29 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 10 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 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 10 Jun 2021). 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 in Ambulatory Blood Pressure Monitoring (ABPM)-Measured Average 24-hour Systolic Blood Pressure (SBP) (time frame: Baseline to end of study (approximately 4 months).). 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 NCT03868059, 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 10 Jun 2021.

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