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Hypogonadism, MalePhase 2CAPNCT03933618

Anastrazole and Clomiphene to Evaluate Hypogonadal Symptoms and Erectile Function

A Phase 2 study testing Anastrozole 1mg and Clomiphene Citrate 25mg in people with Hypogonadism, Male, run by Albany Medical College.

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 study evaluates anastrazole and clomiphene in the improvement in hypogonadal symptoms and erectile function. Each subject will receive Anastrazole 1 mg/day, clomiphene 25 mg/day and placebo in randomized schedule of 8 week intervals. Read more about this study

Who is it for?
Ages 18 to 70 years, men only
Conditions the study is for
Hypogonadism, Male
What is being tested?
Anastrozole 1mg and Clomiphene Citrate 25mg
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
24 participants
Where
No sites listed yet
Study dates
2 Apr 2015to 8 Mar 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 70 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men age 18-70
  • Baseline morning Testosterone 150-350 ng/dL x2
  • leutenizing hormone (LH) 1.5-9.2 miU/mL, Follicle stimulation hormone (FSH) 1.6-8.0 miU/mL, Prolactin 4-15 ng/mL
  • Positive Androgen Deficiency in the Aging Male (ADAM) score. A positive score is when an affirmative answer (''yes'') to either questions "Do you have a decreased sex drive/libido?" or "Are your erections less strong?" or any three other questions.10
  • Body mass index (BMI) <40
  • Sexual health inventory for men (SHIM) score >7 and <21. Patients are allowed to be taking phosphodiesterase 5 inhibitors (i.e. Viagra, Levitra, Cialis) at baseline, however we will ask them to do the SHIM survey as if they were not taking this medication.
  • Men must attempt to have at least four sexual encounters over each of the eight-week periods
  • Men willing not to take phosphodiesterase 5 inhibitors throughout the entire study

Who cannot join

  • Current or previous history of prostate cancer
  • Previous or current androgen deprivation therapy for prostate cancer,
  • Past surgical history of prostatectomy.
  • History of testicular cancer.
  • History of deep vein thrombosis (DVT) or blood dyscrasia
  • History of breast cancer
Show all 18Show fewer
  • Men with past or current treatment for erectile dysfunction including MUSE (alprostodil), intracavernosal injections, penile prosthesis. Men not on treatment or men who are on phosphodiesterase inhibitors will be allowed to be in the study but must stop their use at the screening visit.
  • Chronic opioid use
  • Use of steroids within the past 3 months, including prednisone and/or cortisone injections, and inhaled steroids. Topical steroid cream is acceptable.
  • History of or current use of anabolic steroids, i.e. testosterone, (or any analog of testosterone) dihydroepiandrosterone (DHEA), dihydroepiandrosterone sulfate (DHEAS) or any growth promoters i.e. growth hormone itself or analogs of growth hormone
  • History of or current use of anti-androgen medications, i.e. Aldactone, Tagamet, estrogens
  • Alcohol intake > 30 grams (drink more than 2 beers per day OR more than 1 glass of wine or cocktail daily)
  • Having started a new medication during the past three months which may interfere with the outcome measures of the study
  • Polycythemia (HCT >52% )
  • History of prostate specific antigen (PSA)> 4.0 ng/dl
  • Hematocrit (HCT)< 36 %
  • Liver function tests greater than 2 times upper normal limits or history of abnormal electrolytes, calcium or Parathyroid hormone without workup, at the discretion of the investigator.
  • Previous hypogonadal treatment within last 3 months. -

About this study

Official title: A Randomized Double Blinded Placebo Controlled Trial Between Anastrozole and Clomiphene to Evaluate Improvement in Hypogonadal Symptoms and Erectile Function Using ADAM, IIEF and EHS Validated Scales

This study evaluates anastrazole and clomiphene in the improvement in hypogonadal symptoms and erectile function. Each subject will receive Anastrazole 1 mg/day, clomiphene 25 mg/day and placebo in randomized schedule of 8 week intervals.

Read the detailed description

Aromatase inhibitors (AI) (Anastrazole) and selective estrogen receptor modifiers (SERMS)(clomiphene) increase testosterone production through stimulation of the hypothalamic pituitary axis. While these drugs both reduce the feedback inhibition of estrogen on the pituitary, SERMs cause an increase in serum estradiol, whereas AIs reduce estradiol levels. Using these medications, we can obtain therapeutic testosterone levels with either an increase or decrease in estradiol levels.

Being tested
Anastrozole 1mg, Clomiphene Citrate 25mg, Placebo - Cap
Medical subject headings
Eunuchism

What participants receive

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

  • Anastrozole 1mgDrug

  • Clomiphene Citrate 25mgDrug

  • Placebo - CapDrug

Study groups in NCT03933618
Study groupRoleWhat they receive
anastrazole-clomiphene-placeboOtheranastrozole for eight weeks then clomiphene for eight weeks then placebo for eight weeks
Receives: Drug: Anastrozole 1mg; Drug: Clomiphene Citrate 25mg; Drug: Placebo - Cap
anastrazole-placebo-clomipheneOtheranastrozole for eight weeks then placebo for eight weeks then clomiphene for eight weeks
Receives: Drug: Anastrozole 1mg; Drug: Clomiphene Citrate 25mg; Drug: Placebo - Cap
clomiphene-anastrazole-placeboOtherclomiphene for eight weeks then anastrozole for eight weeks then placebo for eight weeks
Receives: Drug: Anastrozole 1mg; Drug: Clomiphene Citrate 25mg; Drug: Placebo - Cap
clomiphene-placebo-anastrazoleOtherclomiphene for eight weeks then placebo for eight weeks then anastrozole for eight weeks
Receives: Drug: Anastrozole 1mg; Drug: Clomiphene Citrate 25mg; Drug: Placebo - Cap
placebo-clomiphene-anastrazoleOtherplacebo for eight weeks then clomiphene for eight weeks then anastrozole for eight weeks
Receives: Drug: Anastrozole 1mg; Drug: Clomiphene Citrate 25mg; Drug: Placebo - Cap
placebo-anastrazole-clomipheneOtherplacebo for eight weeks then anastrozole for eight weeks then clomiphene for eight weeks
Receives: Drug: Anastrozole 1mg; Drug: Clomiphene Citrate 25mg; Drug: Placebo - Cap

What is being measured

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

  1. IIEF (International Index of Erectile Function) Score - Screen

    15 item self reported erectile function. Each item is scored 0-5 with 0=negative response and 5 = positive response with totals of 0-75

    Measured: At baseline

  2. IIEF (International Index of Erectile Function) Score - Week 8

    15 item self reported erectile function over the past 8 weeks. Each item is scored 0-5 with 0=negative response and 5 = positive response with totals of 0-75

    Measured: Week 8

  3. IIEF (International Index of Erectile Function) Score - Week 16

    15 item self reported erectile function over the past 8 weeks. Each item is scored 0-5 with 0=negative response and 5 = positive response with totals of 0-75

    Measured: Week 16

  4. IIEF (International Index of Erectile Function) Score - Week 24

    15 item self reported erectile function over the past 8 weeks. Each item is scored 0-5 with 0=negative response and 5 = positive response with totals of 0-75

    Measured: Week 24

Secondary outcomes (36)
  1. Normalized Testosterone - Screen

    Normalized at >350ng/dl

    Measured: Baseline

  2. Normalized Testosterone - Week 8

    Normalized at >350ng/dl

    Measured: Week 8

  3. Normalized Testosterone - Week 16

    Normalized at >350ng/dl

    Measured: Week 16

  4. Normalized Testosterone - Week 24

    Normalized at >350ng/dl

    Measured: Week 24

  5. ADAM (Androgen Deficiency in the Aging Male) Score - Screen

    Self reported quantification of hypogonadism. 10 "yes" or "no" questions.

    A positive (yes) questionnaire result is defined as a "yes or 1" and a negative (no) questionnaire result is defined as a "no or 0" to question 1 or question 7 or any 3 other questions.

    Yes (1) represents a better outcome than No (1)

    In Data Entry:

    Yes - 1 No - 0

    Measured: Baseline

  6. ADAM (Androgen Deficiency in the Aging Male) Score - Week 8

    Self reported quantification of hypogonadism. 10 "yes" or "no" questions.

    A positive (yes) questionnaire result is defined as a "yes or 1" and a negative (no) questionnaire result is defined as a "no or 0" to question 1 or question 7 or any 3 other questions.

    Yes (1) represents a better outcome than No (1)

    In Data Entry:

    Yes - 1 No - 0

    Measured: Week 8

  7. ADAM (Androgen Deficiency in the Aging Male) Score - Week 16

    Self reported quantification of hypogonadism. 10 "yes" or "no" questions.

    A positive (yes) questionnaire result is defined as a "yes or 1" and a negative (no) questionnaire result is defined as a "no or 0" to question 1 or question 7 or any 3 other questions.

    Yes (1) represents a better outcome than No (1)

    In Data Entry:

    Yes - 1 No - 0

    Measured: Week 16

  8. ADAM (Androgen Deficiency in the Aging Male) Score - Week 24

    Self reported quantification of hypogonadism. 10 "yes" or "no" questions.

    A positive (yes) questionnaire result is defined as a "yes or 1" and a negative (no) questionnaire result is defined as a "no or 0" to question 1 or question 7 or any 3 other questions.

    Yes (1) represents a better outcome than No (1)

    In Data Entry:

    Yes - 1 No - 0

    Measured: Week 24

  9. EHS (Erectile Hardness Score) - Screen

    Self reported questionnaire rated 0-4 0=penis does not enlarge, 4=Penis completely hard and fully rigid

    Measured: Baseline

  10. EHS (Erectile Hardness Score) - Week 8

    Self reported questionnaire rated 0-4 0=penis does not enlarge, 4=Penis completely hard and fully rigid

    Measured: Week 8

  11. EHS (Erectile Hardness Score) - Week 16

    Self reported questionnaire rated 0-4 0=penis does not enlarge, 4=Penis completely hard and fully rigid

    Measured: Week 16

  12. EHS (Erectile Hardness Score) - Week 24

    Self reported questionnaire rated 0-4 0=penis does not enlarge, 4=Penis completely hard and fully rigid

    Measured: Week 24

  13. LH - Screen

    Luteinizing Hormone levels collected at the initial encounter and at the end of the 8, 16, and 24 week periods.

    Measured: Baseline

  14. LH - Week 8

    Luteinizing Hormone levels collected at the initial encounter and at the end of the 8, 16, and 24 week periods.

    Measured: Week 8

  15. LH - Week 16

    Luteinizing Hormone levels collected at the initial encounter and at the end of the 8, 16, and 24 week periods.

    Measured: Week 16

  16. LH - Week 24

    Luteinizing Hormone levels collected at the initial encounter and at the end of the 8, 16, and 24 week periods.

    Measured: Week 24

  17. FSH - Screen

    Lab Values for follicle stimulating hormone

    Measured: Baseline

  18. FSH - Week 8

    Lab Values for follicle stimulating hormone

    Measured: Week 8

  19. FSH - Week 16

    Lab Values for follicle stimulating hormone

    Measured: Week 16

  20. FSH - Week 24

    Lab Values for follicle stimulating hormone

    Measured: Week 24

  21. Free Testosterone - Screen

    Measure of Free Testosterone

    Measured: Baseline

  22. Free Testosterone - Week 8

    Measure of Free Testosterone

    Measured: Week 8

  23. Free Testosterone - Week 16

    Measure of Free Testosterone

    Measured: Week 16

  24. Free Testosterone - Week 24

    Measure of Free Testosterone

    Measured: Week 24

  25. Estradiol - Screen

    Measurement of Estradiol levels at initial encounter and at the end of Weeks 8, 16, and 24

    Measured: Baseline

  26. Estradiol - Week 8

    Measurement of Estradiol levels at initial encounter and at the end of Weeks 8, 16, and 24 An entered value of 4.9 means the measure was <5

    Measured: Week 8

  27. Estradiol - Week 16

    Measurement of Estradiol levels at initial encounter and at the end of Weeks 8, 16, and 24 An entered value of 4.9 means the measure was <5

    Measured: Week 16

  28. Estradiol - Week 24

    Measurement of Estradiol levels at initial encounter and at the end of Weeks 8, 16, and 24 An entered value of 4.9 means the measure was <5

    Measured: Week 24

  29. SHBG - Screen

    Lab Measure of sex hormone binding globulin at the initial encounter and at the ends of week 8, 16, and 24

    Measured: Baseline

  30. SHBG - Week 8

    Lab Measure of sex hormone binding globulin at the initial encounter and at the ends of week 8, 16, and 24

    Measured: Week 8

  31. SHBG - Week 16

    Lab Measure of sex hormone binding globulin at the initial encounter and at the ends of week 8, 16, and 24

    Measured: Week 16

  32. SHBG - Week 24

    Lab Measure of sex hormone binding globulin at the initial encounter and at the ends of week 8, 16, and 24

    Measured: Week 24

  33. SEP #1-3 Cumulative - Screen

    Questions 1, 2, and 3 for the Sexual Encounter Profile have been cumulatively added. 1 - yes and 0 - no have been added for questions 1-3 to determine a total value from 0-3.

    0-3: cumulative score from SEP questions 1, 2, and 3

    Higher values (3) are considered to be a better outcomes relative to lower numbers (0) 3 is better than 2 is better than 1 is better than 0

    Measured: Baseline

  34. SEP #1-3 Cumulative - Week 8

    Questions 1, 2, and 3 for the Sexual Encounter Profile have been cumulatively added. 1 - yes and 0 - no have been added for questions 1-3 to determine a total value from 0-3.

    0-3: cumulative score from SEP questions 1, 2, and 3

    Higher values (3) are considered to be a better outcomes relative to lower numbers (0) 3 is better than 2 is better than 1 is better than 0

    Measured: Week 8

  35. SEP #1-3 Cumulative - Week 16

    Questions 1, 2, and 3 for the Sexual Encounter Profile have been cumulatively added. 1 - yes and 0 - no have been added for questions 1-3 to determine a total value from 0-3.

    0-3: cumulative score from SEP questions 1, 2, and 3

    Higher values (3) are considered to be a better outcomes relative to lower numbers (0) 3 is better than 2 is better than 1 is better than 0

    Measured: Week 16

  36. SEP #1-3 Cumulative - Week 24

    Questions 1, 2, and 3 for the Sexual Encounter Profile have been cumulatively added. 1 - yes and 0 - no have been added for questions 1-3 to determine a total value from 0-3.

    0-3: cumulative score from SEP questions 1, 2, and 3

    Higher values (3) are considered to be a better outcomes relative to lower numbers (0) 3 is better than 2 is better than 1 is better than 0

    Measured: Week 24

Timeline

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

  1. First posted1 May 2019
  2. Study start2 Apr 2015
  3. Primary completion8 Mar 2017
  4. Study completion8 Mar 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
Crossover
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03933618
Sponsor's protocol ID
4134
Acronym
CAP
Status last verified
Oct 2019
First submitted
29 Apr 2019
Last updated
18 Nov 2019
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Anastrozole 1mg and Clomiphene Citrate 25mg in people with Hypogonadism, Male, run by Albany Medical College.

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 8 inclusion and 18 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 18 Nov 2019. Status can change between updates, so confirm with the study contact before making plans.

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 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 18 Nov 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?

IIEF (International Index of Erectile Function) Score - Screen (time frame: At baseline). The study lists 4 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 18 Nov 2019.

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