Title

Pharmacokinetic Study of Oral Testosterone (T) Ester Formulations in Hypogonadal Men
Phase II, Repeat Dose, Pharmacokinetic Study of Oral Testosterone Ester Formulations in Hypogonadal Men
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    testosterone ...
  • Study Participants

    29
The purpose of this pharmacokinetic study is to determine whether oral testosterone (T) ester formulations can be used effectively to treat men with low testosterone.
Determination of the steady-state serum T pharmacokinetic profiles for two oral formulations of T-esters [testosterone undecanoate (TU) and TU combined with testosterone enanthate (TE)] administered bis in die (BID) to 29 hypogonadal adult male subjects. TU was evaluated in total daily doses of 400 and 600 mg equivalents of T given twice daily for 7 or 8 days; TU + TE was evaluated in total daily doses of 600 and 800 mg equivalents of T given twice daily for 7 days. All subjects were enrolled into a single group and proceeded through the four Treatment Periods 1-4 in a sequential manner. In Treatment Period 3 the effect of food on the study-state pharmacokinetics profile of the TU formulation was evaluated.
Study Started
Jun 30
2008
Primary Completion
Dec 31
2008
Study Completion
Aug 31
2009
Results Posted
Jun 24
2021
Last Update
Jun 25
2021

Drug Oral testosterone undecanoate (TU) (300 mg T equivalents/dose)

Three capsules each containing 100 mg testosterone (T) as TU, BID. 300 mg T equivalents BID 30 minutes after initiation of breakfast and dinner meals for 7 days. A 7-14 day washout period occurred between successive Treatment Periods.

Drug Oral testosterone undecanoate (TU) combined with testosterone enanthate (TE) (400 mg T equivalents/dose)

Two capsules each containing 100 mg T as TU and 100 mg T as TE, BID. 400 mg T equivalents BID 30 minutes after initiation of breakfast and dinner meals for 7 days. A 7-14 day washout period occurred between successive Treatment Periods.

Drug Oral testosterone undecanoate (TU) (200 mg T equivalents/dose with and without food)

Two capsules each containing 100 mg T as TU, BID for 8 days. 200 mg T equivalents BID 30 minutes after initiation of meals (breakfast and dinner), except for Day 8 when the morning dose was administered fasting. A 7-14 day washout period occurred between successive Treatment Periods.

Drug Oral testosterone undecanoate (TU) combined with testosterone enanthate (TE) (300 mg T equivalents/dose)

Two capsules each containing 150 mg T as TU and 150 mg T as TE, BID. 300 mg T equivalents BID 30 minutes after initiation of breakfast and dinner meals for 7 days.

All study participants Experimental

Treatment Period 1: Three capsules each containing 100 mg testosterone (T) as testosterone undecanoate (TU), twice daily (BID) for 7 days. Treatment Period 2: Two capsules each containing 200 mg T as TU and testosterone enanthate (TE), BID for 7 days. Treatment Period 3: Two capsules each containing 100 mg T as TU, BID for 8 days. Treatment Period 4: Two capsules each containing 150 mg T as TU and TE, BID for 7 days.

Criteria

Inclusion Criteria:

Male, ages 18-68
Serum total T less than or equal to 275 ng/dL

Exclusion Criteria:

Significant intercurrent disease of any type, in particular, liver, kidney or heart disease, uncontrolled diabetes mellitus or psychiatric illness.
Abnormal prostate digital rectal examination, elevated prostate-specific antigen (PSA), American Urological Association (AUA) symptom score of >15, and/or history of prostate cancer.
Hematocrit of <35 or >50%
Body mass index (BMI) >36
Serum transaminases > 2 times upper limit of normal or serum bilirubin > 2.0 mg/dL

Summary

All Study Participants

All Events

Event Type Organ System Event Term All Study Participants

Serum Testosterone Average Concentration (Cavg) (ng/dL)

Sampling to determine serum T Cavg post AM and PM doses and for 24 hours in Treatment Periods 1, 2, and 4. Sampling to determine serum T Cavg post AM dose with food (Day 7) and fasting (Day 8) in Treatment Period 3.

Treatment Period 1

Cavg (0-24)

792.0
ng/dL (Mean)
Standard Deviation: 254

Cavg (AM dose) with food

765.0
ng/dL (Mean)
Standard Deviation: 333

Cavg (PM dose) with food

819.0
ng/dL (Mean)
Standard Deviation: 291

Treatment Period 2

Cavg (0-24)

654.0
ng/dL (Mean)
Standard Deviation: 230

Cavg (AM dose) with food

657.0
ng/dL (Mean)
Standard Deviation: 294

Cavg (PM dose) with food

651.0
ng/dL (Mean)
Standard Deviation: 236

Treatment Period 3

Cavg (AM dose) fasting

241.0
ng/dL (Mean)
Standard Deviation: 106

Cavg (AM dose) with food

518.0
ng/dL (Mean)
Standard Deviation: 233

Treatment Period 4

Cavg (0-24)

541.0
ng/dL (Mean)
Standard Deviation: 289

Cavg (AM dose) with food

533.0
ng/dL (Mean)
Standard Deviation: 385

Cavg (PM dose) with food

548.0
ng/dL (Mean)
Standard Deviation: 250

Serum Testosterone Area Under Curve (AUC) (0-24) (ng•hr/dL)

Sampling to determine serum T AUC post AM and PM doses and for 24 hours in Treatment Periods 1, 2, and 4. Sampling to determine serum T AUC with food (Day 7) and fasting (Day 8) in Treatment Period 3.

Treatment Period 1

AUC (0-12) (AM dose) with food

9179.0
(ng•hr/dL) (Mean)
Standard Deviation: 3990

AUC (0-24)

19009.0
(ng•hr/dL) (Mean)
Standard Deviation: 6102

AUC (12-24) (PM dose) with food

9830.0
(ng•hr/dL) (Mean)
Standard Deviation: 3489

Treatment Period 2

AUC (0-12) (AM dose) with food

7881.0
(ng•hr/dL) (Mean)
Standard Deviation: 3524

AUC (0-24)

15693.0
(ng•hr/dL) (Mean)
Standard Deviation: 5527

AUC (12-24) (PM dose) with food

7812.0
(ng•hr/dL) (Mean)
Standard Deviation: 2837

Treatment Period 3

AUC (0-12) (AM dose) fasting

2894.0
(ng•hr/dL) (Mean)
Standard Deviation: 1267

AUC (0-12) (AM dose) with food

6217.0
(ng•hr/dL) (Mean)
Standard Deviation: 2792

Treatment Period 4

AUC (0-12) (AM dose) with food

6601.0
(ng•hr/dL) (Mean)
Standard Deviation: 4614

AUC (0-24)

12980.0
(ng•hr/dL) (Mean)
Standard Deviation: 6926

AUC (12-24) (PM dose) with food

2894.0
(ng•hr/dL) (Mean)
Standard Deviation: 1267

Age, Continuous

48.6
years (Mean)
Standard Deviation: 10.23

Body Mass Index (BMI) (kg/m^2)

30.4
kg/m^2 (Mean)
Standard Deviation: 3.43

Height

69.9
inches (Mean)
Standard Deviation: 4.0

Total Testosterone (ng/dL)

169.0
ng/dL (Mean)
Standard Deviation: 82.80

Weight

212.2
pounds (Mean)
Standard Deviation: 38.68

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Sex: Female, Male

Treatment Period 1

All Study Participants

Treatment Period 2

All Study Participants

Treatment Period 3

All Study Participants

Treatment Period 4

All Study Participants

Drop/Withdrawal Reasons

All Study Participants