Title

Efficacy and Tolerability of an Intra-Nasal Testosterone Product
Efficacy and Tolerability of Nasobol®, an Intra-Nasal Testosterone Product, for Testosterone Replacement in Hypogonadal Men
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    testosterone ...
  • Study Participants

    57
This clinical trial is being performed to compare the pharmacokinetic profile of testosterone after repeated intra-nasal administration of products of different strengths in subjects with hypogonadism.
Primary Objective:

The primary objective of this study was to determine the efficacy of Nasobol in the treatment of hypogonadal men requiring testosterone replacement therapy. Efficacy was determined by establishing a pharmacokinetic profile for serum testosterone levels following Nasobol treatment, and comparing it to that of the active control, Androderm®.

Secondary Objective:

To establish a safety profile for Nasobol.
Study Started
Aug 31
2009
Primary Completion
May 31
2010
Study Completion
May 31
2010
Results Posted
Aug 13
2018
Last Update
Aug 13
2018

Drug Nasobol®

Intra-nasal Testosterone (2 syringes), b.i.d.

Drug Androderm® (Positive Control)

QD administration

Test 8.0, Ref 5.0, Test 14.0, Test 11.0 Experimental

Treatment A: 8.0 mg Nasobol® (2 syringes), b.i.d. for 7 days; Treatment D: 5.0 mg Androderm® (Positive Control)-Patch, q.d. for 7 days; Treatment C: 14.0 mg Nasobol® (2 syringes), b.i.d. for 7 days; Treatment B: 11.0 mg Nasobol® (2 syringes), b.i.d. for 7 days;

Test 11.0, Test 8.0, Ref 5.0, Test 14.0 Experimental

Treatment B: 11.0 mg Nasobol® (2 syringes), b.i.d. for 7 days; Treatment A: 8.0 mg Nasobol® (2 syringes), b.i.d. for 7 days; Treatment D: 5.0 mg Androderm® (Positive Control)-Patch, q.d. for 7 days; Treatment C: 14.0 mg Nasobol® (2 syringes), b.i.d. for 7 days

Test 14.0, Test 11.0, Test 8.0, Ref 5.0 Experimental

Treatment C: 14.0 mg Nasobol® (2 syringes), b.i.d. for 7 days; Treatment B: 11.0 mg Nasobol® (2 syringes), b.i.d. for 7 days; Treatment A: 8.0 mg Nasobol® (2 syringes), b.i.d. for 7 days; Treatment D: 5.0 mg Androderm® (Positive Control)-Patch, q.d. for 7 days;

Ref 5.0, Test 14.0, Test 11.0, Test 8.0 Experimental

Treatment D: 5.0 mg Androderm® (Positive Control)-Patch, q.d. for 7 days; Treatment C: 14.0 mg Nasobol® (2 syringes), b.i.d. for 7 days; Treatment B: 11.0 mg Nasobol® (2 syringes), b.i.d. for 7 days; Treatment A: 8.0 mg Nasobol® (2 syringes), b.i.d. for 7 days

Criteria

Inclusion Criteria:

Men with primary or secondary hypogonadism and a serum morning (0900 h ± 30 minutes) testosterone levels >100 ng/dl and ≤ 300 ng/dL.
Normal Otolaryngological nasal endoscopy examination.
Normal prostate examination (no palpable prostatic mass), and serum PSA ≤ 4.0 ng/mL.

Exclusion Criteria:

Current treatment with other androgens (i.e. DHEA), anabolic steroids or other sex hormones
Treatment with Estrogens, GnRH antagonists, or Growth Hormone within previous 12 months
History of nasal surgery, specifically turbinoplasty, septoplasty, rhinoplasty, or sinus surgery.
History of nasal disorders (e.g. polyposis, recurrent epistaxis ( > 1 nose bleed per month, abuse of nasal decongestants) or sleep apnea.

Summary

Treatment A

Treatment B

Treatment C

Treatment D

All Events

Event Type Organ System Event Term Treatment A Treatment B Treatment C Treatment D

Serum Testosterone Ln-Cmax

The primary objective of this study was to determine the efficacy of Nasobol in the treatment of hypogonadal men requiring testosterone replacement therapy. Efficacy was determined by establishing a pharmacokinetic profile for serum testosterone levels following Nasobol treatment or that of the active control, Androderm®.

Treatment A

6.25
ng/dL (Mean)
Standard Deviation: 0.37

Treatment B

6.41
ng/dL (Mean)
Standard Deviation: 0.35

Treatment C

6.54
ng/dL (Mean)
Standard Deviation: 0.36

Treatment D

6.36
ng/dL (Mean)
Standard Deviation: 0.37

Serum Testosterone Ln-AUCt

Treatment A

8.8
ng.h/dL (Mean)
Standard Deviation: 0.26

Treatment B

8.9
ng.h/dL (Mean)
Standard Deviation: 0.27

Treatment C

8.95
ng.h/dL (Mean)
Standard Deviation: 0.29

Treatment D

9.09
ng.h/dL (Mean)
Standard Deviation: 0.29

Serum Testosterone Cavg

Treatment A

287.1
ng/dL (Mean)
Standard Deviation: 76.42

Treatment B

316.64
ng/dL (Mean)
Standard Deviation: 88.93

Treatment C

336.11
ng/dL (Mean)
Standard Deviation: 100.76

Treatment D

384.62
ng/dL (Mean)
Standard Deviation: 102.97

Serum Dihydrotestosterone Ln-Cmax

Treatment A

3.54
ng/dL (Mean)
Standard Deviation: 0.38

Treatment B

3.67
ng/dL (Mean)
Standard Deviation: 0.44

Treatment C

3.8
ng/dL (Mean)
Standard Deviation: 0.41

Treatment D

3.44
ng/dL (Mean)
Standard Deviation: 0.35

Serum Dihydrotestosterone Ln-AUCt

Treatment A

6.34
ng.h/dL (Mean)
Standard Deviation: 0.38

Treatment B

6.47
ng.h/dL (Mean)
Standard Deviation: 0.41

Treatment C

6.52
ng.h/dL (Mean)
Standard Deviation: 0.45

Treatment D

6.33
ng.h/dL (Mean)
Standard Deviation: 0.34

Serum Dihydrotestosterone Cavg

Treatment A

25.24
ng/dL (Mean)
Standard Deviation: 8.51

Treatment B

28.97
ng/dL (Mean)
Standard Deviation: 11.41

Treatment C

30.79
ng/dL (Mean)
Standard Deviation: 12.50

Treatment D

24.69
ng/dL (Mean)
Standard Deviation: 8.46

Percentage of Subjects With Cavg Within the Reference Range

The percentage of subjects with a Cavg within the reference range of 300 to 1050 ng/dL and 25.5 to 97.8 ng/dL for testosterone and dihydotestosterone.

Treatment A

Dihydrotestosterone

Testosterone

Treatment B

Dihydrotestosterone

Testosterone

Treatment C

Dihydrotestosterone

Testosterone

Treatment D

Dihydrotestosterone

Testosterone

Age, Continuous

52.0
years (Mean)
Standard Deviation: 12.0

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Period 1

Sequence 1

Sequence 2

Sequence 3

Sequence 4

Period 2

Sequence 1

Sequence 2

Sequence 3

Sequence 4

Period 3

Sequence 1

Sequence 2

Sequence 3

Sequence 4

Period 4

Sequence 1

Sequence 2

Sequence 3

Sequence 4