ClinicalTrials.gg
CompletedNCT00891228CCN007Updated May 24, 2018Results posted

Study of the Safety, and Sperm and Gonadotropin Suppression of a Contraceptive Gel in Normal Men

A Phase 1 interventional study of Testosterone and Nestorone® in Contraception, sponsored by Health Decisions. Completed at 2 sites in United States. Open to male participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-05-24.

Sponsored by Health Decisions · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
99
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Male
01

Study summary

To determine the number of men who have suppression of sperm production when using a daily regimen of Nestorone® Gel (0, 8 or 12 mg) and Testosterone Gel applied transdermally.

02

Conditions studied

  • Contraception

Keywords

  • Contraception
  • Male Contraception
  • Suppression of Sperm Production
03

In context

Lead sponsor

Health Decisions is the lead sponsor of 8 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Men who meet all the following criteria are eligible for enrollment in the trial:

  1. Male volunteers in good health as confirmed by physical examination, medical history, and clinical laboratory tests of blood and urine at the time of screening
  2. 18 to 50 years of age
  3. ≤ 33 calculated as weight in Kg/ (height in cm) 2
  4. No history of hormonal therapy use in the last six months prior to the first screening visit
  5. Subject will agree to use a recognized effective method of with his partner (i.e. at a minimum, use double-barrier contraception) during the course of the study treatment and recovery phase
  6. In the opinion of the investigator, subject is able to comply with the protocol, understand and sign an and HIPAA form
  7. Does not meet any of the exclusion criteria.

Exclusion criteria

Exclusion Criteria:

Men who meet any of the following criteria are NOT eligible for enrollment in the trial:

  1. Men participating in another clinical trial involving an drug within the last 30 days prior to the first screening visit
  2. Men not living in the catchment's area of the clinic or within a reasonable distance from the site
  3. abnormal findings at screening
  4. Elevated PSA (levels ≥ 4 ng/mL), according to local laboratory normal values
  5. Abnormal serum chemistry values, according to local laboratory normal values that indicate liver or kidney dysfunction or that may be considered clinically significant. Other abnormal lab values may also be exclusionary, at the discretion of the investigator
  6. Sperm concentration below 15 million/mL in more than one of three screening samples
  7. Use of androgens or body building substances within 6 months before first screening visit
  8. Diastolic (D) blood pressure (BP) ≥ 85 and Systolic (S) BP ≥ 135 mm Hg; (BP will be taken 3 times at 5 minute intervals and the mean of all measurements be considered)
  9. History of hypertension, including hypertension controlled with treatment
  10. Known history of primary testicular disease or disorders of the hypothalamic-pituitary axis
  11. Known to progestins
  12. Family or personal history of venous thromboembolism
  13. Benign or malignant liver tumors; active liver disease
  14. History of breast carcinoma
  15. Known history of reproductive dysfunction including vasectomy or infertility
  16. Known history of cardiac, renal, hepatic or prostatic disease
  17. A serious systemic disease such as diabetes mellitus or morbid obesity (body weight greater than 120% of ideal body weight or limitation as above)
  18. History of sleep apnea
  19. Known or suspected alcoholism or drug abuse that may affect metabolism/transformation of hormones and study treatment compliance
  20. Known dermatitis or severe skin disorder
  21. Partner is known to be pregnant
  22. Men desiring fertility within the first 24 weeks of study participation.

Men participating in competitive sports where drug screening for prohibited substances (including anabolic steroids) is routine will be advised of the relative and temporary hazards that participating in this study may have for their fertility or sporting status.

Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
99 participants (actual)

Study arms

  • Placebo comparator
    Testosterone Gel 10 g and Nestorone® 0 mg per day

    Two individual packets of Testosterone Gel, each with 5 g of gel applied to each arm delivering a total of 100 mg of Testosterone on the skin. Nestorone® Gel will be delivered by a pump configured to deliver 4 mL of gel containing 0 mg of Nestorone® by pressing two times with the 2 mL dispenser head.

    Drug: Testosterone · Drug: Nestorone®

  • Experimental
    Testosterone Gel 10 g and Nestorone® 8 mg per day

    Two individual packets of Testosterone Gel, each with 5 g of gel applied to each arm delivering a total of 100 mg of Testosterone on the skin. Nestorone® Gel will be delivered by a pump configured to deliver a metered volume of Nestorone® Gel containing 8 mg of Nestorone®. For 8 mg Nestorone® dose; Nestorone® Gel will be delivered in 4 mL volume (2 mg NES mL gel) by pressing two times with 2 mL dispenser head.

    Drug: Testosterone · Drug: Nestorone®

  • Experimental
    Testosterone Gel 10 g plus Nestorone® Gel 12 mg per day

    Two individual packets of Testosterone Gel, each with 5 g of gel applied to each arm delivering a total of 100 mg of Testosterone on the skin. Nestorone® Gel will be delivered by a pump configured to deliver a metered volume of Nestorone® Gel containing 12 mg of Nestorone®. For 12 mg Nestorone® dose; Nestorone® Gel will be delivered in 4 mL volume (3 mg Nestorone®/mL gel) by pressing two times with 2 mL dispenser head.

    Drug: Testosterone · Drug: Nestorone®

Interventions

  • Two individual packets of T Gel, each with 5 g of gel applied to each arm delivering a total of 100 mg of T on the skin daily.

  • Nestorone® Gel will be delivered by a pump configured to deliver a metered volume of Nestorone® Gel containing 8 mg of Nestorone®. For 8 mg Nestorone® dose; Nestorone® Gel will be delivered in 4 mL volume (2 mg Nestorone® mL gel) by pressing two times with 2 mL dispenser head.

  • Nestorone® Gel will be delivered by a pump configured to deliver a metered volume of Nestorone® Gel containing 12 mg of Nestorone®. For 12 mg Nestorone® dose; Nestorone® Gel will be delivered in 4 mL volume (3 mg Nestorone®/mL gel) by pressing two times with 2 mL dispenser head.

  • Nestorone® Gel will be delivered by a pump configured to deliver 4 mL of gel containing 0 mg of Nestorone® by pressing two times with the 2 mL dispenser head.

06

What researchers measure

Primary outcomes

  1. The Number of Men Who Have Suppression of Sperm Production ≤1Million/mL Million/mL When Using a Daily Regimen of Nestorone® Gel (0, 8 or 12 mg) and Testosterone Gel Applied Transdermally.

    Time frame: 24 Weeks

Secondary outcomes

  1. The Number of Men Who Have Suppression of Sperm Production ≤3 Million/mL ≤ 3 Million/mL or Azoospermia When Using a Daily Regimen of Nestorone® Gel (0, 8 or 12 mg) and Testosterone Gel.

    Time frame: 24 Weeks

  2. The Number of Men Who Have Azoospermia

    Time frame: 24 Weeks

  3. The Impact on Sperm Motility in Men Who Are Not Azoospermic Azoospermic.

    Time frame: 24 Weeks

  4. The Impact on Sperm Morphology in Men Who Are Not Azoospermic

    Time frame: 24 weeks

07

Results

Posted May 24, 2018

Participant flow

Participant flow — Overall Study
MilestoneTestosterone Gel 10 g and Nestorone® 0 mg Per DayTestosterone Gel 10 g and Nestorone® 8 mg Per DayTestosterone Gel 10 g Plus Nestorone® Gel 12 mg Per Day
Started323334
Completed212019
Not completed111315
Withdrew: Adverse event023
Withdrew: Withdrawal by subject245
Withdrew: Protocol violation312
Withdrew: Physician decision210
Withdrew: Lost to follow-up445
Withdrew: Pregnancy010

Outcome measures

PrimaryThe Number of Men Who Have Suppression of Sperm Production ≤1Million/mL Million/mL When Using a Daily Regimen of Nestorone® Gel (0, 8 or 12 mg) and Testosterone Gel Applied Transdermally.
Time frame:
24 Weeks
Reported as:
Number · participants
The Number of Men Who Have Suppression of Sperm Production ≤1Million/mL Million/mL When Using a Daily Regimen of Nestorone® Gel (0, 8 or 12 mg) and Testosterone Gel Applied Transdermally.
participantsTestosterone Gel 10 g and Nestorone® 0 mg Per DayTestosterone Gel 10 g and Nestorone® 8 mg Per DayTestosterone Gel 10 g Plus Nestorone® Gel 12 mg Per Day
The Number of Men Who Have Suppression of Sperm Production ≤1Million/mL Million/mL When Using a Daily Regimen of Nestorone® Gel (0, 8 or 12 mg) and Testosterone Gel Applied Transdermally.51513
SecondaryThe Number of Men Who Have Suppression of Sperm Production ≤3 Million/mL ≤ 3 Million/mL or Azoospermia When Using a Daily Regimen of Nestorone® Gel (0, 8 or 12 mg) and Testosterone Gel.
Time frame:
24 Weeks
Reported as:
Number · participants
The Number of Men Who Have Suppression of Sperm Production ≤3 Million/mL ≤ 3 Million/mL or Azoospermia When Using a Daily Regimen of Nestorone® Gel (0, 8 or 12 mg) and Testosterone Gel.
participantsTestosterone Gel 10 g and Nestorone® 0 mg Per DayTestosterone Gel 10 g and Nestorone® 8 mg Per DayTestosterone Gel 10 g Plus Nestorone® Gel 12 mg Per Day
The Number of Men Who Have Suppression of Sperm Production ≤3 Million/mL ≤ 3 Million/mL or Azoospermia When Using a Daily Regimen of Nestorone® Gel (0, 8 or 12 mg) and Testosterone Gel.51514
SecondaryThe Number of Men Who Have Azoospermia
Time frame:
24 Weeks
Reported as:
Number · participants
The Number of Men Who Have Azoospermia
participantsTestosterone Gel 10 g and Nestorone® 0 mg Per DayTestosterone Gel 10 g and Nestorone® 8 mg Per DayTestosterone Gel 10 g Plus Nestorone® Gel 12 mg Per Day
The Number of Men Who Have Azoospermia51411
SecondaryThe Impact on Sperm Motility in Men Who Are Not Azoospermic Azoospermic.
Time frame:
24 Weeks
Reported as:
Mean · percentage of sperm
The Impact on Sperm Motility in Men Who Are Not Azoospermic Azoospermic.
percentage of spermTestosterone Gel 10 g and Nestorone® 0 mg Per DayTestosterone Gel 10 g and Nestorone® 8 mg Per DayTestosterone Gel 10 g Plus Nestorone® Gel 12 mg Per Day
Percent Progressive (week 24)52.8 ± 10.7031.9 ± 26.8929.6 ± 17.15
Percent Non Progressive (week 24)10.4 ± 10.727.4 ± 11.948.3 ± 4.82
SecondaryThe Impact on Sperm Morphology in Men Who Are Not Azoospermic
Time frame:
24 weeks
Reported as:
Mean · percentage normal morphology
The Impact on Sperm Morphology in Men Who Are Not Azoospermic
percentage normal morphologyTestosterone Gel 10 g and Nestorone® 0 mg Per DayTestosterone Gel 10 g and Nestorone® 8 mg Per DayTestosterone Gel 10 g Plus Nestorone® Gel 12 mg Per Day
The Impact on Sperm Morphology in Men Who Are Not Azoospermic12.3 ± 3.8710.8 ± 4.839.1 ± 4.64

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Testosterone Gel 10 g and Nestorone® 0 mg Per Day—0/32 (0%)22/32 (68.8%)
Testosterone Gel 10 g and Nestorone® 8 mg Per Day—0/33 (0%)23/33 (69.7%)
Testosterone Gel 10 g Plus Nestorone® Gel 12 mg Per Day—0/34 (0%)24/34 (70.6%)
Most frequent other events
Showing 10 of 116
Most frequent other events
EventTestosterone Gel 10 g and Nestorone® 0 mg Per DayTestosterone Gel 10 g and Nestorone® 8 mg Per DayTestosterone Gel 10 g Plus Nestorone® Gel 12 mg Per Day
headacheNervous system disorders9/326/332/34
acneSkin and subcutaneous tissue disorders9/327/335/34
NasopharyngitisInfections and infestations7/324/337/34
InfluenzaInfections and infestations3/324/331/34
Weight increasedInvestigations1/324/332/34
Upper respiratory tract infectionInfections and infestations3/323/333/34
Food poisoningGastrointestinal disorders0/321/333/34
Abdominal pain upperGastrointestinal disorders2/321/331/34
DiarrhoeaGastrointestinal disorders2/321/330/34
HypersensitivityImmune system disorders2/320/330/34

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Testosterone Gel 10 g and Nestorone® 0 mg Per DayTestosterone Gel 10 g and Nestorone® 8 mg Per DayTestosterone Gel 10 g Plus Nestorone® Gel 12 mg Per DayTotal
<=18 years0000
Between 18 and 65 years32333499
>=65 years0000
Sex: Female, Male
Sex: Female, Male(Participants)Testosterone Gel 10 g and Nestorone® 0 mg Per DayTestosterone Gel 10 g and Nestorone® 8 mg Per DayTestosterone Gel 10 g Plus Nestorone® Gel 12 mg Per DayTotal
Female0000
Male32333499
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Testosterone Gel 10 g and Nestorone® 0 mg Per DayTestosterone Gel 10 g and Nestorone® 8 mg Per DayTestosterone Gel 10 g Plus Nestorone® Gel 12 mg Per DayTotal
Hispanic or Latino891027
Not Hispanic or Latino24242472
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Testosterone Gel 10 g and Nestorone® 0 mg Per DayTestosterone Gel 10 g and Nestorone® 8 mg Per DayTestosterone Gel 10 g Plus Nestorone® Gel 12 mg Per DayTotal
American Indian or Alaska Native0101
Asian7119
Native Hawaiian or Other Pacific Islander2103
Black or African American53715
White16242565
More than one race0000
Unknown or Not Reported2316
Region of Enrollment
Region of Enrollment(participants)Testosterone Gel 10 g and Nestorone® 0 mg Per DayTestosterone Gel 10 g and Nestorone® 8 mg Per DayTestosterone Gel 10 g Plus Nestorone® Gel 12 mg Per DayTotal
United States32333499
08

Study locations

2 sites
  • Los Angeles Biomedical Research Institute at Harbor-UCLA
    Torrance, California 90502, United States
  • University of Washington
    Seattle, Washington 98195, United States
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of May 2009, a primary completion of May 2010 and a completion of Nov 2011. It does not say whether these dates are actual or estimated.

Results were first posted in May 2018, 8 years after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 30, 2009
First posted
May 1, 2009
Start
May 2009
Primary completionActual
May 2010
CompletionActual
Nov 2011
Results first posted
May 24, 2018
Last update
May 24, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 24, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00891228
Lead sponsor
Health Decisions
Responsible party
Sponsor
First posted
May 1, 2009
Start date
May 2009
Primary completion
May 2010
Completion
Nov 2011
Results posted
May 24, 2018
Last update
May 24, 2018

Study contacts

Christina Wang, MD
principal investigator · LA BioMedical Research Institute, Harbor-UCLA
William Bremner, MD, PhD
principal investigator · University of Washington

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Testosterone · Segesterone acetate

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