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CompletedNCT01167829Oral T8Updated Sep 6, 2013Results posted

ORAL T-8 Oral Testosterone for Male Hormonal Contraception

A Phase 1 interventional study of Oral Testosterone and Acyline in Healthy, sponsored by University of Washington. Completed at 1 site in United States. Open to male participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-09-06.

Sponsored by University of Washington · Phase 1, Interventional, and Health services research

Phase
Phase 1
Study type
Interventional
Enrollment
14
Allocation
Not applicable
Ages
18 Years to 55 Years
Sex
Male
01

Study summary

The purpose of this study is to test how the body absorbs a new form of oral testosterone (T). On Day 1 and Day 9 there are overnight stays in the General Clinical Research Center at the University of Washington to monitor blood testosterone levels over a 24-hour period.

Read the detailed description

We will administer two experimental drugs, acyline and oral testosterone. Acyline shots will be given on Day 0 to turn off the body's testosterone production for about 10-14 days.

The next day, Day 1, subjects begin taking 300 mg modified slow-release testosterone pill by mouth, three times a day, around 9 AM, 1 PM, and 7 PM for a total of 27 pills.

There are overnight stays on Day 1 and Day 9 to allow monitoring of blood testosterone levels over a 24 hour period, from @9 AM to 9 AM the next morning. At those visits, blood is drawn at baseline (before taking the pill) and at 1, 2, 4, 5, 6, 8, 10, 11, 12, 14, 16, and 24 hours after the morning dose.

Acyline is an experimental drug. The FDA allows its use only in research with a small number of volunteers. We have used acyline in over 125 men without serious side effects. The use of testosterone in this study is experimental and there may be unknown or unanticipated risks.

02

Conditions studied

  • Healthy

Keywords

  • Experimental
  • Acyline plus 27 oral testosterone pills
  • taken 3x/day
03

In context

Lead sponsor

University of Washington is the lead sponsor of 1,397 studies on the registry; 225 are open to participants now.

Of its 154 completed or terminated interventional studies of FDA-regulated products, 132 (86%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  • able and willing to
  • not participate in another drug study or donate blood, not take medications
  • use contraception, comply with the protocol

Exclusion criteria

EXCLUSION CRITERIA:

  • abnormal evaluation, based on physical exam, medical history, blood tests (including serum chemistry, hematology, HIV, HCV, hormone levels)
  • history or current use of alcohol, drug, steroid abuse, >3 alcohol drinks/day
  • history of testicular disease, severe testicular trauma, major psychiatric disorder, bleeding disorders, current use of anti-coagulants or testosterone
  • participation in hormonal drug study within past month
05

Study design

Phase
Phase 1
Primary purpose
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    Acyline and oral testosterone

    Drug: Oral Testosterone · Drug: Acyline

Interventions

  • DrugOral Testosterone

    Oral Testosterone: 300 mg, pills, three times daily Day 1 - 10 (total of 27 pills)

  • DrugAcyline

    300 ug/kg injection on Day 0

06

What researchers measure

Primary outcomes

  1. Maximum Testosterone Concentration

    initial pharmacokinetics \[PK\] (day 1) of oral testosterone dosed 3 times daily and the PK after 9 days of treatment

    Time frame: baseline & day 9

  2. Mean Testosterone Concentration

    initial 24-hour pharmacokinetics (PK) of oral testosterone dosed 3 times daily and post 24-hour PK after 9 days of treatment

    Time frame: baseline & day 9

Secondary outcomes

  1. Maximum Dihydrotestosterone (DHT) Concentration

    Time frame: baseline & day 9

  2. Mean Dihydrotestosterone (DHT) Concentration

    Time frame: baseline & day 9

  3. Maximum Sex Hormone-Binding Globulin (SHGB)Concentration

    Time frame: baseline & day 9

  4. Mean SHGB Concentration

    Time frame: baseline & day 9

  5. Maximum Estradiol Concentration

    Time frame: baseline & day 9

  6. Mean Estradiol Concentration

    Time frame: baseline & day 9

  7. Free T Maximum Concentration

    Free T normal range 4.7-18 ng/dL

    Time frame: baseline & day 9

  8. Free Testosterone Mean Concentration

    Free T normal range 4.7-18 ng/dL

    Time frame: baseline & day 9

07

Results

Posted Aug 23, 2013

Participant flow

Subjects were recruited through news media (website)and college campus bulletin boards in Seattle, WA. between July-September 2010. All visits were at the University of Washington, Seattle, WA.

Participant flow — Overall Study
MilestoneAcyline and 0ral Testosterone
Started12
Completed12
Not completed0

Outcome measures

PrimaryMaximum Testosterone Concentration

initial pharmacokinetics \[PK\] (day 1) of oral testosterone dosed 3 times daily and the PK after 9 days of treatment

Time frame:
baseline & day 9
Reported as:
Geometric mean · ng/dL
Maximum Testosterone Concentration
ng/dLAcyline and 300 mg Oral Testosterone
Day 1924 ± 44
Day 9741 ± 71
Statistical analysis
  • Acyline and 300 mg Oral Testosterone · t-test, 2 sided · p = 0.05 · Mean difference (net): 183
PrimaryMean Testosterone Concentration

initial 24-hour pharmacokinetics (PK) of oral testosterone dosed 3 times daily and post 24-hour PK after 9 days of treatment

Time frame:
baseline & day 9
Reported as:
Geometric mean · ng/dL
Mean Testosterone Concentration
ng/dLAcyine and 300 mg Oral Testosterone
Day 1378 ± 45
Day 9315 ± 41
SecondaryMaximum Dihydrotestosterone (DHT) Concentration
Time frame:
baseline & day 9
Reported as:
Geometric mean · ng/dL
Maximum Dihydrotestosterone (DHT) Concentration
ng/dL300 mg Oral Testosterone
Day 1233 ± 49
Day 9142 ± 55
SecondaryMean Dihydrotestosterone (DHT) Concentration
Time frame:
baseline & day 9
Reported as:
Geometric mean · ng/dL
Mean Dihydrotestosterone (DHT) Concentration
ng/dLAcyline and 300 mg Oral Testosterone
Day 196 ± 38
Day 969 ± 41
SecondaryMaximum Sex Hormone-Binding Globulin (SHGB)Concentration
Time frame:
baseline & day 9
Reported as:
Geometric mean · ng/dL
Maximum Sex Hormone-Binding Globulin (SHGB)Concentration
ng/dL300 mg Oral Testosterone
Day 131 ± 48
Day 922 ± 48
SecondaryMean SHGB Concentration
Time frame:
baseline & day 9
Reported as:
Geometric mean · ng/dL
Mean SHGB Concentration
ng/dL300 mg Oral Testosterone
Day 127 ± 46
Day 919 ± 14
SecondaryMaximum Estradiol Concentration
Time frame:
baseline & day 9
Reported as:
Geometric mean · ng/dL
Maximum Estradiol Concentration
ng/dL300 mg Oral Testosterone
Day 114 ± 28
Day 99 ± 27
SecondaryMean Estradiol Concentration
Time frame:
baseline & day 9
Reported as:
Geometric mean · ng/dL
Mean Estradiol Concentration
ng/dL300 mg Oral Testosterone
Day 111 ± 18
Day 97 ± 18
SecondaryFree T Maximum Concentration

Free T normal range 4.7-18 ng/dL

Time frame:
baseline & day 9
Reported as:
Geometric mean · ng/dL
Free T Maximum Concentration
ng/dL300 mg Oral Testosterone
Day 1-224 ± 47
Day 9-1021 ± 86
SecondaryFree Testosterone Mean Concentration

Free T normal range 4.7-18 ng/dL

Time frame:
baseline & day 9
Reported as:
Geometric mean · ng/dL
Free Testosterone Mean Concentration
ng/dL300 mg Oral Testosterone
Day 1-28.7 ± 43
Day 9-108.3 ± 37

Adverse events

Collected over 4 months, July - October 2010. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Acyline and Oral Testosterone—0/12 (0%)8/12 (66.7%)
Most frequent other events
Most frequent other events
EventAcyline and Oral Testosterone
upper respiratory infectionInfections and infestations2/12
musculoskeletal injuryMusculoskeletal and connective tissue disorders2/12
hypogonadal symptomsEndocrine disorders1/12
HeadacheGeneral disorders1/12
confusionGeneral disorders1/12
elevated serum aspartate aminotrasferaseInvestigations1/12
elevated serum alanine aminotransferaseInvestigations1/12
elevated serum bilirubinInvestigations1/12

Baseline characteristics

Age Continuous
Age Continuous(years)Acyline and Oral Testosterone
Median28.1 (19 to 51)
Sex: Female, Male
Sex: Female, Male(Participants)Acyline and Oral Testosterone
Female0
Male12
Region of Enrollment
Region of Enrollment(participants)Acyline and Oral Testosterone
United States12
Body Mass Index (BMI)
Body Mass Index (BMI)(kg/m^2)Acyline and Oral Testosterone
Mean24.2 ± 1.5
Body Weight
Body Weight(kg)Acyline and Oral Testosterone
Mean79.9 ± 7.5
Follicle-stimulating hormone (FSH)
Follicle-stimulating hormone (FSH)(IU/L)Acyline and Oral Testosterone
Mean3.2 ± 1.5
Luteinizing hormone (LH)
Luteinizing hormone (LH)(IU/L)Acyline and Oral Testosterone
Mean5.4 ± 4.4
Testosterone
Testosterone(ng/dL)Acyline and Oral Testosterone
Mean510 ± 13

1 further baseline measures are reported on the registry.

08

Study locations

1 site
  • University of Washington
    Seattle, Washington 98195, United States
09

References and documents

Publications

  • Katznelson L, Finkelstein JS, Schoenfeld DA, Rosenthal DI, Anderson EJ, Klibanski A. Increase in bone density and lean body mass during testosterone administration in men with acquired hypogonadism. J Clin Endocrinol Metab. 1996 Dec;81(12):4358-65. doi: 10.1210/jcem.81.12.8954042. PubMed 8954042 ↗
  • Behre HM, Kliesch S, Leifke E, Link TM, Nieschlag E. Long-term effect of testosterone therapy on bone mineral density in hypogonadal men. J Clin Endocrinol Metab. 1997 Aug;82(8):2386-90. doi: 10.1210/jcem.82.8.4163. PubMed 9253305 ↗
  • Bhasin S, Bremner WJ. Clinical review 85: Emerging issues in androgen replacement therapy. J Clin Endocrinol Metab. 1997 Jan;82(1):3-8. doi: 10.1210/jcem.82.1.3640. No abstract available. PubMed 8989221 ↗
  • Wang C, Alexander G, Berman N, Salehian B, Davidson T, McDonald V, Steiner B, Hull L, Callegari C, Swerdloff RS. Testosterone replacement therapy improves mood in hypogonadal men--a clinical research center study. J Clin Endocrinol Metab. 1996 Oct;81(10):3578-83. doi: 10.1210/jcem.81.10.8855804. PubMed 8855804 ↗
  • Snyder PJ, Peachey H, Berlin JA, Hannoush P, Haddad G, Dlewati A, Santanna J, Loh L, Lenrow DA, Holmes JH, Kapoor SC, Atkinson LE, Strom BL. Effects of testosterone replacement in hypogonadal men. J Clin Endocrinol Metab. 2000 Aug;85(8):2670-7. doi: 10.1210/jcem.85.8.6731. PubMed 10946864 ↗
  • Kelch RP, Jenner MR, Weinstein R, Kaplan SL, Grumbach MM. Estradiol and testosterone secretion by human, simian, and canine testes, in males with hypogonadism and in male pseudohermaphrodites with the feminizing testes syndrome. J Clin Invest. 1972 Apr;51(4):824-30. doi: 10.1172/JCI106877. PubMed 4259253 ↗
  • Weinstein RL, Kelch RP, Jenner MR, Kaplan SL, Grumbach MM. Secretion of unconjugated androgens and estrogens by the normal and abnormal human testis before and after human chorionic gonadotropin. J Clin Invest. 1974 Jan;53(1):1-6. doi: 10.1172/JCI107526. PubMed 4271572 ↗
  • Herbst KL, Anawalt BD, Amory JK, Bremner WJ. Acyline: the first study in humans of a potent, new gonadotropin-releasing hormone antagonist. J Clin Endocrinol Metab. 2002 Jul;87(7):3215-20. doi: 10.1210/jcem.87.7.8675. PubMed 12107227 ↗
  • Herbst KL, Coviello AD, Page S, Amory JK, Anawalt BD, Bremner WJ. A single dose of the potent gonadotropin-releasing hormone antagonist acyline suppresses gonadotropins and testosterone for 2 weeks in healthy young men. J Clin Endocrinol Metab. 2004 Dec;89(12):5959-65. doi: 10.1210/jc.2003-032123. PubMed 15579744 ↗
  • Bagatell CJ, Bremner WJ. Androgens in men--uses and abuses. N Engl J Med. 1996 Mar 14;334(11):707-14. doi: 10.1056/NEJM199603143341107. No abstract available. PubMed 8594431 ↗
  • Fossa SD, Opjordsmoen S, Haug E. Androgen replacement and quality of life in patients treated for bilateral testicular cancer. Eur J Cancer. 1999 Aug;35(8):1220-5. doi: 10.1016/s0959-8049(99)00123-9. PubMed 10615233 ↗
  • Swerdloff RS, Wang C, Cunningham G, Dobs A, Iranmanesh A, Matsumoto AM, Snyder PJ, Weber T, Longstreth J, Berman N. Long-term pharmacokinetics of transdermal testosterone gel in hypogonadal men. J Clin Endocrinol Metab. 2000 Dec;85(12):4500-10. doi: 10.1210/jcem.85.12.7045. PubMed 11134099 ↗
  • Snyder CN, Clark RV, Caricofe RB, Bush MA, Roth MY, Page ST, Bremner WJ, Amory JK. Pharmacokinetics of 2 novel formulations of modified-release oral testosterone alone and with finasteride in normal men with experimental hypogonadism. J Androl. 2010 Nov-Dec;31(6):527-35. doi: 10.2164/jandrol.109.009746. Epub 2010 Apr 8. PubMed 20378927 ↗
  • de Ronde W. Hyperandrogenism after transfer of topical testosterone gel: case report and review of published and unpublished studies. Hum Reprod. 2009 Feb;24(2):425-8. doi: 10.1093/humrep/den372. Epub 2008 Oct 23. PubMed 18948313 ↗
  • Brachet C, Vermeulen J, Heinrichs C. Children's virilization and the use of a testosterone gel by their fathers. Eur J Pediatr. 2005 Oct;164(10):646-7. doi: 10.1007/s00431-005-1714-z. Epub 2005 Jul 16. PubMed 16025298 ↗
  • Amory JK, Matsumoto AM. The therapeutic potential of testosterone patches. Expert Opin Investig Drugs. 1998 Dec;7(12):1977-85. doi: 10.1517/13543784.7.12.1977. PubMed 15991940 ↗
  • 1. Plymate SR "Male Hypogonadism" in Principles and Practice of Endocrinology and Metabolism (3rd. Ed). Ed. Kenneth Becker, pp:1125-1150
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 6, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01167829
Lead sponsor
University of Washington
Collaborators
GlaxoSmithKline
Responsible party
John Amory (Professor, University of Washington) — Principal investigator
First posted
Jul 22, 2010
Start date
Jul 2010
Primary completion
Oct 2010
Completion
Jun 2012
Results posted
Aug 23, 2013
Last update
Sep 6, 2013

Study contacts

John K Amory, MD
principal investigator · University of Washington

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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