ClinicalTrials.gg
CompletedNCT01446042Updated Jun 13, 2018Results posted

Safety and Efficacy of Intranasal TBS-1 Treatment of Male Hypogonadism

A Phase 3 interventional study of Testosterone and Testosterone in Male Hypogonadism, sponsored by Acerus Pharmaceuticals Corporation. Completed at 30 sites in United States. Open to male participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2018-06-13.

Sponsored by Acerus Pharmaceuticals Corporation · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
306
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
Male
01

Study summary

The purpose of this study is to determine the efficacy (based on the pharmacokinetic profile of testosterone) and safety of TBS-1 in the treatment of hypogonadal men

Read the detailed description

This study is a 4 Period study consists of 16 visits with overnight clinic stays that span over year to help determine the efficacy of TBS-1 gel administered twice daily (b.i.d) and three times daily (t.i.d)

In addition, this study will investigate the safety and tolerability of TBS-1 after 90, 180 and 360 days of treatment.

02

Conditions studied

  • Male Hypogonadism

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03

In context

Eunuchism

75 studies on the registry are indexed under Eunuchism; 21 are open to participants now.

This study's enrollment of 306 is above the median of 60 across 55 interventional studies indexed under Eunuchism.

Browse Eunuchism studies →

Lead sponsor

Acerus Pharmaceuticals Corporation is the lead sponsor of 10 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 80 Years
Sexes eligible
Male
Accepts healthy volunteers
No

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

  • Male between 18 and 80 years of age
  • Able to understand and provide signed
  • Have 2 fasting morning (0900 h ± 30 min) serum total testosterone levels \<300 ng/dL
  • between 18.5 kg/m2 and 35 kg/m2
  • level > or = 13.0 g/dL
  • Screening laboratory assessments within ±15% of the normal range, with the exception of liver function tests (which need to be within the normal range) and (which must be \<7.0% [9.5 mmol/L]); lipid profile and endocrine profile assessments are also exempt from this range unless the assessments indicate a significant intercurrent illness other than testosterone deficiency
  • Ear, nose and throat examination including nasal endoscopy without abnormal findings
  • Normal prostate for age based on digital rectal exam and a serum PSA \<4.0 ng/mL.

Exclusion criteria

Exclusion Criteria

  • Significant intercurrent disease of any type, in particular liver, kidney, heart disease, or psychiatric illness
  • Hyperparathyroidism, uncontrolled diabetes mellitus, hypothyroidism, or hyperthyroidism (thyroid stimulating hormone should be \<1.5 times the )
  • Hematocrit >54% at screening
  • History of pituitary or hypothalamic tumors or history of within the past 5 years, excluding basal cell or squamous cell carcinoma of the skin curatively treated by surgery
  • History of nasal surgery, specifically turbinoplasty, septoplasty, rhinoplasty, "nose job," or sinus surgery
  • History of nasal fractures within the past 6 months and/or prior nasal fractures that caused a severely deviated anterior nasal septum
  • Active allergies, such as rhinitis, rhinorrhea, and nasal congestion
  • Mucosal inflammatory disorders, specifically pemphigus or Sjogren's syndrome
  • Sinus disease, specifically acute sinusitis, chronic sinusitis, or allergic fungal sinusitis
  • History of nasal disorders (eg, polyposis, recurrent epistaxis [>1 nose bleed per month], abuse of nasal decongestants) or sleep apnea
  • Use of any form of intranasal medication delivery, specifically nasal and oxymetazoline-containing nasal sprays (eg, Dristan® 12-Hour Nasal Spray)
  • History of severe adverse drug reaction or leukopenia
  • A known to lidocaine or any materials that may be used during the study
  • History of abnormal bleeding tendencies or thrombophlebitis unrelated to venipuncture or intravenous cannulation
  • History of , a positive test for hepatitis B surface antigen, a history of , or a positive test for hepatitis C antibody
  • Presence of infection or antibodies
  • History of asthma and ongoing asthma treatment
  • History of sleeping problems or a shift worker
  • Smoker of >10 cigarettes (or equivalent) per day
  • Regular consumption of more than 4 units of alcohol daily (1 unit is defined as 300 mL of beer, 1 glass of wine, or 1 measure of spirit) or difficulty abstaining from alcohol during the 48 hours prior to the 24 hour blood sampling visits
  • History or current evidence of abuse of alcohol or any drug substance, licit or illicit, or positive urine drug and alcohol screen
  • Treatment with androgen therapy within at least 2 weeks prior to baseline evaluations (subjects on androgen therapy will require a of 4 weeks for depot products administered intramuscularly [eg, testosterone enanthate 200 mg/mL] and 2 weeks for products administered orally or topically [oral, patch, gel, or buccal])
  • Current treatment with other androgens (eg, dehydroepiandrosterone [DHEA]), anabolic steroids, or other sex hormones
  • Treatment with estrogens, gonadotropin-releasing hormone (GnRH) agonists, or growth hormone within previous 12 months
  • Treatment with drugs that interfere with the metabolism of testosterone, such as anastrozole, clomiphene, dutasteride, finasteride, flutamide, ketoconazole, spironolactone, or testolactone
  • Treatment with any antihypertensive, antidepressant, tranquilizer, or histamine 2 (H2) receptor blocker that is not part of a stable regimen (stable dose for at least 3 months prior to baseline);
  • Poor compliance history or low likelihood of maintaining attendance
  • Participation in any other research study during the conduct of this study or 30 days prior to the initiation of this study or blood donation at any time during this study and within the 12 week period prior to screening
Terms in these criteria, in plain language(13)

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.

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.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
306 participants (actual)

Study arms

  • Experimental
    TBS-1 - b.i.d.

    5.5 mg per nostril of 4.5% TBS-1 BID

    Drug: Testosterone

  • Experimental
    TBS-1 - t.i.d.

    5.5 mg per nostril of 4.5% TBS-1 TID

    Drug: Testosterone

Interventions

06

What researchers measure

Primary outcomes

  1. Serum Testosterone Cavg

    The percentage of patients with an average serum total testosterone concentration (Cavg) within the normal range (300 to 1050 ng/dL)

    Time frame: 90 days

Secondary outcomes

  1. Patients With a Certain Serum Total Testosterone Maximum Concentration on Day 90

    To determine the efficacy of 4.5% TBS-1 gel, administered 2 or 3 times daily at a dose of 5.5 mg per nostril, in achieving the following serum total testosterone maximum concentration (Cmax) on Day 90: * A Cmax (maximum testosterone concentration) value of 1500 ng/dL or more in at least 85% of the participants analyzed * A Cmax (maximum testosterone concentration) value of 1800 to 2500 ng/dL in fewer than 5% of participants analyzed * No analyzed participants with a Cmax (maximum testosterone concentration) \>2500 ng/dL

    Time frame: 90 days

07

Results

Posted Jun 13, 2018

Participant flow

Participant flow — Overall Study
MilestoneTBS-1 - b.i.d.TBS-1 b.i.d./t.i.dTBS-1 - t.i.d.
Started1428678
Completed1228369
Not completed2039
Withdrew: Withdrawal by subject1224
Withdrew: Adverse event104
Withdrew: Lost to follow-up500
Withdrew: Other reasons211

Outcome measures

PrimarySerum Testosterone Cavg

The percentage of patients with an average serum total testosterone concentration (Cavg) within the normal range (300 to 1050 ng/dL)

Time frame:
90 days
Reported as:
Count of participants · Participants
Serum Testosterone Cavg
ParticipantsTBS-1 - b.i.d.TBS-1 - b.i.d./t.i.d.TBS-1 - t.i.d.
Serum Testosterone Cavg764361
SecondaryPatients With a Certain Serum Total Testosterone Maximum Concentration on Day 90

To determine the efficacy of 4.5% TBS-1 gel, administered 2 or 3 times daily at a dose of 5.5 mg per nostril, in achieving the following serum total testosterone maximum concentration (Cmax) on Day 90: * A Cmax (maximum testosterone concentration) value of 1500 ng/dL or more in at least 85% of the participants analyzed * A Cmax (maximum testosterone concentration) value of 1800 to 2500 ng/dL in fewer than 5% of participants analyzed * No analyzed participants with a Cmax (maximum testosterone concentration) \>2500 ng/dL

Time frame:
90 days
Reported as:
Count of participants · Participants
Patients With a Certain Serum Total Testosterone Maximum Concentration on Day 90
ParticipantsTBS-1 - b.i.d.TBS-1 - b.i.d./t.i.d.TBS-1 - t.i.d.
Cmax <=1500 ng/dL1077758
1800 ng/dL <= Cmax <=2500 ng/dL621
Cmax >2500 ng/dL100

Adverse events

Collected over 1 year. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
TBS-1 - b.i.d.0/142 (0%)2/142 (1.4%)65/142 (45.8%)
TBS-1 - b.i.d./t.i.d.0/86 (0%)1/86 (1.2%)40/86 (46.5%)
TBS-1 - t.i.d.1/78 (1.3%)2/78 (2.6%)46/78 (59%)
Most frequent serious events
Most frequent serious events
EventTBS-1 - b.i.d.TBS-1 - b.i.d./t.i.d.TBS-1 - t.i.d.
Internal injuryInjury, poisoning and procedural complications0/1420/861/78
Road traffic accidentInjury, poisoning and procedural complications0/1420/861/78
Abdominal massGastrointestinal disorders0/1420/861/78
Acute Coronary SyndromeCardiac disorders0/1421/860/78
FallInjury, poisoning and procedural complications1/1420/860/78
Hip FractureInjury, poisoning and procedural complications1/1420/860/78
Ligament RaptureInjury, poisoning and procedural complications1/1420/860/78
Most frequent other events
Showing 10 of 30
Most frequent other events
EventTBS-1 - b.i.d.TBS-1 - b.i.d./t.i.d.TBS-1 - t.i.d.
RhinorrhoeaRespiratory, thoracic and mediastinal disorders8/1428/863/78
EpistaxisRespiratory, thoracic and mediastinal disorders6/1425/863/78
PSA increasedInvestigations0/1422/864/78
ParosmiaNervous system disorders7/1423/862/78
NasopharyngitisInfections and infestations4/1424/863/78
Nasal discomfortRespiratory, thoracic and mediastinal disorders6/1422/863/78
Nasal drynessRespiratory, thoracic and mediastinal disorders6/1421/862/78
BronchitisInfections and infestations2/1420/863/78
Tooth abscessInfections and infestations0/1421/863/78
Upper respiratory tract infectionInfections and infestations1/1420/863/78

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)TBS-1 - b.i.d.TBS-1 - b.i.d./t.i.d.TBS-1 - t.i.d.Total
<=18 years0000
Between 18 and 65 years1216461246
>=65 years21221760
Sex: Female, Male
Sex: Female, Male(Participants)TBS-1 - b.i.d.TBS-1 - b.i.d./t.i.d.TBS-1 - t.i.d.Total
Female0000
Male1428678306
Region of Enrollment
Region of Enrollment(Participants)TBS-1 - b.i.d.TBS-1 - b.i.d./t.i.d.TBS-1 - t.i.d.Total
United States1428678306
08

Study locations

30 sites
  • Alabama Clinical Therapeutics LLC
    Birmingham, Alabama 35235, United States
  • Medical Affiliated Research Center, Inc.
    Huntsville, Alabama 35801, United States
  • Coastal Clinical Research
    Mobile, Alabama 36608, United States
  • Quality of Life Medical Research Center
    Tucson, Arizona 85712, United States
  • SC Clinical Research Inc
    Garden Grove, California 92844, United States
  • Diablo Clinical Reseach Inc.
    Walnut Creek, California 94598, United States
  • Innovative Research of West Florida
    Clearwater, Florida 33756, United States
  • Clinical Research of South Florida
    Coral Gables, Florida 33134, United States
  • Pharmax Research Clinic
    Miami, Florida 33126, United States
  • Compass Research East LLC
    Oviedo, Florida 32765, United States
  • Central Kentucky Research Associates
    Lexington, Kentucky 40509, United States
  • Commonwealth Biomedical Research LLC
    Madisonville, Kentucky 42431, United States
  • Regional Urology LLC
    Shreveport, Louisiana 71106, United States
  • Center for Pharmaceutical Research
    Kansas City, Missouri 61114, United States
  • Clinical Research Center of Nevada
    Las Vegas, Nevada 89104, United States
  • Rochester Clinical Research
    Rochester, New York 14609, United States
  • Lynn Health Science Institute
    Oklahoma City, Oklahoma 73112, United States
  • The Clinical Trial Center
    Jenkintown, Pennsylvania 19046, United States
  • Omega Medical Research
    Warwick, Rhode Island 02886, United States
  • Coastal Carolina Research Center Inc
    Mount Pleasant, South Carolina 29464, United States
  • Austin Center for Clinical Research
    Austin, Texas 78756, United States
  • Reseach Across America
    Dallas, Texas 75234, United States
  • Centex Research
    Houston, Texas 77062, United States
  • Clinical Trial Network
    Houston, Texas 77074, United States
  • Cetero Research
    San Antonio, Texas 78229, United States
  • Granger Medical Clinic
    West Valley City, Utah 84120, United States
  • National Clinical Research - Norfolk
    Norfolk, Virginia 23502, United States
  • National Clinical Research
    Richmond, Virginia 23294, United States
  • Capital Clinical Reseach Center
    Olympia, Washington 98502, United States
  • Rainier Clinical Research Center
    Renton, Washington 98057, United States
09

References and documents

Publications

  • Rogol AD, Tkachenko N, Bryson N. Natesto , a novel testosterone nasal gel, normalizes androgen levels in hypogonadal men. Andrology. 2016 Jan;4(1):46-54. doi: 10.1111/andr.12137. Epub 2015 Dec 22. Erratum In: Andrology. 2017 Jul;5(4):844. doi: 10.1111/andr.12402. PubMed 26695758 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 13, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01446042
Lead sponsor
Acerus Pharmaceuticals Corporation
Responsible party
Sponsor
First posted
Oct 4, 2011
Start date
Sep 2011
Primary completion
Dec 2012
Completion
Mar 2013
Results posted
Jun 13, 2018
Last update
Jun 13, 2018

Study contacts

Natalia Tkachenko, MD
study director · Trimel Pharmaceuticals Corporation

Oversight

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

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Studies of the drug tested here: Testosterone

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