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CompletedNCT01904734Updated Mar 10, 2021

Clomid in Men With Low Testosterone With and Without Prior Treatment

A Phase 2 interventional study of Clomiphene in Hypogonadism, Male, sponsored by Phoenix VA Health Care System. Completed at 1 site in United States. Open to male participants aged 30 Years to 70 Years. Per ClinicalTrials.gov, last updated 2021-03-10.

Sponsored by Phoenix VA Health Care System · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
30 Years to 70 Years
Sex
Male
01

Study summary

This study aims to explore whether men with low testosterone levels, due to altered brain regulation of male hormone function, who have been previously treated with testosterone, respond as well as men who have not been so treated to clomiphene citrate, an agent commonly used for female infertility that has been shown to improve male hormone secretion in some cases.

Read the detailed description

Clomiphene, an oral FDA-approved agent for female infertility has been shown to normalize testosterone levels in men with hypogonadotropic hypogonadism. It appears to be safe and well tolerated. This study will compare testosterone responses to clomiphene citrate in male veterans with hypothalamic hypogonadism naïve to treatment with responses of similar patients already receiving treatment with injectable or transdermal testosterone. This is an open-label, prospective, interventional trial to be conducted in an outpatient specialty care setting. We will randomize 64 hypogonadal male veterans evenly divided between naive and previous treatment and treat for 8 weeks with clomid, increasing the initial dose of 25 mg to 50 mg/day in those who fail to achieve target testosterone level (450 ng/dl) after the first 3 weeks. Endpoint measurements performed in the Phoenix VA Health Care System (PVAHCS) clinical laboratory will be total testosterone as well as bioavailable testosterone and sex hormone binding globulin. Total testosterone level at 8 weeks of treatment will be reported as the primary endpoint. Safety measures (CBC,liver functions, PSA) will be assessed at 8 weeks as well. This study will help serve as a guide for design of future studies of clomiphene in hypogonadal men.

02

Conditions studied

  • Hypogonadism, Male

Keywords

  • testosterone
  • hypogonadism
  • pituitary
03

In context

Eunuchism

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

This study's enrollment of 42 is below the median of 60 across 55 interventional studies indexed under Eunuchism.

Browse Eunuchism studies →

Lead sponsor

Phoenix VA Health Care System is the lead sponsor of 9 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
30 Years to 70 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

  • Patient or eligible for care at Phoenix VA Health Care System
  • Male ages 30-70 years
  • testosterone level below 250 ng/dl before treatment
  • able to provide informed written consent

Exclusion criteria

Exclusion Criteria:

  • evidence of pituitary tumor >1mm by MRI or CAT scan
  • chronic illness (renal, cardiac, liver failure)
  • Prostate specific antigen (PSA) >4.0 ng/ml
  • history of prostate, breast, or testicular cancer
  • eye disease compromising vision (e.g. cataracts)
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
42 participants (actual)

Study arms

  • Active comparator
    No previous male hormone treatment

    Clomiphene

    Drug: Clomiphene

  • Active comparator
    Previously treated with testosterone

    Clomiphene

    Drug: Clomiphene

Interventions

  • Start with 25 mg and escalate to 50 mg in men not achieving goal for serum testosterone after 3 weeks

    Also known as: Clomid, Clomiphene citrate

06

What researchers measure

Primary outcomes

  1. Total serum testosterone

    laboratory measurement by standard immunometric method

    Time frame: at the end of 8 weeks of treatment

Secondary outcomes

  1. Bioavailable testosterone

    Non-SHBG bound testosterone by ammonium sulfate precipitation method

    Time frame: at the end of 8 weeks of treatment

  2. Serum sex hormone binding globulin (SHBG)level

    Laboratory measurement of SHBG by standard immunometric technique

    Time frame: at the end of 8 weeks of treatment

07

Study locations

1 site
  • Phoenix VA Health Care System
    Phoenix, Arizona 85012, United States
08

References and documents

Publications

  • Moskovic DJ, Katz DJ, Akhavan A, Park K, Mulhall JP. Clomiphene citrate is safe and effective for long-term management of hypogonadism. BJU Int. 2012 Nov;110(10):1524-8. doi: 10.1111/j.1464-410X.2012.10968.x. Epub 2012 Mar 28. PubMed 22458540 ↗
  • Katz DJ, Nabulsi O, Tal R, Mulhall JP. Outcomes of clomiphene citrate treatment in young hypogonadal men. BJU Int. 2012 Aug;110(4):573-8. doi: 10.1111/j.1464-410X.2011.10702.x. Epub 2011 Nov 1. PubMed 22044663 ↗
  • Taylor F, Levine L. Clomiphene citrate and testosterone gel replacement therapy for male hypogonadism: efficacy and treatment cost. J Sex Med. 2010 Jan;7(1 Pt 1):269-76. doi: 10.1111/j.1743-6109.2009.01454.x. Epub 2009 Aug 17. PubMed 19694928 ↗
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Timeline

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

The record gives a start of Oct 2012, a primary completion of Oct 2018 and a completion of Oct 2018. It does not say whether these dates are actual or estimated.

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

Registered
Jul 15, 2013
First posted
Jul 22, 2013
Start
Oct 2012
Primary completionActual
Oct 31, 2018
CompletionActual
Oct 31, 2018
Last update
Mar 10, 2021
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 Mar 10, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01904734
Lead sponsor
Phoenix VA Health Care System
Responsible party
Sherman M. Harman (Chief, Endocrine Division, Dept. of Internal Medicine, Phoenix VA Health Care System) — Principal investigator
First posted
Jul 22, 2013
Start date
Oct 2012
Primary completion
Oct 31, 2018
Completion
Oct 31, 2018
Last update
Mar 10, 2021

Study contacts

Sherman M Harman, MD, PhD
principal investigator · Phoenix VA Health Care System

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Clomiphene

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