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CompletedNCT02991209EinsteinUpdated Mar 6, 2020

Study of Testosterone vs Placebo in Testicular Cancer Survivors

A Phase 2/3 interventional study of Testosterone and Placebos in Metabolic Syndrome, Testicular Cancer and Leydig Cell Failure in Adult, sponsored by Mikkel Bandak. Completed at 1 site in Denmark. Open to male participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2020-03-06.

Sponsored by Mikkel Bandak · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
69
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
Male
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Study summary

The overall purpose of the study is to evaluate the effect of 12 months testosterone replacement therapy in testicular cancer survivors with mild Leydig Cell Insufficiency in order to reduce the risk of cardiovascular disease.

The primary study objective is to evaluate changes in insulin sensitivity. The secondary study objective is to evaluate changes in the prevalence of metabolic syndrome, body composition, systemic inflammation and symptoms of testosterone deficiency.

Read the detailed description

This is a single-center, randomized, double-blind, placebo-controlled intervention study, designed to evaluate the effect of testosterone replacement therapy in testicular cancer survivors with mild Leydig Cell Insufficiency.

70 subjects will be randomized to receive either testosterone replacement therapy or placebo. The subjects will be invited for an information meeting where informed consent is signed. If a subject is suitable for participation in the trial, subject will be randomized to testosterone replacement therapy or placebo and baseline investigations will be performed. Afterwards, a 52-weeks treatment period begins in which subjects receive a daily dose of testosterone or placebo. Dose adjustment will be made three times during the first 8 weeks of the study. Evaluation of primary and secondary endpoints will be performed after 26 weeks, at the end of treatment (52 weeks) and three months after completion of treatment (week 64).

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Conditions studied

  • Metabolic Syndrome
  • Testicular Cancer
  • Leydig Cell Failure in Adult
03

In context

Testicular Neoplasms

189 studies on the registry are indexed under Testicular Neoplasms; 53 are open to participants now.

This study's enrollment of 69 is above the median of 59 across 122 interventional studies indexed under Testicular Neoplasms.

Browse Testicular Neoplasms studies →

Lead sponsor

This is the only study on the registry with Mikkel Bandak as lead sponsor.

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

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Signed informed consent.
  • Previous treatment for testicular cancer.
  • No signs of relapse 1 year after last treatment (orchiectomy, radiotherapy, chemotherapy).
  • Free testosterone \< the age-adjusted median and > -2 standard deviations (SD) from the age-adjusted median and LH > 2 SD from the age-adjusted median.

Exclusion criteria

Exclusion Criteria:

  • Treatment with testosterone within the last 6 months.
  • Contraindications to testosterone treatment (prostate cancer, prostate specific antigen (PSA)> 4 ng/mL), malignancy suspect prostate by digital rectal examination, Alanine aminotransferase (ALT)> 1.5 upper reference level, Erythrocyte Volume Fraction (EVF) > 50%.
  • Breast cancer.
  • Symptomatic obstructive sleep apnoea syndrome
  • Heart failure > NYHA II.
  • Uncontrolled hypertension: (Systolic blood pressure > 160 mm Hg despite antihypertensive treatment, measured at two separate occasions)
  • Inability to understand information about the trial
  • Participation in any other clinical trial
  • Allergy for the active substance or additives in Tostran or placebo.
  • Known diabetes mellitus, or diabetes mellitus detected at screening or baseline tests.
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
69 participants (actual)

Study arms

  • Experimental
    Tostran 2%

    1 years treatment with transdermal Tostran 2%

    Drug: Testosterone

  • Placebo comparator
    Placebo

    1 years treatment with placebo gel

    Drug: Placebos

Interventions

  • DrugTestosterone

    Also known as: Tostran

  • DrugPlacebos
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What researchers measure

Primary outcomes

  1. Changes in insulin sensitivity

    Evaluation of changes in two hours plasma glucose investigated by Oral Glucose Tolerance Test (OGTT)

    Time frame: 1 year

Secondary outcomes

  1. Changes in fasting plasma lipids between baseline and 52 weeks

    Time frame: 1 year

  2. Changes in BMD and fat percent between baseline 52 weeks

    BMD and body composition evaluated by DXA-scan

    Time frame: 1 year

  3. Changes in systemic inflammation between baseline and 52 weeks

    Analysis of tnf-alfa, interleukine 1-beta, interleukine 1, interleukine 6, interleukine 8

    Time frame: 1 year

  4. Changes in plasma-adipocytokines between baseline and 52 weeks

    Time frame: 1 year

  5. Changes in fasting plasma glucose between baseline and 52 weeks

    Time frame: 1 year

  6. Changes in Quality of life between baseline and 52 weeks.

    EORTC-QLQ C30

    Time frame: 1 year

  7. Adverse events evaluated by the Common Terminology Criteria for Adverse Events Version 4.0

    Time frame: 1 year

  8. Changes in prevalence of metabolic syndrome between baseline and 52 weeks

    According to NCEP-ATPIII criteria

    Time frame: 1 year

  9. Changes in haemoglobin A1c between baseline and 52 weeks

    Time frame: 1 year

  10. Changes in plasma insulin between baseline and 52 weeks

    Time frame: 1 year

  11. Changes in fatigue between baseline and 52 weeks

    MFI-20 (Multidimensional Fatigue Inventory)

    Time frame: 1 year

  12. Changes in Anxiety and depression between baseline and 52 weeks

    HADS (Hospital Anxiety and Depression Scale)

    Time frame: 1 year

  13. Changes in Symptoms of low levels of testosterone, erectile dysfunction between baseline and 52 weeks

    IIEF-15 (International Index of Erectile Dysfunction)

    Time frame: 1 year

07

Study locations

1 site
  • Rigshospitalet
    Copenhagen, 2100, Denmark
08

References and documents

Publications

  • Kreiberg M, Jorgensen N, Juul A, Lauritsen J, Oturai P, Helge JW, Christensen JF, Aksglaede L, Schauer T, Wagner T, Rosenvilde J, Grunwald E, Dehlendorff C, Daugaard G, Bandak M. A randomized double-blind single center study of testosterone replacement therapy or placebo in testicular cancer survivors with mild Leydig cell insufficiency (Einstein-intervention). Clin Genitourin Cancer. 2022 Oct;20(5):404-414. doi: 10.1016/j.clgc.2022.04.017. Epub 2022 May 2. PubMed 35701334 ↗
  • Hojer EG, Kreiberg M, Dehlendorff C, Jorgensen N, Juul A, Lauritsen J, Wagner T, Rosenvilde J, Daugaard G, Bandak M. Effect of Testosterone Replacement Therapy on Quality of Life and Sexual Function in Testicular Cancer Survivors With Mild Leydig Cell Insufficiency: Results From a Randomized Double-blind Trial. Clin Genitourin Cancer. 2022 Aug;20(4):334-343. doi: 10.1016/j.clgc.2022.03.012. Epub 2022 Apr 1. PubMed 35514022 ↗
  • Priskorn L, Kreiberg M, Bandak M, Lauritsen J, Daugaard G, Petersen JH, Aksglaede L, Juul A, Jorgensen N. Testicular cancer survivors have shorter anogenital distance that is not increased by 1 year of testosterone replacement therapy. Hum Reprod. 2021 Aug 18;36(9):2443-2451. doi: 10.1093/humrep/deab162. PubMed 34223605 ↗
  • Bandak M, Jorgensen N, Juul A, Lauritsen J, Kreiberg M, Oturai PS, Helge JW, Daugaard G. A randomized double-blind study of testosterone replacement therapy or placebo in testicular cancer survivors with mild Leydig cell insufficiency (Einstein-intervention). BMC Cancer. 2017 Jul 3;17(1):461. doi: 10.1186/s12885-017-3456-5. PubMed 28673265 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02991209
Lead sponsor
Mikkel Bandak
Responsible party
Mikkel Bandak (MD, Research Fellow, Rigshospitalet, Denmark) — Sponsor-investigator
First posted
Dec 13, 2016
Start date
Nov 2016
Primary completion
Jun 2019
Completion
Jun 2019
Last update
Mar 6, 2020

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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