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Status unknownNCT03281187Updated Sep 19, 2017

Efficacy and Safety of Testosterone Nasal Gel for Treating Hypogonadism in Men.

A Phase 3 interventional study of Nasotestt 5 mg and Androgel 50 mg in Hypogonadism, sponsored by FBM Industria Brasileira Ltda. Status unknown. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-09-19.

Sponsored by FBM Industria Brasileira Ltda · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2017), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
228
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

This is a phase III study for evaluation of Nasotestt efficacy compared to Androgel in the treatment of male participants with hypogonadism condition (reduced levels of testosterone) that have clinical indication of hormonal replacement with testosterone.

Read the detailed description

This efficacy and safety study will evaluate the superiority of Nasotestt (nasal gel) treatment compared to Androgel (topic gel) after 60 days of starting use. The efficacy endpoint will be verified through the percentage of participants which presented at the end of 60 days normalized levels of total testosterone (\<300 ng/dL to >1050 ng/dL). Secondary efficacy endpoints will be collected throughout the study through: evaluation of symptoms of erectile dysfunction (The International Index of Erectile Function - IIEF), symptoms of prostatic disease (International Prostate Symptom Score - IPSS), measurement of abdominal perimeter and clinical global response to treatment (CGI-I questionnaire). As exploratory investigation, the satisfaction/comfort of Nasotestt use will be assessed by a specific questionnaire that will be applied to participants at the end of study. Safety evaluation data will include report of all adverse events, including type, frequency, intensity, seriousness, severity and action taken related to the investigational product of the study.

02

Conditions studied

  • Hypogonadism

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Keywords

  • Hormonal reposition, Testosterone nasal, Nasotestt
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  1. Male research participant, aged 18 years or older, with BMI between 18.50 and 32.00 kg/m2;
  2. To present symptomatic or asymptomatic hypogonadism and serum total morning testosterone levels ≤ 300 ng / dL;
  3. Laboratory evaluation of prostate specific antigen (PSA) levels within the normal range established by the laboratory or with non clinically significant changes (NCS) judged by the study Investigator;
  4. Rhinoscopy and Glatzel mirror test normal or with changes that do not interfere with nasal absorption of medication Test;
  5. Present healthy skin in the region of Comparator product application (skin of the shoulder).

Exclusion criteria

Exclusion Criteria:

  1. Diagnostic of prostatic and/or breast neoplasia;
  2. PSA levels 4 ng/mL or higher, or 3 ng/mL or higher with elevated risk for prostatic neoplasia development;
  3. Treatment with estrogens, gonadotropin releasing hormone (GnRH), growth hormone (GH) in the last 12 months;
  4. Treatment with testosterone or any other androgen in the last two weeks (oral, buccal and topic), four weeks (intramuscular) or twelve weeks (implant) that precede randomization in the study;
  5. Active rhinitis: allergic, seasonal, medicinal, vasomotor and atrophic;
  6. Presence of grade II or III septum deviation (in any region of the nasal septum) and / or presence of nasal polyps or other conditions that determine nasal obstruction;
  7. Hypersensibility of testosterone as well as to components present in the formulation of drugs.
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
228 participants (estimated)

Study arms

  • Experimental
    Nasotestt 5 mg

    Participants randomized to this arm must administer one packet of Nasotestt 5 mg in each nostril (3 times a day - T.I.D) for 60 days.

    Drug: Nasotestt 5 mg · Other: Androgel Placebo

  • Active comparator
    Androgel 50 mg

    Participants randomized to this arm must administer one packet of Androgel 50 mg applied once daily to skin of shoulder for 60 days.

    Drug: Androgel 50 mg · Other: Nasotestt Placebo

  • Placebo comparator
    Androgel Placebo

    Participants must administer one packet of Androgel placebo applied once daily to skin of shoulder in addition to an experimental drug for 60 days.

    Drug: Nasotestt 5 mg · Other: Androgel Placebo

  • Placebo comparator
    Nasotestt Placebo

    Participants must administer one packet of Nasotestt Placebo in each nostril (3 times a day - T.I.D) in addition to an experimental drug for 60 days.

    Drug: Androgel 50 mg · Other: Nasotestt Placebo

Interventions

  • DrugNasotestt 5 mg

    The 114 participants randomized to this arm must administer one packet of testosterone 5 mg nasal gel (Nasotestt) in each nostril 3 times a day for 60 days.

    Also known as: Test Group

  • DrugAndrogel 50 mg

    The 114 participants randomized to this arm must administer one packet of testosterone 50 mg topic gel (Androgel) applied once daily to skin of shoulders for 60 days.

    Also known as: Active Comparator Group

  • OtherNasotestt Placebo

    The participants randomized to this arm must administer one packet of placebo testosterone nasal gel (Nasotestt Placebo) in each nostril 3 times a day in addition to an active drug for 60 days.

    Also known as: Placebo Test Group

  • OtherAndrogel Placebo

    The participants randomized to this arm must administer one packet of placebo testosterone topic gel (Androgel Placebo) applied once daily to skin of shoulders in addition to an active drug for 60 days.

    Also known as: Placebo Comparator Group

05

What researchers measure

Primary outcomes

  1. Superiority Efficacy of Nasotestt comparing to Androgel on normalization of the blood testosterone levels

    The success of treatment will be evaluated through statistical comparison of percentage of participants that achieved normal blood testosterone levels after 60 days of use.

    Time frame: 60 days

Secondary outcomes

  1. Improvement of erectile dysfunction symptoms

    Will be evaluated by statistical comparison between IIEF baseline values and results observed throughout study.

    Time frame: 60 and 90 days after starting treatment.

  2. Improvement of prostatic symptoms

    Will be evaluated by statistical comparison between I-PSS baseline values and results observed throughout study.

    Time frame: 60 and 90 days after starting treatment.

  3. Improvement of abdominal perimeter

    Will be evaluated by statistical comparison between baseline perimeter observed and other results obtained throughout study.

    Time frame: 60 and 90 days after starting treatment.

  4. Global Clinical Response to treatment

    Will be assessed by a CGI - I questionnaire applied at the end of study. This instrument evaluate the improvement observed by physician throughout the study compared to condition observed at the baseline visit.

    Time frame: 90 days after starting treatment.

  5. Incidence of adverse events

    Will be evaluated by periodic monitoring of adverse events, including changes in clinical laboratory parameters and vital signs occurred throughout the study.

    Time frame: During 120 days

Other outcomes

  1. Satisfaction and comfort of Nasotestt use

    Will be evaluated by specific questionnaire application at the end of study.

    Time frame: After 120 days

06

Study locations

No study locations are listed for this record.

07

References and documents

Individual participant data

Plan to share: Undecided — It is believed that after the data analysis and presentation to the National Commission on Research Ethics, all data wil become public.

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03281187
Lead sponsor
FBM Industria Brasileira Ltda
Collaborators
Azidus Brasil Scientific Research and Development Ltda
Responsible party
Sponsor
First posted
Sep 13, 2017
Start date
Jul 16, 2018 (estimated)
Primary completion
Nov 12, 2018 (estimated)
Completion
Jan 13, 2020 (estimated)
Last update
Sep 19, 2017

Study contacts

Maxuel Monteiro, Regulatory
Contact
maxuel.monteiro@fbmfarma.com.br
+55(62)3333-3500 ext. 3612
Luciana Ferrara, CRO
Contact
luciana.ferrara@azidusbrasil.com.br
+55(19)3829-6160
Alessandro Silva, Director
study director · FBM Indústria Farmacêutica Ltda.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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