A Phase 4 interventional study of Aveed Injectable Product and Fortesta in Hypogonadism, Hypogonadism, Male and Hypogonadotropic Hypogonadism, sponsored by Endo Pharmaceuticals. Completed at 35 sites in United States. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-14.
Sponsored by Endo Pharmaceuticals (part of Keenova Therapeutics plc) · Phase 4, Interventional, and Treatment
Testosterone is the principal androgen produced by the male testes. Male Hypogonadism is the result of inadequate production of testosterone by the Leydig cells of the testes and is reflected by total serum concentrations of testosterone of \< 300 nanograms (ng)/deciliters (dL), with no discernible diurnal pattern. The etiology of hypogonadism may be primary or secondary. The treatment of males with primary, and in some cases, secondary hypogonadism includes administration of testosterone.
Testim® and Fortesta® are topical gels that when applied daily help to increase the total testosterone levels in the blood through skin absorption. Aveed® is an injectable form of testosterone treatment and participants randomized to this treatment arm will receive 3 injections over the course of 16 weeks.
This study is designed to evaluate the effect on blood pressure of approved testosterone products (Testim®, Fortesta®, and Aveed®) after 16 weeks of therapy using 24-hour ambulatory blood pressure to reveal shifts in blood pressure levels.
75 studies on the registry are indexed under Eunuchism; 21 are open to participants now.
This study's enrollment of 673 is above the median of 60 across 55 interventional studies indexed under Eunuchism.
Browse Eunuchism studies →Endo Pharmaceuticals is the lead sponsor of 99 studies on the registry; none are open to participants now.
Of its 16 completed or terminated interventional studies of FDA-regulated products, 14 (88%) have results posted.
First submitted before Endo Pharmaceuticals became part of Keenova Therapeutics plc.
Compared within Eunuchism, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Hypogonadism. The counts are of registry records indexed under each term, refreshed daily. How we classify →
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.
Exclusion Criteria:
Uses known inhibitors (for example, ketoconazole) or inducers of cytochrome P450 3A (for example, dexamethasone, phenytoin, rifampin, carbamazepine) of cytochrome P450 3A () within 30 days prior to study drug administration and through the end of the study.
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.
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.
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.
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.
Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.
A drug or device being studied in a clinical trial.
It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.
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.
A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.
On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.
The study may name a correction formula and a limit in milliseconds, often around 450–480.
Contraception
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Excipients
The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraindication
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
CYP3A (CYP3A4) inhibitors and inducers
CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.
Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Investigational drug or device
A drug or device being studied in a clinical trial.
It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
ECG (electrocardiogram)
A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
QT and QTc
On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.
The study may name a correction formula and a limit in milliseconds, often around 450–480.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Fixed dosage level of 750 milligrams (mg)/3 milliliters (mL) administered by intramuscular injections.
Drug: Aveed Injectable Product
40 mg once daily topical gel administration.
Drug: Fortesta
50 mg once daily topical gel administration.
Drug: Testim
Testosterone undecanoate administered by intramuscular injections.
Also known as: Testosterone undecanoate
Testosterone gel administered topically. The daily dose of the study drug will be titrated for each participant, according to approved dosage and administration instructions, until the circulating testosterone concentrations of the participant reaches normal concentrations (300-1000 ng/dL).
Also known as: Testosterone gel
Testosterone gel administered topically. The daily dose of the study drug will be titrated for each participant, according to approved dosage and administration instructions, until the circulating testosterone concentrations of the participant reaches normal concentrations (300-1000 ng/dL).
Also known as: Testosterone gel
Change From Baseline in 24-Hour Average Systolic Ambulatory Blood Pressure to End of Study (EOS)
The mean change from Baseline to EOS in 24-hour average systolic ambulatory blood pressure, for each treatment group was analyzed using an analysis of covariance (ANCOVA) model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour average systolic ambulatory blood pressure as covariate. EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
Time frame: Baseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms
Change From Baseline in 24-Hour Average Mean Arterial Pressure (MAP) to EOS
The mean change from Baseline to EOS in 24-hour MAP, for each treatment group was analyzed using an ANCOVA model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour MAP as covariate.EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
Time frame: Baseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms
Change From Baseline in 24-Hour Average Diastolic Ambulatory Blood Pressure to EOS
The mean change from Baseline to EOS in 24-hour average diastolic ambulatory blood pressure, for each treatment group was analyzed using an ANCOVA model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour average diastolic ambulatory blood pressure as covariate. EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
Time frame: Baseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms
Change From Baseline in 24-Hour Average Heart Rate to EOS
The mean change from Baseline to EOS in 24-hour average heart rate, for each treatment group was analyzed using an ANCOVA model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour average heart rate as covariate. EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
Time frame: Baseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms
Change From Baseline in 24-Hour Average Pulse Pressure (PP) to EOS
The mean change from Baseline to EOS in 24-hour average PP for each treatment group was analyzed using an ANCOVA model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour average PP as covariate. EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
Time frame: Baseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms
Percentage of Participants Taking New Antihypertensive Medications
A new antihypertensive medication was any antihypertensive medication taken on or after the screening Visit through the EOS visit and not taken prior to the screening visit.
Time frame: EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms
Percentage of Participants With Dose Increase From Baseline in Antihypertensive Medications
A new antihypertensive medication was any antihypertensive medication taken on or after the screening Visit through the EOS visit and not taken prior to the screening visit.
Time frame: EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms
| Milestone | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) |
|---|---|---|---|
| Started | 224 | 224 | 225 |
| Safety population | 222 | 223 | 225 |
| Intent-to-treat (itt) population | 222 | 223 | 225 |
| Full analysis set | 140 | 133 | 134 |
| Completed | 202 | 194 | 192 |
| Not completed | 22 | 30 | 33 |
| Withdrew: Withdrawal by subject | 14 | 21 | 21 |
| Withdrew: Adverse event | 2 | 2 | 2 |
| Withdrew: Death | 1 | 0 | 0 |
| Withdrew: Lost to follow-up | 3 | 5 | 6 |
| Withdrew: Other than specified | 0 | 1 | 4 |
| Withdrew: Randomized, not treated | 2 | 1 | 0 |
The mean change from Baseline to EOS in 24-hour average systolic ambulatory blood pressure, for each treatment group was analyzed using an analysis of covariance (ANCOVA) model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour average systolic ambulatory blood pressure as covariate. EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
| millimeters of mercury (mmHg) | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) |
|---|---|---|---|
| Change From Baseline in 24-Hour Average Systolic Ambulatory Blood Pressure to End of Study (EOS) | 2.77 (0.95 to 4.59) | 2.78 (0.86 to 4.69) | 2.15 (0.28 to 4.03) |
The mean change from Baseline to EOS in 24-hour MAP, for each treatment group was analyzed using an ANCOVA model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour MAP as covariate.EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
| mmHg | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) |
|---|---|---|---|
| Change From Baseline in 24-Hour Average Mean Arterial Pressure (MAP) to EOS | 2.13 (0.89 to 3.37) | 1.78 (0.47 to 3.08) | 1.21 (-0.06 to 2.49) |
The mean change from Baseline to EOS in 24-hour average diastolic ambulatory blood pressure, for each treatment group was analyzed using an ANCOVA model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour average diastolic ambulatory blood pressure as covariate. EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
| mmHg | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) |
|---|---|---|---|
| Change From Baseline in 24-Hour Average Diastolic Ambulatory Blood Pressure to EOS | 1.85 (0.79 to 2.91) | 1.22 (0.10 to 2.34) | 0.81 (-0.28 to 1.91) |
The mean change from Baseline to EOS in 24-hour average heart rate, for each treatment group was analyzed using an ANCOVA model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour average heart rate as covariate. EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
| beats per minute | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) |
|---|---|---|---|
| Change From Baseline in 24-Hour Average Heart Rate to EOS | 2.89 (1.47 to 4.31) | 1.56 (0.07 to 3.06) | 1.84 (0.37 to 3.31) |
The mean change from Baseline to EOS in 24-hour average PP for each treatment group was analyzed using an ANCOVA model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour average PP as covariate. EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
| mmHg | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) |
|---|---|---|---|
| Change From Baseline in 24-Hour Average Pulse Pressure (PP) to EOS | 0.80 (-0.41 to 2.0) | 1.49 (0.22 to 2.75) | 1.40 (0.16 to 2.63) |
A new antihypertensive medication was any antihypertensive medication taken on or after the screening Visit through the EOS visit and not taken prior to the screening visit.
| Percentage of participants | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) |
|---|---|---|---|
| Percentage of Participants Taking New Antihypertensive Medications | 1.4 | 1.5 | 2.2 |
A new antihypertensive medication was any antihypertensive medication taken on or after the screening Visit through the EOS visit and not taken prior to the screening visit.
| Percentage of participants | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) |
|---|---|---|---|
| Percentage of Participants With Dose Increase From Baseline in Antihypertensive Medications | 0 | 0 | 0 |
Collected over Baseline (Day 1) up to EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms. Non-serious events are listed at a 1% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| AVEED® (Testosterone Undecanoate Injection) | 1/224 (0.4%) | 3/222 (1.4%) | 8/222 (3.6%) |
| FORTESTA® (Testosterone Gel) | 0/224 (0%) | 1/223 (0.4%) | 9/223 (4%) |
| TESTIM® (Testosterone Gel) | 0/225 (0%) | 2/225 (0.9%) | 13/225 (5.8%) |
| Event | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) |
|---|---|---|---|
| Myocardial infarctionCardiac disorders | 1/222 | 0/223 | 0/225 |
| Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders | 1/222 | 0/223 | 0/225 |
| AngioedemaSkin and subcutaneous tissue disorders | 1/222 | 0/223 | 0/225 |
| Acute myocardial infarctionCardiac disorders | 0/222 | 1/223 | 0/225 |
| Acute coronary syndromeCardiac disorders | 0/222 | 0/223 | 1/225 |
| SepsisInfections and infestations | 0/222 | 0/223 | 1/225 |
| Cerebrovascular accidentNervous system disorders | 0/222 | 0/223 | 1/225 |
| Event | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) |
|---|---|---|---|
| HypertensionVascular disorders | 7/222 | 5/223 | 7/225 |
| HeadacheNervous system disorders | 1/222 | 2/223 | 3/225 |
| Blood testosterone increasedInvestigations | 0/222 | 2/223 | 3/225 |
Safety population included all participants who received at least 1 dose/injection of study intervention.
| Age, Continuous(years) | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) | Total |
|---|---|---|---|---|
| Mean | 59.9 ± 10.10 | 56.3 ± 10.78 | 58.4 ± 10.22 | 58.2 ± 10.46 |
| Sex: Female, Male(Participants) | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) | Total |
|---|---|---|---|---|
| Female | 0 | 0 | 0 | 0 |
| Male | 222 | 223 | 225 | 670 |
| Ethnicity (NIH/OMB)(Participants) | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) | Total |
|---|---|---|---|---|
| Hispanic or Latino | 71 | 92 | 79 | 242 |
| Not Hispanic or Latino | 151 | 131 | 146 | 428 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 1 | 1 | 2 |
| Asian | 8 | 1 | 10 | 19 |
| Native Hawaiian or Other Pacific Islander | 1 | 0 | 2 | 3 |
| Black or African American | 37 | 41 | 43 | 121 |
| White | 174 | 179 | 168 | 521 |
| More than one race | 1 | 1 | 1 | 3 |
| Unknown or Not Reported | 1 | 0 | 0 | 1 |
| 24-Hour Average Systolic Ambulatory Blood Pressure(mmHg) | AVEED® (Testosterone Undecanoate Injection) | FORTESTA® (Testosterone Gel) | TESTIM® (Testosterone Gel) | Total |
|---|---|---|---|---|
| Mean | 124.90 ± 12.178 | 123.95 ± 11.499 | 124.45 ± 12.505 | 124.43 ± 12.058 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: Yes
Supporting information: Study protocol, Statistical analysis plan
Ran from Jun 2020 to primary completion in Jul 2023, 36 months.
Results were first posted in Mar 2025, 1 year 8 months after primary completion.
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Studies of the drugs tested here: Testosterone undecanoate · Testosterone