ClinicalTrials.gg
RecruitingNCT07278362Updated Nov 2, 2026

Testosterone Replacement Therapy in Hypogonadal Patients With Prostate Cancer Under Active Surveillance

A Phase 4 interventional study of Testosterone cypionate in Prostate Cancer and Hypogonadism, Male, sponsored by University of Miami. Recruiting at 2 sites in United States. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by University of Miami · Phase 4, Interventional, and Treatment

Updated Nov 2, 2026Now RecruitingSite recruiting status changed+2 moreGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
35
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
01

Study summary

The purpose of this study is evaluate the safety of testosterone replacement therapy in men with newly diagnosed low-risk prostate cancer and hypogonadism on active surveillance.

02

Conditions studied

  • Prostate Cancer
  • Hypogonadism, Male
03

In context

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,580 are open to participants now.

This study's planned enrollment of 35 is below the median of 60 across 5,348 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

University of Miami is the lead sponsor of 840 studies on the registry; 164 are open to participants now.

Of its 115 completed or terminated interventional studies of FDA-regulated products, 97 (84%) have results posted.

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

04

Who can participate

The criteria were revised on the registry on Nov 2, 2026. See what changed

Ages eligible
18 Years and older
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

  • Males aged ≥ 18 years old
  • Newly diagnosed with low-risk prostate cancer initially confirmed by fusion guided prostate (transrectal or trans perineal) by multiparametric MRI
  • Males diagnosed with low-risk prostate cancer on active surveillance
  • Two confirmatory testosterone levels \<350 ng/dL (taken before 10am), with at least 24 hours and no more than 90 days between the two tests
  • Symptoms of low testosterone (Aging Male's Symptoms Score >27)
  • Able to obtain Testosterone medication through insurance or out-of-pocket
  • Willing and able to provide written and able to comply with study requirements

Exclusion criteria

Exclusion Criteria:

  • Males \<18 years old
  • History of Testosterone Replacement Therapy (TRT) within the past year.
  • Current use of TRT
  • Diagnosis of Gleason score 7 (Grade Group 2) prostate cancer or higher on diagnostic or confirmatory
  • PSA >10 ng/mL at baseline
  • Hematocrit > 51% at baseline
  • T3 or T4 disease
  • Unstable angina
  • History of breast cancer
  • Any other condition or situation which, in the opinion of the investigator, could impact patient safety, prevent successful data collection, or reduce the likelihood of successful study participation
  • Unable or unwilling to obtain Testosterone medication through insurance or out-of-pocket
  • Unable or unwilling to provide or comply with study requirements
Terms in these criteria, in plain language(2)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
35 participants (estimated)

Study arms

  • Experimental
    Testosterone cypionate

    Participants will self-inject 100mg of testosterone cypionate once per week for 12 months

    Drug: Testosterone cypionate

Interventions

  • Participants will self-inject 100mg of testosterone cypionate once per week for 12 months

06

What researchers measure

Primary outcomes

  1. Proportion of Participants with Disease Progression Within 12 Months After Initiating TRT

    Disease progression is defined as either (1) an increase in prostate cancer grade group on biopsy or (2) conversion from active surveillance to active treatment (e.g., surgery, radiation, or systemic therapy). The proportion of participants who meet either criterion within 12 months of initiating testosterone replacement therapy (TRT) will be reported.

    Time frame: 12 months

Secondary outcomes

  1. Mean Change in Serum PSA Levels (ng/mL) from Baseline to 12 Months

    The mean change in serum PSA levels (ng/mL) will be measured at baseline and 12 months after initiation of TRT. PSA levels will be assessed using a standardized immunoassay. The mean change in PSA level will be used to evaluate clinical outcomes related to TRT.

    Time frame: Baseline, 12 Months

  2. Change in Total Testosterone Levels (ng/dL) from Baseline to 12 Months

    The mean change in serum total testosterone (ng/dL) will be measured at baseline and 12 months after initiation of TRT. Total testosterone levels will be assessed using a standardized immunoassay. The mean change in total testosterone level will be used to evaluate clinical outcomes related to TRT.

    Time frame: Baseline, 12 Months

  3. Mean Change in Hematocrit Levels (%) from Baseline to 12 Months

    The mean change in hematocrit levels (%) will be measured from baseline and 12 months after initiation of TRT. Hematocrit levels will be assessed using a standardized immunoassay. The mean change in hematocrit level will be used to evaluate clinical outcomes related to TRT.

    Time frame: Baseline, 12 Months

  4. Mean Change in Prostate Volume (mL) as measured by mpMRI from Baseline to 12 Months

    The mean change in prostate volume (mL) will be measured at baseline and 12 months after initiation of TRT. Prostate volume will be calculated from T2-weighted mpMRI images using standardized volumetric analysis techniques. The mean change in volume will be used to evaluate clinical outcomes related to TRT.

    Time frame: Baseline, 12 Months

  5. Mean Change in EPIC-26 Scores from Baseline to 12 Months

    Quality of life will be assessed using the EPIC-26 questionnaire at baseline and 12 months. Scores range from 0 to 100, with higher scores indicating better health-related quality of life. The mean change in scores will be used to evaluate patient-reported outcomes related to TRT.

    Time frame: Baseline, 12 Months

  6. Mean Change in SF-12 Scores from Baseline to 12 Months

    Quality of life will be assessed using the SF-12 questionnaire at baseline and 12 months. The measure includes items assessing physical and mental functioning and yields two scores for these two components of quality of life. These final scores are norm-based, meaning a score of 50 represents the US population average, with a standard deviation of 10. Scores higher than 50 indicate better health status, while scores lower than 50 suggest worse health status The mean change in scores will be used to evaluate patient-reported outcomes related to TRT.

    Time frame: Baseline, 12 Months

  7. Mean Change in Aging Male's Symptoms Score (AMS) from Baseline to 12 Months

    Quality of life will be assessed using the Aging Male's Symptoms Score (AMS) at baseline and 12 months. Scores range from 17 to 85, with higher scores indicating more severe symptoms. The mean change in scores will be used to evaluate symptom improvement associated with TRT.

    Time frame: Baseline, 12 Months

  8. Progression-Free Survival (PFS) from Baseline to 5 Years

    Elapsed time from treatment initiation until disease progression, conversion to active treatment, or death from any cause. Median PFS, if attained, will also be reported.

    Time frame: Baseline to 5 Years

07

Study locations

2 of 2 sites recruiting
  • Desai Sethi Urology Institute
    Miami, Florida 33136, United States
    Recruiting
    • Thomas Masterson · Principal investigator
  • Sylvester Comprehensive Cancer Center
    Miami, Florida 33136, United States
    Recruiting
    • Bruce Kava · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Nov 2, 2026
Sites
2 sites changed recruiting status (2 now recruiting)
Show 2 sites
  • Desai Sethi Urology Institute · Miami, United Statesno status→Recruiting
  • Sylvester Comprehensive Cancer Center · Miami, United Statesno status→Recruiting
Nov 2, 2026
Start date
Aug 31, 2026→Nov 30, 2026
Nov 2, 2026
Eligibility
3 inclusion criteria edited; 1 exclusion criterion added, 1 removed
What changed in the criteria
Inclusion criteria
  • EditedNewly diagnosed with low-risk prostate cancer initially confirmed by fusion guided prostate biopsy (transrectal or trans perineal) by multiparametric MRI, and had a second confirmatory biopsy within the last 12 months
  • EditedMales diagnosed with low-risk prostate cancer undergoingon active surveillance
  • EditedTwo confirmatory testosterone levels <300350 ng/dL (taken before 10am), with at least 24 hours and no more than 90 days between the two tests
Exclusion criteria
  • RemovedUncontrolled cardiovascular disease and sleep apnea
  • AddedUnstable angina
Nov 2, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Sylvester Comprehensive Cancer Center · Miami, United StatesContact person changed (no phone or email listed)
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    Not yet recruiting→Recruiting
    2 sites changed recruiting status (2 now recruiting)
    Show 2 sites
    • Desai Sethi Urology Institute · Miami, United Statesno status→Recruiting
    • Sylvester Comprehensive Cancer Center · Miami, United Statesno status→Recruiting
    Start date Aug 31, 2026→Nov 30, 2026
    Eligibility 3 inclusion criteria edited; 1 exclusion criterion added, 1 removed
    What changed in the criteria
    Inclusion criteria
    • EditedNewly diagnosed with low-risk prostate cancer initially confirmed by fusion guided prostate biopsy (transrectal or trans perineal) by multiparametric MRI, and had a second confirmatory biopsy within the last 12 months
    • EditedMales diagnosed with low-risk prostate cancer undergoingon active surveillance
    • EditedTwo confirmatory testosterone levels <300350 ng/dL (taken before 10am), with at least 24 hours and no more than 90 days between the two tests
    Exclusion criteria
    • RemovedUncontrolled cardiovascular disease and sleep apnea
    • AddedUnstable angina
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Sylvester Comprehensive Cancer Center · Miami, United StatesContact person changed (no phone or email listed)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07278362
Responsible party
Bruce R Kava (Professor of Clinical, University of Miami) — Principal investigator
First posted
Dec 12, 2025
Start date
Nov 30, 2026 (estimated)
Primary completion
May 31, 2031 (estimated)
Completion
May 31, 2032 (estimated)
Last update
Nov 2, 2026

Study contacts

Bruce Kava, MD
Contact
bkava@med.miami.edu
305-243-6590
Laura Angulo Llanos
Contact
lxa2084@med.miami.edu
305-243-4850
Bruce Kava, MD
principal investigator · University of Miami

Oversight

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

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Studies of the drug tested here: Testosterone 17 beta-cypionate

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