Overview

This trial is active, not recruiting.

Condition andropause
Treatment androgel® (testosterone gel)
Phase phase 3
Sponsor University of Pennsylvania
Collaborator National Institute on Aging (NIA)
Start date November 2009
End date July 2014
Trial size 800 participants
Trial identifier NCT00799617, R01 AG037679, U01 AG030644

Summary

The Testosterone Trials are a multi-center set of trials involving 12 clinical sites geographically distributed across the United States.

The primary specific aims are to test the hypotheses that testosterone treatment of elderly men whose serum testosterone concentrations are unequivocally low - and who have symptoms and objectively measured abnormalities in at least one of five areas that could be due to low testosterone (physical or sexual function, vitality, cognition, and anemia) - will result in more favorable changes in those abnormalities than placebo treatment.

Two additional trials have been incorporated into the T Trial. Only men enrolled in the T Trial are eligible to participate in these trials.

- The Cardiovascular Trial will examine if testosterone treatment results in more favorable changes in cardiovascular risk factors, compared to placebo.

- The Bone Trial will test the hypothesis that testosterone treatment will increase volumetric trabecular bone mineral density (vBMD) of the lumbar spine as measured by quantitative computed tomography (QCT), compared with placebo treatment.

A Pharmacokinetic (PK) Study is also being conducted within the context of the interventional T Trial. It will examine the variability of the serum testosterone (T) concentration after application of testosterone gel or placebo, four months after the start of treatment.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking double blind (subject, caregiver, investigator, outcomes assessor)
Primary purpose treatment
Arm
(Active Comparator)
androgel® (testosterone gel)
AndroGel or placebo is applied to the shoulders, abdomen or upper arms once a day. Subjects will be instructed to wash their hands after application and not to have contact with women or children while the gel is wet. They will also be asked not to bathe or get this area wet for five hours after application. The initial dose of AndroGel will be 5.0 g (containing 50 mg of testosterone) once a day.
(Placebo Comparator)
androgel® (testosterone gel)
AndroGel or placebo is applied to the shoulders, abdomen or upper arms once a day. Subjects will be instructed to wash their hands after application and not to have contact with women or children while the gel is wet. They will also be asked not to bathe or get this area wet for five hours after application. The initial dose of AndroGel will be 5.0 g (containing 50 mg of testosterone) once a day.

Primary Outcomes

Measure
Each of the 7 trials has its own primary outcome:
time frame: 1 year

Secondary Outcomes

Measure
The 7 trials have secondary outcomes:
time frame: 1 year

Eligibility Criteria

Male participants at least 65 years old.

Inclusion Criteria: - Men greater than or equal to 65 years old - Total serum testosterone concentration < 275 and < 300 ng/dL at 7 -10 AM at each of two screening visits Exclusion Criteria: - Diagnosed prostate cancer, prostatic intraepithelial neoplasia (PIN), prostate nodule or, by the Prostate Cancer Risk Calculator, a >35% risk of having overall prostate cancer or >7% risk of having high grade prostate cancer - Severe lower urinary tract symptoms (score of > 19) by the International Prostate Symptom Score questionnaire - Hemoglobin <10 g/dL or >16.0 g/dL - Sleep apnea, diagnosed but untreated - Alcohol or substance abuse within the past year (based on self report) - Angina not controlled by treatment - NYHA class III or IV congestive heart failure - Myocardial infarction within the previous 3 months before entry - Stroke within the previous 3 months before entry - Severe pulmonary disease that precludes physical function tests - Serum creatinine >2.2 mg/dL; ALT 3x upper limit of normal; hemoglobin A1c >8.5%, TSH > 7.5mIU/L - Diagnosis or treatment for cancer within the past 3 years, with the exception of nonmelanotic skin cancer - Body mass index (BMI) >37 kg/m2 - Mini Mental State Exam (MMSE) Score <24 - Major psychiatric disorders, including major depression (PHQ-9 score > 14), mania, hypomania, psychosis, schizophrenia or schizoaffective disorders, that are untreated, unstable, have resulted in hospitalization or medication change within the previous three months, or would result in inability to complete the trial efficacy instruments. Subjects whose disorders have been stable while being treated for more than three months are eligible. - Use of the following medications within the previous three months: - drugs that affect serum testosterone concentration - rhGH or megestrol acetate - introduction of anti-depressant medication - daily use of prednisone for more than two weeks - Opiate use within the past three months - Skin conditions at the testosterone gel application site, such as ulcer, erosion, lichenification, inflammation, or crust, or generalized skin conditions such as psoriasis or eczema that might affect testosterone absorption or tolerability of the testosterone gel - Known skin intolerance to alcohol or allergy to any of the ingredients of testosterone gel Participants in the T Trial may also enroll in the Cardiovascular and Bone Trials if it is determined that they are eligible based on the specific exclusion criteria. Participation in the PK Study does not involve additional exclusion criteria.

Additional Information

Official title Randomized, Placebo-controlled, Double-blind Study of Five Coordinated Testosterone Treatment Trials in Older Men
Principal investigator Peter J Snyder, MD
Description As men get older, they experience many conditions, often together, that eventually result in the inability to perform many activities of daily living, an increased propensity to fall, and decreased independence. These conditions include mobility disability and low vitality. Elderly men also experience increased anemia, metabolic syndrome, decreased sexual function and memory impairment. These conditions likely have multiple causes, but one cause that could contribute to all of them is a low serum testosterone concentration. When young hypogonadal men are treated with testosterone, they experience improvements in sexual function, muscle mass and strength, bone mineral density, sense of well being, and anemia. However, the benefits of testosterone therapy in older men with age-related decline in testosterone concentration are not known and are the subject of this investigation. Participants will be treated with testosterone or placebo gel for 1 year. The dose will be adjusted in a blinded fashion to achieve a target T level range. Participants will be followed for one additional year following the treatment phase to assess adverse events. - Men participating in the Cardiovascular Trial will be assessed for changes in atherosclerotic plaque burden from 0 to 12 months. - Men participating in the Bone Trial will be assessed by QCT of the spine and hip, DXA of the spine and hip and clinical fractures at 0 and 12 months. - Men participating in the PK Study will attend 3 additional study visits for blood draws at the time of the 4 month assessment.
Trial information was received from ClinicalTrials.gov and was last updated in July 2014.
Information provided to ClinicalTrials.gov by University of Pennsylvania.