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Dosing Validation Study of Oral Testosterone Undecanoate (TU, LPCN 1021).

NCT03242590 — Phase 3, Completed, 95 participants, Lipocine Inc.

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Validation of Dosing Regimen of Oral Testosterone Undecanoate (TU, LPCN 1021) in Hypogonadal Men.

RegistryNCT03242590, acronym DV
StatusCompleted
PhasePhase 3
Study typeInterventional; na, single group, masking: none, treatment
Enrollment95 (Actual)
SponsorLipocine Inc. (Industry)
ConditionsHypogonadism, Male
InterventionsLPCN 1021 (Drug)
Datesstart 2016-12-01, primary completion 2017-03-01, completion 2017-07-01, first posted 2017-08-08, last updated 2019-10-23

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-Summary

Multicenter, open-label, one treatment study evaluating the efficacy of LPCN 1021 in adult hypogonadal male subjects.

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+Arms and interventions

ArmTypeInterventionsDescription
Oral testosterone undecanoate, LPCN 1021ExperimentalDrug: LPCN 1021Oral testosterone undecanoate, LPCN 1021 225 mg TU two times a day.
  • LPCN 1021 (Drug): Oral testosterone undecanoate

+Outcome measures

Primary outcomes

  • Percent of LPCN 1021-treated Subjects Who Achieve a Total Testosterone Average Concentration [Cavg] in the Normal Range [Following 24 days of treatment]: The primary efficacy endpoint and analysis for this study was the percentage of LPCN 1021 treated subjects who had achieved a 24-hour average serum T concentration within the normal range of 300 to 1080 ng/dL at Visit 4, (Day 24 ± 4 days).

+Eligibility

Sex: Male, ages: 18 Years to 80 Years

Inclusion Criteria:

1. Serum total T below 300 ng/dL based on 2 consecutive blood samples obtained between 6 and 10 AM, on two separate days at approximately the same time of day, following an appropriate washout of current androgen replacement therapy.
2. Subjects should be diagnosed to be primary (congenital or acquired) or secondary hypogonadal (congenital or acquired).
3. Naïve to androgen replacement or has discontinued current treatment and completed adequate washout of prior androgen therapy. Washout must be completed prior to collection of baseline serum T samples to determine study eligibility.

Exclusion Criteria:

1. History of significant sensitivity or allergy to androgens, or product excipients.
2. Clinically significant findings in the pre-study examinations including abnormal breast examination requiring follow-up.
3. Abnormal prostate digital rectal examination (DRE) with palpable nodule(s).
4. Subjects with symptoms of moderate to severe benign prostatic hyperplasia.
5. Clinically significant abnormal laboratory value, in the opinion of the investigator, in serum chemistry, hematology, or urinalysis
6. Positive test result for hepatitis A virus immunoglobulin M (HAV-IgM), hepatitis B surface antigen (HBsAg) or hepatitis C virus antibody (HCV Ab) or human immunodeficiency virus antibodies (HIV Ab).
7. History of gastric surgery, cholecystectomy, vagotomy, bowel resection or any surgical procedure that might interfere with gastrointestinal motility, pH or absorption.
8. History of any clinically significant illness, infection, or surgical procedure within 1 month prior to study drug administration.
9. History of stroke or myocardial infarction within the past 5 years.
10. History of or current or suspected prostate or breast cancer.
11. History of untreated and severe obstructive sleep apnea.
12. History of long QT syndrome (QTc > 450) or unexplained sudden death in a first degree relative (parent, sibling, or child).

+Posted results

Participant flow

MilestoneOral Testosterone Undecanoate, LPCN 1021
Started95
Completed95
Not completed0

Outcome results

  • Percent of LPCN 1021-treated Subjects Who Achieve a Total Testosterone Average Concentration [Cavg] in the Normal Range (Primary), Number, Percent of participants: Oral Testosterone Undecanoate, LPCN 1021 80 (72 to 88)

Adverse events

Time frame: 1 month

ArmDeathsSerious adverse eventsOther adverse events
Oral Testosterone Undecanoate, LPCN 10210/95 (0.0%)1/95 (1.1%)6/95 (6.3%)

Serious adverse events by term

TermOrgan systemOral Testosterone Undecanoate, LPCN 1021
Gastric Ulcer HemorrhageGastrointestinal disorders1/95

Other adverse events by term

TermOrgan systemOral Testosterone Undecanoate, LPCN 1021
Blood prolactin increasedEndocrine disorders4/95
Blood FSH decreasedEndocrine disorders1/95
Blood LH decreasedEndocrine disorders1/95
PSA increasedInvestigations1/95
Weight increasedInvestigations1/95
HeadacheNervous system disorders1/95

+Publications

  • Results publication: DelConte A, Papangkorn K, Kim K, Bruno BJ, Chidambaram N, Khera M, Goldstein I, Kohler TS, Miner M, Dobs AS, Patel MV. A new oral testosterone (TLANDO) treatment regimen without dose titration requirement for male hypogonadism. Andrology. 2022 May;10(4):669-676. doi: 10.1111/andr.13153. Epub 2022 Jan 18. PMID 34994093

+Study documents

+Investigators

My Notes