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Clinical Trial Details — Status: Withdrawn

Administrative data

NCT number NCT02147964
Other study ID # STUDY00001449
Secondary ID
Status Withdrawn
Phase Phase 2
First received
Last updated
Start date June 2019
Est. completion date December 2026

Study information

Verified date December 2019
Source University of Washington
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this investigational drug study is to determine how much male hormone, testosterone, is needed to maintain sperm production in the testis.


Description:

This is a nine-month research study examining the effects on androgen treatment on sperm production in healthy men. There are three phase to the study, a 2-month screening phase, 4-month treatment and 3-month follow-up. In this study, the investigators aim to define a quantitative relationship between intra-testicular testosterone (IT-T) and spermatogenesis in man. Hormone levels will be measured in a small amount of testicular fluid at the beginning and end of treatment and sperm concentration will be measured.


Recruitment information / eligibility

Status Withdrawn
Enrollment 0
Est. completion date December 2026
Est. primary completion date December 2021
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Male
Age group 18 Years to 55 Years
Eligibility Inclusion Criteria:

- Males age 18-55

- In general good health based on normal screening evaluation

- Normal serum testosterone, lutenizing hormone (LH) and follicle stimulating hormone (FSH)

- Prostate Specific Antigen (PSA) < 3.0

- Agrees not to donate blood or participate in another research study during the study

- Informed consent

- Must be willing to use a reliable form of contraception during the study

Exclusion Criteria:

- Participation in a long-term male contraceptive study within the past three months

- History of testosterone or anabolic steroid abuse in the past

- History of or current skin disorder that will interfere with testosterone gel

- Poor general health or significantly abnormal screening blood results

- History of or current testicular or prostate disease

- History of a bleeding disorder or need for anticoagulation

- History of untreated sleep apnea and/or major psychiatric problems

- BMI > 32

- History of or current liver disease

- Chronic pain syndrome

- Current use of terfenidine, astemizole, cisapride, budesonide, felodipine, fluticasone, lovastatin, midazolam, sildenafil, or vardenafil

- Use of glucocorticoids or underlying adrenal insufficiency

- Active drug or alcohol abuse within the past year

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Testosterone 1% Gel
Testosterone 1% gel 5g daily for 4 months [all subjects]
Acyline
Acyline 300 ug/kg SQ injections every 2-weeks for 4 months [all subjects]
Dutasteride
Dutasteride 2.5 mg (day 1) followed by 0.5 mg daily for 4 months
Ketoconazole
ketoconazole 400 mg PO daily for 4 months
HCG
HCG 60 IU injection Subcutaneously, every other day for 4 months
placebo dutasteride
placebo oral dutasteride PO daily for 4 months
placebo ketoconazole
placebo ketoconazole daily for 4 months

Locations

Country Name City State
United States University of Washington Medical Center (Health Sciences) Seattle Washington

Sponsors (1)

Lead Sponsor Collaborator
University of Washington

Country where clinical trial is conducted

United States, 

References & Publications (12)

Anawalt BD, Bebb RA, Bremner WJ, Matsumoto AM. A lower dosage levonorgestrel and testosterone combination effectively suppresses spermatogenesis and circulating gonadotropin levels with fewer metabolic effects than higher dosage combinations. J Androl. 1999 May-Jun;20(3):407-14. — View Citation

Contraceptive efficacy of testosterone-induced azoospermia in normal men. World Health Organization Task Force on methods for the regulation of male fertility. Lancet. 1990 Oct 20;336(8721):955-9. — View Citation

Coviello AD, Matsumoto AM, Bremner WJ, Herbst KL, Amory JK, Anawalt BD, Sutton PR, Wright WW, Brown TR, Yan X, Zirkin BR, Jarow JP. Low-dose human chorionic gonadotropin maintains intratesticular testosterone in normal men with testosterone-induced gonadotropin suppression. J Clin Endocrinol Metab. 2005 May;90(5):2595-602. Epub 2005 Feb 15. — View Citation

Nashan D, Knuth UA, Weidinger G, Nieschlag E. The antimycotic drug terbinafine in contrast to ketoconazole lacks acute effects on the pituitary-testicular function of healthy men: a placebo-controlled double-blind trial. Acta Endocrinol (Copenh). 1989 May;120(5):677-81. — View Citation

Pont A, Graybill JR, Craven PC, Galgiani JN, Dismukes WE, Reitz RE, Stevens DA. High-dose ketoconazole therapy and adrenal and testicular function in humans. Arch Intern Med. 1984 Nov;144(11):2150-3. — View Citation

Roth MY, Lin K, Amory JK, Matsumoto AM, Anawalt BD, Snyder CN, Kalhorn TF, Bremner WJ, Page ST. Serum LH correlates highly with intratesticular steroid levels in normal men. J Androl. 2010 Mar-Apr;31(2):138-45. doi: 10.2164/jandrol.109.008391. Epub 2009 Sep 24. — View Citation

Roth MY, Nya-Ngatchou JJ, Lin K, Page ST, Anawalt BD, Matsumoto AM, Marck BT, Bremner WJ, Amory JK. Androgen synthesis in the gonadotropin-suppressed human testes can be markedly suppressed by ketoconazole. J Clin Endocrinol Metab. 2013 Mar;98(3):1198-206. doi: 10.1210/jc.2012-3527. Epub 2013 Jan 24. — View Citation

Roth MY, Page ST, Lin K, Anawalt BD, Matsumoto AM, Snyder CN, Marck BT, Bremner WJ, Amory JK. Dose-dependent increase in intratesticular testosterone by very low-dose human chorionic gonadotropin in normal men with experimental gonadotropin deficiency. J Clin Endocrinol Metab. 2010 Aug;95(8):3806-13. doi: 10.1210/jc.2010-0360. Epub 2010 May 19. — View Citation

Trachtenberg J, Zadra J. Steroid synthesis inhibition by ketoconazole: sites of action. Clin Invest Med. 1988 Feb;11(1):1-5. — View Citation

Van Tyle JH. Ketoconazole. Mechanism of action, spectrum of activity, pharmacokinetics, drug interactions, adverse reactions and therapeutic use. Pharmacotherapy. 1984 Nov-Dec;4(6):343-73. Review. — View Citation

Wu FC, Farley TM, Peregoudov A, Waites GM. Effects of testosterone enanthate in normal men: experience from a multicenter contraceptive efficacy study. World Health Organization Task Force on Methods for the Regulation of Male Fertility. Fertil Steril. 1996 Mar;65(3):626-36. — View Citation

Zirkin BR, Santulli R, Awoniyi CA, Ewing LL. Maintenance of advanced spermatogenic cells in the adult rat testis: quantitative relationship to testosterone concentration within the testis. Endocrinology. 1989 Jun;124(6):3043-9. — View Citation

* Note: There are 12 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Primary Sperm concentration Difference in sperm concentration at week 16 between 4 treatment groups 16 weeks
Secondary IT steroid concentration It steroid concentration at week 16 between the 4 treatment groups 16 weeks