The Testosterone Trial in Older Men

Condition(s) targeted: Andropause

Intervention: AndroGel® (testosterone gel) (Drug)

Phase: Phase 3

Status: Active, not recruiting

Sponsored by: University of Pennsylvania

Official(s) and/or principal investigator(s):
Peter J Snyder, MD, Principal Investigator, Affiliation: University of Pennsylvania

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.

Official title: Randomized, Placebo-controlled, Double-blind Study of Five Coordinated Testosterone Treatment Trials in Older Men

Study design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Primary outcome: Each of the 7 trials has its own primary outcome:

Secondary outcome: The 7 trials have secondary outcomes:

Detailed 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.

Minimum age: 65 Years. Maximum age: N/A. Gender(s): Male.

Criteria:

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.

University of Alabama at Birmingham, Birmingham, Alabama 35294, United States

University of California San Diego, La Jolla, California 92093, United States

Center for Men's Health LA BioMed at Harbor-UCLA Medical Center, Torrance, California 90501, United States

Yale University, New Haven, Connecticut 06520, United States

University of Florida, Gainesville, Florida 32611, United States

Northwestern University, Chicago, Illinois 60208, United States

Boston University, Boston, Massachusetts 02215, United States

University of Minnesota, Minneapolis, Minnesota 55455, United States

Albert Einstein College of Medicine, Bronx, New York 10461, United States

University of Pittsburgh, Pittsburgh, Pennsylvania 15261, United States

Baylor College of Medicine, Houston, Texas 76798, United States

VA Puget Sound Health Care System, Seattle, Washington 98108, United States

Find out more information about The Testosterone Trial and the list of participating clinical sites.

Starting date: November 2009
Last updated: July 14, 2015