Bioequivalence Study of Testosterone Transdermal Gel in Healthy Female Subjects for Male Hypogonadism
- Trial ID
- 2022-501514-56-00
- Protocol
- BLCL-TES-EU-01
- Sponsor
- Laboratorios Leon Farma S.A.
Trial statistics
Diseases & Conditions
Objectives
The primary objective of the study is to evaluate the **bioequivalence** of testosterone transdermal gel in healthy female subjects. This is clinically relevant as it aims to determine whether the transdermal gel formulation provides a similar pharmacokinetic profile to an established reference product, ensuring consistent therapeutic effects and safety in the treatment of conditions such as **male hypogonadism**. Understanding bioequivalence is crucial for confirming that the new formulation can be used interchangeably with existing treatments, thereby expanding therapeutic options and potentially improving patient outcomes.
Participants
The clinical trial focuses on **male hypogonadism** and involves a study population that includes only female subjects, as male participants are not included. The age range of the participants falls within categories 3 and 4, which typically correspond to adult age groups. The trial does not involve a vulnerable population. The sponsor has not provided information regarding the total number of participants. The selection criteria for the trial population, as well as any specific lifestyle considerations such as diet, physical activity, or habits, have not been disclosed. Key inclusion or exclusion criteria are also not specified by the sponsor.
Plans and Procedures
The clinical trial is designed to evaluate the **bioequivalence** of a testosterone transdermal gel in healthy female subjects. This study is conducted as a Phase 2 trial, focusing on the condition of **male hypogonadism**. The trial employs a randomized, double-blind, controlled design to ensure the reliability and validity of the results. The estimated recruitment start date is January 4, 2023, with an anticipated end date of February 28, 2023, indicating a concise trial duration.
Participants will undergo a series of study visits, beginning with an inclusion (screening) visit to assess eligibility based on predefined criteria. Following successful screening, participants will be randomized and commence the treatment phase. Throughout the trial, follow-up visits will be scheduled to monitor the participants' health status, adherence to the protocol, and any adverse events. The end-of-study visit will conclude the trial, where final assessments will be conducted to gather comprehensive data on the primary and secondary endpoints.
The expected length of participant involvement is approximately two months, aligning with the overall trial duration. Conditions that may lead to early termination from the study include non-compliance with the study protocol, withdrawal of consent, or the occurrence of significant adverse events that compromise participant safety. The trial is structured to maintain scientific rigor while ensuring participant safety and data integrity.
Treatment
The clinical trial involves the administration of an **experimental medication**. However, specific details regarding the name, pharmaceutical form, dosage, route, and frequency of administration are not provided in the available data. The trial documentation does not specify whether the medication is a **paediatric formulation** or if it is classified as an **orphan drug**. Additionally, there is no information on the maximum daily dose, total dose, or treatment period for the experimental medication.
In addition to the experimental medication, the trial may include the use of **non-experimental treatments** such as standard-of-care therapy, placebo, or comparator treatments. However, the data does not provide explicit details about these treatments. Information regarding the administration, dosing schedules, and participant compliance monitoring for these non-experimental treatments is also not available.
Efficacy
The clinical trial is designed to assess efficacy in a Phase 2 study. The trial is scheduled to begin recruitment on January 4, 2023, with an estimated end date of February 28, 2023. The efficacy assessment will be conducted through a series of planned evaluations, although specific parameters or endpoints for efficacy evaluation are not detailed in the provided data. The trial will follow a structured timeline to ensure systematic data collection and analysis. The methods and tools for measuring efficacy, as well as the specific timepoints for these assessments, are not specified in the available information. The trial's focus on efficacy is aligned with the objectives typical of a Phase 2 study, which often involves evaluating the effectiveness of a treatment in a specific patient population. The trial's design and execution will adhere to rigorous standards to ensure the reliability and validity of the efficacy data collected.
Inclusion and Exclusion Criteria
Inclusion Criteria
- Free written informed consent prior to any procedure required by the study.
- Female subject between 45 and 65 years, inclusive, at the time of signing the informed consent.
- Post-menopausal, defined as amenorrhea for at least 12 months without an alternative medical cause, or history of hysterectomy and bilateral oophorectomy at least 6 months prior to Screening.
- Blood follicle stimulating hormone (FSH) compatible with post-menopausal state (23 - 116.3 IU/L).
- Body mass index (BMI) of 18.5 to 30.0 kg/m2, inclusive.
- No clinically relevant diseases captured in medical history.
- No clinically relevant abnormalities on physical examination (including detailed skin examination and vital signs).
- No clinically relevant abnormalities on 12-lead ECG.
- No clinically relevant abnormalities on clinical laboratory tests.
- Non-smoker or ex-smoker (i.e. someone who abstained from using tobacco- or nicotine-containing products for at least 3 months prior to Screening).
- Willingness to accept and comply with all study procedures and restrictions.
- Negative SARS-CoV-2 test or valid EU Digital COVID-19 Recovery Certificate.
Exclusion Criteria
- Known hypersensitivity/allergy reaction to any of the ingredients of the study products.
- Known severe hypersensitivity reaction to any other drug.
- Any general condition or local condition (e.g. skin disorder) that may affect drug pharmacokinetics (absorption, distribution, metabolism or excretion) or subject safety.
- Known or suspected carcinoma of the breast.
- Abnormal genital bleeding.
- Thrombophilia or thromboembolic disorder.
- History of heart failure.
- History of diabetes.
- Migraine or epilepsy.
- History of significant dermatological problems (e.g., severe or cystic acne) or concomitant skin disease within the last 5 years, or a history of drug-induced contact dermatitis.
- Use of hormonal replacement therapy within the previous 6 months.
- Blood hemoglobin below the lower limit of the normal range.
- Blood ferritin below the lower limit of the normal range.
- Serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) above the upper limit of the normal range.
- Estimated renal creatinine clearance (CrCL) below the lower limit of normal range (80-110 mL/min), based on creatinine clearance calculation by the Cockcroft-Gault formula and normalized to an average body surface area of 1.73 m2.
- Positive test results for hepatitis B surface antigen (HBsAg), anti-hepatitis C virus antibodies (anti-HCV) or anti-human immunodeficiency virus antibodies (HIV-1 and HIV-2 Ab).
- SBP >150 mmHg and/or DBP >90 mmHg, measured on the dominant arm, after at least 3 minutes in seated position.
- Positive result in drugs-of-abuse or ethanol tests.
- Use of a depot injection or an implant of any drug within the previous 6 months.
- Average weekly alcohol consumption of >7 units within the previous 6 months.
- Average daily consumption of methylxanthines-containing beverages or food (e.g. coffee, tea, cola, sodas, chocolate) equivalent to >500 mg methylxanthines.
- Participation in any clinical trial within the previous 2 months.
- Participation in more than 2 clinical trials within the previous 12 months.
- Blood donation or significant blood loss (≥ 450 mL) due to any reason or had plasmapheresis within the previous 2 months.
- Difficulty in fasting or any dietary restriction such as lactose intolerance, vegan, lowfat, low sodium, etc., that may interfere with the diet served during the study.
- Veins unsuitable for intravenous puncture on either arm.
- Is pregnant or breast-feeding.
- Presence of a skin condition or scar tissue that could interfere with absorption, skin irritation/tolerability assessments, or assessment of any reaction to study drugs.
- Any other condition that the Investigator considers to render the subject unsuitable for the study.
- Any recent disease or condition or treatment that, according to the Investigator, would put the subject at undue risk due to study participation or occurred at a timeframe in which may interfere with the pharmacokinetics of study drug.
- Use of any method of hair removal (e.g. waxing, shaving, epilating, laser, tweezers) at the application site within the previous 5 days.
- Sunbathing or using tanning beds at the application site within the previous 2 days.
- Use of topical products containing medication (including creams, oils, lotions, ointments, gels, topical solutions or patches) at the application site within the previous 14 days.
- Use of topical products not containing medication (including make-up, sunscreen, creams, oils, lotions, powders, alcohol) at the gel application site within the previous 2 days.
- Use of saunas or swimming within 2 days prior to admission.
- Use of prescription or non-prescription medicinal products (such as vitamins, food supplements and herbal supplements, including St John’s Wort) within the previous 14 days, unless in the Investigator’s opinion the medication does not interfere with the pharmacokinetics of study drug or compromise subject safety.
- Consumption of Seville oranges, pomelo, pomegranate, starfruit or grapefruit products (fresh, canned, or frozen) within the previous 7 days.
- Positive result in drugs-of-abuse or ethanol tests.
- Any other condition that the investigator considers to render the subject unsuitable for the study period.
Trial Status by Country
| Country | Status | Start of Recruitment | Planned Patients |
|---|---|---|---|
Portugal | Not Recruiting | 04 Jan 2023 | 48 |
Sites & Investigators
Investigators
Investigational Products
Details about the medicinal products being studied in this clinical trial.
| Product Name | Role in Trial | Formulation | Administration | Max Daily Dose | Treatment Duration | EU MP Number |
|---|---|---|---|---|---|---|
Testogel Dosiergel 16,2 mg/g Gel | Comparator | GEL | TOPICAL | 81 | 2 | PRD9058939 |
Testosterone 1.62%; transdermal gel metered-dose pump | Test | TRANSDERMAL GEL | TOPICAL | 81 | 2 | PRD9936178 |

