MedPath

Study of Spermatogenesis Suppression With DMAU Alone or With LNG Versus Placebo Alone in Normal Men

Phase 2
Conditions
Healthy
Male Contraception
Men
Interventions
Drug: Dimethandrolone-Undecanoate
Drug: Placebo oral capsule
Registration Number
NCT03455075
Lead Sponsor
Health Decisions
Brief Summary

This is a Phase IIa multicenter, double-blind, placebo-controlled study in healthy men to evaluate the spermatogenesis suppression after oral administration of Dimethandrolone Undecanoate (DMAU) alone or with Levonorgestrel (LNG) for 12 weeks versus placebo alone.

Detailed Description

This 12 week repeated dose study will be conducted at two centers: the Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center and the University of Washington. The sites propose to enroll approximately 100 men with a goal of enrolling 20 healthy male subjects in each of the 4 active groups and 20 in the placebo group for 12 weeks of treatment. The goal is to complete at least 17 efficacy evaluable subjects in each group. The DMAU for this study will be castor oil formulation administered after a 25 to 30 g fat meal. The oral dose of LNG will be 30 mcg per day. The study volunteers will be randomized to one of five treatment groups:

Group 1: Lower DMAU dose (100 mg per day) + LNG (30 mcg per day) (n=20) Group 2: Middle DMAU dose (200mg per day) + LNG (30 mcg per day) (n=20) Group 3: Middle DMAU dose (200 mg per day) + placebo LNG (n=20) Group 4: Higher DMAU dose (400 mg per day) + placebo LNG (n=20) Group 5: Placebo DMAU capsules and placebo LNG capsules (n=20)

Each treatment group will receive the identical number of capsules in blinded fashion so that each subject will receive an identical number of capsules in order to maintain the blind.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Male
Target Recruitment
100
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Higher DMAU + PlaceboPlacebo oral capsuleDMAU 400 mg + placebo administered orally in capsules.
PlaceboPlacebo oral capsulePlacebo administered orally capsules.
Lower DMAU + LNGDimethandrolone-UndecanoateDMAU 100 mg + LNG 30 mcg administered orally in capsules.
Lower DMAU + LNGLevonorgestrel 0.03 MGDMAU 100 mg + LNG 30 mcg administered orally in capsules.
Middle DMAU + LNGDimethandrolone-UndecanoateDMAU 200 mg + LNG 30 mcg administered orally in capsules.
Middle DMAU + LNGLevonorgestrel 0.03 MGDMAU 200 mg + LNG 30 mcg administered orally in capsules.
Middle DMAU + PlaceboDimethandrolone-UndecanoateDMAU 200 mg + placebo administered orally in capsules.
Middle DMAU + PlaceboPlacebo oral capsuleDMAU 200 mg + placebo administered orally in capsules.
Higher DMAU + PlaceboDimethandrolone-UndecanoateDMAU 400 mg + placebo administered orally in capsules.
Primary Outcome Measures
NameTimeMethod
Suppression of spermatogenesis as assessed by semen analyses using number of subjects with sperm concentration <3 million (M)/mL with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Secondary Outcome Measures
NameTimeMethod
Changes from baseline in weight.4 - 6 months
Changes from baseline in blood pressure.4 - 6 months
Changes from baseline in heart rate.4 - 6 months
Changes from baseline in PSA with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in sperm concentration.4 - 6 months
Changes from baseline in blood urea nitrogen with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in Estradiol level.4 - 6 months
Changes from baseline in DHT level.4 - 6 months
Changes from baseline in LNG level.4 - 6 months
Incidence of treatment emergent adverse events (safety and tolerability) with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in potassium with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in creatinine with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in calcium with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in DMA level.4 - 6 months
Changes from baseline in sodium with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in bicarbonate with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in chloride with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Assessing suppression of gonadotropins using percentage of subjects with FSH and LH ≤ 1.0 IU/L.2 months
Changes from baseline in LH level.4 - 6 months
Changes from baseline in FSH level.4 - 6 months
Changes from baseline in Testosterone level.4 - 6 months
Changes from baseline in SHBG level.4 - 6 months
Changes from baseline in DMAU level.4 - 6 months
Changes from baseline in total bilirubin with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in fasting glucose with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in prostate function with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone using the International Prostate Symptom Score.12 weeks
Changes from baseline in mood with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone using the Patient Health Questionnaire-9.12 weeks
Changes from baseline in alkaline phosphatase with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in alanine aminotransferase with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in aspartate transaminase with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in albumin with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone.12 weeks
Changes from baseline in sexual function with daily oral dose of DMAU (3 different doses) alone or with LNG 30 mcg for 12 weeks versus placebo alone using the psychosexual daily questionnaire.12 weeks

Trial Locations

Locations (2)

Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center

🇺🇸

Torrance, California, United States

University of Washington Medical Center & Health Sciences

🇺🇸

Seattle, Washington, United States

© Copyright 2025. All Rights Reserved by MedPath