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临床试验/NCT02147964
NCT02147964撤回2 期

Mechanisms of Hormonal Control of Spermatogenesis in Man

University of Washington1 个研究点 分布在 1 个国家开始时间: 2019年6月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
撤回
试验地点
1
主要终点
Sperm concentration

研究概览

简要总结

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

详细描述

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.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 55 Years(Adult)
性别
Male
接受健康志愿者

入选标准

  • 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

排除标准

  • 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

研究组 & 干预措施

Acyline; T Gel; placebo dutasteride, placebo ketoconazole

Experimental

All men will receive Acyline 300 ug/kg subcutaneous (SQ) injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 1: placebo oral ketoconazole + placebo oral dutasteride for 4 months

干预措施: Testosterone 1% Gel (Drug)

Acyline; T Gel; placebo dutasteride, placebo ketoconazole

Experimental

All men will receive Acyline 300 ug/kg subcutaneous (SQ) injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 1: placebo oral ketoconazole + placebo oral dutasteride for 4 months

干预措施: Acyline (Drug)

Acyline; T Gel; placebo dutasteride, placebo ketoconazole

Experimental

All men will receive Acyline 300 ug/kg subcutaneous (SQ) injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 1: placebo oral ketoconazole + placebo oral dutasteride for 4 months

干预措施: placebo dutasteride (Drug)

Acyline; T Gel; placebo dutasteride, placebo ketoconazole

Experimental

All men will receive Acyline 300 ug/kg subcutaneous (SQ) injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 1: placebo oral ketoconazole + placebo oral dutasteride for 4 months

干预措施: placebo ketoconazole (Drug)

Acyline; T gel; Ketoconazole; placebo

Experimental

All men will receive Acyline 300 ug/kg SQ injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 2: oral ketoconazole 400 mg + placebo oral dutasteride for 4 months

干预措施: Testosterone 1% Gel (Drug)

Acyline; T gel; Ketoconazole; placebo

Experimental

All men will receive Acyline 300 ug/kg SQ injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 2: oral ketoconazole 400 mg + placebo oral dutasteride for 4 months

干预措施: Acyline (Drug)

Acyline; T gel; Ketoconazole; placebo

Experimental

All men will receive Acyline 300 ug/kg SQ injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 2: oral ketoconazole 400 mg + placebo oral dutasteride for 4 months

干预措施: Ketoconazole (Drug)

Acyline; T gel; Ketoconazole; placebo

Experimental

All men will receive Acyline 300 ug/kg SQ injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 2: oral ketoconazole 400 mg + placebo oral dutasteride for 4 months

干预措施: placebo dutasteride (Drug)

Acyline; Tgel; Ketoconazole; Dutasteride

Experimental

All men will receive Acyline 300 ug/kg SQ injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 3: Ketoconazole 400mg orally daily + Dutasteride 2.5 mg orally on day 1, followed by 0.5mg daily for 4 months

干预措施: Testosterone 1% Gel (Drug)

Acyline; Tgel; Ketoconazole; Dutasteride

Experimental

All men will receive Acyline 300 ug/kg SQ injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 3: Ketoconazole 400mg orally daily + Dutasteride 2.5 mg orally on day 1, followed by 0.5mg daily for 4 months

干预措施: Acyline (Drug)

Acyline; Tgel; Ketoconazole; Dutasteride

Experimental

All men will receive Acyline 300 ug/kg SQ injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 3: Ketoconazole 400mg orally daily + Dutasteride 2.5 mg orally on day 1, followed by 0.5mg daily for 4 months

干预措施: Dutasteride (Drug)

Acyline; Tgel; Ketoconazole; Dutasteride

Experimental

All men will receive Acyline 300 ug/kg SQ injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 3: Ketoconazole 400mg orally daily + Dutasteride 2.5 mg orally on day 1, followed by 0.5mg daily for 4 months

干预措施: Ketoconazole (Drug)

Acyline; Tgel; HCG

Experimental

All men will receive Acyline 300 ug/kg SQ injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 4: Human Chorionic gonadotropin (HCG) 60 IU injection every other day for 4 months.

干预措施: Testosterone 1% Gel (Drug)

Acyline; Tgel; HCG

Experimental

All men will receive Acyline 300 ug/kg SQ injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 4: Human Chorionic gonadotropin (HCG) 60 IU injection every other day for 4 months.

干预措施: Acyline (Drug)

Acyline; Tgel; HCG

Experimental

All men will receive Acyline 300 ug/kg SQ injections every 2-weeks + Testosterone 1% Gel 5g daily and then randomly assigned.

Group 4: Human Chorionic gonadotropin (HCG) 60 IU injection every other day for 4 months.

干预措施: HCG (Drug)

结局指标

主要结局

Sperm concentration

时间窗: 16 weeks

Difference in sperm concentration at week 16 between 4 treatment groups

次要结局

  • IT steroid concentration(16 weeks)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

William Bremner

Professor of Medicine

University of Washington

研究点 (1)

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