Mechanisms of Hormonal Control of Spermatogenesis in Man
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
- 是
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
William Bremner
Professor of Medicine
University of Washington
