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Testosterone

Phase 4FDA approved

Hypogonadism | Small molecule | Endocrine |Eli Lilly and Company|Trials Updated: Dec 28, 2015

Testosterone development status

FDA approval on record Nov 23, 2010
Approval holderEli Lilly And Co
ApplicationNDA022504
Highest phase Phase 4 run by National Institute of Allergy and Infectious Diseases (NIAID) (NCT00009555)
Phase scored for LLYPhase 3
Registered trials 12 across 9 sponsors since Aug 2001

Testosterone target and mechanism

Molecular targetAR
Target classAgonist
ModalitySmall molecule

Also known as Testosterone Solution 2%, Testosterone 2%, Testosterone Solution, Axiron, LY900011

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment803

FDA Designations

No designations recorded

Testosterone clinical trials

Testosterone · 3 trials · 3 indications

Phase 3 1Phase 2 1Phase 1 1
NCT01816295A Study in Men With Low Testosterone to Measure the Effects of Testosterone Solution on Testosterone Levels, Sex Drive and EnergyHypogonadism
COMPLETED715 Analytics
PHASE3COMPLETED
A Study in Men With Low Testosterone to Measure the Effects of Testosterone Solution on Testosterone Levels, Sex Drive and Energy
HypogonadismUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Total Serum Testosterone Concentration Within Normal Range at Week 12
Week 12

Normal range for total serum testosterone was defined as 300 to 1050 nanograms per deciliter (ng/dL).

Change From Baseline in the Male Sexual Health Questionnaire-Ejaculatory Dysfunction-Short Form (MSHQ-EjD-SF) Ejaculatory Function Score at 16 Weeks
Baseline, 16 weeks

MSHQ-EjD-SF: 4 item, self-reported questionnaire assessing ejaculatory dysfunction. MSHQ-EjD-SF Ejaculatory Function Score: sum of scores for questions (Q)1 through Q3 about frequency and strength of ejaculations and volume of ejaculate for sexual activity attempts during past month. Ejaculation frequency was rated 1 (could not ejaculate) to 5 (all the time); strength and volume from 0 (could not ejaculate) to 5 (as strong/much as it always has been). Total Ejaculatory Function Score ranged from 1 to 15. Least-squares (LS) mean of change from baseline calculated using repeated measures mixed-effects model (MMRM) including treatment, visit, treatment-by-visit interaction, region, baseline total testosterone level \[≥200 nanograms per deciliter (ng/dL) versus (vs.) \<200 ng/dL\], baseline erectile dysfunction (ED) severity (normal, mild, moderate, severe), and centered baseline ejaculatory function score as fixed effects, and unstructured covariance structure for modeling correlation.

Amount of Testosterone on T-shirts
12 hours after application of study drug

This is a summary of the amounts of testosterone measured on a 10 centimeters (cm) × 10 cm of material excised from the underarm area of participant's unwashed t-shirt halves.

Secondary Endpoints

Change From Baseline to Week 12 in Sexual Arousal, Interest, and Drive (SAID) Scale Scores
Baseline, Week 12
Change From Baseline to Week 12 in Hypogonadism Energy Diary (HED) Scores
Baseline, Week 12
Number of Participants With Prostate Specific Antigen (PSA) >4 Nanogram/Milliliter (ng/mL)
Double Blind Baseline, Week 12, Open Label Baseline, Week 36
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Placebo SolutionPLACEBO_COMPARATORPlacebo Solution applied topically once daily for 12 weeks.
Testosterone SolutionEXPERIMENTALTestosterone Solution 60 milligram (mg) applied topically once daily with possible titration down to 30 milligram per day (mg/day) or up to 120 mg/day for 12 weeks and optional extension for 24 weeks.
Testosterone Solution 2% 60 milligrams (mg)EXPERIMENTALTestosterone Solution 2% 60 mg applied topically once daily with possible 1-time titration to 30 milligrams per day (mg/day) or 90 mg/day for 16 weeks
PlaceboPLACEBO_COMPARATORPlacebo solution applied topically once daily for 16 weeks
AxironEXPERIMENTALAxiron administered topically via metered dose pump to each underarm on Day 1

Interventions

NameTypeDescription
Testosterone SolutionDRUGAdministered topically to axillae.
Placebo SolutionDRUGAdministered topically to axillae.
Testosterone Solution 2%DRUGAdministered topically
AxironDRUGSolution administered topically using pump and applicator
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites85

Inclusion Criteria: * Total testosterone level \<300 nanogram per deciliter (ng/dL) \[10.4 nanomole per Liter (nmol/L)\] at each of 2 screening visits * At least 1 symptom of testosterone deficiency, which must include decreased energy or decreased sexual drive * Prostate Specific Antigen (PSA) \<4...

Countries:United StatesArgentinaCanadaGermanyItalyPuerto RicoSouth KoreaSpainUnited Kingdom
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Frequently asked questions about Testosterone

What is Testosterone used for?

Testosterone is being studied for hypogonadism, a condition in which men have low testosterone levels, and for ejaculatory dysfunction in men with low testosterone. It is an investigational small molecule developed by Eli Lilly and Company (ticker LLY) and is in Phase 2 clinical development.

What does Testosterone target?

Testosterone targets the androgen receptor (AR) and acts as an agonist. By activating this receptor, it is designed to raise testosterone activity in men with low levels. The androgen receptor is the molecular target of the drug, and its agonist activity is the basis of its development for endocrine conditions.

Who makes Testosterone?

Testosterone is developed by Eli Lilly and Company, which trades under the ticker LLY. Lilly is the sponsor of the clinical studies evaluating the drug in men with low testosterone, including a Phase 3 trial in hypogonadism and a Phase 2 trial in ejaculatory dysfunction.

What phase is Testosterone in?

Testosterone is in Phase 2 development overall, with one completed Phase 2 trial in ejaculatory dysfunction and hypogonadism. A separate Phase 3 trial in hypogonadism has also been completed. The drug is investigational and is not approved for these uses.

What clinical trials is Testosterone in?

Testosterone has been studied in NCT01816295, a completed Phase 3 trial in men with hypogonadism that enrolled 715 participants across the United States, Argentina, Canada, Germany, Italy, Puerto Rico, South Korea, Spain, and the United Kingdom, and in NCT01419236, a completed Phase 2 trial of ejaculatory dysfunction in men with low testosterone that enrolled 76 participants.

Is Testosterone the same as Testosterone Solution 2%?

Yes. Testosterone is also known as Testosterone Solution 2%, Testosterone 2%, and Testosterone Solution. These names refer to the same Eli Lilly and Company (ticker LLY) investigational product being studied in hypogonadism and ejaculatory dysfunction.