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NCT01573442

Testosterone in Treating Postmenopausal Patients With Arthralgia Caused by Adjuvant Aromatase Inhibitor Treatment

Completed Phase 3 Results posted Last updated 28 January 2025
What this trial tests

Phase 3 trial testing testosterone in Arthralgia in 227 participants. Completed in 1 September 2019.

Timeline
10 September 2013
Primary endpoint
28 February 2018
1 September 2019

Quick facts

Lead sponsorAlliance for Clinical Trials in Oncology
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposesupportive care
Enrollment227
Start date10 September 2013
Primary completion28 February 2018
Estimated completion1 September 2019
Sites529 locations across Puerto Rico, United States

Drugs / interventions tested

Conditions studied

Sponsor

Alliance for Clinical Trials in Oncology

Who can join

18 and older, female only, with Arthralgia or Breast Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Item #3 (Average) of the Brief Pain Inventory (BPI) Average Pain From Baseline to Month 3 Primary · From baseline to 3 months

The average change in Brief Pain Inventory (BPI) Average Pain scores between baseline and month 3 using Wilcoxon test are reported for each arm below. The BPI scales range from 0 to 10 with 0 meaning no pain and 10 meaning pain as bad as you can imagine.

GroupValue95% CI
Arm II (Placebo)-1.9± 2.5
Arm I (Testosterone)-2.0± 2.5
Improvement in BPI Average Pain From Baseline to Month 3 Primary · Up to 3 months

"2. Was there an improvement in BPI Average Pain from baseline to month 3?"

GroupValue95% CI
Arm II (Placebo)55
Arm I (Testosterone)45
Arm II (Placebo)49
Arm I (Testosterone)59
Change in BPI Average Change From Baseline Pain Score to Month Six Average Pain Score Primary · Baseline and 6 months

Change in BPI Average Change from Baseline Pain Score to Month Six Average Pain Score. The BPI scales range from 0 to 10 with 0 meaning no pain and 10 meaning pain as bad as you can imagine.

GroupValue95% CI
Arm II (Placebo)-2.2± 2.7
Arm I (Testosterone)-1.9± 2.2
Change in BPI Average Pain From Baseline to Month 1-6 Primary · Baseline and months 1-6

Change in BPI Average Pain from baseline to month 1-6. The BPI scales range from 0 to 10 with 0 meaning no pain and 10 meaning pain as bad as you can imagine.

From baseline to month 1
GroupValue95% CI
Arm II (Placebo)-1.2± 2.2
Arm I (Testosterone)-1.7± 2.1
From baseline to month 2
GroupValue95% CI
Arm II (Placebo)-1.9± 2.3
Arm I (Testosterone)-1.9± 2.2
From baseline to month 3
GroupValue95% CI
Arm II (Placebo)-1.9± 2.5
Arm I (Testosterone)-2.0± 2.5
From baseline to month 4
GroupValue95% CI
Arm II (Placebo)-2.1± 2.5
Arm I (Testosterone)-2.4± 2.5
From baseline to month 5
GroupValue95% CI
Arm II (Placebo)-2.1± 2.7
Arm I (Testosterone)-2.0± 2.6
From baseline to month 6
GroupValue95% CI
Arm II (Placebo)-2.2± 2.8
Arm I (Testosterone)-1.9± 2.2
Number of Participants With Grade 3 Or Higher Adverse Events Considered At Least Possibly Related to Treatment Secondary · Up to 6 months

The maximum grade for each type of toxicity will be recorded for each patient, and frequency tables will be reviewed to determine toxicity patterns within patient groups. In addition, we will review all adverse event data that is graded as 3, 4, or 5 and classified as either "unrelated" or "unlikely to be related" to study treatment in the event of an actual relationship developing. The overall toxicity rates (percentages) for grade 3 or higher adverse events considered at least possibly related to treatment are reported below.

grade 3
GroupValue95% CI
Arm II (Placebo)4
Arm I (Testosterone)8
grade 4
GroupValue95% CI
Arm II (Placebo)1
Arm I (Testosterone)1
Number of Patients Who Reported Alopecia Using CTCAE 4.0 Secondary · Up to 6 months

The number of patients who reported alopecia using CTCAE 4.0 is reported below for each arm.

GroupValue95% CI
Arm II (Placebo)0
Arm I (Testosterone)0
Number of Patients Who Reported Acne Using CTCAE 4.0 Secondary · Up to 6 months

The number of patients who reported acne using CTCAE 4.0 is reported below for each arm.

GroupValue95% CI
Arm II (Placebo)0
Arm I (Testosterone)0
Number of Patients Who Reported Hirsutism Using CTCAE 4.0 Secondary · Up to 6 months

The number of patients who reported hirsutism using CTCAE 4.0 is reported below for each arm by grade.

GroupValue95% CI
Arm II (Placebo)94
Arm I (Testosterone)87
Arm II (Placebo)7
Arm I (Testosterone)10
Arm II (Placebo)0
Arm I (Testosterone)3
Change in Hot Flash Frequency From Baseline to Week 8 Secondary · baseline and week 8

Change in hot flash frequency from baseline to week 8. Hot flash frequency is a count of the number of hot flashes per day and is a number from 0 to infinity. Higher values are worse.

GroupValue95% CI
Arm II (Placebo)-10.9± 20.6
Arm I (Testosterone)-11.4± 19.3
The Change of Libido From Baseline to Month 3 as Measured by the MENQOL Secondary · baseline and month 3

Change in how bothered are you by decreased sex drive from baseline to month 3. This is assessed using one question off of the MENQOL (Menopause-Specific Quality of Life) questionnaire. The question asks "How bothered are you by a decrease in your sexual drive". This is collected on a scale ranging from 0=Not at all bothered to 6=Extremely bothered, with higher values being worse.

GroupValue95% CI
Arm II (Placebo)-0.5± 2.1
Arm I (Testosterone)-1.3± 2.4
The Change of Menopause Specific Quality of Life From Baseline to Month 3 as Measured by MENQOL "How Bothered Are You by Hot Flashes" Secondary · baseline and month 3

The change of menopause specific quality of life from baseline to month 3 as measured by MENQOL "how bothered are you by Hot Flashes". This is one question from the MENQOL (Menopause-Specific Quality of Life) questionnaire. The question asks "How bothered are you by hot flashes or flushes". This is collected on a scale ranging from 0=Not at all bothered t 6=Extremely bothered, with higher values being worse.

GroupValue95% CI
Arm II (Placebo)-1.4± 2.3
Arm I (Testosterone)-1.4± 2.4
Change in BPI Worst Pain From Baseline to Month 3 Secondary · baseline and month 3

Change in BPI Worst Pain from baseline to month 3. The BPI scales range from 0 to 10 with 0 meaning no pain and 10 meaning pain as bad as you can imagine.

GroupValue95% CI
Arm II (Placebo)-2.5± 2.7
Arm I (Testosterone)-2.4± 2.6

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events are assessed ≤ 30 days prior to registration and at the end of Months 3 and 6. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm II (Placebo)
Serious: 1/101 (1%)
Deaths: 0/101
Arm I (Testosterone)
Serious: 5/100 (5%)
Deaths: 0/100

Serious adverse events (9 terms)

ReactionSystemArm II (Placebo)Arm I (Testosterone)
LeukocytosisBlood and lymphatic system disorders
Thrombotic thrombocytopenic purpuraBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
Gastrointestinal disorders - Other, specifyGastrointestinal disorders
Wound dehiscenceInjury, poisoning and procedural complications
Platelet count decreasedInvestigations
Nasal congestionRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
Thromboembolic eventVascular disorders
Other adverse events (27 terms — click to expand)

ReactionSystemArm II (Placebo)Arm I (Testosterone)
HirsutismSkin and subcutaneous tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Rash acneiformSkin and subcutaneous tissue disorders
Wound infectionInfections and infestations
MyalgiaMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
Atrial fibrillationCardiac disorders
PalpitationsCardiac disorders
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
Gastrointestinal disorders - Other, specifyGastrointestinal disorders
Edema faceGeneral disorders
Localized edemaGeneral disorders
Rash pustularInfections and infestations
SinusitisInfections and infestations
Skin infectionInfections and infestations
DehydrationMetabolism and nutrition disorders
ArthritisMusculoskeletal and connective tissue disorders
Bone painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
HypersomniaNervous system disorders
Peripheral sensory neuropathyNervous system disorders
SyncopeNervous system disorders
AgitationPsychiatric disorders
Breast painReproductive system and breast disorders
Vaginal drynessReproductive system and breast disorders
PruritusSkin and subcutaneous tissue disorders

Most-reported serious reactions: Leukocytosis, Thrombotic thrombocytopenic purpura, Abdominal pain, Gastrointestinal disorders - Other, specify, Wound dehiscence, Platelet count decreased, Nasal congestion, Hypertension.

Data from ClinicalTrials.gov NCT01573442 adverse events section.

Sponsor's own description

This randomized phase III trial studies testosterone to see how well it works compared to placebo in treating postmenopausal patients with arthralgia (joint pain) caused by anastrozole or letrozole. Testosterone may help relieve moderate or severe arthralgia associated with the use of aromatase inhibitors, such as anastrozole or letrozole.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Systemic therapies for preventing or treating aromatase inhibitor-induced musculoskeletal symptoms in early breast cancer.
    Roberts KE, Adsett IT, Rickett K, Conroy SM, et al · · 2022 · cited 17× · PMID 35005781 · DOI 10.1002/14651858.cd013167.pub2
  2. A randomized, double-blind, placebo-controlled trial of testosterone for treatment of postmenopausal women with aromatase inhibitor-induced arthralgias: Alliance study A221102.
    Cathcart-Rake E, Novotny P, Leon-Ferre R, Le-Rademacher J, et al · · 2021 · cited 15× · PMID 32372176 · DOI 10.1007/s00520-020-05473-2
  3. Treatments Targeting the Androgen Receptor and Its Splice Variants in Breast Cancer.
    Tien AH, Sadar MD. · · 2024 · cited 11× · PMID 38339092 · DOI 10.3390/ijms25031817

Verify or expand the search:

Other recruiting trials for Arthralgia

Currently open trials in the same condition.

Other Alliance for Clinical Trials in Oncology trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01573442.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing