Last reviewed · How we verify

NCT04120363: OPS II

Trial of Testosterone Undecanoate for Optimizing Performance During Military Operations

Completed Phase 4 Results posted Last updated 7 October 2022
What this trial tests

Phase 4 trial testing Testosterone Undecanoate in Caloric Restriction in 34 participants. Completed in 8 July 2021.

Timeline
23 September 2019
Primary endpoint
8 July 2021
8 July 2021

Quick facts

Lead sponsorPennington Biomedical Research Center
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment34
Start date23 September 2019
Primary completion8 July 2021
Estimated completion8 July 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pennington Biomedical Research Center — full company profile →

Who can join

Adults 18 to 35, male only, with Caloric Restriction or Exercise. 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.

Load Carriage Time Primary · Day 5 (Phase 1), Day 26 (Phase 2), Day 47 (Phase 3)

A load carriage time trial (a militarily relevant aerobic performance assessment) was conducted near the end of each study phase to assess aerobic performance.

2.5 mile time, Phase 1
GroupValue95% CI
Testosterone45.21± 2.01
Placebo41.58± 1.94
2.5 mile time, Phase 2
GroupValue95% CI
Testosterone50.95± 2.01
Placebo47.15± 1.99
2.5 mile time, Phase 3
GroupValue95% CI
Testosterone44.31± 2.07
Placebo39.34± 2.12
Body Composition Secondary · Day 7 (Phase 1), Day 28 (Phase 2), Day 49 (Phase 3)

A four-compartment (4C) model factoring in body mass, body volume, total body water, and bone mineral content was used to calculate fat-free body mass and fat mass at the end of each study phase.

Fat-free Mass at end of Phase 1
GroupValue95% CI
Testosterone59.2± 2.0
Placebo59.8± 2.1
Fat-free Mass at end of Phase 2
GroupValue95% CI
Testosterone59.6± 2.0
Placebo57.9± 2.1
Fat-free Mass at end of Phase 3
GroupValue95% CI
Testosterone59.5± 2.0
Placebo59.6± 2.1
Fat Mass at end of Phase 1
GroupValue95% CI
Testosterone17.3± 1.5
Placebo17.5± 1.6
Fat Mass at end of Phase 2
GroupValue95% CI
Testosterone13.0± 1.5
Placebo14.4± 1.6
Fat Mass at end of Phase 3
GroupValue95% CI
Testosterone15.1± 1.5
Placebo15.5± 1.6
Vertical Jump Height Primary · Day 4 (Phase 1), Day 25 (Phase 2), Day 46 (Phase 3)

Lower-body peak power was assessed near the end of each phase using a vertical jump test.

Vertical Jump Height, Phase 1
GroupValue95% CI
Testosterone54.5± 2.5
Placebo53.6± 2.4
Vertical Jump Height, Phase 2
GroupValue95% CI
Testosterone49.1± 2.5
Placebo50.0± 2.5
Vertical Jump Height, Phase 3
GroupValue95% CI
Testosterone54.0± 2.5
Placebo50.5± 2.5
Total Mass Lifted Primary · Day 4 (Phase 1), Day 25 (Phase 2), Day 46 (Phase 3)

A 3-repetition maximum deadlift assessed muscular strength, endurance, and explosive power near the end of each study phase.

Total Mass Lifted, Phase 1
GroupValue95% CI
Testosterone127.4± 7.4
Placebo127.9± 7.0
Total Mass Lifted, Phase 2
GroupValue95% CI
Testosterone122.7± 7.4
Placebo119.0± 7.2
Total Mass Lifted, Phase 3
GroupValue95% CI
Testosterone126.7± 7.7
Placebo129.8± 7.2
Wingate Peak Power Primary · Day 4 (Phase 1), Day 25 (Phase 2), Day 46 (Phase 3)

Anaerobic capacity was assessed using a Wingate anaerobic cycle test near the end of each study phase.

Wingate peak power, absolute, Phase 1
GroupValue95% CI
Testosterone879.4± 49.6
Placebo837.8± 49.6
Wingate peak power, absolute, Phase 2
GroupValue95% CI
Testosterone753.8± 49.6
Placebo736.0± 49.6
Wingate peak power, absolute, Phase 3
GroupValue95% CI
Testosterone821.8± 49.6
Placebo790.8± 49.6
Peak Aerobic Capacity Primary · Day 4 (Phase 1), Day 25 (Phase 2), Day 46 (Phase 3)

Peak aerobic capacity was measured via treadmill VO2peak near the end of each study phase.

VO2peak, absolute, Phase 1
GroupValue95% CI
Testosterone3.22± 0.15
Placebo3.28± 0.14
VO2peak, absolute, Phase 2
GroupValue95% CI
Testosterone3.13± 0.15
Placebo3.20± 0.14
VO2peak, absolute, Phase 3
GroupValue95% CI
Testosterone3.29± 0.15
Placebo3.44± 0.14

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data was collected from the time of the screening visit until study completion, up to 4 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Testosterone
Serious: 0/16 (0%)
Deaths: 0/16
Placebo
Serious: 0/18 (0%)
Deaths: 0/18
Other adverse events (10 terms — click to expand)

ReactionSystemTestosteronePlacebo
Musculoskeletal issuesMusculoskeletal and connective tissue disorders
Dermatologic issuesSkin and subcutaneous tissue disorders
Gastrointestinal issuesGastrointestinal disorders
Nonspecific issuesGeneral disorders
Neurological issuesNervous system disorders
Respiratory issuesRespiratory, thoracic and mediastinal disorders
Oral complaintsGeneral disorders
Special senses issuesGeneral disorders
Cardiovascular issuesVascular disorders
Genitourinary issuesRenal and urinary disorders

Data from ClinicalTrials.gov NCT04120363 adverse events section.

Sponsor's own description

The objective of this study is to determine the effects of a single dose of testosterone undecanoate during and in recovery from simulated operational stress.

Publications & conference data

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

  1. Monitoring body composition change for intervention studies with advancing 3D optical imaging technology in comparison to dual-energy X-ray absorptiometry.
    Wong MC, Bennett JP, Leong LT, Tian IY, et al · · 2023 · cited 19× · PMID 36796647 · DOI 10.1016/j.ajcnut.2023.02.006
  2. Testosterone undecanoate administration prevents declines in fat-free mass but not physical performance during simulated multi-stressor military operations.
    Varanoske AN, Harris MN, Hebert C, Howard EE, et al · · 2022 · cited 8× · PMID 35796614 · DOI 10.1152/japplphysiol.00190.2022
  3. Effects of testosterone undecanoate on performance during multi-stressor military operations: A trial protocol for the Optimizing Performance for Soldiers II study.
    Varanoske AN, Harris MN, Hebert C, Howard EE, et al · · 2021 · cited 4× · PMID 34278044 · DOI 10.1016/j.conctc.2021.100819
  4. Bioelectrical impedance phase angle is associated with physical performance before but not after simulated multi-stressor military operations.
    Varanoske AN, Harris MN, Hebert C, Johannsen NM, et al · · 2023 · cited 2× · PMID 36949577 · DOI 10.14814/phy2.15649
  5. Exercise Heart Rate Variability Suggests Parasympathetic Hyperactivity during Simulated Military Operations Irrespective of Testosterone Administration.
    Lowe AC, Niclou A, Varanoske AN, Harris MN, et al · · 2025 · cited 1× · PMID 40279652 · DOI 10.1249/mss.0000000000003743

Verify or expand the search:

Other trials of Testosterone Undecanoate

Trials testing the same drug.

Other recruiting trials for Caloric Restriction

Currently open trials in the same condition.

Other Pennington Biomedical Research Center 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/NCT04120363.

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