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NCT05541172

Testosterone Undecanoate Replacement Therapy in Boys With Pubertal Delay or Confirmed Hypogonadism

Status unknown Last updated 28 February 2024
What this trial tests

trial testing Testosterone Undecanoate in Delayed Puberty in 27 participants. Status unknown.

Timeline
1 March 2022
Primary endpoint
31 December 2025
31 December 2025

Quick facts

Lead sponsorHospital de Niños R. Gutierrez de Buenos Aires
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment27
Start date1 March 2022
Primary completion31 December 2025
Estimated completion31 December 2025
Sites1 location across Argentina

Drugs / interventions tested

Conditions studied

Sponsor

Hospital de Niños R. Gutierrez de Buenos Aires

Who can join

Adults 12 to 18, male only, with Delayed Puberty or Male Hypogonadism. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The absence of clinical signs of pubertal maturation, i.e. pubertal delay, is a relatively frequent reason for consultation in boys. In cases where it is necessary, the treatment to be established is the administration of testosterone with the aim of provoking the development of secondary sexual characteristics and optimizing growth. Currently, the most commonly used treatment is empirical, with im testosterone enanthate at increasing doses (from 50 mg every 4 weeks up to 250 mg every 4 weeks) over a period of 2 to 3 years. The pharmacokinetic profile has not been described to see if it mimics the physiological progressive increase in testosterone levels occurring during normal puberty. In adults, testosterone enanthate shows supraphysiological serum testosterone the first week after, with a progressive drop to subphysiological levels in the fourth week. Testosterone undecanoate is used in adults at a dose of 1000 mg im every 12 weeks, as equivalent to testosterone enanthate 250 mg every 4 weeks.Serum levels of testosterone show a profile within physiological ranges. Testosterone undecanoate im has not been tested in adolescents. Hypothesis: The hypothesis of this work is that the initial administration of 1 ml (\~250 mg) of testosterone undecanoate (1000 mg/4 ml) via im every 12 weeks for 6 months, with a progressive increase of 1 ml (\~250 mg) every 6 months until reaching 4 ml (1000 mg) per dose is safe and effective in causing normal progression of secondary sex characteristics and growth spurt in boys with pubertal delay. The primary specific objectives are to determine, in boys with pubertal delay: (a) if a treatment regimen of testosterone undecanoate (1000 mg/4 ml), with an initial dose of 250 mg every 12 weeks and subsequent increase up to 1000 mg every 12 weeks over 2 years (increasing 250 mg every 6 months) induces a progression in the development of secondary sexual characteristics and growth spurt commensurate with those of normal pubertal development, and (b) the safety of the administration of increasing doses of im testosterone undecanoate.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Data sources for this page

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