Muscle strength and -mass after bariatric surgery - a possible effect of testosterone replacement therapy? Randomized, placebo-controlled and double-blinded study

2024-517015-73-00 Therapeutic use (Phase IV) Ended

Start 15 Dec 2020 · End 6 Nov 2025 · Status Ended · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 64
Countries 1
Sites 1

Adipositas and male hypogonadism

To investigate the effect and clinical relevance of testosterone therapy combined with exercise and diet counselling in hypogonadal men undergoing bariatric surgery.

Key facts

Sponsor
Esbjerg Og Grindsted Sygehus
Participant type
Patients
Age range
18-64 years
Gender
Male
Therapeutic area
Diseases [C] - Hormonal diseases [C19]
Trial duration
15 Dec 2020 → 6 Nov 2025
Decision date (initial)
2024-09-20
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-517015-73-00
EudraCT number
2018-002365-19

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To investigate the effect and clinical relevance of testosterone therapy combined with exercise and diet counselling in hypogonadal men undergoing bariatric surgery.

Secondary objectives 1

  1. To evaluate the effect of testosterone therapy combined with exercise and diet counselling on muscle strength, body composition, hormones, components of the metabolic syndrome, inflammation, sexual function, and quality of life after weight loss in obese, hypogonadal men undergoing bariatric surgery.

Conditions and MedDRA coding

Adipositas and male hypogonadism

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. - Eligible for bariatric surgery according to the Danish national criteria (i.e. aged 18‒60 years, BMI >35 kg/m2 with specific secondary disease or BMI >40 kg/m2 with significant health issues assessed by the multidisciplinary bariatric team) - Caucasian men - Total testosterone < 12.0 nmol/l - No contraindications for testosterone treatment

Exclusion criteria 1

  1. Previously diagnosed with prostate, mammae or liver cancer. Any other cancer within the last 5 years. - Hypersensitivity to the active substance or to any of the excipients in Nebido® - Symptomatic heart disease NYHA >2 - Recently thromboembolic disease <3 months - PSA >4.0 ug/l or PSA>3.0 ug/l and lower urinary tract symptoms - Disability that severely affect the ability to perform exercise training - EVF > 52% - The following treatments are not allowed in the study:5-α-reductase inhibitors and Prednisolone >5mg/day

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Maximal isometric muscle strength (N) in shoulder muscles (shoulder elevation.

Secondary endpoints 1

  1. Regional body composition (DXA scan, BMI, Waist/hip-ratio) - Physical strength: maximal isometric muscle strength in lower extremities (hip extension, hip abduction), muscle strength in upper-extremities (shoulder abduction, shoulder adduction) - Physical function: performance-based measures of physical function (stair climb test) and maximal oxygen uptake (VO2max). - Glucose metabolism (HOMA-R, HbA1c, Fasting-P-Blood glucose) - Coagulation/fibrinolysis status (thrombin generation measures) - Ad

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Nebido 1000 mg Injektionslösung

PRD10037761 · Product

Active substance
Testosterone Undecanoate
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAMUSCULAR INJECTION
Max daily dose
14.28 mg milligram(s)
Max total dose
11195 mg milligram(s)
Max treatment duration
112 Week(s)
Authorisation status
Authorised
ATC code
G03BA03 — TESTOSTERONE
Marketing authorisation
60074.00.00
MA holder
GRÜNENTHAL GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Placebo oily solution to Testosterone undecanoate oily solution 0.25 g/mL 4 mL in ampoule for intramuscular use (NEBIDO)

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Esbjerg Og Grindsted Sygehus

3 Total trials 2 Ended
Academic / Non-commercial
Sponsor organisation
Esbjerg Og Grindsted Sygehus
Address
Finsensgade 35
City
Esbjerg
Postcode
6700
Country
Denmark

Scientific contact point

Organisation
Esbjerg Og Grindsted Sygehus
Contact name
Line Velling Magnussen

Public contact point

Organisation
Esbjerg Og Grindsted Sygehus
Contact name
Line Velling Magnussen

Third parties 1

OrganisationCity, countryDuties
Odense University Hospital
ORG-100007716
Odense C, Denmark On site monitoring, E-data capture, Code 8

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ended 64 1
Rest of world 0

Investigational sites

Denmark

1 site · Ended
Esbjerg Og Grindsted Sygehus
Endocrinology, Finsensgade 35, 6700, Esbjerg

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2020-12-15 2025-11-06 2020-12-15 2024-01-08

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protokol 7
Recruitment arrangements (for publication) K_recruitment arrangement placeholder 2
Subject information and informed consent form (for publication) Deltagerinformation 5
Subject information and informed consent form (for publication) Samtykkeerklring 5
Summary of Product Characteristics (SmPC) (for publication) Nebido produktresume 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-30 Denmark Acceptable
2024-09-19
2024-09-20