Pharmacodynamics and safety of human recombinant luteinising hormone in hypogonadotropic hypogonadal men

2024-518159-52-02 Phase II and Phase III (Integrated) Ended

End 4 Apr 2025 · Status Ended · 1 EU/EEA countries · 4 sites

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Ended
Participants planned 1
Countries 1
Sites 4

Hypogonadotropic hypogonadism

The general clinical question is whether LH supplementation could be more efficient than hCG in those cases in which LH-activity is required, such as men with HH or male infertility. Since LH has never been used in men so far, the primary object of this study is the assessment of pharmacodynamics of human recombinant L…

Key facts

Sponsor
Department Of Biomedical Metabolic And Neural Sciences
Participant type
Patients
Age range
18-64 years
Gender
Male
Therapeutic area
Diseases [C] - Hormonal diseases [C19]
Trial duration
completed 4 Apr 2025
Decision date (initial)
2025-01-27
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-518159-52-02
EudraCT number
2019-004677-12

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Pharmacodynamic

The general clinical question is whether LH supplementation could be more efficient than hCG in those cases in which LH-activity is required, such as men with HH or male infertility. Since LH has never been used in men so far, the primary object of this study is the assessment of pharmacodynamics of human recombinant LH in men. To this end, this study will evaluate the pharmacodynamics of recombinant LH (Luveris) and compare the response to Luveris and urinary hCG (Gonasi HP), the latter representing the standard of care, in terms of testosterone serum levels. Men with HH men are the best model for this comparison. Pharmacodynamics will be assessed primarily by testosterone levels in response to increasing doses of LH and in comparison to hCG.

Secondary objectives 1

  1. Identification of the LH dosages needed to restore normal testosterone production in men with acquired HH and of the relationship between LH administered and testosterone increase, e.g. in terms of % serum testosterone increase per IU of LH. 2. Identification of the hCG dosages needed to restore normal testosterone production in men with acquired HH and of the relationship between hCG administered and testosterone increase, e.g. in terms of % serum testosterone increase per IU of hCG. 3. Testicular size 4. Full Safety profile (see below, the appropriate paragraph).

Conditions and MedDRA coding

Hypogonadotropic hypogonadism

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-518159-52-00 Pharmacodynamics and safety of human recombinant luteinising hormone in hypogonadotropic hypogonadal men Department Of Biomedical Metabolic And Neural Sciences
2024-518159-52-01 Pharmacodynamics and safety of human recombinant luteinising hormone in hypogonadotropic hypogonadal men Department Of Biomedical Metabolic And Neural Sciences

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Hypogonadotropic hypogonadism

Exclusion criteria 1

  1.  Iatrogenic HH forms, such as traumatic pituitary stalk interruption syndrome, irradiation, high dose corticosteroids, and anabolic steroids  Drug abuse and major systemic diseases  Chronic severe liver disease  Concomitant illnesses which could interfere with the study participation  Active malignancy diseases  Known or possible androgen-dependent tumors for example male breast carcinoma or prostatic carcinoma  Cardiac failure, hypertension, renal dysfunction, migraines, or epilepsy. (since aggravation or recurrence may occasionally be induced as a result of increased androgen production)  Haematocrit <40% or >54%  Syndromic congenital HH are excluded since these genetic forms of HH could be related to other systemic diseases, which could bias the selection of patients. 12  Hypersensitivity to any of the component of the two IMPs (including excipients)  Hypothalamic or pituitary cancer  Active thrombophlebitis

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Total testosterone serum levels

Investigational products

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

Test 1

Lutropin Alfa

SCP8246432 · ATC

Active substance
Lutropin Alfa
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
300 IU/l international unit(s)/litre
Max total dose
10500 IU/l international unit(s)/litre
Max treatment duration
8 Week(s)
Authorisation status
Authorised
ATC code
G03GA07 — LUTROPIN ALFA
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Department Of Biomedical Metabolic And Neural Sciences

Sponsor organisation
Department Of Biomedical Metabolic And Neural Sciences
Address
Via Giuseppe Campi 287
City
Modena
Postcode
41125
Country
Italy

Scientific contact point

Organisation
Department Of Biomedical Metabolic And Neural Sciences
Contact name
Clinical trial information

Public contact point

Organisation
Department Of Biomedical Metabolic And Neural Sciences
Contact name
Clinical trial information

Locations

1 EU/EEA country · 4 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ended 1 4
Rest of world 0

Investigational sites

Italy

4 sites · Ended
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Fondazione IRCCS Ca' Grande Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122, Milan
Universita Degli Studi Di Roma La Sapienza
Department of Experimental Medicine, Section of Medical Pathophysiology, Food Science and Endocrinol, Viale Dell'universita' 37, 00185, Rome
Department Of Biomedical Metabolic And Neural Sciences
Department of Biomedical, Metabolic and Neural Sciences, Via Giuseppe Campi 287, 41125, Modena
Universita' Degli Studi Di Napoli Federico II
Dipartimento di Medicina Clinica e Chirurgia, Sezione di Endocrinologia, Corso Umberto I, 80138, Naples

Results and documents

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

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Rhythm_Final Report
SUM-110594
2025-12-11T10:04:23 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Rhythm_Lay person summary of results 2025-12-11T10:04:18 Submitted Laypersons Summary of Results

Documents 7 files

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

TypeTitleVersion
Laypersons summary of results (for publication) Rhythm_Lay person summary of results_11-12-25 1
Protocol (for publication) 2_Protocollo_versione 5 del 05-10-23_clean_signed 1
Recruitment arrangements (for publication) 8- Lettera al MMG_versione 2 del 05-10-23_clean_signed 1
Subject information and informed consent form (for publication) Consent_versione 3 del 05-10-2023 1
Summary of Product Characteristics (SmPC) (for publication) Spc_Luveris 1
Summary of results (for publication) Rhythm_Final Report_21-11-25_Final 1
Synopsis of the protocol (for publication) Synopsis 4

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-12-04 Italy Acceptable
2025-01-21
2025-01-27