A Comparison of Side Effects in Hypogonadal Men Treated With Natesto Versus Testosterone Injections
Condition: Hypogonadism, Male
MeSH terms: Hypogonadism; Eunuchism
Intervention: Testosterone Cypionate 200 Mg/ML; Intranasal Testosterone
Intervention description: Participants in this group will receive intramuscular testosterone cypionate injections of 1 cc (200mg) once every 14 days for four months.; Participant in this group will receive Intranasal testosterone administered using a multi-dose dispenser, as two or three daily doses (5.5 mg per nostril, 11.0 mg single dose) for 4 consecutive months,
Intervention MeSH terms: Methyltestosterone; Testosterone; Testosterone undecanoate; Testosterone enanthate; Testosterone 17 beta-cypionate
Phase: Phase 4
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Enrollment: 81.0
Sex: Male
Minimum age: 18 Years
Maximum age: 75 Years
Healthy volunteers: No
Keywords: Low T

Summary:

      The purpose of this study is to evaluate changes in vascular parameters and the prevalence of
      side effects in subjects receiving 1 cc (200mg) every 2 weeks intramuscular (IM) of
      Testosterone Cypionate versus subjects receiving 11mg three times daily (TID) Natesto to
      participant with clinical hypogonadism.
    

Eligibility criteria:

        Inclusion Criteria:

          1. Voluntarily sign and date the study consent form(s), which have been approved by an
             Institutional Review Board (IRB). Written consent must be obtained prior to the
             initiation of any study procedures.

          2. Documented diagnosis of primary hypogonadism (congenital or acquired) or
             hypogonadotropic hypogonadism (congenital or acquired).

          3. Serum total testosterone < 300 ng/dL on 2 measurements

          4. Naïve to androgen replacement or has discontinued current treatment and completed a
             washout of 4 months following androgen treatment.

          5. Men deemed to be candidates for TRT based on the results of a medical history,
             physical examination, vital signs, laboratory profile and a 12-lead electrocardiogram
             (ECG).

        Exclusion Criteria:

          1. History of significant sensitivity or allergy to androgens, or product excipients.

          2. Clinically significant findings in the pre-study examinations including abnormal
             breast examination requiring follow-up, abnormal ECG.

          3. Abnormal prostate digital rectal examination (DRE) with palpable nodule(s)

          4. Body mass index (BMI) ≥ 40 kg/m2.

          5. Clinically significant abnormal laboratory value, in the opinion of the investigator,
             in serum chemistry, hematology, or urinalysis including but not limited to:

               1. Baseline hemoglobin > 16 g/dL or Hematocrit (HCT) 48%

               2. Prostate Specific Antigen (PSA) > 4 ng/mL

          6. History of seizures or convulsions, including febrile, alcohol or drug withdrawal
             seizures.

          7. History of any clinically significant illness, infection, or surgical procedure within
             4 weeks prior to study drug administration.

          8. History of stroke or myocardial infarction within the past 5 years.

          9. History of, or current or suspected, prostate or breast cancer.

         10. History of diagnosed, severe, untreated, obstructive sleep apnea.

         11. History of abuse of alcohol or any drug substance in the opinion of the investigator
             within the previous 2 years.

         12. Donation or loss of 550 mL or more blood volume (including plasmapheresis) or receipt
             of a transfusion of any blood product within 12 weeks prior to the start of treatment.

         13. Inadequate venous access for collection of serial blood samples required for
             pharmacokinetic profiles.

         14. Receipt of any subcutaneous testosterone pellets within the last 6 months.

         15. Inability to understand and provide written informed consent for the study.