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Trial registered on ANZCTR
Registration number
ACTRN12614000962639
Ethics application status
Approved
Date submitted
26/08/2014
Date registered
9/09/2014
Date last updated
18/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
An open-label, phase 2, single centre, randomised, crossover pharmacokinetic study assessing two application areas of 0.5ml (5mg) of a testosterone 1% cream, ANDROFEME(Registered trademark) in healthy postmenopausal women
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Scientific title
An open-label, phase 2, single centre, randomised, crossover pharmacokinetic study assessing two application areas of 0.5ml (5mg) testosterone 1% cream, ANDROFEME(Registered trademark) in healthy postmenopausal women
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Secondary ID [1]
285191
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Androgen deficiency in postmenopausal women
292797
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Condition category
Condition code
Reproductive Health and Childbirth
293091
293091
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0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
5 mg (0.5ml) of testosterone 1% cream, ANDROFEME(Registered trademark) to be applied daily for 6 weeks ( 3 weeks for each application area) to two different sized applications areas- Application Site A is a small area, palm size, of the upper lateral thigh/ lower gluteal region and Application Site B is a broad application over the lateral thigh/ lower gluteal region.
There is no wash out between treatments.
Compliance determined by return of used tubes of cream and blood levels at each visit.
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Intervention code [1]
290058
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Treatment: Drugs
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Comparator / control treatment
We are investigating the pharmacokinetics of two different areas of application of the same drug in the same dose to decide which has the best clinical effect.
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Control group
Active
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Outcomes
Primary outcome [1]
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We will used testosterone levels measured by LCMS to calculate AUC(0-24) (the area under plasma concentration versus time plot from time 0 to 24 hours for two different sized application areas of 5mg testosterone 1% cream
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Assessment method [1]
292954
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Timepoint [1]
292954
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The pharmacokinetic assessment will be done on day 21-22 of treatment for each treatment cycle
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Primary outcome [2]
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To assess Cavg (the average plasma concentration of total and free testosterone during the 24 hour sampling period) using blood samples following application of 5 mg testosterone cream to two different sized application areas
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Assessment method [2]
293011
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Timepoint [2]
293011
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This assessment will be done on day 21-22 of treatment for each treatment cycle
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Primary outcome [3]
293012
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To assess Tmax (the time at which Cmax occurred) of total and free testosterone using blood samples following application of 5 mg testosterone 1% cream to two different sized application areas
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Assessment method [3]
293012
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Timepoint [3]
293012
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This assessment will be done on day 21-22 of treatment for each treatment cycle
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Secondary outcome [1]
310002
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To assess Cmin (the minimum plasma concentration during the 24 hour sampling period) of total and free testosterone using blood samples following application of 5 mg testosterone 1% cream to two different sized application areas
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Assessment method [1]
310002
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Timepoint [1]
310002
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This assessment will be done on day 21-22 of treatment for each treatment cycle
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Secondary outcome [2]
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To assess Cmax (the maximum plasma concentration during the 24 hour sampling period) of total and free testosterone using blood samples following application of 5 mg 1% testosterone cream to two different sized application areas
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Assessment method [2]
310142
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Timepoint [2]
310142
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This assessment will be done on day 21-22 of treatment for each treatment cycle
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Secondary outcome [3]
310143
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To assess % Fluctuation (with and without baseline correction) of total and free testosterone using blood samples following following application of 5 mg testosterone 1% cream to two different sized application areas
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Assessment method [3]
310143
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Timepoint [3]
310143
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This assessment will be done on day 21-22 of treatment for each treatment cycle
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Secondary outcome [4]
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To compare the profiles of other reproductive hormones including E1 (estrone), E2 (estradiol), DHT (Dihydrotestosterone )and the DHT metabolites 3 alpha and 3 beta diols in addition to SHBG (Sex Hormone Binding Globulin) using blood samples following application of 5 mg testosterone 1%cream to two different sized application areas
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Assessment method [4]
310144
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Timepoint [4]
310144
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This assessment will be done on day 21-22 of treatment for each treatment cycle
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Eligibility
Key inclusion criteria
Healthy naturally postmenopausal women aged 45-65 years
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Minimum age
45
Years
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Maximum age
65
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Allergy to almonds, major medical conditions or on recent hormonal treatment
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be recruited from the general community using advertising in the media and flyers and invited to contact the Women’s Health Research Program (WHRP). If eligible to participate they will attend the WHRP for 6 visits.
Participants are required to apply 0.5ml (5mg) of testosterone cream to two different sized application areas during the study periods in a random order. Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The centre will be allocated an initial computer generated randomization order by a statistician. Participants will be randomized to one of two treatment sequences AB or BA, where Application Site A is a small area, palm size, of the upper lateral thigh/ lower gluteal region and Application Site B is a broad application over the lateral thigh/ lower gluteal region. Participants will be assigned to sequence in a 1:1 ratio in a pre-determined block size.
Treatment should commence on the day of randomisation.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Pharmacokinetics
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/10/2014
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Actual
3/02/2015
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Date of last participant enrolment
Anticipated
1/06/2015
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Actual
25/08/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
15
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
8622
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3004 - Melbourne
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Funding & Sponsors
Funding source category [1]
289803
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Commercial sector/Industry
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Name [1]
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Lawley Pharmaceuticals
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Address [1]
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Unit 2/15A Harrogate Street, West Leederville, Western Australia 6007
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Country [1]
289803
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Lawley Pharmaceuticals
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Address
Unit 2/15A Harrogate Street, West Leederville, Western Australia 6007
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
288493
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Country [1]
288493
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291537
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Monash University Human Research Ethics Committee
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Ethics committee address [1]
291537
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Human Ethics Office First Floor, Building 3e Room 111 Monash Research Office Clayton Campus Monash University VIC 3800
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Ethics committee country [1]
291537
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Australia
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Date submitted for ethics approval [1]
291537
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12/08/2014
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Approval date [1]
291537
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15/10/2014
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Ethics approval number [1]
291537
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Summary
Brief summary
ANDROFEME (Registered trademark) cream is currently the only available testosterone product in Australia with widespread use in clinical practice. The available pharmacokinetics indicate the most appropriate dose for women is 0.5ml (5mg)/day. However the absorption of transdermal preparations is known to vary according to the area of application. This was not controlled for in prior studies. Furthermore, the investigators believe the upper arm is not an appropriate site for the drug application as 1) there is a greater risk of transfer of the applied drug to others; 2) contamination when blood is drawn for measuring testosterone levels is common (resulting in falsely elevated levels) and 3) the possibility of increased blood levels of testosterone in the ipsilateral breast. In this study we will evaluate the pharmacokinetics of two application sites of 0.5ml (5mg) of this testosterone 1% cream in postmenopausal women: an area on the upper outer thigh/ lower buttock approximately the size of the palm (approximately 80cm2) and a broad area on the outer thigh/ lower buttock (approximately 300cm2).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Susan Davis
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Address
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Women's Health Research Program
Monash University
Level 6, The Alfred Centre
99 Commercial Rd
Melbourne Victoria 3004
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Country
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Australia
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Phone
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+61 3 9903 0827
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Fax
50786
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+61 3 9903 0828
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Email
50786
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[email protected]
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Contact person for public queries
Name
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Susan Davies
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Address
50787
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Women's Health Research Program
Monash University
Level 6, The Alfred Centre
99 Commercial Rd
Melbourne Victoria 3004
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Country
50787
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Australia
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Phone
50787
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+61 3 9903 0827
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Fax
50787
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+61 3 99030828
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Email
50787
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[email protected]
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Contact person for scientific queries
Name
50788
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Susan Davis
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Address
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Women's Health Research Program
Monash University
Level 6, The Alfred Centre
99 Commercial Rd
Melbourne Victoria 3004
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Country
50788
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Australia
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Phone
50788
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+61 3 9903 0827
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Fax
50788
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+61 3 9903 0828
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Email
50788
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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