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Trial registered on ANZCTR
Registration number
ACTRN12621001753842p
Ethics application status
Submitted, not yet approved
Date submitted
23/11/2021
Date registered
21/12/2021
Date last updated
21/12/2021
Date data sharing statement initially provided
21/12/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Randomized Placebo-Controlled Clinical Trials on the Effect of human chorionic gonadotrophin (hCG) on Recovery from Non-Prescribed Androgen Use
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Scientific title
Randomized Placebo-Controlled Clinical Trials on the Effect of human chorionic gonadotrophin (hCG) on Recovery from Non-Prescribed Androgen Use
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Secondary ID [1]
305869
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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 abuse
324418
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Condition category
Condition code
Metabolic and Endocrine
321915
321915
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0
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Other endocrine disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A single subcutaneous injection of:
hCG in a dose of 5000 IU or saline placebo once a week for 4 weeks. The injection will be administered by study staff at the study site and documented as given or otherwise.
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Intervention code [1]
322265
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Treatment: Drugs
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Comparator / control treatment
Saline placebo injected subcutaneously.
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Control group
Placebo
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Outcomes
Primary outcome [1]
329657
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Composite measure of recovery based on serum LH and FSH
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Assessment method [1]
329657
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Timepoint [1]
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4 weeks AFTER treatment finishes
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Secondary outcome [1]
403328
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Time course of Quality of life (SF12) questionnaires.
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Assessment method [1]
403328
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Timepoint [1]
403328
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at 4 and 8 weeks after post treatment
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Secondary outcome [2]
403329
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Time course of Quality of life (PDQ) questionnaires
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Assessment method [2]
403329
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Timepoint [2]
403329
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at 4 and 8 weeks post treatment
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Secondary outcome [3]
403330
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Time course of Quality of life and psychosexual function questionnaires (IIEF)
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Assessment method [3]
403330
0
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Timepoint [3]
403330
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at 4 and 8 weeks post treatment
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Secondary outcome [4]
403331
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Time course of changes in mood (PHQ-9)
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Assessment method [4]
403331
0
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Timepoint [4]
403331
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at 4 and 8 weeks post treatment
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Secondary outcome [5]
403332
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Time course of onset of anxiety and depression, if any, using HADS questionnaires
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Assessment method [5]
403332
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Timepoint [5]
403332
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at 4 and 8 weeks post treatment
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Eligibility
Key inclusion criteria
• Men over 18 years old in otherwise good health
• Characteristic androgen deficiency-type withdrawal symptoms (lethargy, easy fatigue, sexual dysfunction, male infertility)
• History of androgen abuse defined as having had at least two characteristic periods of using of nonprescribed androgens within a year with the most recent ending within the previous 4 weeks
• Intend to stop using any exogenous androgens by start of, and during, study
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
• History of any chronic disease or condition requiring regular medical management
• History of hypothalamo-pituitary or testicular dysfunction unrelated to androgen abuse
• Allergic or other severe adverse reaction to hCG injections or letrozole and their ingredients
• History of major psychiatric disease or psychological condition that, in the investigator’s opinion, may limit understanding and compliance with the requirement of this study
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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)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by computer
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Standard analysis for RCT using linear mixed model for repeated measures with multiple covariates
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
10/01/2022
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Actual
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Date of last participant enrolment
Anticipated
31/12/2022
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Actual
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Date of last data collection
Anticipated
1/04/2023
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Actual
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Sample size
Target
45
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
21385
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Concord Repatriation Hospital - Concord
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Recruitment postcode(s) [1]
36051
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2139 - Concord Repatriation Hospital
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Funding & Sponsors
Funding source category [1]
310220
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Government body
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Name [1]
310220
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NHMRC
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Address [1]
310220
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
310220
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Australia
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Primary sponsor type
Government body
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Name
Sydney Local Health District (SLHD)
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Address
Level 11, KGV Building
Missenden Road
CAMPERDOWN NSW 2050
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Country
Australia
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Secondary sponsor category [1]
311579
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None
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Name [1]
311579
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Address [1]
311579
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Country [1]
311579
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
309903
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Sydney Local Health District HREC (CRGH Zone)
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Ethics committee address [1]
309903
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Concord Repatriation General Hospital Hospital Road, Concord NSW 2139
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Ethics committee country [1]
309903
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Australia
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Date submitted for ethics approval [1]
309903
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01/11/2021
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Approval date [1]
309903
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Ethics approval number [1]
309903
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Summary
Brief summary
AIMS OF THIS STUDY To test model PCT-style regimen of hCG , framed in the most plausible endocrinological context, to evaluate their efficacy in accelerating the recovery of male reproductive function of abstinent androgen abusers. This randomized double-blind placebo-controlled clinical trial is designed to test the efficacy and safety of a pharmacological treatment as part of a future rehabilitation program for androgen abusers. To the best of our knowledge, no similar study has been undertaken or reported elsewhere. OBJECTIVES To investigate the efficacy of weekly hCG treatment over 4 weeks to accelerate recovery of the male reproductive system of abstinent androgen abusers at 4 and 8 weeks after cessation of trial drug treatment. STUDY POPULATION Androgen abusers who are planning to stop or have recently ceased androgen abuse will be recruited through local advertising, social media postings and word of mouth. STUDY DESIGN Randomized, double-blind, placebo-controlled, parallel group study with 4 weeks of drug (active or placebo) treatment. The primary endpoint is the extent of recovery of the male reproductive system as indicated by a composite measure of serum LH and FSH at 4 and 8 weeks after cessation of study drug treatment.
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Trial website
Nil
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Trial related presentations / publications
Nil
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Public notes
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Contacts
Principal investigator
Name
115778
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Prof David J Handelsman
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Address
115778
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Andrology Department, CRGH & ANZAC Research Institute, Hospital Road, CRGH NSW 2139 Australia
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Country
115778
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Australia
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Phone
115778
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+61 2 9767 7222
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Fax
115778
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+61 2 9767 7221
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Email
115778
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[email protected]
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Contact person for public queries
Name
115779
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David J Handelsman
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Address
115779
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Andrology Department, CRGH & ANZAC Research Institute, Hospital Road, CRGH NSW 2139 Australia
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Country
115779
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Australia
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Phone
115779
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+61 2 9767 7222
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Fax
115779
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+61 2 9767 7221
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Email
115779
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[email protected]
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Contact person for scientific queries
Name
115780
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David J Handelsman
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Address
115780
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Andrology Department, CRGH & ANZAC Research Institute, Hospital Road, CRGH NSW 2139 Australia
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Country
115780
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Australia
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Phone
115780
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+61 2 9767 7222
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Fax
115780
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+61 2 9767 7221
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Email
115780
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
All data including lab tests performed in NATA-accredited hospital laboratories. Some research analyses from non-NATA accredited labs may be shared
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When will data be available (start and end dates)?
Available from study completion with no end date determined.
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Available to whom?
All reasonable requests from suitably qualified investigators
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Available for what types of analyses?
Research
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How or where can data be obtained?
From study PI (
[email protected]
)
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
14195
Study protocol
[email protected]
14196
Ethical approval
[email protected]
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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