This is a Phase I multicenter, double-blind, repeat dose, dose-escalating study, in healthy men to evaluate the safety and tolerability, pharmacokinetics, and pharmacodynamics of 11-β Methyl Nortestosterone Dodecylcarbonate (11β-MNTDC).
This repeat dose, dose-ranging study will be conducted at two centers: the Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center and the University of Washington. Two doses of 11β-MNTDC (200 mg and 400 mg) were selected for a dose-escalating 28-day repeat dose study. Twenty subjects will complete this study at each of the 11β-MNTDC (15 on 11β-MNTDC and 5 on placebo) yielding a total of 40 completed subjects (30 on 11β-MNTDC and 10 on placebo) across both sites. Safety will be assessed in subjects receiving the lower dosage before additional men receive the higher dose for 28 days. In addition to safety and tolerability, suppression of serum T, calculated free T, E2, gonadotropins (LH \& FSH), and SHBG will also be assessed as secondary pharmacodynamic (PD) endpoints. The 24-hour detailed PK of 11β-MNTDC will be assessed on Days 1 and 28. Trough levels of 11β-MNTDC will be obtained throughout the 28-day treatment period, at 48 and 72 hours (Days 30 and 31) after the last dose and at the End of Study visit (between Days 70-76).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
QUADRUPLE
Enrollment
43
Placebo capsules that look like the 11β-MNTDC capsules but with no active ingredients.
11β-MNTDC doses in castor oil/benzyl benzoate capsules (100 mg each) administered in 200 mg or 400 mg doses orally.
Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center
Torrance, California, United States
University of Washington Medical Center & Health Sciences
Seattle, Washington, United States
Incidence of treatment emergent adverse events (safety and tolerability) of repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in sodium (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in postassium (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in chloride (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in bicarbonate (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in fasting glucose (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in creatinine (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in calcium (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in total bilirubin (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in alkaline phosphatase (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
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Changes from baseline in alanine aminotransferase (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in aspartate transaminase (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in albumin (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in blood urea nitrogen (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in body mass index (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in blood pressure (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in pulse (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in respiratory rate (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Changes from baseline in QTc interval (safety and tolerability) with repeated daily oral dosing of 11β-MNTDC.
Time frame: 28 days
Pharmacokinetics of 11β-MNTDC using AUC (0-24).
Time frame: 28 days
Pharmacodynamics of 11β-MNTDC by assessing the suppression of serum Testosterone (T) using mean values at each visit.
Time frame: 28 days
Pharmacodynamics of 11β-MNTDC by assessing the suppression of Estradiol (E2) using mean values at each visit.
Time frame: 28 days
Pharmacodynamics of 11β-MNTDC by assessing the suppression of Follicle Stimulating Hormone (FSH) using mean values at each visit.
Time frame: 28 days
Pharmacodynamics of 11β-MNTDC by assessing the suppression of Luteinizing Hormone (LH) using mean values at each visit
Time frame: 28 days
Pharmacodynamics of 11β-MNTDC by assessing the suppression of Sex Hormone Binding Globulin (SHBG) using mean values at each visit.
Time frame: 28 days
Changes from baseline in sexual function (safety and tolerability) with 11β-MNTDC after 28 days of dosing using the psychosexual daily questionnaire.
Time frame: 28 days
Changes from baseline in mood (safety and tolerability) with 11β-MNTDC after 28 days of dosing using the Patient Health Questionnaire-9.
Time frame: 28 days