RECRUITING

52 Week Study of Safety, PK, & Efficacy of XYOSTED® for Testosterone Replacement in Male Adolescents With Hypogonadism

Conditions

Hypogonadism, Male primary hypogonadism secondary hypogonadism

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This is a 52-week open label single arm study to investigate the effects of XYOSTED, as testosterone replacement therapy, on adolescent males with either primary or secondary hypogonadism. The study aims to determine the effectiveness of XYOSTED measured by continuation or induction of puberty in addition to XYOSTED dosage, safety and testosterone levels.

Official Title

Open-Label, Multiple-Dose, 52-Week Study to Evaluate the Safety, PK, & Efficacy of XYOSTED® for Testosterone Replacement in Male Adolescents With Deficiency or Absence of Endogenous Testosterone Due to Primary or Secondary Hypogonadism

Quick Facts

Study Start:2025-02-05

Study Completion:2027-12

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:RECRUITING

Study ID

NCT06689085

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:12 Years to 17 Years

Sexes Eligible for Study:MALE

Accepts Healthy Volunteers:No

Standard Ages:CHILD

Inclusion Criteria	Exclusion Criteria
1. Diagnosed with a deficiency or absence of endogenous testosterone due to primary or secondary hypogonadism of a known etiology. Children with combined hormone deficiencies are permitted to enroll (but the child must already be receiving treatment for concomitant hormonal deficiencies) 2. Participants receiving prior testosterone treatment must be receiving a stable dose for at least 12 weeks prior to Screening 3. Have parent(s) or a legal guardian who will voluntarily provide written informed consent for the child to participate in the study 4. Willing to provide assent for participation in the study 5. Be a male 12 to \< 18 years of age at the time of consent/assent 6. Have Legally Authorized Representative who is able to understand and comply with all study procedures and agrees to have the child participate in the study program as outlined in the protocol 7. Requires chronic pharmacologic support for the initiation and/or continuation of pubertal maturation 8. Have a body mass index (BMI)-for-age greater than the 5th percentile and weigh ≥ 40 kg 9. If sexually active with a female partner of child-bearing potential, agrees to: 1. Practice true abstinence including 30 days after the last IP administration, or, 2. Use 2 adequate forms of highly effective contraception, one of which should be a physical barrier, during the study and for 30 days after the last IP administration.	1. Has abnormal thyroid function tests at Screening 2. Has suspected or known constitutional growth delay in growth and puberty (CDGP) 3. Has evidence of possible nutritional or gastrointestinal disorder that may impact growth (e.g., abrupt weight loss within the 3 months prior to Screening, unmanaged celiac disease, inflammatory bowel disease) 4. Has a known allergy or hypersensitivity to XYOSTED, or to any of its ingredients (testosterone enanthate and sesame oil) 5. Participants receiving prior treatment with testosterone who are not on a stable dose for at least 12 weeks prior to Screening. 6. Is receiving testosterone through a transdermal patch or gel in the 12 weeks prior to Screening. 7. Has an allergy to foods or products containing sesame seeds or sesame oil 8. Has Stage 1 hypertension, defined as the average of 2 or more seated right arm BP measurements exceeding the 95th percentile for age, sex, and height, or SBP ≥ 130 mm Hg and/or DBP ≥ 80 mm Hg (Flynn et al., 2017, in Appendix B), at Screening or Day 1. 9. Has a clinically significant abnormal clinical laboratory test value at Screening, as determined by the Investigator including hematocrit ≥ 48% 10. Has a history of deep venous thrombosis or pulmonary embolism 11. Has evidence of a clinically significant 12-lead electrocardiogram (ECG) abnormality at Screening, as determined by the Investigator 12. Has a current suspected or diagnosed (and unresected) tumor of the pituitary gland with the exception of Rathke's cleft cyst or a stable non-functioning pituitary microadenoma (ie, lesion size \< 10 mm that has not increased in size over a period of 1 year on repeat imaging), as determined by the Investigator 13. Has an active malignancy or has received treatment for a malignancy within the 12 months before Screening 14. Is currently receiving antipsychotic and/or selective serotonin reuptake inhibitor (SSRI) medications 15. Is receiving any other medication or has a condition that would preclude safe participation in the study or confound the evaluation of safety, as determined by the Investigator 16. Has a history of suicidal behavior (i.e., actions intended to harm oneself), suicidal ideation (ie, thoughts and plans about suicide), or suicide attempts 17. Has affirmative responses on the Columbia Suicide Severity Rating Scale (C-SSRS) questionnaire 18. Is currently taking supraphysiologic doses of systemic glucocorticoids for more than 3 weeks, except for intermittent short courses of exogenous glucocorticoids as needed for the treatment of asthma 19. Has received any other investigational compound within 1 month prior to screening or 5 half-lives of the investigational product (whichever is longer) 20. Has received gonadotropin-releasing hormone (GnRH) agonists, aromatase inhibitors, androgens (eg, dehydroepiandrosterone \[DHEA\]), anabolic steroids such as oxandrolone, or other sex steroids within 12 months before the Screening visit, or would require these treatments at any time during the study. 21. Receiving cytochrome P450 (CYP) 3A4 or P glycoprotein (P-gp) inhibitors/inducers or medications that are metabolized by CYP3A4 or P-gp within 30 days of enrolment. 22. Has a history of alcohol or drug abuse 23. Has a history or clinical manifestations of significant renal, hepatic, cardiovascular, metabolic, neurologic, psychiatric, or other conditions that would preclude participation in the study, as determined by the Investigator 24. Has chronic urticaria or dermatographism 25. Has 25-hydroxy-vitamin D blood level \< 20 ng/mL. Participants with initial vitamin D blood measurement \< 20 ng/mL may receive supplementation per clinical practice during Screening and be rescreened up to 2 times

Inclusion Criteria

Exclusion Criteria

1. Diagnosed with a deficiency or absence of endogenous testosterone due to primary or secondary hypogonadism of a known etiology. Children with combined hormone deficiencies are permitted to enroll (but the child must already be receiving treatment for concomitant hormonal deficiencies)
2. Participants receiving prior testosterone treatment must be receiving a stable dose for at least 12 weeks prior to Screening
3. Have parent(s) or a legal guardian who will voluntarily provide written informed consent for the child to participate in the study
4. Willing to provide assent for participation in the study
5. Be a male 12 to \< 18 years of age at the time of consent/assent
6. Have Legally Authorized Representative who is able to understand and comply with all study procedures and agrees to have the child participate in the study program as outlined in the protocol
7. Requires chronic pharmacologic support for the initiation and/or continuation of pubertal maturation
8. Have a body mass index (BMI)-for-age greater than the 5th percentile and weigh ≥ 40 kg
9. If sexually active with a female partner of child-bearing potential, agrees to:
1. Practice true abstinence including 30 days after the last IP administration, or,
2. Use 2 adequate forms of highly effective contraception, one of which should be a physical barrier, during the study and for 30 days after the last IP administration.

1. Has abnormal thyroid function tests at Screening
2. Has suspected or known constitutional growth delay in growth and puberty (CDGP)
3. Has evidence of possible nutritional or gastrointestinal disorder that may impact growth (e.g., abrupt weight loss within the 3 months prior to Screening, unmanaged celiac disease, inflammatory bowel disease)
4. Has a known allergy or hypersensitivity to XYOSTED, or to any of its ingredients (testosterone enanthate and sesame oil)
5. Participants receiving prior treatment with testosterone who are not on a stable dose for at least 12 weeks prior to Screening.
6. Is receiving testosterone through a transdermal patch or gel in the 12 weeks prior to Screening.
7. Has an allergy to foods or products containing sesame seeds or sesame oil
8. Has Stage 1 hypertension, defined as the average of 2 or more seated right arm BP measurements exceeding the 95th percentile for age, sex, and height, or SBP ≥ 130 mm Hg and/or DBP ≥ 80 mm Hg (Flynn et al., 2017, in Appendix B), at Screening or Day 1.
9. Has a clinically significant abnormal clinical laboratory test value at Screening, as determined by the Investigator including hematocrit ≥ 48%
10. Has a history of deep venous thrombosis or pulmonary embolism
11. Has evidence of a clinically significant 12-lead electrocardiogram (ECG) abnormality at Screening, as determined by the Investigator
12. Has a current suspected or diagnosed (and unresected) tumor of the pituitary gland with the exception of Rathke's cleft cyst or a stable non-functioning pituitary microadenoma (ie, lesion size \< 10 mm that has not increased in size over a period of 1 year on repeat imaging), as determined by the Investigator
13. Has an active malignancy or has received treatment for a malignancy within the 12 months before Screening
14. Is currently receiving antipsychotic and/or selective serotonin reuptake inhibitor (SSRI) medications
15. Is receiving any other medication or has a condition that would preclude safe participation in the study or confound the evaluation of safety, as determined by the Investigator
16. Has a history of suicidal behavior (i.e., actions intended to harm oneself), suicidal ideation (ie, thoughts and plans about suicide), or suicide attempts
17. Has affirmative responses on the Columbia Suicide Severity Rating Scale (C-SSRS) questionnaire
18. Is currently taking supraphysiologic doses of systemic glucocorticoids for more than 3 weeks, except for intermittent short courses of exogenous glucocorticoids as needed for the treatment of asthma
19. Has received any other investigational compound within 1 month prior to screening or 5 half-lives of the investigational product (whichever is longer)
20. Has received gonadotropin-releasing hormone (GnRH) agonists, aromatase inhibitors, androgens (eg, dehydroepiandrosterone \[DHEA\]), anabolic steroids such as oxandrolone, or other sex steroids within 12 months before the Screening visit, or would require these treatments at any time during the study.
21. Receiving cytochrome P450 (CYP) 3A4 or P glycoprotein (P-gp) inhibitors/inducers or medications that are metabolized by CYP3A4 or P-gp within 30 days of enrolment.
22. Has a history of alcohol or drug abuse
23. Has a history or clinical manifestations of significant renal, hepatic, cardiovascular, metabolic, neurologic, psychiatric, or other conditions that would preclude participation in the study, as determined by the Investigator
24. Has chronic urticaria or dermatographism
25. Has 25-hydroxy-vitamin D blood level \< 20 ng/mL. Participants with initial vitamin D blood measurement \< 20 ng/mL may receive supplementation per clinical practice during Screening and be rescreened up to 2 times

Contacts and Locations

Study Contact

Director Clinical Operations, MPH, CPM

CONTACT

609-331-1670

jbitsura@halozyme.com

Chief Medical Officer, MD, PhD

CONTACT

858-344-9400

ctheuer@halozyme.com

Study Locations (Sites)

MedResearch

El Paso, Texas, 79902

United States

Collaborators and Investigators

Sponsor: Halozyme Therapeutics

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-02-05

Study Completion Date2027-12

Study Record Updates

Study Start Date2025-02-05

Study Completion Date2027-12

Terms related to this study

Keywords Provided by Researchers

primary hypogonadism
secondary hypogonadism

Additional Relevant MeSH Terms

Hypogonadism, Male