| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Men with hypogonadotropic hypogonadism treated with testosterone substitution |
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| MedDRA Classification |
| E.1.3 | Condition being studied is a rare disease | Yes |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
Is adding Letrozol to hypogonadotropic hypogonaal men, treated with Andriol, leading to an increase in serum testosterone levels? And if effective, how much is the increase?
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| E.2.2 | Secondary objectives of the trial |
Is adding Letrozol to men treated with Andriol, leading to a decrease of serum estrogen levels? Are fysiological levels reached?
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| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
1) Male 2) Age 20 - 70 years 3) Hypogonadotropic hypogonadism (serum testosterone < 10 nmol/L and serum LH < 9 U/L, sampled between 08.00 en 10.00, and 4 weeks after stopping previous testosteron substitution) 4) Andriol® substitution 2 x 80 mg mg/day, stable > 1 month 5) Adequate treatment for pituitary insufficiency other than LH deficiency
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| E.4 | Principal exclusion criteria |
1) Untreated pituitary tumor 2) Disease of the liver (> 2 times upper level of normal) 3) Disease of Kidney (serum creatinine > 150 µmol/L) 4) Cancer 5) Benign or malignant disease of prostate 6) Osteoporosis: T-score bonedensity (lumbal spine or hip) < -2.5 SD 7) Medication which can influence the metabolism of Andriol or Letrozol
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| E.5 End points |
| E.5.1 | Primary end point(s) |
-Testosterone levels (8 hourly taken for 24 hours) and after using letrozol in patients treated with testosterone replacement. -Estrogen levels (8 hourly taken for 24 hours) before and after using letrozol in patients treated with testosterone replacement. -LH and FSH before and after using letrozol. |
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| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | No |
| E.6.2 | Prophylaxis | No |
| E.6.3 | Therapy | Yes |
| E.6.4 | Safety | No |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | No |
| E.6.7 | Pharmacodynamic | No |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | No |
| E.6.10 | Pharmacogenetic | No |
| E.6.11 | Pharmacogenomic | No |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | No |
| E.7.1.1 | First administration to humans | No |
| E.7.1.2 | Bioequivalence study | No |
| E.7.1.3 | Other | No |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | Yes |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | No |
| E.8 Design of the trial |
| E.8.1 | Controlled | No |
| E.8.1.1 | Randomised | No |
| E.8.1.2 | Open | No |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | No |
| E.8.1.5 | Parallel group | No |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
| E.8.2.2 | Placebo | Information not present in EudraCT |
| E.8.2.3 | Other | Information not present in EudraCT |
| E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
| E.8.4 | The trial involves multiple sites in the Member State concerned | Information not present in EudraCT |
| E.8.5 | The trial involves multiple Member States | Information not present in EudraCT |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | No |
| E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
| E.8.7 | Trial has a data monitoring committee | No |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Letrozole will be discontinued if: -serum PSA rises to a level above 4 U/L in two measurements performed within 4 weeks in absence of inflammation -New and progressive symptoms of lower urinary obstruction, with or without an increase of PSA. -Persistence of symptoms possibly related to Letrozole -Wish of patient/side effects |
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| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | 2 |
| E.8.9.1 | In the Member State concerned months | |
| E.8.9.1 | In the Member State concerned days | |