Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43871   clinical trials with a EudraCT protocol, of which   7290   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Print Download

    Summary
    EudraCT Number:2016-002498-36
    Sponsor's Protocol Code Number:CCN017
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2021-01-21
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2016-002498-36
    A.3Full title of the trial
    Clinical Evaluation of Daily Application of Nestorone® (NES) and Testosterone (T) Combination Gel for Male Contraception
    Valutazione clinica dell’applicazione giornaliera di gel combinatorio Nestorone® (NES) e testosterone (T) per la contraccezione maschile
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    determine contraceptive efficacy for a couple provided by daily application by the male partner of a gel containing testosterone (T) and Nestorone (NES)
    valutazione dell'efficacia contraccettiva per una coppia nella quale il partner applica quotidianamente un gel contenente testosterone (T) e Nestorone (NES)
    A.3.2Name or abbreviated title of the trial where available
    CCN017
    CCN017
    A.4.1Sponsor's protocol code numberCCN017
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorNon-Commercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportNational Institutes of Chiald Health- Eunice Kennedy Shriver National Institute of Chiald Health and Human Development (
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationHealth Decisions
    B.5.2Functional name of contact pointHD CCTN Oversight
    B.5.3 Address:
    B.5.3.1Street Address2510 Meridian Parkway
    B.5.3.2Town/ cityDurham, NC
    B.5.3.3Post code27713-2260
    B.5.3.4CountryUnited States
    B.5.6E-mailHDCCTNoversight@healthdec.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameNestorone® (NES) and Testosterone combined gel
    D.3.2Product code [NES-8/T-62]
    D.3.4Pharmaceutical form Gel
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPTransdermal use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNTestosterone
    D.3.9.1CAS number 58-22-0
    D.3.9.2Current sponsor code58-22-0
    D.3.9.4EV Substance CodeSUB10937MIG
    D.3.10 Strength
    D.3.10.1Concentration unit % (W/W) percent weight/weight
    D.3.10.2Concentration typenot less then
    D.3.10.3Concentration number1
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameNestorone and Testosterone transdermal gel
    D.3.2Product code [XEVMPD]
    D.3.4Pharmaceutical form Gel
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPTransdermal use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNNestorone
    D.3.9.1CAS number 7759-35-5
    D.3.9.2Current sponsor code7759-35-5
    D.3.10 Strength
    D.3.10.1Concentration unit % (W/W) percent weight/weight
    D.3.10.2Concentration typeup to
    D.3.10.3Concentration number1
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    As the clinical trial is intended to investigate a new contraceptive medicinal product, the trial subjects included are not characterized by a specific medical condition.
    Poiché la Sperimentazione Clinica riguarda un nuovo metodo contraccettivo, i soggetti che verranno inclusi non si caratterizzano per una specifica condizione clinica
    E.1.1.1Medical condition in easily understood language
    As the clinical trial is intended to investigate a new contraceptive medicinal product, the trial subjects included are not characterized by a specific medical condition.
    Poiché la Sperimentazione Clinica riguarda un nuovo metodo contraccettivo, i soggetti che verranno inclusi non si caratterizzano per una specifica condizione clinica
    E.1.1.2Therapeutic area Body processes [G] - Reproductive physiologi cal processes [G08]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level PT
    E.1.2Classification code 10065589
    E.1.2Term Male contraception
    E.1.2System Organ Class 10042613 - Surgical and medical procedures
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The primary objective of the study is to determine contraceptive efficacy for a couple provided by daily application by the male partner of a gel containing testosterone (T) and Nestorone (NES) for a period of 52 weeks (about 12 months).
    L'obiettivo primario dello studio è quello di determinare l'efficacia contraccettiva per una coppia nella quale il partner applica quotidianamente un gel contenente testosterone (T) e Nestorone (NES) per un periodo di 52 settimane (circa 12 mesi).
    E.2.2Secondary objectives of the trial
    The secondary objectives of the study are to assess the safety and acceptability of the NES 8 mg/day + T 62 mg/day (NES-8/T-62) gel.
    Gli obiettivi secondari dello studio consistono nel valutare la sicurezza e l'accettabilità del gel NES 8 mg/die + T 62 mg/die (NES-8/T-62).
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Male Partner Inclusion Criteria: Men who meet all the following criteria will be eligible for enrollment in the trial:
    1. Good health as confirmed by medical history, physical examination, and clinical laboratory tests of blood and urine at the time of screening; 2. 18 to 50 years of age, at the enrollment visit; 3. BMI < 33 kg/m2; 4. No history of androgen use in the six months prior to the first screening visit; 5. Agreement to use an effective method of contraception with his female partner (refer to Appendix 11 for acceptable forms of contraception) during the suppression and recovery phases and then only use the experimental method during the efficacy phase of the study; 6. In the opinion of the investigator, the male subject is willing and able to comply with the protocol; 7. The subject is legally competent, has been informed of the nature, the scope and the relevance of the study, voluntarily agrees to participation and the study’s provisions and has duly signed the informed consent form (ICF); 8. Sexually active with a female partner (as specified below) with whom he has been in a stable, mutually monogamous relationship for at least 1 yearprior to screening and with whom he intends to remain in a relationship for the duration of the study; 9. No known infertility; 10. Normal reproductive state as demonstrated by:- Sperm concentration =15 million/mL in two semen samples and with no gross abnormalities of sperm motility and morphology on at least one semen sample assessment;- Screening Testosterone within the study site’s local lab normalreference range for adult men; 11. Willingness to accept a low but unknown risk of conceiving a pregnancyfor the duration of the trial.

    Female Partner – Inclusion Criteria: Women who meet all the following criteria will be eligible for enrollment in the trial: 1. Good general health with no chronic medical conditions that result in periodic exacerbations which require significant medical care or are known to affect fertility; 2. Aged between 18 and 34 years, inclusive, at the enrollment visit; 3. Have regular menstrual cycles of 21-35 days in duration, per patient report, when not using hormonal contraception. If hormonal contraception has been used, the following applies:
    a. If recently used intramuscular Depo-Provera, must have had last injection at least 3 months prior enrollment; b. If using an IUD or an implant, she is planning to have this removed for purposes unrelated to enrollment in the study prior to entering the efficacy phase; c. Completion of her last pack of oral contraceptives or completion of effectiveness period for a monthly injection, patch or ring if any has been used prior to entering the efficacy phase; 4. Have intact uterus and at least one ovary; 5. The subject is legally competent, has been informed of the nature, the scope and the relevance of the study, voluntarily agrees to participation and the study’s provisions and has duly signed the informed consent form (ICF); 6. Consistent use of effective contraception during the preceding cycle prior
    to enrolling; 7. No known infertility; 8. Intends to remain in a monogamous relationship with male study partner (as specified above). (Note: this study will not provide her contraception for intercourse with any other male partners); 9. Be at risk for pregnancy with participating male partner (heterosexual vaginal intercourse at least once per cycle and not sterilized); 10. Have a negative pregnancy test at enrollment;11. Willingness to accept a low but unknown risk of pregnancy and able to understand the need for follow-up in case of pregnancy; 12. No medical contraindication to pregnancy;
    Partner di sesso maschile Criteri di inclusione: Gli uomini che soddisfano tutti i seguenti criteri saranno eleggibili per l’arruolamento nella sperimentazione: 1. Buona salute confermata da anamnesi, esame obiettivo e test clinici di laboratorio di sangue e urina al momento dello screening; 2. Da 18 a 50 anni, alla visita di arruolamento; 3. BMI < 33 kg/m2; 4. Nessuna storia di uso di androgeni nei sei mesi precedenti la prima visita di screening; 5. Disponibilità a utilizzare un metodo efficace di contraccezione con la partner durante le fasi di soppressione e recupero e quindi utilizzare solo il metodo sperimentale durante la fase di efficacia dello studio; 6. Secondo lo sperimentatore, il soggetto di sesso maschile è disposto e in grado di conformarsi al protocollo; 7. Il soggetto è giuridicamente competente, è stato informato della natura, della portata e della pertinenza dello studio, acconsente volontariamente alla partecipazione e alle disposizioni dello studio e ha debitamente firmato il modulo di consenso informato (ICF); 8. Sessualmente attivo con una partner (come specificato di seguito) con cui è stato in una relazione stabile e monogama per almeno 1 anno prima dello screening e con la quale intende mantenere la relazione per la durata dello studio; 9. Nessuna infertilità nota;10. Stato riproduttivo normale come dimostrato da:• Concentrazione di sperma =15 milioni/ml in due campioni di seme e senza anomalie evidenti di motilità e morfologia dello sperma su almeno una valutazione del campione di sperma; • Testosterone allo screening rientrante nell’intervallo di riferimento normale del laboratorio del centro dello studio per gli uomini adulti 11. Disponibilità ad accettare un rischio basso ma sconosciuto di gravidanza per la durata della sperimentazione.
    Partner di sesso femminile Criteri di inclusione: Le donne che soddisfano tutti i seguenti criteri saranno eleggibili per l’arruolamento nella sperimentazione:1. Buona salute generale senza condizioni mediche croniche che provocano esacerbazioni periodiche che richiedono cure mediche significative o che sono note per influenzare la fertilità; 2. Di età compresa tra 18 e 34 anni, compresi, alla visita di arruolamento; 3. Con cicli mestruali regolari di 21-35 giorni di durata, come riferito dalla paziente, quando non usa contraccezione ormonale. Se è stata utilizzata contraccezione ormonale, vale quanto segue: a. se si è utilizzato di recente Depo-Provera intramuscolare, l'ultima iniezione deve essere stata effettuata almeno 3 mesi prima dell'arruolamento; b. se utilizza un dispositivo o un impianto intrauterino, deve essere in previsione la rimozione per scopi non legati all'arruolamento nello studio prima di accedere alla fase di efficacia; c. completamento dell’ultima confezione di contraccettivi orali o termine del periodo di efficacia per un’iniezione mensile, un cerotto o anello se sono stati utilizzati prima di accedere alla fase di efficacia; 4. Utero ed almeno un ovaio intatti; 5. Il soggetto è giuridicamente competente, è stato informato della natura, della portata e della pertinenza dello studio, acconsente volontariamente alla partecipazione e alle disposizioni dello studio e ha debitamente firmato il modulo di consenso informato (ICF); 6. Utilizzo coerente di una contraccezione efficace durante il ciclo precedente prima dell'arruolamento; 7. Nessuna sterilità nota; 8. Intende rimanere in una relazione monogama con il partner di studio (come sopra specificato). (Nota: questo studio non fornirà alla partecipazione contraccezione per rapporti sessuali con altri partner); 9. Essere a rischio di gravidanza con il partner partecipante (rapporti vaginali eterosessuali almeno una volta per ciclo e non sterilizzata); 10. Test di gravidanza negativo all'arruolamento; 11. Disponibilità ad accettare un rischio basso ma ignoto di gravidanza e in grado di comprendere la necessità di follow-up in caso di gravidanza; 12. Nessuna controindicazione medica alla gravidanza.
    E.4Principal exclusion criteria
    Male Partner : 1.Men participating in another clinical trial involving an investigational drug within the last 30 days (or within five half-lives of the investigational drug, whichever is longer) prior to the first screening visit 2.Men not living in the catchment’s area of the study site or within a reasonable distance from the site. 3. CS abnormal findings at screening per the Investigator’s medical judgment. 4. PSA levels = 4 ng/mL 5. Abnormal serum chemistry values that may indicate clinically significant liver or kidney dysfunction 6. Use of androgens or other anabolic steroids that may suppress gonadotropins within 6 months prior to the first screening visit 7. DBP = 85 and SBP = 135 mm Hg; (BP will be taken three times at approximately 5 minute intervals and the mean of the last two of the three measurements will be used to determine eligibility). 8. History of hypertension, including hypertension controlled with treatment. 9. Known history of primary testicular disease or disorders of the hypothalamic-pituitary axis. 10. Known hypersensitivity to progestins or testosterone or any excipient of the investigational product. 11. History of prostate, testicular or breast carcinoma. 12. IPSS > 15 13. Known history of reproductive dysfunction including vasectomy or infertility. 14. Known history of significant cardiac, renal, hepatic or prostatic disease. 15. History of thromboembolic disease. 16. A serious systemic disease such as diabetes mellitus (including diabetes controlled with treatment) or HIV. 17. Current active or ongoing hepatitis infection. 18. History of untreated sleep apnea 19. Known or suspected current alcohol dependence syndrome, chronic marijuana use, or any illicit drug use that may affect metabolism/transformation of steroid hormones and study treatment compliance. 20. Any skin condition that might interfere with absorption of gel. 21. Couples desiring fertility within the study participation period (approx 104 weeks from screening to end of recovery). 22. PHQ9 score =15 or history of severe depression or other serious mental health disorder, including ongoing use of an anti-depressant. 23. Men participating in competitive sports where drug screening for prohibited substances (including anabolic steroids) is routine. Exclusion is due to the potential of testing positive for androgens that may occur from their study participation coupled with the unknown efficacy (i.e. duration of positive testing) of a single application. 24. Use of sex steroids or medications which might interfere with steroid metabolism (i.e. ketoconazole, finasteride, oral corticosteroids, dutasteride and statins). 25. Use of anticoagulants. 26. Use of medications that will interfere or interact with Nestorone or Testosterone (see Appendix 2). 27. Use of oily cosmetic skin gels/products that would prevent absorption of steroids. 28. Previous participation in this clinical trial. 29. Any site staff member with delegated study responsibilities or a family member of a site staff member with delegated study responsibilities. 30. Have issues or concerns (in the judgment of the investigator) that maycompromise the safety of the subject or confound the reliability of compliance and information acquired in this study.
    Female Partner:1. Desire to become pregnant during the study.2. Breastfeeding. 3. Known or suspected current alcoholism or drug abuse.4. Participation in another clinical trial involving an investigational drug within the last 30 days prior to the first screening visit.5. Currently pregnant. 6. Known hypersensitivity to progestins or testosterone.7. Previous participation in this clinical trial. 8. Any site staff member with delegated study responsibilities or a family member of a site staff member with delegated study responsibilities. 9. Have issues or concerns (in the judgment of the investigator) that may compromise the safety of the subject or confound the reliability of compliance and information acquired in this study.
    Sesso M:1.Uomini che hanno partecipato ad un altro studio clinico negli ultimi 30 gg(o entro 5 emivite del farmaco sperimentale, a seconda di quale sia più lungo) prima della visita di screening 2.Uomini che non vivono nel bacino di utenza del centro dello studio o entro una distanza ragionevole dal centro 3.Risultati anomali clinicamente significativi allo screening secondo giudizio dello sperimentatore 4.Livelli PSA=4ng/ml. 5.Valori anomali della chimica sierica che possono indicare disfunzione epatica o renale clinicamente significativa 6.Uso androgeni o altri steroidi anabolizzanti che potrebbe sopprimere le gonadotropine entro 6 mesi prima della prima visita di screening 7.Pressione arteriosa diastolica =85 e pressione arteriosa sistolica =135mmHg (la pressione è letta 3 volte a intervalli di circa 5min e la media delle ultime 2 misurazioni tra le 3 effettuate verrà usata per determinare ammissibilità) 8.Storia di ipertensione, tra cui ipertensione controllata con la terapia 9.Storia nota di patologia testicolare primaria o disturbi asse ipotalamo-ipofisi 10.Ipersensibilità nota a progestinici o testosterone o eccipienti del prodotto sperimentale 11.Storia di cancro a prostata, testicoli o seno 12.Sintomi prostatici significativi(IPSS > 15) 13.Storia nota di disfunzione riproduttiva, tra cui vasectomia o infertilità 14.Storia nota di malattia cardiaca, renale, epatica o prostatica significativa 15.Storia di malattia tromboembolica 16.Grave malattia sistemica come diabete mellito(tra cui il diabete controllato con terapia) o HIV 17.Infezione corrente attiva o in corso di epatite 18.Storia di apnea del sonno non trattata 19.Sindrome da dipendenza da alcool attualmente nota o sospetta,uso cronico di marijuana o qualsiasi uso illecito di droga che possa influenzare il metabolismo/trasformazione degli ormoni steroidei e compliance al trattamento dello studio 20.Qualsiasi condizione della pelle che potrebbe interferire con assorbimento del gel 21.Coppie che desiderano la fertilità all'interno del periodo di partecipazione allo studio(circa 104 settimane da screening fino a fine recupero) 22.Punteggio PHQ9=15 o storia di depressione grave o altri disturbi gravi di salute mentale, compreso uso continuo di un antidepressivo 23.Uomini che partecipano a competizioni sportive in cui viene eseguito di routine screening farmacologico per sostanze proibite(compresi steroidi anabolizzanti). L'esclusione è dovuta a possibilità di esito positivo al test per gli androgeni che può essere dovuto a partecipazione allo studio, associato ad efficacia non nota(ovvero, durata di esiti di test positivi) di 1 singola applicazione 24.Uso steroidi o farmaci sessuali che possono interferire con il metabolismo degli steroidi (ad es.ketoconazolo,inasteride,corticosteroidi per via orale,dutasteride e statine) 25.Uso di anticoagulanti 26.Uso di farmaci che interferiscono o interagiscono con Nestorone o testosterone 27.Uso gel/prodotti cosmetici per pelle a base di oli che potrebbero impedire assorbimento di steroidi 28.Partecipazione precedente a questa sperimentazione clinica 29.Qualsiasi membro del centro con responsabilità di studio delegate o un familiare di un membro del centro con responsabilità delegate nello studio. Sesso F:1.Desiderio di rimanere incinta durante lo studio 2.Allattamento al seno 3.Alcolismo o abuso di droghe noto o sospetto 4.Partecipazione ad altra sperimentazione clinica che coinvolge un farmaco sperimentale negli ultimi 30 gg prima della prima visita di screening 5.Attualmente incinta 6.Ipersensibilità nota a progestinici o testosterone 7.Partecipazione precedente a questo studio clinico 8.Qualsiasi membro del centro con responsabilità di studio delegate o un familiare di un membro del centro con responsabilità delegate nello studio 9.Problemi o preoccupazioni(secondo lo sperimentatore) che possano compromettere la sicurezza del soggetto e turbare affidabilità per adempienza e per informazioni acquisite nel corso dello studio.
    E.5 End points
    E.5.1Primary end point(s)
    Twelve-month (365 days) cumulative contraceptive efficacy in couples, during the efficacy portion of the study, in which the male partner usesthe product daily to suppress sperm production and the couple uses the method as their sole contraceptive method is the primary endpoint for this study. Kaplan-Meier methods will be used to estimate the twelvemonth cumulative pregnancy probability (through day 365) (and 95% CI) in the typical use population.
    L’endpoint primario per questo studio è l’efficacia contraccettiva cumulativa su dodici mesi (365 giorni) nelle coppie, durante la parte di efficacia dello studio, in cui il partner utilizza il prodotto giornalmente per sopprimere la produzione di spermatozoi e la coppia usa il metodo come unico metodo contraccettivo. I metodi di Kaplan-Meier verranno utilizzati per stimare la probabilità di gravidanza cumulativa su dodici mesi (fino al giorno 365) (con IC al 95%) nella popolazione con uso tipico
    E.5.1.1Timepoint(s) of evaluation of this end point
    Week 76
    Settimana 76
    E.5.2Secondary end point(s)
    1. For the efficacy portion of the study, the Pearl Index at 12 months
    (with 95% confidence intervals(CI));
    2. The level and rate of suppression of spermatogenesis induced by daily
    administration of NES-8/T-62 gel, as evaluated by the number and
    proportion of male participants who are rendered azoospermic (no
    sperm) and/or severely oligozoospermic (sperm concentration =1
    million/mL) during the suppression phase of the study;
    3. The maintenance of suppression of spermatogenesis induced by daily
    administration of NES-8/T-62 gel, as evaluated by the number and
    proportion of men who remain azoospermic (no sperm) or severely
    oligo-zoospermic (sperm concentration =1 million/mL) during the 52-
    week efficacy phase of the study.
    4. The average length of time to recovery of spermatogenesis for all
    male participants who complete the efficacy phase and enter the
    recovery phase.
    5. The alterations in circulating concentrations of gonadotropins, T, free
    T, NES, and sex hormone binding globulin (SHBG) as a result of
    administration of the investigational medicinal product (IMP).
    6. The safety of the IMP as evaluated by number and frequency of
    reported adverse events (AE), number and frequency of abnormal safety
    laboratory test results and change in behavioral monitoring
    questionnaires when the male participants are using daily NES-8/T-62
    gel.
    7. The safety of the IMP as evaluated by the health of pregnancies,
    which will be followed up to one year post delivery in cases of
    contraceptive failure.
    8. General safety recorded as AEs and SAEs.
    9. The safety of the IMP as evaluated by changes in sexual function,
    prostate and mood.
    10. The acceptability of this method as a contraceptive among both male
    participants and their participating female partners.
    Gli endpoint secondari dello studio sono i seguenti:
    1. Per la parte di efficacia dello studio, l'indice di Pearl a 12 mesi (con intervalli di confidenza (IC) del 95%);
    2. Il livello e la velocità di soppressione della spermatogenesi indotta dalla somministrazione giornaliera del gel NES-8/T-62, valutato dal numero e dalla proporzione di partecipanti di sesso maschile che sono resi azoospermici (senza sperma) e/o gravemente oligozoospermici (concentrazione di sperma =1 milione/ml) durante la fase di soppressione dello studio;
    3. Il mantenimento della soppressione della spermatogenesi indotta dalla somministrazione giornaliera del gel NES-8/T-62, valutata dal numero e dalla proporzione di uomini che rimangono azoospermici (senza sperma) o gravemente oligozoospermici (concentrazione di sperma =1 milione/ml) durante la fase di efficacia di 52 settimane dello studio.
    4. La durata media del tempo di recupero della spermatogenesi per tutti i partecipanti di sesso maschile che completano la fase di efficacia ed entrano nella fase di recupero.
    5. Le alterazioni nelle concentrazioni circolanti di gonadotropine, T, T libero, NES e globulina legante l'ormone sessuale (SHBG) a seguito della somministrazione del medicinale sperimentale (IMP).
    6. La sicurezza dell'IMP valutata in base al numero e alla frequenza degli eventi avversi (AE) segnalati, al numero e alla frequenza di risultati anormali dei test di laboratorio di sicurezza e alla modifica dei questionari di monitoraggio comportamentale quando i partecipanti di sesso maschile usano il gel NES-8/T-62 ogni giorno.
    7. La sicurezza dell'IMP valutata in base allo stato di salute delle gravidanze, che saranno seguite fino a un anno dopo il parto in caso di mancato funzionamento del contraccettivo.
    8. Sicurezza generale registrata come AE e SAE.
    9. La sicurezza dell'IMP valutata dai cambiamenti nella funzione sessuale, nella prostata e nell'umore.
    10. L'accettabilità di questo metodo come contraccettivo tra i partecipanti di sesso maschile e le loro partner partecipanti.
    E.5.2.1Timepoint(s) of evaluation of this end point
    1. Study Week 76
    2. Study Weeks 4, 8, 10, 12, 14, 16, 18, 20
    3. Study Weeks 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76
    4. Study Weeks 80, 84, 88, 96, 100, 104
    5. Study Weeks 4, 8, 12, 16, 20
    6. Study Weeks 0, 4, 8, 10, 12, 14, 16, 18, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 96, 100, 104
    7. Whenever applicable
    8. Continuously thoroughout the clinical trial
    9. Study Weeks 20, 28, 40, 52, 64, 76, 88, 104
    10. Study Weeks 0, 24, 48, 76, 80
    1. Settimane 76
    2. Settimane 4, 8, 10, 12, 14, 16, 18, 20
    3. Settimane 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76
    4. Settimane 80, 84, 88, 96, 100, 104
    5. Settimane 4, 8, 12, 16, 20
    6. Settimane 0, 4, 8, 10, 12, 14, 16, 18, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 96, 100, 104
    7. Quando applicabile
    8. Durante tutto lo Studio
    9. Settimane 20, 28, 40, 52, 64, 76, 88, 104
    10. Settimane 0, 24, 48, 76, 80
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised No
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other Yes
    E.8.1.7.1Other trial design description
    Studio in aperto
    open study
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial1
    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 No
    E.8.4.1Number of sites anticipated in Member State concerned1
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA4
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Chile
    Kenya
    United States
    Italy
    Sweden
    United Kingdom
    E.8.7Trial has a data monitoring committee Yes
    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
    The end of the Study will occur when the last male subject to be enrolled has completed his Exit Visit and all data are entered on the appropriate CRF forms.
    Lo Studio si intenderà concluso quando l'ultimo soggetto arruolato di sesso maschile , avrà completato la Visita di Fine Studio e tutti dati saranno inseriti nelle relative forms della CRF
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years3
    E.8.9.1In the Member State concerned months5
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years4
    E.8.9.2In all countries concerned by the trial months0
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 420
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers Yes
    F.3.2Patients No
    F.3.3Specific vulnerable populations No
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception No
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state70
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 280
    F.4.2.2In the whole clinical trial 420
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    None
    Nessuna
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2019-03-11
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2019-02-20
    P. End of Trial
    P.End of Trial StatusOngoing
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Thu May 02 14:01:54 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA