Status:

TERMINATED

A Randomized, Double-blinded, Clinical, Placebo-controlled Trial on the Effects of Therapy With Letrozole and hUman Choriongonadotropin in Male Hypogonadism Induced by Illicit Use of Anabolic Androgenic Steroids- The LUCAS Trial

Lead Sponsor:

Rigshospitalet, Denmark

Conditions:

Hypogonadism

Hypogonadism, Male

Eligibility:

MALE

18-50 years

Phase:

PHASE4

Brief Summary

The overall objective of this randomized trial is to investigate the effects of treatment of AAS- induced male hypogonadism with combined therapy of letrozole and hCG compared with placebo on reproduc...

Detailed Description

A randomized, double-blinded, clinical, placebo-controlled trial enrolling 60 male illicit AAS users with documented AAS-induced hypogonadism after a period \> 12 weeks of AAS cessation or a negative ...

Eligibility Criteria

Inclusion

  • • Male sex
  • 18 - 50 years of age
  • Hypogonadism following observational period of a minimum of 12 weeks since AAS discontinuation OR hypogonadism with a urine sample negative for AAS analyses at screening visit: plasma total testosterone ≤ 10 nmol/L AND featuring at least one symptom of male hypogonadism using IIEF in terms of erectile function (IIEF: Q1 - Q5 + Q15; total score \< 26) and/or sexual desire (IIEF: Q11 + Q12; total \< 7) (1) and/or ADAM questionnaire (YES to three questions other than question 1 and 7) and/or regular use of medical treatment for erectile dysfunction.
  • Motivation for permanent AAS cessation

Exclusion

  • Established cardiovascular disease
  • Established diabetes of any kind 384
  • Congenital hypogonadal conditions (cryptorchidism, Klinefelter's disease, Kallmann's disease etc.)
  • Previous established hypogonadal conditions due to other causes than illicit use of AAS
  • Current or previous treatment with testosterone on other indication than AAS-induced male hypogonadism
  • Abnormal puberty development (small testes, late or absent pubic hairing, late or absent deepening of voice, etc.)
  • Current or previous pituitary diseases including pituitary tumors
  • Current or previous tumors of the hypothalamus
  • Current or former testicular cancer
  • Current or previous prostate cancer
  • Current or previous breast cancer
  • Other cancers unless complete remission ≥ 5 year
  • Other concomitant disease or makes the patient unsuitable to participate in the study
  • Severely impaired liver function
  • Allergy or hypersensitivity to the active substance (letrozole) or excipients of Letrozol "Accord"® listed in Appendix D
  • Allergy or hypersensitivity to the active substance (hCG) or excipients of Brevactid® listed in Appendix D
  • Established Lapp lactase deficiency or glucose/galactose malabsorption
  • Severe venous phlebitis or current or previous venous thromboembolism
  • Inguinal hernia
  • treatment which according to the investigators' assessment
  • Simultaneous participation in another clinical study
  • Unable to follow treatment instructions in terms of study medication instructions
  • Ongoing criminal behavior in terms of violence or illicit distribution of drugs
  • Currently or in the foreseeable future included in anti-doping programs

Key Trial Info

Start Date :

November 24 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 15 2023

Estimated Enrollment :

8 Patients enrolled

Trial Details

Trial ID

NCT05205837

Start Date

November 24 2021

End Date

August 15 2023

Last Update

February 15 2024

Active Locations (1)

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1

Rigshospitalet

Copenhagen, Denmark