Actively Recruiting

Phase 2
Age: 18Years - 60Years
All Genders
NCT06974526

Subdermal Implant-bioabsorbable Oxandrolone Pellet For Rehabilitation Following Anterior Cruciate Ligament (ACL) Surgical Reconstruction

Led by Science Valley Research Institute · Updated on 2026-02-24

96

Participants Needed

6

Research Sites

74 weeks

Total Duration

On this page

Sponsors

S

Science Valley Research Institute

Lead Sponsor

S

Stin Pharma

Collaborating Sponsor

AI-Summary

What this Trial Is About

Rehabilitation of knee stability and function after anterior cruciate ligament (ACL) reconstruction is slow and costly. The use of anabolic steroids, such as oxandrolone, may aid in the recovery of muscle mass and strength, as well as functional capacity. Oxandrolone, derived from dihydrotestosterone, has high anabolic activity and low androgenic activity (a 13:1 ratio), making it more effective in promoting weight gain with fewer side effects compared to other steroids. Registered by the FDA and previously by ANVISA (National Health Surveillance Agency (Brazil), it is indicated for cases of post-trauma or post-surgery weight loss. The subdermal use of oxandrolone implants is proposed to release the drug directly into the bloodstream, improving efficacy and reducing issues related to oral administration. This study evaluates the safety and tolerability of the absorbable subdermal oxandrolone implant for 24 weeks versus placebo implant in both men and women as an adjuvant treatment during rehabilitation following anterior cruciate ligament (ACL) surgical reconstruction. The serum and pharmacokinetic profile of the oxandrolone implant will be monitored.

CONDITIONS

Official Title

Subdermal Implant-bioabsorbable Oxandrolone Pellet For Rehabilitation Following Anterior Cruciate Ligament (ACL) Surgical Reconstruction

Who Can Participate

Age: 18Years - 60Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Men and women aged 18 to 60 years
  • Ability to give voluntary consent and approve informed consent form
  • Body weight between 50-120 kg for men and 40-90 kg for women
  • BMI less than or equal to 34.9 kg/m²
  • Complete ACL rupture confirmed by pre-operative MRI
  • Underwent arthroscopic knee surgery for ACL reconstruction using autologous hamstring tendon graft
  • Isolated ACL injury or combined with ligamentous, meniscal, or cartilage lesions that do not interfere with rehabilitation
  • Classified as very active, active, or irregularly active type A on IPAQ before ACL injury
  • Started postoperative physiotherapy and adhere to rehabilitation protocol
  • Functional knee range of motion from 0 to 120 degrees and able to walk without crutches
  • Blood pressure below 180/95 mmHg seated in doctor's office
  • Hematocrit less than or equal to 50%
  • ALT less than three times upper limit of normal
  • Serum creatinine less than 2 mg/dL
  • Total bilirubin less than 3.0 mg/dL
  • Albumin greater than or equal to 3.5 g/dL
  • For men only: Total PSA less than or equal to 4.1 ng/mL
Not Eligible

You will not qualify if you...

  • For women: Confirmed or suspected pregnancy
  • For women: Childbirth, abortion, or lactation in last 3 months
  • For women: Refusal to use allowed contraceptives during study and 90 days after
  • For women: Signs of hyperandrogenization such as hirsutism, alopecia, or severe acne
  • For women: Polycystic Ovary Syndrome
  • For women: Known or suspected breast cancer
  • For men: Known or suspected prostate or male breast cancer
  • Previous serious injury or surgery on lower limbs
  • Knee injury older than 36 months
  • Unstable meniscal tear needing repair that interferes with rehabilitation
  • Meniscus suture during ACL reconstruction
  • Use of patellar, quadriceps, or other hamstring grafts during ACL reconstruction
  • Contraindication to hormone use or conditions worsened by hormone treatment
  • Personal history of deep vein thrombosis or known coagulopathy
  • Known chromosomal disorders
  • Hypersensitivity to anabolic steroids
  • Previous failure with oxandrolone treatment
  • Use of testosterone or anabolic steroids in last 3 months
  • Pituitary tumor
  • Creatinine over 2 mg/dL or chronic kidney disease
  • Myocardial infarction in last 6 months
  • Uncontrolled dyslipidemia or diabetes
  • COPD unresponsive to bronchodilators
  • Contraindication to MRI or claustrophobia
  • Irregularly active type B or sedentary on IPAQ
  • Paid athlete
  • Known psychiatric disorders
  • Voiding disorder
  • Fibromyalgia diagnosis
  • Current smoking
  • History of drug abuse
  • Participation in other trials in last 30 days
  • Other clinical or lab conditions making participation unsafe
  • Postoperative complications requiring additional knee procedures such as stiffness or healing issues

AI-Screening

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Trial Site Locations

Total: 6 locations

1

Unimed Fortaleza

Fortaleza, Ceará, Brazil

Actively Recruiting

2

Faculdade Ciências Médicas de Minas Gerais (CMMG)

Belo Horizonte, Minas Gerais, Brazil

Actively Recruiting

3

Centro de Oncologia do Paraná

Curitiba, Paraná, Brazil

Actively Recruiting

4

Unimed Brusque

Brusque, Santa Catarina, Brazil

Actively Recruiting

5

Hospital e Maternidade Christóvão da Gama

Santo André, São Paulo, Brazil

Actively Recruiting

6

Santa Casa de Santos

Santos, São Paulo, Brazil

Actively Recruiting

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Research Team

L

Leandro B Agati, PhD

CONTACT

V

Viviane Santana

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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