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Androgen Replacement Therapy

Testosterone Therapy for Low Testosterone (PATH Trial)

Phase 2
Recruiting
Led By Shehzad Basaria, MD
Research Sponsored by Brigham and Women's Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Chronic non-cancer back pain.
Use of opioid analgesics for at least 6 months
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, 3 months, and 6 months
Awards & highlights

PATH Trial Summary

This trial is testing whether testosterone replacement can help improve pain perception, pain tolerance, sexual function, fatigue, and quality of life in men with chronic back pain being treated with opioids who have low testosterone due to their opioid use.

Who is the study for?
This trial is for men over 18 with chronic back pain treated with opioids, leading to low testosterone levels. They must have been on opioid painkillers for at least six months and be willing to consent. Men with prostate or breast cancer, certain mental health conditions, recent heart issues, severe kidney or liver disease, or specific metallic implants cannot participate.Check my eligibility
What is being tested?
The study tests if testosterone replacement (Testosterone Undecanoate) can better improve pain perception, tolerance, sexual function, fatigue and life quality compared to a placebo in these men.See study design
What are the potential side effects?
Potential side effects of Testosterone Undecanoate include acne, changes in sex drive or performance, hair loss or growth on the body/face and mood swings. More serious risks may involve blood clots and heart problems.

PATH Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I have long-term back pain not caused by cancer.
Select...
I have been using opioid painkillers for at least 6 months.
Select...
I have been using opioid painkillers for at least 6 months.
Select...
My testosterone levels are low according to recent tests.
Select...
I am a man aged 18 or older.
Select...
I am a man aged 18 or older.
Select...
I have long-term back pain not caused by cancer.

PATH Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, 3 months, and 6 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline, 3 months, and 6 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Changes in scores in the Pain Interference Subscale of the Brief Pain Inventory (BPI) questionnaire
Secondary outcome measures
Changes in default mode network connectivity
Changes in response to quantitative sensory testing of pain under a mechanical stimulus
Changes in response to quantitative sensory testing of pain under cold stimulus
+3 more
Other outcome measures
Changes in Patient's Global Impression of Change (PGIC) scores
Changes in catastrophizing assessed with the Pain Catastrophizing Scale (PCS) questionnaire
Changes in depressive symptoms assessed with the Patient Health Questionnaire-9 (PHQ-9)
+5 more

PATH Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: TestosteroneExperimental Treatment1 Intervention
Intramuscular injections of testosterone undecanoate 750 mg.
Group II: PlaceboPlacebo Group1 Intervention
Intramuscular injections of placebo.

Find a Location

Who is running the clinical trial?

Brigham and Women's HospitalLead Sponsor
1,615 Previous Clinical Trials
11,470,680 Total Patients Enrolled
Shehzad Basaria, MDPrincipal InvestigatorBrigham and Women's Hospital
3 Previous Clinical Trials
333 Total Patients Enrolled
Robert R Edwards, PhDPrincipal InvestigatorBrigham and Women's Hospital
2 Previous Clinical Trials
396 Total Patients Enrolled

Media Library

Testosterone cypionate (Androgen Replacement Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT04798469 — Phase 2
Opioid Use Disorder Research Study Groups: Testosterone, Placebo
Opioid Use Disorder Clinical Trial 2023: Testosterone cypionate Highlights & Side Effects. Trial Name: NCT04798469 — Phase 2
Testosterone cypionate (Androgen Replacement Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04798469 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any available openings for individuals to partake in this experiment?

"Clinicaltrials.gov records indicate that this clinical trial is currently recruiting patients, with the initial posting occurring on January 10th 2022 and a recent update being made on September 16th 2022."

Answered by AI

What prior experiments have been done on Testosterone cypionate's effects?

"Currently, there are 29 ongoing clinical trials for Testosterone cypionate and 5 of these trials have been moved to Phase 3. While some of the studies may be located in Houston, Texas, a total of 124 medical sites offer this research opportunity globally."

Answered by AI

What potential risks are associated with Testosterone cypionate usage?

"Testosterone cypionate's safety has been partially established, thus receiving a rating of 2 on the scale. However, efficacy remains unconfirmed given this is only a Phase 2 study."

Answered by AI

What are the expected outcomes of this medical experiment?

"This 6-month clinical trial has a primary focus of assessing changes in scores for the Pain Interference Subscale of the Brief Pain Inventory (BPI) questionnaire. Furthermore, secondary outcomes include Quantitative sensory testing to measure deep pressure pain response with cuff pressure algometry, quantifying responses to pressure stimulation through digital pressure algometer readings, and gauging reactions to mechanical pain by repetitive stimuli ("windup") tests with punctate probes."

Answered by AI

How many participants is this research endeavor recruiting?

"Affirmative. Per the data available on clinicaltrials.gov, this investigation is actively soliciting participants since its inception in January 10th 2022 and most recent refreshment on September 16th of the same year. A total of 150 individuals are required to be recruited from a single research site."

Answered by AI

To what medical conditions is testosterone cypionate typically applied?

"Testosterone cypionate is widely prescribed to treat hypogonadotropic hypogonadism, however it can also be taken as a therapy for post-menopausal women and those that have undergone orchidectomy or orchitis."

Answered by AI

Who else is applying?

What state do they live in?
Virginia
Ohio
Nevada
How old are they?
18 - 65
65+
What site did they apply to?
Brigham and Women's Hospital
What portion of applicants met pre-screening criteria?
Did not meet criteria
Met criteria
Recent research and studies
~0 spots leftby Apr 2024