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Trial · NCT04456296

A Study of the Effect of Testosterone Replacement Therapy on Blood Pressure in Adult Male Participants With Hypogonadism

NCT04456296, Phase 4, Completed, Endo USA Inc., a Keenova Therapeutics Company; results first posted 2025-03-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of the Effect of Testosterone Replacement Therapy on Blood Pressure in Adult Male Participants With Hypogonadism. Trials, record NCT04456296. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04456296

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study of the Effect of Testosterone Replacement Therapy on Blood Pressure in Adult Male Participants With Hypogonadism
NCT number
NCT04456296
Status
Completed
Phases
Phase 4
Enrollment
673 participants, actual
Lead sponsor
Endo USA Inc., a Keenova Therapeutics Company
Conditions
Hypogonadism, Hypogonadism, Male, Hypogonadotropic Hypogonadism
Interventions
Aveed Injectable Product, Fortesta, Testim
First posted
2020-07-02
Last updated
2025-03-14
Results first posted
2025-03-14

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline in 24-Hour Average Systolic Ambulatory Blood Pressure to End of Study (EOS)Baseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms
The mean change from Baseline to EOS in 24-hour average systolic ambulatory blood pressure, for each treatment group was analyzed using an analysis of covariance (ANCOVA) model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour average systolic ambulatory blood pressure as covariate. EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
SecondaryChange From Baseline in 24-Hour Average Mean Arterial Pressure (MAP) to EOSBaseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms
The mean change from Baseline to EOS in 24-hour MAP, for each treatment group was analyzed using an ANCOVA model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour MAP as covariate.EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
SecondaryChange From Baseline in 24-Hour Average Diastolic Ambulatory Blood Pressure to EOSBaseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms
The mean change from Baseline to EOS in 24-hour average diastolic ambulatory blood pressure, for each treatment group was analyzed using an ANCOVA model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour average diastolic ambulatory blood pressure as covariate. EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
SecondaryChange From Baseline in 24-Hour Average Heart Rate to EOSBaseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms
The mean change from Baseline to EOS in 24-hour average heart rate, for each treatment group was analyzed using an ANCOVA model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour average heart rate as covariate. EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
SecondaryChange From Baseline in 24-Hour Average Pulse Pressure (PP) to EOSBaseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim Arms
The mean change from Baseline to EOS in 24-hour average PP for each treatment group was analyzed using an ANCOVA model with treatment and study center (pooled centers) as fixed effects, Baseline 24-hour average PP as covariate. EOS for the Aveed arm was Day 107 and EOS for Fortesta and Testim, was Day 114.
SecondaryPercentage of Participants Taking New Antihypertensive MedicationsEOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim ArmsA new antihypertensive medication was any antihypertensive medication taken on or after the screening Visit through the EOS visit and not taken prior to the screening visit.
SecondaryPercentage of Participants With Dose Increase From Baseline in Antihypertensive MedicationsEOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim ArmsA new antihypertensive medication was any antihypertensive medication taken on or after the screening Visit through the EOS visit and not taken prior to the screening visit.

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in 24-Hour Average Systolic Ambulatory Blood Pressure to End of Study (EOS)Baseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim ArmsFull analysis set included all ITT participants with valid Baseline and EOS ABPM assessments.millimeters of mercury (mmHg)LEAST_SQUARES_MEAN
SECONDARYChange From Baseline in 24-Hour Average Mean Arterial Pressure (MAP) to EOSBaseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim ArmsFull analysis set included all ITT participants with valid Baseline and EOS ABPM assessments.mmHgLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in 24-Hour Average Diastolic Ambulatory Blood Pressure to EOSBaseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim ArmsFull analysis set included all ITT participants with valid Baseline and EOS ABPM assessments.mmHgLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in 24-Hour Average Heart Rate to EOSBaseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim ArmsFull analysis set included all ITT participants with valid Baseline and EOS ABPM assessments.beats per minuteLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in 24-Hour Average Pulse Pressure (PP) to EOSBaseline (Day 1), EOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim ArmsFull analysis set included all ITT participants with valid Baseline and EOS ABPM assessments.mmHgLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants Taking New Antihypertensive MedicationsEOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim ArmsFull analysis set included all ITT participants with valid Baseline and EOS ABPM assessments.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Dose Increase From Baseline in Antihypertensive MedicationsEOS Visit: up to Day 107 for the Aveed Arm, and up to Day 114 for Fortesta and Testim ArmsFull analysis set included all ITT participants with valid Baseline and EOS ABPM assessments.Percentage of participantsNUMBER

Results by group21

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in 24-Hour Average Systolic Ambulatory Blood Pressure to End of Study (EOS)AVEED® (Testosterone Undecanoate Injection)2.7795% Confidence Interval 0.95 to 4.59millimeters of mercury (mmHg)
Change From Baseline in 24-Hour Average Systolic Ambulatory Blood Pressure to End of Study (EOS)FORTESTA® (Testosterone Gel)2.7895% Confidence Interval 0.86 to 4.69millimeters of mercury (mmHg)
Change From Baseline in 24-Hour Average Systolic Ambulatory Blood Pressure to End of Study (EOS)TESTIM® (Testosterone Gel)2.1595% Confidence Interval 0.28 to 4.03millimeters of mercury (mmHg)
Change From Baseline in 24-Hour Average Mean Arterial Pressure (MAP) to EOSAVEED® (Testosterone Undecanoate Injection)2.1395% Confidence Interval 0.89 to 3.37mmHg
Change From Baseline in 24-Hour Average Mean Arterial Pressure (MAP) to EOSFORTESTA® (Testosterone Gel)1.7895% Confidence Interval 0.47 to 3.08mmHg
Change From Baseline in 24-Hour Average Mean Arterial Pressure (MAP) to EOSTESTIM® (Testosterone Gel)1.2195% Confidence Interval -0.06 to 2.49mmHg
Change From Baseline in 24-Hour Average Diastolic Ambulatory Blood Pressure to EOSAVEED® (Testosterone Undecanoate Injection)1.8595% Confidence Interval 0.79 to 2.91mmHg
Change From Baseline in 24-Hour Average Diastolic Ambulatory Blood Pressure to EOSFORTESTA® (Testosterone Gel)1.2295% Confidence Interval 0.10 to 2.34mmHg
Change From Baseline in 24-Hour Average Diastolic Ambulatory Blood Pressure to EOSTESTIM® (Testosterone Gel)0.8195% Confidence Interval -0.28 to 1.91mmHg
Change From Baseline in 24-Hour Average Heart Rate to EOSAVEED® (Testosterone Undecanoate Injection)2.8995% Confidence Interval 1.47 to 4.31beats per minute

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAVEED® (Testosterone Undecanoate Injection)224
Overall StudySTARTEDFORTESTA® (Testosterone Gel)224
Overall StudySTARTEDTESTIM® (Testosterone Gel)225
Overall StudySafety PopulationAVEED® (Testosterone Undecanoate Injection)222
Overall StudySafety PopulationFORTESTA® (Testosterone Gel)223
Overall StudySafety PopulationTESTIM® (Testosterone Gel)225
Overall StudyIntent-to-Treat (ITT) PopulationAVEED® (Testosterone Undecanoate Injection)222
Overall StudyIntent-to-Treat (ITT) PopulationFORTESTA® (Testosterone Gel)223
Overall StudyIntent-to-Treat (ITT) PopulationTESTIM® (Testosterone Gel)225
Overall StudyFull Analysis SetAVEED® (Testosterone Undecanoate Injection)140

Adverse events30

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHeadacheNervous system disordersAVEED® (Testosterone Undecanoate Injection)1222
otherHeadacheNervous system disordersFORTESTA® (Testosterone Gel)2223
otherHeadacheNervous system disordersTESTIM® (Testosterone Gel)3225
otherBlood testosterone increasedInvestigationsAVEED® (Testosterone Undecanoate Injection)0222
otherBlood testosterone increasedInvestigationsFORTESTA® (Testosterone Gel)2223
otherBlood testosterone increasedInvestigationsTESTIM® (Testosterone Gel)3225
otherHypertensionVascular disordersAVEED® (Testosterone Undecanoate Injection)7222
otherHypertensionVascular disordersFORTESTA® (Testosterone Gel)5223
otherHypertensionVascular disordersTESTIM® (Testosterone Gel)7225
seriousAcute coronary syndromeCardiac disordersAVEED® (Testosterone Undecanoate Injection)0222

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAVEED® (Testosterone Undecanoate Injection)1224
Total, all-cause mortalityFORTESTA® (Testosterone Gel)0224
Total, all-cause mortalityTESTIM® (Testosterone Gel)0225
Total, other adverse eventsAVEED® (Testosterone Undecanoate Injection)8222
Total, other adverse eventsFORTESTA® (Testosterone Gel)9223
Total, other adverse eventsTESTIM® (Testosterone Gel)13225
Total, serious adverse eventsAVEED® (Testosterone Undecanoate Injection)3222
Total, serious adverse eventsFORTESTA® (Testosterone Gel)1223
Total, serious adverse eventsTESTIM® (Testosterone Gel)2225

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04456296

GET https://conductscience.org/api/trials/v1/NCT04456296/results?page=2