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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
Must not have
Known history of organic hypogonadism (e.g., due to hypothalamic, pituitary or testicular disease)
Use of testosterone within the past 6 months
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, 3 months, and 6 months
Awards & highlights
All Individual Drugs Already Approved
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.
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.
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.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
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.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have a diagnosed condition that affects my body's ability to produce sex hormones.
Select...
I have not used testosterone in the last 6 months.
Select...
I have been diagnosed with bipolar disorder or schizophrenia.
Select...
I have a history of prostate or breast cancer.
Select...
I have a lump or hard area in my prostate found during a physical exam.
Select...
I have heart failure that is not well-managed.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline, 3 months, and 6 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, 3 months, and 6 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Changes in scores in the Pain Interference Subscale of the Brief Pain Inventory (BPI) questionnaire
Secondary study objectives
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 moreOther study objectives
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 moreAwards & Highlights
All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
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
1,670 Previous Clinical Trials
11,878,116 Total Patients Enrolled
Shehzad Basaria, MDPrincipal InvestigatorBrigham and Women's Hospital
3 Previous Clinical Trials
314 Total Patients Enrolled
Robert R Edwards, PhDPrincipal InvestigatorBrigham and Women's Hospital
2 Previous Clinical Trials
396 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have been using opioid painkillers for at least 6 months.I have long-term back pain not caused by cancer.I have been using opioid painkillers for at least 6 months.I have not used testosterone in the last 6 months.Your blood has more red blood cells than it should.Your prostate-specific antigen (PSA) level is higher than 4 ng/mL if you are Caucasian, or higher than 3 ng/mL if you are African-American.Your blood test shows that your creatinine level is higher than 2.5 mg/dL.I haven't had a heart attack, stroke, or heart surgery in the last 3 months.I have a diagnosed condition that affects my body's ability to produce sex hormones.I have been diagnosed with bipolar disorder or schizophrenia.My testosterone levels are low according to recent tests.You have metal implants in your body that prevent you from having an MRI. If you can't have an MRI or don't want to, the researchers might still let you join the study after thinking about your situation.I am a man aged 18 or older.I have a history of prostate or breast cancer.I have a lump or hard area in my prostate found during a physical exam.I have heart failure that is not well-managed.I am a man aged 18 or older.I have long-term back pain not caused by cancer.Your ALT level is more than three times higher than the normal range.
Research Study Groups:
This trial has the following groups:- Group 1: Testosterone
- Group 2: Placebo
Awards:
This trial has 1 awards, including:- All Individual Drugs Already Approved - Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.