Evidence map›Paper›PMID 39252657›Full record

Trial reportAndrology2025

Safety, efficacy, and pharmacokinetics of oral testosterone undecanoate in males with hypogonadism.

Martin Miner, Christina Wang, Jed Kaminetsky, Mohit Khera, Irwin Goldstein, Culley Carson, Nachiappan Chidambaram, Shelby King, Adrian Dobs

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Andrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02081300 (Phase 3, Active-Controlled, Safety and Efficacy Trial of Oral Testosterone Undecanoate), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02081300 phase3completednot on this map

Phase 3, Active-Controlled, Safety and Efficacy Trial of Oral Testosterone Undecanoate (TU, LPCN 1021) in Hypogonadal Men

TypeinterventionalSponsorLipocine Inc.Ran2014 to 2015Enrolled315ConditionsMale HypogonadismArmsOral testosterone undecanoate, LPCN 1021, Topical testosterone gel 1.62 %
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Martin MinerMen's Health Center, Miriam Hospital, Providence, Rhode Island, USA.ORCID 0000-0001-6813-9242
Christina WangClinical and Translational Science Institute, The Lundquist Institute at Harbor-UCLA Medical Center, Torrance, California, USA.
Jed KaminetskyManhattan Medical Research, New York, New York, USA.
Mohit KheraBaylor College of Medicine, Houston, Texas, USA.
Irwin GoldsteinAlvarado Hospital, San Diego, California, USA.
Culley CarsonUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Nachiappan ChidambaramLipocine, Inc., Salt Lake City, Utah, USA.
Shelby KingAntares Pharma Inc, Ewing, New Jersey, USA.
Adrian DobsJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Funding

Antares Pharma, IncLipocine, Inc
6 · The paper itself

Abstract

backgroundTestosterone deficiency results from insufficient testosterone production. Testosterone therapy may require dose titration to reach eugonadal serum testosterone concentrations.

objectiveThe primary objective was the efficacy of oral testosterone undecanoate (TLANDO; Antares Pharma Inc.) in male patients with documented hypogonadism. Secondary objectives included a comparison of oral testosterone undecanoate safety and quality-of-life assessments to 1.62% topical testosterone gel (AndroGel 1.62%; AbbVie). MATERIALS AND

methodsIn this phase 3 study, 315 patients were randomized 2:1 to oral testosterone undecanoate or 1.62% topical testosterone gel (NCT02081300). Patients received 225 mg oral testosterone undecanoate twice daily, and doses were adjusted by 75 mg/dose at weeks 4 and 8 based on average serum total testosterone concentration and maximum observed serum concentration. The primary endpoint was the proportion of patients receiving oral testosterone undecanoate with serum total testosterone concentration within the eugonadal reference range (300-1140 ng/dL). Secondary endpoints included the proportion of patients with maximum serum total testosterone concentrations within predetermined limits, safety parameters, and quality-of-life endpoints including the Short Form-36v2 Health Survey, Psychosexual Daily Questionnaire, and International Prostate Symptom Score.

resultsOverall mean ± SD baseline testosterone was 205.7 ± 71.6 ng/dL. For patients receiving oral testosterone undecanoate, 87.4% demonstrated a 24-h average serum total testosterone concentration within the reference range following titration. Oral testosterone undecanoate demonstrated a nominal statistically significantly greater mean change from baseline than 1.62% topical testosterone gel for Short Form-36v2 Health Survey measures of mental health (2.91 vs. -0.10; p = 0.035), and mental component summary (3.82 vs. 0.55; p = 0.009); and Psychosexual Daily Questionnaire measure of weekly negative mood (-0.57 vs. -0.20; p = 0.021). Safety endpoints were comparable between therapies. No deaths or treatment-related serious adverse events were reported. DISCUSSION AND

conclusionMale patients with hypogonadism receiving oral testosterone undecanoate 225 mg twice daily demonstrated improvements in libido and sexual frequency. Serum testosterone concentrations were within the reference range in 87% of patients without dose titration.

Indexed as

HypogonadismTestosteroneAdministration, OralAdultAgedHumansMaleMiddle AgedQuality of LifeTreatment OutcomeTestosteronetestosterone undecanoatehypogonadismoral testosteronetestosterone therapytestosterone undecanoatetopical testosterone

Identifiers

PMID39252657
PMCPMC12006877

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.