Evidence map›Paper›PMID 39648590›Full record

ArticleAndrology2025

Evaluation of dimethandrolone undecanoate in non-human primates as a candidate for long-acting injectable male contraceptive.

Deborah I Bunin, Kyuri Kim, Toufan Parman, Janet Gahagen, Mary B Zelinski, Tiffany Adevai, Christina Wang, Liang Tang, Lalitha Iyer, Aaron Endsley and 2 more

Abstract read
In one paragraph

Article in Andrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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

12 authors.

Deborah I BuninSRI Biosciences, SRI International, Menlo Park, California, USA.
Kyuri KimSRI Biosciences, SRI International, Menlo Park, California, USA.
Toufan ParmanSRI Biosciences, SRI International, Menlo Park, California, USA.
Janet GahagenSRI Biosciences, SRI International, Menlo Park, California, USA.
Mary B ZelinskiOregon National Primate Research Center, Oregon Health & Science University, Beaverton, Oregon, USA.
Tiffany AdevaiOregon National Primate Research Center, Oregon Health & Science University, Beaverton, Oregon, USA.
Christina WangThe Lundquist Institute at Harbor-UCLA Medical Center, Torrance, California, USA.
Liang TangSRI Biosciences, SRI International, Menlo Park, California, USA.
Lalitha IyerSRI Biosciences, SRI International, Menlo Park, California, USA.
Aaron EndsleySRI Biosciences, SRI International, Menlo Park, California, USA.
Diana L BlitheContraceptive Development Program, Division of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Health, Bethesda, Maryland, USA.
Min S LeeContraceptive Development Program, Division of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Health, Bethesda, Maryland, USA.ORCID 0000-0001-8567-2065

Funding

Upgrade of confocal microscopy at the Oregon National Primate Research CenterP51OD011092 · OD · OREGON HEALTH & SCIENCE UNIVERSITY · PI Bonnie J. Nagel · 2012 to 2026
$203.9M
PK/PD, METABOLIC, AND PRECLINICAL STUDIES - SRI INTERNATIONAL 75N94020D00003 · NICHD · SRI INTERNATIONAL · PI BUNIN, DEBORAH · 2020 to 2025
$27.2M
Division of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)HHS 75N94020D00003HHS HHSN275201500002INational Institutes of Health (NIH)NICHD NIH HHS 75N94020D00003NICHD NIH HHS HHSN275201500002CNICHD NIH HHS HHSN275201500002INIH HHS P51 OD011092Oregon National Primate Research Center, Oregon Health & Science University P51OD011092
6 · The paper itself

Abstract

backgroundDimethandrolone undecanoate (DMAU) is under development as a single agent hormonal male contraceptive. DMAU is a prodrug hydrolyzed by esterase(s) to the active metabolite dimethandrolone (DMA) which has dual androgenic and progestogenic actions. Phase 1 clinical trial results show DMAU to be well-tolerated as an oral contraceptive in healthy men; however, delivery of DMAU as a long-acting injectable rather than a daily oral formulation would provide user compliance benefits and address oral bioavailability concerns.

objectiveTo assess the safety, pharmacokinetics (PK), and long-acting contraceptive potential of DMAU in male non-human primates (NHP) when delivered as an injectable or oral formulation. MATERIALS AND

methodsDMAU was administered to cynomolgus macaques orally for 9 months or as five weekly intramuscular (IM) injections and to rhesus macaques as a single IM injection. Evaluations of safety, fertility indicators, and serum levels of DMAU and DMA were followed > 2 years post-dose.

resultsRepeat dose oral and IM administrations were well-tolerated with no significant toxicological findings. Dramatic reductions in serum testosterone concentration occurred within days of administration followed by sustained suppression of additional fertility indicators (e.g., serum inhibin B, sperm count, and testicular spermatogenesis). Slight body weight increases and reductions in testes weight also occurred. Repeat DMAU injections resulted in DMA serum concentrations above the lower limit of quantification (1 ng/mL) for > 500 days. DMAU PK parameters increased with increasing IM dose, while dose dependence was not seen for serum DMA concentrations suggesting a depot effect with a reservoir of non-circulating prodrug remaining at the injection site which gets slowly hydrolyzed to DMA and absorbed into circulation. Testosterone levels and spermatogenesis returned by the end of the recovery period.

conclusionsNonclinical safety, PK, and pharmacodynamic data in male NHP demonstrate the safe, well-tolerated, long-acting, and reversible contraceptive potential of injectable DMAU.

Indexed as

Contraceptive Agents, MaleNandroloneAdministration, OralAnimalsDelayed-Action PreparationsInhibinsInjections, IntramuscularMacaca fascicularisMacaca mulattaMaleSpermatogenesisTestisTestosteroneContraceptive Agents, MaleDelayed-Action Preparationsdimethandrolone-undecanoateInhibinsNandroloneTestosteroneDMAUlong‐acting injectablemale contraceptionNHPprogestogenic androgen

Identifiers

PMID39648590
PMCPMC12145459

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.