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Clomiphene in Males With Prolactinomas and Persistent Hypogonadism

Information source: Federal University of São Paulo
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Hypogonadotropic Hypogonadism; Prolactinoma

Intervention: Clomiphene citrate (Drug)

Phase: Phase 2

Status: Completed

Sponsored by: Federal University of São Paulo

Official(s) and/or principal investigator(s):
Julio Abucham, MD, PhD, Study Chair, Affiliation: Neuroendocrine Unit

Summary

Prolactinomas are usually associated with hypogonadotropic hypogonadism in both sexes. Clomiphene citrate is a well known selective estrogen receptor modulator that increases gonadotropin secretion via hypothalamic-pituitary action. We conducted a prospective, open label clinical trial of CC to evaluate its effects in reverting persistent HH in male patients with prolactinomas under dopaminergic agonist treatment.

Clinical Details

Official title: Recovery of Gonadal Function by Clomiphene in Males With Prolactinomas and Persistent Hypogonadism

Study design: Treatment, Non-Randomized, Uncontrolled, Single Group Assignment, Efficacy Study

Primary outcome: assess the effects of CC treatment on testosterone levels in male patients with prolactinomas and persistent HH on dopaminergic agonist therapy

Secondary outcome: Assess the effects of CC on sexual function, fertility, body composition, lipid and glucose metabolism, and quality of life were also evaluated.

Eligibility

Minimum age: 18 Years. Maximum age: 70 Years. Gender(s): Male.

Criteria:

Inclusion Criteria:

- a minimum follow-up of 6 months under DA therapy with normal serum prolactin or with

maximum DA dose (3. 5 mg/week of cabergoline or 10 mg/day of bromocriptine for at least 2 months)

- serum total testosterone less than 300ng/dl with normal or low LH and FSH levels after

discontinuing testosterone replacement for at least 2 months.

Exclusion Criteria:

- impossibility to attend scheduled visits and irregular compliance to DA treatment.

Locations and Contacts

Neuroendocrine Unit - Escola Paulista de Medicina (UNIFESP), Sao Paulo, SP 09541-330, Brazil
Additional Information

Starting date: June 2004
Ending date: June 2005
Last updated: June 13, 2008

Page last updated: June 20, 2008

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