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Safety and Pharmacokinetics of Single-Dose Novel Oral Androgen 11beta-Methyl-19-Nortestosterone-17beta-Dodecylcarbonate in Men
Safety and Pharmacokinetics of Single-Dose Novel Oral Androgen 11beta-Methyl-19-Nortestosterone-17beta-Dodecylcarbonate in Men
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Safety and Pharmacokinetics of Single-Dose Novel Oral Androgen 11beta-Methyl-19-Nortestosterone-17beta-Dodecylcarbonate in Men
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Safety and Pharmacokinetics of Single-Dose Novel Oral Androgen 11beta-Methyl-19-Nortestosterone-17beta-Dodecylcarbonate in Men
Safety and Pharmacokinetics of Single-Dose Novel Oral Androgen 11beta-Methyl-19-Nortestosterone-17beta-Dodecylcarbonate in Men

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Safety and Pharmacokinetics of Single-Dose Novel Oral Androgen 11beta-Methyl-19-Nortestosterone-17beta-Dodecylcarbonate in Men
Safety and Pharmacokinetics of Single-Dose Novel Oral Androgen 11beta-Methyl-19-Nortestosterone-17beta-Dodecylcarbonate in Men
Journal Article

Safety and Pharmacokinetics of Single-Dose Novel Oral Androgen 11beta-Methyl-19-Nortestosterone-17beta-Dodecylcarbonate in Men

2019
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Overview
Context: 11[beta]-Methyl-19-nortestosterone-17[beta]-dodecylcarbonate (11[beta]-MNTDC) is an orally bioavailable prodrug of 11[beta]-methyl-19-nortestosterone (11[beta]-MNT) with androgenic and progestational activity. Objectives: (i) Quantify 11[beta]-MNT binding to androgen and progesterone receptors. (ii) Evaluate safety, tolerability, and serum gonadotropin and testosterone suppression by 11[beta]-MNTDC in men. Design and Setting: (i) In vitro receptor binding and transactivation studies and (ii) randomized, double-blind, placebo-controlled single-dose, dose-escalating phase I study at two academic medical centers. Participants and Intervention: Twelve healthy male volunteers were randomized (five active, one placebo) to escalating single oral doses (100, 200, 400, and 800 mg) of 11[beta]-MNTDC or placebo given with or without food. Main Outcome Measures: (i) In vitro 11[beta]-MNT/11[beta]-MNTDC human receptor binding and trans-activation and (ii) safety and tolerability, pharmacokinetics, and quantification of serum gonadotropin and testosterone concentrations for 24 hours following dosing. Results: 11[beta]-MNT avidly binds and activates human androgen and progesterone receptors, but 11[beta]-MNTDC has minimal activity. Single oral doses of 11[beta]-MNTDC were well tolerated without serious adverse events. Administration of 11[beta]-MNTDC with food markedly increased average 11[beta]-MNTDC and 11[beta]-MNT serum concentrations (P < 0.001 for all doses) compared with fasting with a significant dose-related effect on average serum drug concentrations (P < 0.0001). The 200-, 400-, and 800-mg doses significantly suppressed average serum testosterone concentrations (P < 0.05). Conclusions: A single, oral dose of 1133-MNTDC up to 800 mg administered with food is safe and well tolerated in healthy men. The active drug 11[beta]-MNT has androgenic and progestational activity, rapidly suppresses serum testosterone, and is a promising candidate for an effective once-daily oral male hormonal contraceptive. (J Clin Endocrinol Metab 104: 629-638, 2019)
Publisher
Oxford University Press