World J Mens Health.  2024 Oct;42(4):762-771. 10.5534/wjmh.230164.

Patient Satisfaction with Oral Testosterone Undecanoate in Men Who Received Prior Testosterone Therapy: An Open-Label, SingleCenter Clinical Trial

Affiliations
  • 1Desai Sethi Urology Institute, University of Miami Miller School of Medicine, FL, USA
  • 2Herbert Wertheim College of Medicine, Florida International University, FL, USA
  • 3Biostatistics and Bioinformatics Shared Resource, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, FL, USA
  • 4Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA

Abstract

Purpose
To evaluate patient satisfaction and symptom control in hypogonadal men transitioning from other testosterone therapies to oral testosterone undecanoate (TU).
Materials and Methods
In this open-label clinical trial, men aged 18 to 75 years with hypogonadism were switched to oral TU after a sufficient washout of previous testosterone therapies. Treatment satisfaction and symptom control were primarily measured using the 9-item Treatment Satisfaction Questionnaire for Medication (TSQM-9) and quantitative androgen deficiency in aging males (qADAM) questionnaires, respectively. Secondary outcomes included changes in serum testosterone (T), estradiol (E2), hematocrit (HCT), and prostate-specific antigen (PSA) levels.
Results
Forty-one men participated, with significant improvements in all TSQM-9 scores observed over 6 months. Symptom control as measured by qADAM remained consistent. There was a significant increase in serum T and E2 levels, but HCT and PSA levels remained stable.
Conclusions
Switching to oral TU from other testosterone therapies is associated with increased patient satisfaction and stable hypogonadal symptom control.

Keyword

Clinical trial; Hypogonadism; Patient satisfaction; Testosterone
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