Eur J Endocrinol
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DOI: 10.1530/eje.0.1400414
European Journal of Endocrinology, Vol 140, Issue 5, 414-419
Copyright © 1999 by European Society of Endocrinology
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Clinical Studies

Intramuscular injection of testosterone undecanoate for the treatment of male hypogonadism: phase I studies

HM Behre, K Abshagen, M Oettel, D Hubler, and E Nieschlag

Institute of Reproductive Medicine of the University, Domagkstrasse 11, D-48129 Munster, Germany.

OBJECTIVE: In the search for long-acting testosterone preparations suited for substitution therapy of hypogonadal men, testosterone undecanoate (TU) dissolved in either tea seed oil or castor oil was investigated. DESIGN: In study I, 1000 mg TU in tea seed oil (125 mg/ml) were injected in equal parts into the gluteal muscles of seven hypogonadal men. In study II, 1000 mg TU in castor oil (250 mg/ml) were injected into one gluteal muscle of 14 patients. RESULTS: In comparison with published data on testosterone enanthate, most widely used for i.m. injections, the kinetic profiles of both TU preparations showed extended half-lives and serum levels not exceeding the upper limit of normal. The castor oil preparation had a longer half-life than TU in tea seed oil (33.9+/-4.9 vs 20.9+/-6.0 days (mean pm S.E.M.)). CONCLUSION: The longer half-life and the smaller injection volume make TU in castor oil a strong candidate for further applications in substitution therapy and in trials for male contraception.


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