Oral testosterone ester formulations and methods of treating testosterone deficiency comprising same
A pharmaceutical formulation of testosterone undecanoate is provided. Methods of treating a testosterone deficiency or its symptoms with the inventive formulations are also provided.
1. A method for treating a hypogonadal male comprising orally administering to the male twice-daily a composition comprising a capsule and a liquid formulation encased within the capsule, the formulation being a self-emulsifying drug delivery system comprising
a) 18-22 percent by weight of testosterone undecanoate (TU),
h) 12-18 percent by weight of hydrophilic surfactant, and
c) 50-65 percent by weight of lipophilic surfactant,
wherein the weight ratio of the total amount of lipophilic surfactant to the total amount of hydrophilic surfactant is about 6:1 to about 3.5:1,
wherein the total TU administered per day ranges from about 316 mg TU to about 948 mg TU, and
wherein the composition, when orally administered to a plurality of hypogonadal males, provides, at steady state, an average serum testosterone concentration Cave of from about 300 to about 1100 ng/dl in at least 75% of the males, a serum testosterone Cmax value of from 1800 to 2500 ng/dl in less than 5% of the males, a serum testosterone Cmax value that does not exceed 1500 ng/dl in at least 85% of the males, and a serum testosterone Cmax value that does not exceed 2500 ng/dl in any of the males.
2. The method according to claim 1 , wherein administration of the composition provides a serum Tmax at 3 to 7 hours.
3. The method according to claim 1 , wherein the Cave in the plurality of hypogonadal males is proportional to the amount of testosterone undecanoate orally administered to the males.
4. The method according to claim 1 , wherein the formulation further comprises a 5-alpha reductase inhibitor.
5. The method according to claim 1 , wherein the formulation further comprises a P450 isozyme CYP3A4 inhibitor.
6. The method according to claim 1 , wherein the formulation further comprises a digestible oil.
7. The method according to claim 6 , wherein the digestible oil comprises 10-15 percent by weight of the formulation.
8. The method according to claim 7 , wherein the hydrophilic surfactant is polyoxyethylene (40) hydrogenated castor oil and the lipophilic surfactant is oleic acid.
9. The method according to claim 1 , wherein the composition releases about 40 wt. % TU within the first 30 minutes and about 60 wt. % TU after 4 hours when evaluated in Fed State Simulated Intestinal Fluid medium containing sodium hydroxide, glacial acetic acid, potassium chloride, lecithin, and sodium taurocholate at a pH of 5.